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Gross Motor Development in Babies With Treated Idiopathic Clubfoot

Garcia, Nancy L. PT, PCS; McMulkin, Mark L. PhD; Tompkins, Bryan J. MD; Caskey, Paul M. MD; Mader, Shelley L. PT, PCS; Baird, Glen O. MD

Pediatric Physical Therapy:
doi: 10.1097/PEP.0b013e318235244e
Research Articles

Purpose: To investigate the effect of treated clubfoot disorder on gross motor skill level measured by the Alberta Infant Motor Scale (AIMS).

Methods: Fifty-two babies participated: 26 were treated for idiopathic clubfoot (12 with the Ponseti treatment method, 9 with the French physical therapy technique, and 5 with a combination of both methods); 26 were babies who were typically developing and without medical diagnoses. The AIMS was administered at 3-month intervals.

Results: No significant differences in AIMS scores were found between the clubfoot and control groups at 3 and 6 months, but at 9 and 12 months the clubfoot group scored significantly lower. Babies who were typically developing were significantly more likely to be walking at 12 months than babies with clubfoot.

Conclusions: Treated clubfoot was associated with a mild delay in attainment of gross motor skills at 9 and 12 months of age.

In Brief

The authors found that children treated for clubfoot achieved walking later than a group of peers who were typically developing, although still within normal ranges.

Author Information

Shriners Hospitals for Children, Spokane, Washington.

Correspondence: Nancy L. Garcia, PT, PCS, Shriners Hospitals for Children–-Spokane, 911 W. 5th Ave, Spokane, WA 99204 (

The authors declare no conflicts of interest.

© 2011 Lippincott Williams & Wilkins, Inc.