Guest guest Posted April 2, 2004 Report Share Posted April 2, 2004 , My son (bl-clubfeet) is in a gold straight bar. I am wondering if he should be in a bent one as well. What is the difference? Can anyone help us with some more info? and Cole At 03:09 PM 4/2/2004 +0000, you wrote: >Hi, My son Connor, who is nearly 1, is being treated in Bath (UK) >with the Ponseti Method. We have never had any bends on is bar and i >discussed this with our Physio who rang Kettering and ordered us a >new bar (Gold 12 " Standard non adjustable) She ordered a bending iron >too and they have put in 2 bends at 15 degrees (roughly). She has set >the angle of his shoes to 45 degrees. He is bilateral and has always >been set at 70 degrees on the straight bar. Should he still be set on >70 degrees on this new bent bar? Also I am struggling to get his feet >in and didn't realise how much difference this was going to make. It >looks like it was more comfy on the straight bar, but I could be >imagining it...... She has done such a great job with Connors feet >and she ordered this bar as I have made a fuss about it and I didn't >want to question her angles aswell!!! > >Rach, Steve & Connor > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 2, 2004 Report Share Posted April 2, 2004 I had this same question for Vinny's doctor. We had seen this bent bar before and shown in the book Clubfoot: Ponseti Management. We actually got into a debate with our doctor and PT in regards to the use of this bar. From our view point, the bent bar seemed as though it would be beneficial for Vinny to help keep his tendon streched a bit (by pointing his toes up as well as holding them at 70 degrees abduction). Thier argument was that would work fine for unilateral clubfoot, where you are wanting to maintain one foot. where the straight foot would be the anchor holding the brace. Grrr... I'm trying to word this correctly, but it took over two hours of discussion and actually seeing how this works to understand it would be more beneficial for unilateral than bilateral (which is what Vinny has). I wish I could explain better. Laurie - Vinny's Mommy > >Hi, My son Connor, who is nearly 1, is being treated in Bath (UK) > >with the Ponseti Method. We have never had any bends on is bar and i > >discussed this with our Physio who rang Kettering and ordered us a > >new bar (Gold 12 " Standard non adjustable) She ordered a bending iron > >too and they have put in 2 bends at 15 degrees (roughly). She has set > >the angle of his shoes to 45 degrees. He is bilateral and has always > >been set at 70 degrees on the straight bar. Should he still be set on > >70 degrees on this new bent bar? Also I am struggling to get his feet > >in and didn't realise how much difference this was going to make. It > >looks like it was more comfy on the straight bar, but I could be > >imagining it...... She has done such a great job with Connors feet > >and she ordered this bar as I have made a fuss about it and I didn't > >want to question her angles aswell!!! > > > >Rach, Steve & Connor > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 2, 2004 Report Share Posted April 2, 2004 I had this same question for Vinny's doctor. We had seen this bent bar before and shown in the book Clubfoot: Ponseti Management. We actually got into a debate with our doctor and PT in regards to the use of this bar. From our view point, the bent bar seemed as though it would be beneficial for Vinny to help keep his tendon streched a bit (by pointing his toes up as well as holding them at 70 degrees abduction). Thier argument was that would work fine for unilateral clubfoot, where you are wanting to maintain one foot. where the straight foot would be the anchor holding the brace. Grrr... I'm trying to word this correctly, but it took over two hours of discussion and actually seeing how this works to understand it would be more beneficial for unilateral than bilateral (which is what Vinny has). I wish I could explain better. Laurie - Vinny's Mommy > >Hi, My son Connor, who is nearly 1, is being treated in Bath (UK) > >with the Ponseti Method. We have never had any bends on is bar and i > >discussed this with our Physio who rang Kettering and ordered us a > >new bar (Gold 12 " Standard non adjustable) She ordered a bending iron > >too and they have put in 2 bends at 15 degrees (roughly). She has set > >the angle of his shoes to 45 degrees. He is bilateral and has always > >been set at 70 degrees on the straight bar. Should he still be set on > >70 degrees on this new bent bar? Also I am struggling to get his feet > >in and didn't realise how much difference this was going to make. It > >looks like it was more comfy on the straight bar, but I could be > >imagining it...... She has done such a great job with Connors feet > >and she ordered this bar as I have made a fuss about it and I didn't > >want to question her angles aswell!!! > > > >Rach, Steve & Connor > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 2, 2004 Report Share Posted April 2, 2004 I had this same question for Vinny's doctor. We had seen this bent bar before and shown in the book Clubfoot: Ponseti Management. We actually got into a debate with our doctor and PT in regards to the use of this bar. From our view point, the bent bar seemed as though it would be beneficial for Vinny to help keep his tendon streched a bit (by pointing his toes up as well as holding them at 70 degrees abduction). Thier argument was that would work fine for unilateral clubfoot, where you are wanting to maintain one foot. where the straight foot would be the anchor holding the brace. Grrr... I'm trying to word this correctly, but it took over two hours of discussion and actually seeing how this works to understand it would be more beneficial for unilateral than bilateral (which is what Vinny has). I wish I could explain better. Laurie - Vinny's Mommy > >Hi, My son Connor, who is nearly 