Effects of Educational Booklet among Children with Club foot during Bracing Stage of Treatment by Ponseti Method

Abstract

Background: Congenital talipes equinovarus is complex congenital deformity of foot which is commonly named as club foot (Hargava et al., 2013). Club foot is the most common deformity characterized by equinus, varus, cavus an adductus (Munambah, Chiwaridzo, & Mapingure, 2016). The purpose of the study was to identify effects of educational booklet among children with clubfoot during bracing stage of treatment by Ponseti method. Methodology: This study was a quantitative type quasiexperimental research design. Sample size was 360 for this study. Sampling technique was a convenient sampling technique. Exercises applied with educational booklet to the booklet group or experiment group and only usual exercises applied to the nonbooklet group or the control group. A pre-test (before exercises provided by educational booklet) and post-test (after exercises provided by educational booklet) as well as a pre-test (before usual exercises provided by verbal instruction) and post-test (after usual exercises provided by verbal instruction) was administered with each subject of both groups to compare the effects on children with club foot during bracing stage of treatment by Ponseti methods. Results: The mean Pirani score before providing exercises with educational booklet for right feet among the clubfoot babies were 0.56 ± 0.33 (Booklet group) and after providing exercises with educational booklet for right feet among the clubfoot babies were 0.43 ± 0.41 (Booklet group)). Statistically it was found highly significant (t= 2.99, p < 0.0003).So it was concluded that exercises with educational booklet had significant influence on Pirani score reduction for right feet among the clubfoot babies. The mean Pirani score before providing usual exercises for left feet among the clubfoot babies were 0.5 ± 0.15 (Non-booklet group) and after providing usual exercises for left feet among the clubfoot babies were 0.53 ± 0.48 (Non-booklet group)). Statistically it was found significant (t= - 0.059, p < 0.056). So it was concluded that usual exercises without educational booklet had influence on Pirani score increased for left feet among the clubfoot babies. Conclusion: There was significant role of exercises with educational booklet rather than usual exercises by verbal instructions among children with clubfoot during bracing stage of treatment. Key words: Ponseti method, Educational booklet and Exercises