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In 2017 Physiopedia and the International Committee of the Red Cross (ICRC) and the Global Clubfoot Initiative (GCI) are collaborating to deliver a free online course on Managing Children with Clubfoot. The course is joint funded by ICRC and Physiopedia, the ACT Team and partners, including the University of Oxford, CURE International and Global Clubfoot Initiative have kindly provided content for the course, which is also being supplemented with additional material from global experts.
Clubfoot is a complex, congenital deformity of the foot also known as ‘congenital talipes equinovarus’ (CTEV) caused by the abnormal development of a baby’s bones, ligaments and muscles whilst in the womb. Around the world, 150,000 – 200,000 babies with clubfoot are born each year, approximately 80% of these will be in low and middle income countries. Without treatment, the clubfoot deformity causes a lifetime of disability as the affected individual experiences pain and difficulty in walking. People with untreated clubfoot find it difficult to access education, employment and experience exclusion from society. However, most cases of clubfoot can be successfully treated by a multidisciplinary team of healthcare workers with methods that may include a combination of stretching, casting, and bracing.
This course aims to provide a basic theoretical understanding of clubfoot and to align global understanding of the theoretical principles underlying the management of children with clubfoot.
- Section 1: Introduction to Clubfoot
- Section 2: Assessing Children with Clubfoot
- Section 3: Understanding the Management of Children with Clubfoot
- Section 4: Effective Management Considerations
This course is aimed at Physiotherapy and Physical Therapy clinicians, students and assistants. Other interested professionals such as prosthetists/orthotists, occupational therapists, nurses or medical doctors interested in this subject are also invited to participate.
This course will be divided into 4 sections and it is suggested (but not required) that each section be completed over the duration of approximately a week. Please note that no deadlines are applied and this course can be started and completed according to your own schedule. We expect the required elements of each section/week to take around 14-16 hours depending on your schedule and learning style. Additionally there are many optional resources provided and if you choose to review these the course could take significantly longer to complete.
It’s not going to be easy, we’ll expect you to work hard for your completion certificate! You won’t be sitting back and watching webinars, we’ll expect you to undertake reading tasks, complete quizzes, perform literature searches and other learning activities. You’ll need to reflect on your own experiences and make written contributions to the discussion forum. This forum is where we can learn from each other’s experiences and knowledge from all around the world! At the end of the course, when you have completed all of the required elements, you will be able to download a certificate of completion.
Requirements to complete this course
In order to complete this course and receive a course completion certificate you will need to:
- abide by the Physiopedia Plus Community Culture
- log as completed all the required learning activities
- actively participate in the course forum discussions
- pass a final quiz with a score of 80% or more
- complete a course evaluation form
At the end of this course you will be able to:
- Describe the role of three anatomical structures in the foot and ankle that play a role in Clubfoot
- Identify the four major components characteristic of Clubfoot
- Recognise the difference between Idiopathic, Positional and Secondary Clubfoot
- Describe the incidence or prevalence of Clubfoot in your region
- Summarise an example article of quality published evidence on the prevalence or incidence of Clubfoot
- Identify the four key features of clubfoot using C-A-V-E
- Interpret the Pirani Score to assess and monitor Clubfoot deformity
- Explain the role of the multidisciplinary team in the management of Clubfoot
- Examine the role of a Physiotherapist within the multidisciplinary team in the management of Clubfoot
- Explain the role of parents/carers within the multidisciplinary team in the management of Clubfoot
- Evaluate the use of the Ponseti Method in the management of Clubfoot
- Identify when a Tenotomy is indicated
- Explain the role of bracing in preventing recurrence of CAVE signs
- Analyse the issue of adherence to the brace regime
- Compare and contrast two types of different Foot Abduction Braces used in the management of Clubfoot
- develop a treatment plan utilising evidence based therapeutic interventions based on an assessment of a child with Clubfoot
- Recognise four common errors that may occur during Clubfoot Treatment
- Identify two causes for Clubfoot Treatment not progressing
- Describe three features of Atypical Clubfoot
- Identify a sign of Recurrent Clubfoot Deformity evident during Gait
- Discuss the difference in treatment required in Clubfoot in Older Children
- Outline three key elements for a successful Clubfoot Programme.
This has been an amazing course; just the right content and the right length of time. Sharing with all of us about the Ponseti Method for treating Clubfoot has been a eye opener. Learning that no child, regardless of age should not be left unattended brings gladness and hope.
Well done! This course was very helpful in understanding better what clubfoot is and how we as physiotherapists can help. This has also further widened up my knowledge about the Ponsetti techniques, and the different outcome measures including the Pirani test that can be used. Well done to all those that helped to make this course possible. It truly shows that hard work does pay off. As this was a splendid course to follow and participate in. Thank you for such a wonderful experience.
This course was excellent. It provides a good basic understanding of the theory of clubfoot and of Ponsetti intervention and does also show what needs to be done practically. Practitioners still need to have some practical training and practice and this is expressed clearly. I wish I had had this some years back.
Maxine Leigh Fortune
Physiotherapist, South Africa
I am grateful to you, Physiopedia and all your partners who contributed to make this very disabling but yet completely treatable condition course for us. This will indeed result in increased availability of treatment centers around the world, thus reducing the effect of this condition.
Physiotherapist, Hong Kong
First of all, I feel this is the first time I really understand the clubfoot topic although I did read about it before. The course was done so well, seriously deep in all the elements of diagnosis, treatment, and follow-up. I feel I have a much clearer understanding of what parents and children are going through and know much more of what to look at during the years following the maintenance phase.