Infrared Thermal Imaging for Evaluation of Clubfoot After the Ponseti Casting Method—An Exploratory Study

摘要: Background: Conservative treatment, Ponseti method, has been considered as a standard method to correct the clubfoot deformity among Orthopedic society. Although result of conservative methods have reported with higher success rates than surgical methods, many more problems due improper casting, casting pressure or bracing discomfort. Nowadays, infrared thermography (IRT) is widely used diagnostic tool assess musculoskeletal disorders injuries by detecting temperature abnormalities. Similarly, foot skin evaluation can be added along current subjective predict if there any pressure, excessive manipulation, overcorrections foot, and other pressure-related complications. Purpose: The main purpose this study was explore changes before after using manipulation weekly castings. Methods: This an explorative design. Infrared Thermography (IRT), E33 FLIR thermal imaging camera model, collect images intervention. A total 120 (Medial region foot-24, Lateral side Dorsal Plantar Heel area foot-24) were collected from selected regions clubfoot. Results: results univariate statistical analysis showed that significant in some especially, at 2nd (M = 32.05°C, SD 0.77, p 0.05), 3rd 31.61, 1.11; 95% CI: 31.27-31.96; 0.00), 6th week on lateral 31.15°C, 1.59; 30.75-31.54, 0.000). There no throughout medial foot. In heel noticed third fourth weeks casting. Conclusion: found decreased dorsal evaluation. finding suggest might useful adjunct assessment evaluate thermophysiological changes, which complications caused over manipulative stretching casting-pressure related