1, is being treated in Bath (UK) > >with the Ponseti Method. We have never had any bends on is bar and i > >discussed this with our Physio who rang Kettering and ordered us a > >new bar (Gold 12 " Standard non adjustable) She ordered a bending iron > >too and they have put in 2 bends at 15 degrees (roughly). She has set > >the angle of his shoes to 45 degrees. He is bilateral and has always > >been set at 70 degrees on the straight bar. Should he still be set on > >70 degrees on this new bent bar? Also I am struggling to get his feet > >in and didn't realise how much difference this was going to make. It > >looks like it was more comfy on the straight bar, but I could be > >imagining it...... She has done such a great job with Connors feet > >and she ordered this bar as I have made a fuss about it and I didn't > >want to question her angles aswell!!! > > > >Rach, Steve & Connor > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 2, 2004 Report Share Posted April 2, 2004 Yes angles at 70 degrees. It is easy to adjust it yourself with the gold bar. > >Reply-To: nosurgery4clubfoot >To: nosurgery4clubfoot >Subject: FAB - Question >Date: Fri, 02 Apr 2004 15:09:54 -0000 > >Hi, My son Connor, who is nearly 1, is being treated in Bath (UK) >with the Ponseti Method. We have never had any bends on is bar and i >discussed this with our Physio who rang Kettering and ordered us a >new bar (Gold 12 " Standard non adjustable) She ordered a bending iron >too and they have put in 2 bends at 15 degrees (roughly). She has set >the angle of his shoes to 45 degrees. He is bilateral and has always >been set at 70 degrees on the straight bar. Should he still be set on >70 degrees on this new bent bar? Also I am struggling to get his feet >in and didn't realise how much difference this was going to make. It >looks like it was more comfy on the straight bar, but I could be >imagining it...... She has done such a great job with Connors feet >and she ordered this bar as I have made a fuss about it and I didn't >want to question her angles aswell!!! > >Rach, Steve & Connor > _________________________________________________________________ MSN Toolbar provides one-click access to Hotmail from any Web page – FREE download! http://toolbar.msn.com/go/onm00200413ave/direct/01/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 2, 2004 Report Share Posted April 2, 2004 Yes angles at 70 degrees. It is easy to adjust it yourself with the gold bar. > >Reply-To: nosurgery4clubfoot >To: nosurgery4clubfoot >Subject: FAB - Question >Date: Fri, 02 Apr 2004 15:09:54 -0000 > >Hi, My son Connor, who is nearly 1, is being treated in Bath (UK) >with the Ponseti Method. We have never had any bends on is bar and i >discussed this with our Physio who rang Kettering and ordered us a >new bar (Gold 12 " Standard non adjustable) She ordered a bending iron >too and they have put in 2 bends at 15 degrees (roughly). She has set >the angle of his shoes to 45 degrees. He is bilateral and has always >been set at 70 degrees on the straight bar. Should he still be set on >70 degrees on this new bent bar? Also I am struggling to get his feet >in and didn't realise how much difference this was going to make. It >looks like it was more comfy on the straight bar, but I could be >imagining it...... She has done such a great job with Connors feet >and she ordered this bar as I have made a fuss about it and I didn't >want to question her angles aswell!!! > >Rach, Steve & Connor > _________________________________________________________________ MSN Toolbar provides one-click access to Hotmail from any Web page – FREE download! http://toolbar.msn.com/go/onm00200413ave/direct/01/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 2, 2004 Report Share Posted April 2, 2004 Yes angles at 70 degrees. It is easy to adjust it yourself with the gold bar. > >Reply-To: nosurgery4clubfoot >To: nosurgery4clubfoot >Subject: FAB - Question >Date: Fri, 02 Apr 2004 15:09:54 -0000 > >Hi, My son Connor, who is nearly 1, is being treated in Bath (UK) >with the Ponseti Method. We have never had any bends on is bar and i >discussed this with our Physio who rang Kettering and ordered us a >new bar (Gold 12 " Standard non adjustable) She ordered a bending iron >too and they have put in 2 bends at 15 degrees (roughly). She has set >the angle of his shoes to 45 degrees. He is bilateral and has always >been set at 70 degrees on the straight bar. Should he still be set on >70 degrees on this new bent bar? Also I am struggling to get his feet >in and didn't realise how much difference this was going to make. It >looks like it was more comfy on the straight bar, but I could be >imagining it...... She has done such a great job with Connors feet >and she ordered this bar as I have made a fuss about it and I didn't >want to question her angles aswell!!! > >Rach, Steve & Connor > _________________________________________________________________ MSN Toolbar provides one-click access to Hotmail from any Web page – FREE download! http://toolbar.msn.com/go/onm00200413ave/direct/01/ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 5, 2004 Report Share Posted April 5, 2004 , The instructions from APO (the orthotics group who set up the braces at the University of Iowa) talk about bending the bar 10-15 degrees. Here's the link to the site w/ the documents: http://pages.ivillage.com/ponseti_links/id9.html FYI- I have a slight issue with the document's description about the distance of the shoes (it should be the inside edges of the heels equal to the width of the shoulders). I concur with the earlier posts that the reason the bar needs to be bent is to maintain the dorsiflexion. Yes, the shoes should be set at 70 degrees with or without the bends- you'll get used to putting it on. Hopefully this info will help. & Quote Link to comment Share on other sites More sharing options...
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