Can clubfoot be cured? 5 types of exercise therapy

If hallux valgus is discovered early, it can be restored to normal health through reasonable treatment. The number of people suffering from hallux valgus is currently on the rise. For babies with more severe hallux valgus or older children with well-formed bones, the combination of medical therapy and exercise therapy will be more effective in treating hallux valgus.

1. Constrained Movement Therapy

Use a 500ml mineral water bottle, fill it with an appropriate amount of fine sand, up to 1000g, tie it to the inside of a flat shoe with a rope, with the bottle mouth facing backwards, and ask the patient to do compulsory walking training on a flat ground at home, starting with light weight and gradually increasing the weight, half an hour each time, 3 to 4 times a day. The training course is 3 months, and follow-up in the outpatient clinic is once a week.

2. Foot abduction and adduction

The patient sits upright with both knees flexed at 90° and relaxed naturally. Inhale, lift the toes of the affected feet, and do abduction movements slowly. Pause for 3-5 seconds after reaching the position.

Exhale, slowly inward and return to the starting position. Repeat the exercise 10 to 20 times. Heel lift: The patient sits upright with both knees bent at 90° and relaxed naturally. Inhale, flex the knee of the affected limb, pull the foot backwards and lift the heel as much as possible, pause for 3 to 5 seconds after reaching the position; exhale, slowly lower the heel, place the sole of the foot firmly on the ground, and then return to the starting position. Repeat the exercise 10 to 20 times.

3. Crawling training

The knee flexion position is beneficial to correct knee prolapse, while increasing the control ability of the knee joint and coordinating its movement ability. Knee flexion and extension is a dorsiflexion training, which improves the strength of the extensor muscles and coordinates the ability of the antagonist muscles.

Brunnsrtom

In the supine position (can also be done in a sitting position), have the patient apply resistance when flexing the hip and knee to increase the length contraction, induce and strengthen the dorsiflexion movement of the foot, then gradually reduce the flexion angle of the hip and knee joints, and finally do dorsiflexion training with the knee extended. During training, it is important to always correct the inversion of the foot and constantly remind the patient to move in the inversion direction. Use the thumb or fingertips to press the outside of the ankle slightly in front to induce ankle dorsiflexion and inversion and hip and knee flexion.

Once induced, this limb position is maintained and then reinforced by increasing the patient's voluntary response.

5. Bridge Training

For triceps stretching and strength training, let the child put the front foot on the step and the heel on the ground, and train the child to put down the heel and lift the front heel. This is the strength training most needed during the swing period. Strengthen the extensor muscles, promote hip flexion and extension, and correct trunk flexion. It plays a great role in correcting knee hyperextension and coordinating steps. Pay attention to keeping the knee joint slightly bent.