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Walking capacity of children with clubfeet in primary school

something to worry about?

Lohle-Akkersdijk, Jacqueline J.a,b; Rameckers, Eugene A.A.a,c,d; Andriesse, Hannekef; de Reus, Ingeborga; van Erve, Ruud H.G.P.e

Journal of Pediatric Orthopaedics B: January 2015 - Volume 24 - Issue 1 - p 18–23
doi: 10.1097/BPB.0000000000000112

Although the main aim of clubfoot correction is to create a foot without limitations in daily activities and sport, studies on the walking capacity of children with corrected clubfeet are rare. In this cross-sectional study, the outcome of the six-minute walking test in 44 children with clubfeet (16 unilateral and 28 bilateral, mean age 8.57±2.45 years) was compared with the reference values of Geiger, clinical status measured with the Clubfoot Assessment Protocol (CAP), and regression analysis used to calculate which CAP subgroup predicts walking capacity. The mean walking capacity was decreased to 79% (P<0.001) and was not influenced by unilaterality or bilaterality (P=0.437). The subgroup CAP morphology was a significant predictor (R2=0.103; P=0.034). Knowing that walking capacity is only slightly decreased can help adjust expectations and set goals for training.

aAVANS+, Breda

bPrivate Practice, Fysiode

cRehabilitation Centre, Adelante, Valkenburg

dDepartment of Rehabilitation Medicine, Maastricht University, Maastricht

eVan Erve ‘Orthopedische Expertise en Advies’, Deventer, The Netherlands

fDepartment of Orthopedics, University Hospital of Lund, Lund, Sweden

Correspondence to Jacqueline J. Lohle-Akkersdijk, MPPT, Fysiode, Schurenstraat 8a, 7413RA Deventer, The Netherlands Tel: +31 621 631 548; fax: +32 570 607 410; e-mail:

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