Karnesh Chandra Karn MPO ,1st year student ISIC INSTITUTE OF REHABILITATION SCIENCES

DEMOGRAPHIC DATA
Name bikash seth Regd. No - 9878 Age 1yr Sex Male Father/guardian name: parameswar seth Contact no.-9090734621 Address arjangadh, delhi Height 1ft 1 inch Weight 5 kg Living arrangement With Family Date of admission 20/12/2010

Chief complain
Abnormal foot posture

ON OBSERVATION
Bilateral foot deformity
Both heel smaller in size Fore foot inverted Slight bony prominence on the lateral aspect of the

foot Skin creases on the medial aspect of the foot

DIAGNOSIS
CONGENITAL TALLIPES EQUINO VARUS (CTEV)

HISTORY
Not detected at the time of routine screening
No treatment given before. Brought for the check up for the 1st time

Aim of the treatment

Maintaining the foot in optimum corrected position
Prevent any further increase in the deformity status.

Treatment plan
First of all the mother is taught to manipulate the foot

after every feed. The manipulation method is to dorsiflex and evert the foot.

orthotic appliance prescribed

Denish Brown splint(as the child does not start

walking.once the child start walking then the DB splint is used as a night splint) CTEV shoes when the child starts walking.

references
Faulks, Shawne and Luther, Brenda: Changing Paradigm

for the Treatment of Clubfeet. Orthopaedic Nursing; 2005, 25-32 Orthotics and Prosthetics in Rehabilitation;MICHELLE M.LUSARDI,Ph.D.,P.T.,CAROLINE C.NIELSEN, Ph.D Prosthetics and Orthotics lower limb and spinal; Ron Seymour,PT,PHD http://www.medhelp.org/tags/show/86037/CTEV-treatment http://www.jortho.org/2004/1/1/e3/