Use this URL to cite or link to this record in EThOS:
Title: The effect of Neuromuscular Electrical Stimulation on children with Congenital Talipes Equinovarus following treatment with the Ponseti method
Author: Gelfer, Yael
ISNI:       0000 0003 5070 6127
Awarding Body: University of Surrey
Current Institution: University of Surrey
Date of Award: 2007
Availability of Full Text:
Full text unavailable from EThOS. Restricted access.
Please contact the current institution’s library for further details.
Congenital Talipes Equinovarus (CTEV) or clubfoot is the commonest congenital orthopaedic condition with an incidence of 1.5 per 1000 in the UK. The usual treatment for CTEV is the Ponseti method, consisting ofserial manipulation and casting followed by immobilisation in a foot brace. Two main factors have an effect on treatment result: deformity relapse due to muscle imbalance, creating the need for surgery, and smaller ankle range ofmotion (ROM) and calf circumference (CC).This study investigated the practicality ofsurface neuromuscular electrical stimulation (NMES) as an 'active' intervention in infants with CTEV. The primary outcome measure was the potential to reduce relapse measured by the Pirani score and secondary outcome measures were increase ROM and calf circumference. An AlBA2 approach (Astimulation, B-non-stimulation), six weeks each phase, was used in a study and a control group each with eight feet. At each session evertor muscle activity, Pirani severity score and static measures were assessed. Usage and parent perception was assessed using a questionnaire. The compliance with the stimulation and the brace were monitored by diary cards. A separate study with normally developing feet (n=26) and clubfeet (n=14) was also undertaken to determine the repeatability ofthe static measures.
Supervisor: Not available Sponsor: Not available
Qualification Name: Not available Qualification Level: Doctoral
EThOS ID:  DOI: Not available