The Relationship Between Age And Pirani Score In Patients With Neglected Idiopathic Clubfoot

The Relationship Between Age and Pirani Score in Patients with Neglected Idiopathic Clubfoot

Neglected Clubfoot is a condition in which a person experiences foot deformity due to clubfoot, but does not get adequate medical treatment. This can occur because of the initial management that is not done or incomplete handling. Over time, the deformity experienced in people with clubfoot tends to get worse. To assess this level of deformity, Pirani et al. Developed a simple and effective assessment system based on six clinical signs of contractures. The Pirani score is a widely used tool to evaluate the severity of clubfoot deformity, and it is essential to understand the relationship between age and Pirani score in patients with neglected idiopathic clubfoot.

Understanding Clubfoot and the Pirani Score

Clubfoot, also known as talipes equinovarus, is a congenital deformity of the foot that affects the alignment of the bones and muscles. It is a common condition that affects about 1 in every 1,000 births. If left untreated, clubfoot can lead to severe deformity, pain, and disability. The Pirani score is a clinical assessment tool used to evaluate the severity of clubfoot deformity. It consists of six clinical signs of contractures, including the presence of a cavus foot, a varus heel, a supinated foot, a rigid foot, a tight Achilles tendon, and a tight calf muscle. The Pirani score ranges from 0 to 6, with higher scores indicating more severe deformity.

Research Methods

This study was conducted with a cross-sectional approach, in which the patient's sample was taken by meeting the predetermined inclusion and exclusion criteria. Basic data collected include age, gender, and abnormalities in other organs. After that, a physical examination is performed to measure the severity of deformity using a pirani score. The data that has been obtained is then analyzed using Statistical Package for the Social Sciences (SPSS) version 22 to determine the correlation coefficient between age and pirani score.

Research Results

In this study, 35 samples were found with an average age of 61,257 months (6-192 months). The average pirani score obtained is: Hindfoot 2.54 (range 1.5-3), midfoot 2.12 (range 0.5-3), and total score 4,67 (range 2-6). Statistical analysis shows a significant correlation relationship between age and pirani score, with the following R value: Hindfoot (R = 0.495), Midfoot (R = 0.639), and Total (R = 0.651). These results indicate that there is a significant relationship between age and pirani score in patients with neglected idiopathic clubfoot.

Conclusion

The results of this study indicate that age has a statistically significant relationship with a pirani score, both in the midfoot, hindfoot, and total score in patients with neglected idiopathic clubfoot. This indicates that the older the patient's age, the worse the degree of deformity experienced. Therefore, it is essential for medical personnel to handle earlier in the case of clubfoot so that the deformity does not get worse as we get older.

Analysis

The relationship between age and the severity of Clubfoot deformity is crucial to be understood in the context of management. Knowing that Clubfoot deformity tends to deteriorate as we get older, medical professionals can be more proactive in referring patients to get the right initial treatment. In addition, this research emphasizes the importance of public awareness of this condition, so that clubfoot sufferers can get the right treatment at a younger age, so that their quality of life can improve.

Implications for Clinical Practice

In clinical practice, a multidisciplinary approach involving orthopedics, physiotherapy, and family education will be very important to deal with this condition as a whole. Better awareness and understanding of clubfoot, especially neglected clubfoot, is expected to encourage families to immediately bring their children to health facilities for appropriate evaluation and treatment.

Recommendations for Future Research

Future research should focus on the long-term outcomes of neglected idiopathic clubfoot and the effectiveness of early intervention in preventing deformity progression. Additionally, studies should investigate the relationship between age and pirani score in different populations, such as children and adults, to better understand the impact of age on clubfoot deformity.

Limitations of the Study

This study has several limitations, including the small sample size and the cross-sectional design. Future studies should aim to recruit larger samples and use a longitudinal design to better understand the relationship between age and pirani score in patients with neglected idiopathic clubfoot.

Conclusion

In conclusion, this study found a significant relationship between age and pirani score in patients with neglected idiopathic clubfoot. The results of this study emphasize the importance of early intervention in preventing deformity progression and improving the quality of life of patients with clubfoot. Further research is needed to better understand the relationship between age and pirani score in different populations and to develop effective treatment strategies for neglected idiopathic clubfoot.
Frequently Asked Questions (FAQs) About the Relationship Between Age and Pirani Score in Patients with Neglected Idiopathic Clubfoot

Q: What is neglected idiopathic clubfoot?

A: Neglected idiopathic clubfoot is a condition in which a person experiences foot deformity due to clubfoot, but does not get adequate medical treatment. This can occur because of the initial management that is not done or incomplete handling.

Q: What is the Pirani score?

A: The Pirani score is a clinical assessment tool used to evaluate the severity of clubfoot deformity. It consists of six clinical signs of contractures, including the presence of a cavus foot, a varus heel, a supinated foot, a rigid foot, a tight Achilles tendon, and a tight calf muscle.

Q: What is the relationship between age and pirani score in patients with neglected idiopathic clubfoot?

A: The results of this study indicate that age has a statistically significant relationship with a pirani score, both in the midfoot, hindfoot, and total score in patients with neglected idiopathic clubfoot. This indicates that the older the patient's age, the worse the degree of deformity experienced.

Q: What are the implications of this study for clinical practice?

A: In clinical practice, a multidisciplinary approach involving orthopedics, physiotherapy, and family education will be very important to deal with this condition as a whole. Better awareness and understanding of clubfoot, especially neglected clubfoot, is expected to encourage families to immediately bring their children to health facilities for appropriate evaluation and treatment.

Q: What are the limitations of this study?

A: This study has several limitations, including the small sample size and the cross-sectional design. Future studies should aim to recruit larger samples and use a longitudinal design to better understand the relationship between age and pirani score in patients with neglected idiopathic clubfoot.

Q: What are the recommendations for future research?

A: Future research should focus on the long-term outcomes of neglected idiopathic clubfoot and the effectiveness of early intervention in preventing deformity progression. Additionally, studies should investigate the relationship between age and pirani score in different populations, such as children and adults, to better understand the impact of age on clubfoot deformity.

Q: What can families do to prevent clubfoot deformity?

A: Families can take several steps to prevent clubfoot deformity, including:

• Seeking medical attention immediately if they suspect their child has clubfoot
• Working with a multidisciplinary team of healthcare professionals to develop a treatment plan
• Participating in regular follow-up appointments to monitor the child's progress
• Engaging in physical therapy and other exercises to help improve the child's range of motion and strength

Q: What are the long-term outcomes of neglected idiopathic clubfoot?

A: The long-term outcomes of neglected idiopathic clubfoot can be severe, including chronic pain, limited mobility, and decreased quality of life. Early intervention and treatment can help prevent these outcomes and improve the child's long-term prognosis.

Q: How can healthcare professionals improve their understanding of clubfoot deformity?

A: Healthcare professionals can improve their understanding of clubfoot deformity by:

• Participating in continuing education courses and workshops on clubfoot treatment and management
• Staying up-to-date on the latest research and guidelines for clubfoot treatment
• Collaborating with other healthcare professionals to develop a comprehensive treatment plan
• Engaging in regular communication with families to ensure they understand the child's condition and treatment plan.