Awareness Regarding Clubfoot in Parents
Keywords:
Clubfoot, Ponseti techniqueAbstract
ABSTRACT
Objective: To assess awareness and knowledge regarding club foot in parents of children with clubfoot.
Methods: This cross sectional study was conducted in Dow University hospital among 105 parents of children who have club foot and were either under treatment or at the completion of treatment. Using a well-designed questionnaire face-to-face interview of the parents was done. Research team members themselves got the questionnaires filled
Results: 113 parents participated in the study. Out of them 86(72.3%) knew that what is clubfoot, 46(38.7%) replied that they don’t know what actually the clubfoot is. Regarding use of Internet for medical problems, 80 (67.2%) replied that they don’t use Internet whereas only 30(67.2%) uses Internet for information regarding health issues. When the parents were asked that how they came to know that club foot is treatable and by whom they were referred to our center, 74(62.2%) were referred by the parents, 25(21.0%) by gynecologist, 9(7.6%) and 5(4.2%) by paramedical staff and health workers when the respondents were asked regarding any information through television and newspaper 105(88.2%) replied that they don’t get any information whereas only 8 (6.7%) replied positively. Only 2(3%) respondents said that they have attended seminar regarding clubfoot whereas 111(97%) said they have never attended the same. 92(77.3%) respondents said that they didn’t get any information regarding clubfoot by any health workers whereas only 20(16.8%)got information from public health workers.
Conclusion: Clubfoot is a common congenital foot anomaly but due to lack of awareness it has been neglected resulting in a lifelong disability. It is a need of hour that awareness regarding club foot should be increased and health care providers should make good communication with parents so that they could understand what is the problem, how it will be managed and how long to keep in follow up in order to avoid recurrence.
References
2. Alavi Y, Jumbe V, Hartley S, Smith S, Lamping D, Muhit M. et al. Indignity, exclusion, pain and hunger: the affect of musculoskeletal impairments in the lives of children in Malawai. Disbil Rehabil 2012 Mar:34:1736-1746.
3. Dobbs MB, Rudzki JR, Purcell DB, Walton T, Porter KR, Gurnett CA. Factors predictive of outcome after use of Ponseti method for the treatment of idiopathic clubfeet. J Bone Joint Surg Am 2004 Jan;86(1);22-7.
4. Moorth RN, Hsahmi SS, Langios P, Canfield M, Waller DK and Hecht JT. idiopathic talipes equinovarus(ITEV) (club foot )Texas. American Journal of Medical genetics. 2005 Jan;132(4):376-380.
5. Shabtai L, Sperld ocht SC, Herzenberg JE. World wide spread of the Ponseti method for club foot. World J orthop 2014 Nov:5:585-590.
6. Vincent Wu, Michelle Nguyen, Huynh Manh Nhi, Do Van Thanh, Florin Oprescu, Thomas Cook. et al. Evaluation of the progress and challenges facing the Ponseti methid progam in Vietnam. Iowa Orthop J 2012:32:125-134.
7. Lu N, Zhao L, Du Q, Liu Y, Oprescu FI, Morcuende JA. From cutting to casting : Affect and initial barrier to the Ponseti method of club foot treatment in China. Iowa Orthop J 2010:30:1-6.
8. Karan Gadhok, Mohan V Belthur, Alaric J Aroojis, Thomas Cook, Florin Oprescu, Ashish S. et al. Qualitative assessment of the challenges to the treatment of club foot by the Ponseti method in urban India. Iowa Orthop J 2012:32:135-140.
9. Harrison R, Penny R, Mayo A, Morcuende J and Lavy C. Local clubfoot project 2007- 2009:summary of outcomes, institute of child health London. Available on (on line) http://www.cbm.org/article/downloads/72942/global_club foot¬_project _poster.pdf(acessed 10 th May 2013).
10. Nougeeria MP, Fox M, Miller K, Morcuende JA. The Ponseti method of treatment for clubfoot in Brazil: barriers to bracing compliance. Iowa Orthop. J 2013:33:161-166.
11. McCabe KM. Factors that predict premature termination among Mexican-American children in outpatient psychotherapy. Journal of Child and Family Studies. 2002; 11 (3): 347-359.
12. Alam Z, Bhujyan HR, Chowdhury S, Haq F, Ahamed MU, Roy SK. Et al. Barriers facing by the parents during club foot treatment of children with clubfoot deformity. MOJ rheumatology and orthopedics 2014:1(2);3-5.
13. Burfat A, Mohammed S, Siddiqui O, Samad L, Mansoor AK, Chinoy MA. Understanding the knowledge and perceptions about clubfoot in Karachi, Pakistan: A qualitative exploration. Iowa Orthop J. 2013;33:149-152.
14. King G, Tamzin C, King S, Rosenbaum P. Major elements of parents’ satisfaction and dissatisfaction with paediatric rehabilitation services. Children’s Health Care 2010 Jun:30(2): 111-134.
15. Galil A, Bachner YG, Merrick J, Flusser H, Lubetzky H, Heiman N. et al. (2006) Physician-parent communication as predictor of parent satisfaction with child development services. Res Dev Disabil 2006 May-Jun:27(3): 233-242.
16. Malta M, Petersen ML, Clair S, Freitas F, Bastos FI. Adherence to antiretroviral therapy: A qualitative study with physicians from Rio de Janeiro, Brazil. Cad Saude Publica 2005 Sep-Oct:21(5): 1424-1432.
17. Beardsley K, Wish ED, Fitzelle DB, O’Grady K, Arria AM Distance travelled to outpatient drug treatment and client retention. J Subst Abuse Treat. 2005 Dec:25(4): 279-285.
18. Wu V1, Nguyen M, Nhi HM, Thanh do V, Oprescu F, Cook T. et al. Evaluation of the progress and challenges facing the Ponseti method program in Vietnam. Iowa Orthop J 2012:32:125-134.
19. Lu N, Zhao L, Du Q, Liu Y, Operascu FI, Morcuende JA. From cutting to casting: affect and initial barriers to the Ponseti method of club foot treatment in China. Iowa Orthop J 2010;30:1-6.
20. Bedfprd J. Perceptions of treatment-seeking behavior for clubfoot: Report and recommendations for the Malawai National club foot Programme. Anthropologica :Oxford, 2009.
21. Konde-Lule J, Gitta S, Mc Elroy T. Uganda sustainable clubfoot care project. Understanding clubfoot in Uganda: A rapid Enthographic study. Makhere university: kampala, Uganda, 2005.
22. Akinatayo OA, Adegbehingbe O, Cook T, Morcuende JA. Initial programme evaluation of Ponseti method in Nigeria. Iowa Orthop J 2012;32:141-149.
















