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Treatment of congenital clubfoot with the Ponseti method: the parents’ perspective

Nogueira, Monica P.a; Farcetta, Marianac; Fox, Mark H.d; Miller, Kathleen K.d; Pereira, Tatiana S.b; Morcuende, Jose A.e

Journal of Pediatric Orthopaedics B: November 2013 - Volume 22 - Issue 6 - p 583–588
doi: 10.1097/BPB.0b013e328364eb3a

This study aimed to analyze the perceptions of parents of children with clubfoot regarding the Ponseti method of treatment, and identify aspects of treatment that families found most difficult. Thirty families of children with clubfoot were treated with the Ponseti method over a 4-year period, and questionnaires were distributed at the conclusion of treatment. The most difficult components of treatment were identified. However, these challenges did not impact treatment outcome negatively. We hypothesize that a strong physician–patient relationship and high levels of parental education may decrease perceived difficulties of treatment with the Ponseti method.

aEpidemiology Department, Public Health Faculty, University of São Paulo

bPhysical Therapy Department, Bandeirantes São Paulo University

cRehabilitation Department, Medical Science Faculty, University of Campinas SP (UNICAMP), São Paulo

dMedicine Faculty, University of Iowa Carver College of Medicine

eDepartment of Orthopaedic Surgery and Rehabilitation, University of Iowa, Iowa City, Brazil

Correspondence to Monica P. Nogueira, MD, PhD, Epidemiology Department, Public Health Faculty, University of São Paul, 541 Juriti Ave Apt 42, São Paulo 0452001, Brazil Tel: +55 11 5055 3349; fax: +55 11 5051 3599; e-mail:

© 2013 by Lippincott Williams & Wilkins, Inc.