Original Article: JRCRS. 2022; 10(1): 3-5
3- Functional Limitations in Congenital Equines Patients after Achilles tendon Release Post 3 Months.
Sana Asgher1, Shoaib Waqas2, Muhammad Tariq3, Nabeela Dawood4, Hafiz Muhammad Asim5
1Rehab Officer, Ghurki Trust Teaching Hospital, Lahore
2Associate Professor Lahore College of Physical Therapy, LMDC, Lahore
3Assistant Professor Lahore College of Physical Therapy, LMDC, Lahore
4Senior lecturer Lahore College of Physical Therapy, LMDC, Lahore
5 Professor, Lahore College of Physical Therapy, LMDC, Lahore
Abstract:
Background: The inability of the ankle to dorsiflex beyond neutral, with the subtalar joint in neutral and the knee in extension, causes difficulties walking is known as talipes equinus. Due to a congenital short Achilles tendon, toe walking with talipes equinus resulted in functional limitations and activity restrictions.
Objective: The purpose of this study was to identify functional limits in congenital Talipes equines after Achilles tendon release after 3 months on the Laavage and Ponseti Functional Rating Scale
Methods: A descriptive cross-sectional study was conducted at Ghurki Trust and Teaching Hospital, Lahore, for a period of 6 months from August 2020 to January 2021, in which 102 subjects were included based on inclusion criteria, which included age between 2 and 10 years by a convenient sampling technique, and who received physical therapy rehabilitation. The Lahore College of Physical Therapy’s Ethical Committee, as well as the parents and patients, provided their approval. Laavage and Ponesti used the Functional Rating Scale (FRS) to determine each patient’s functional limits. The six domains of the FRS scale are satisfaction, function, and discomfort, as well as the position of the heel when standing, passive motion, and walking. This scale represents the extent of functional limitation for these areas as a whole.
Results: From 102 patients, 4 patients (3.9%) presented with extreme functional limitations, 8 (7.8%) with severe functional limitations, 30 (29.4%) with moderate functional limitations, and 60 (58.8%) (n=30) patients were with mild functional limitations.
Conclusion: Patients, who underwent bilateral circumferential Achilles tendon release, had mild functional limitations when assessed through FRS post 3 month
Keywords: Congenital Talipes Equinus, Achilles Tendon Release, Functional Limitations