Indian Journal of Physical Medicine and Rehabilitation

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VOLUME 30 , ISSUE 2 ( April-June, 2019 ) > List of Articles

Original Article

Improvement Pattern of Talo-first Metatarsal Angle in Congenital Pes Planus Due to Conservative Rehabilitative Measures

Saumen Kumar De, Debangshu Bhakat, Rajesh Pramanik, Manomohan Biswas, Sunil Kumar Basu

Keywords : Congenital pes planus (flat foot), Faradic foot bath, Talo-first metatarsal angle

Citation Information : De SK, Bhakat D, Pramanik R, Biswas M, Basu SK. Improvement Pattern of Talo-first Metatarsal Angle in Congenital Pes Planus Due to Conservative Rehabilitative Measures. Indian J Phy Med Rehab 2019; 30 (2):34-40.

DOI: 10.5005/jp-journals-10066-0038

License: CC BY-NC 4.0

Published Online: 01-06-2019

Copyright Statement:  Copyright © 2019; The Author(s).


Introduction: Pes planus is one of the commonest foot deformities during childhood. By measuring the talo-first metatarsal (TFM) angle radiologically, the condition can be classified as mild, moderate, and severe. This study is our humble attempt to put some light to assess the role of nonsurgical treatment approaches in cases of congenital pes planus with respect to the measurement of improvement in TFM angle. Materials and methods: This prospective randomized open label control trial was conducted in the Department of Physical Medicine and Rehabilitation, Sambhu Nath Pandit Hospital, Lala Lajpat Rai Sarani, Kolkata, West Bengal, India, between December 2009 and November 2011, after obtaining clearance from the Institutional Ethical Committee clearance. Proper consent was taken from the legal guardian of the patient. Confirmed cases of congenital pes planus (flat foot) between 6 years and 18 years were included according to the inclusion and exclusion criteria and were being randomly subdivided into two groups. One group (group I) of patients received exercise (Ex) therapy, shoe modification (SM), and acetaminophen (paracetamol) SOS; and the other group of patients (group II) received Ex therapy, SM, electrical stimulation in the form of faradic foot bath (FFB), and acetaminophen (paracetamol) SOS; and after initial visit, these patients were followed up on 6th, 12th, 24th week, every time with respect to measurement of improvement in TFM angle. Results: Statistically significant improvement (with p value less than 0.05) was observed in group I, and similar type of observation was also found while analyzing the improvement in TFM angle among group II patients. But unfortunately, the comparative analysis by Student's unpaired t test of the numerical variables of groups I and II failed to show any statistically significant improvement pattern of TFM angle due to FFB itself. Conclusion: The TFM angle radiologically is a good assessment scale for measuring the outcome of conservative management in case congenital pes planus (flat foot).

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