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document
Compliance with continuous passive movement is low after surgical treatment of idiopathic club foot in infants : a prospective , double-blinded clinical study . Treatment by continuous passive movement at home is an alternative to immobilisation in a cast after surgery for club foot . Compliance with the recommended treatment , of at least four hours daily , is unknown . The duration of treatment was measured in 24 of 27 consecutive children with a mean age of 24 months ( 5 to 75 ) following posteromedial release for idiopathic club foot . Only 21 % ( 5 ) of the children used the continuous passive movement machine as recommended . The mean duration of treatment at home each day was 126 minutes ( 11 to 496 ) . The mean range of movement for plantar flexion improved from 15.2 degrees ( 10.0 degrees to 20.6 degrees ) to 18.7 degrees ( 10.0 degrees to 33.0 degrees ) and for dorsiflexion from 12.3 degrees ( 7.4 degrees to 19.4 degrees ) to 18.9 degrees ( 10.0 degrees to 24.1 degrees ) ( both , p = 0.0001 ) when the first third of therapy was compared with the last third . A low level of patient compliance must be considered when the outcome after treatment at home is interpreted .
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Intervention_Physical
continuous passive movement
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Intervention_Physical
continuous passive movement at home
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Intervention_Physical
continuous passive movement
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Outcome_Other
mean range of movement for plantar flexion improved from 15.2 degrees ( 10.0 degrees to 20.6 degrees ) to 18.7 degrees ( 10.0 degrees to 33.0 degrees )
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Outcome_Other
dorsiflexion from 12.3 degrees ( 7.4 degrees to 19.4 degrees ) to 18.9 degrees ( 10.0 degrees to 24.1 degrees )
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Participant_Condition
idiopathic club foot
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Participant_Age
infants
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Participant_Sample-size
27
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Participant_Age
mean age of 24 months ( 5 to 75 )
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Participant_Condition
following posteromedial release