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good lord no... I think my daughter is much stronger as a whole because of

the DBB. Her legs are so strong, she hauls that thing around all morning

long crawling and playing, standing, pulling up, squatting, kneeling,

walking pushing chair and stools in the DBB (so cute!), and generally being

a little oaf with nice strong legs and abdominal muscle (rolling over and

hauling it around like that seems to help). I do not think you have to

worry about that, these babies sure do rise to and past the occasion with

the dbb.

Don't worry, the calf muscle is smaller and I've heard no amount of

exercise can make it like normal but with bilateral at least he won't have

one small one and one normal one. Darbi's calf is absolutely less solid

than the other one, it's weird but she seems just as strong in that leg so

I'm not worrying much 'bout that. You can't really tell unless you are

squeezing both of them at the same time comparing.

Congrats on getting to the end of casting. Here's to a smooth transition

to the DBB. Can you request the new model Markell shoes? I absolutely

thing they're better than the older ones that need inserts, especially for

babies fresh out of casts.

Kori

Darbi

Right CF - DBB 16hr/day

At 06:00 PM 11/26/2003 +0000, you wrote:

>my son has bilateral clubfoot and has bee in casts for two months, he

>still has 3 weeks of casts then he goes into the dbb. Does this

>restriction on his legs cause any mucsle weakness or development

>problems? Has anyone had to have physical therapy to catch their kids

>up? My drs are very vague on this question, does anyone have any info

>on this.

>

>

>

>

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Marilee,

Dr. Ponseti does not prescribe any physical therapy. He also told me

that being in the brace does not damage the knees or hips. My

daughter was older when she got the brace (wore it full time from 5.5-

8.5 months) and she rolled with it, crawled with it, pulled to a

stand and even did some limited cruising. I was concerned about

damage to her ankles from standing (rocking on the bar) in the brace

so much, but Dr. P assured me it was fine. She's now almost 4, so I

guess it was okay! ;)

There was no " catching up " with my clubfoot kiddo- she rolled, sat,

crawled and walked " on-time " if not early compared to the expected

age she was supposed to hit those milestones.

The make-up of the calf tissue in the clubfoot leg is apparently not

genetically the same as a non-clubfoot leg. This is why unilateral

kids often have one skinny calf muscle and one large one. I've read

that it physically just cannot be " bulked up " . The " skinny factor "

varies from patient to patient. Some calves are very skinny and

others aren't so noticeable.

Good luck with your son's transition to the FAB!

& (3-16-00)

left clubfoot, switched to Ponseti method at 4 mo old

http://ponseticlubfoot.freeservers.com/

> my son has bilateral clubfoot and has bee in casts for two months,

he

> still has 3 weeks of casts then he goes into the dbb. Does this

> restriction on his legs cause any mucsle weakness or development

> problems? Has anyone had to have physical therapy to catch their

kids

> up? My drs are very vague on this question, does anyone have any

info

> on this.

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  • 2 months later...

Hello!

Does anybody know if physical therapy is ever suggested at any time during

or after " treatment " ? Would this be of any value?

Thanks,

Bess

Go Wildcats!

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Bess Ecelbarger

Advising Specialist, University School

The University of Arizona

ILC 103

PO Box 210070

Tucson, AZ 85721-0070

Phone: Fax:

becelbar@...

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

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Hi Bessel!

The answer is no. There is no need of physical therapy after

the treatment. This is because the Ponseti technique really

corrects the foot: all joins and bones get into the right

position. All babies can walk, run and climb normally like

any other kid, and there is no need of any other side

treatment. The only thing necessary to keep everything right

is the use of the brace, otherwise there may be relapses

(more casts to correct).

Warm regards

Ana Teixeira Barros

São o, Brasil

mother of Guilherme (2 y.o. just terrible!)

Ana Teixeira Barros

tel. 55 11 3965 4892

cel. 55 11 9675 7437

---

Acabe com aquelas janelinhas que pulam na sua tela.

AntiPop-up UOL - É grátis!

http://antipopup.uol.com.br

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I've not heard any of Dr. Ponseti's patients needing PT but that's

not to say it hasn't happened. We did not need it. I asked Dr. P

about stretching exercises that I hear so many others being

prescribed to do with their little ones and he said this wasn't

necessary - that every day kicking, standing, walking is exercise/PT

enough.

Holly

Zachary 7/27/02

Right Clubfoot

Treated by Dr. Ponseti

14 hrs/day DBB

> > Hello!

> >

> > Does anybody know if physical therapy is ever suggested at any

time

> during

> > or after " treatment " ? Would this be of any value?

> >

> > Thanks,

> > Bess

> >

> > Go Wildcats!

> >

> > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

> > Bess Ecelbarger

> > Advising Specialist, University School

> > The University of Arizona

> > ILC 103

> > PO Box 210070

> > Tucson, AZ 85721-0070

> > Phone: Fax:

> > becelbar@a...

> > ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

> >

> >

> >

> >

> >

> >

> >

> >

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