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Clubfoot clinical trials

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NCT ID: NCT01265238 Completed - Stroke Clinical Trials

Neuro-orthopaedic Surgery in the Treatment of the Spastic Equinovarus Foot

Start date: December 2009
Phase: N/A
Study type: Observational

Spastic equinovarus foot (SEF) is a major cause of disability in stroke patients. Treatments may include physical therapy, orthosis, botulinum toxin (BTX) injections, selective tibial neurotomy and tendon lengthening and/or transfer. Until now, no study has been conducted to assess the result of neuro-orthopaedic surgery in the treatment of SEF. The aim of this study is to evaluate the benefit of neuro-orthopaedic surgery (selective neurotomy and/or Achilles tendon lengthening and/or tibialis anterior transfer) in case of SEF according to the 3 domains of the International Classification of Functioning, Disability and Health (ICF)of the World Health organisation (WHO)

NCT ID: NCT01088828 Completed - Clubfoot Clinical Trials

Exploring the Causes of Clubfoot Using Magnetic Resonance Imaging, MRI

Start date: May 2010
Phase: N/A
Study type: Observational

The purpose of this study is to: 1. compare structural variations observed in the calf and foot of the clubfoot mouse model(pma)with human clubfoot patients antenatally and postnatally; 2. identify features that might be used in future large scale studies to delineate a subtype of human clubfoot associated with lack of response to standard 'Ponseti' manipulation treatments.

NCT ID: NCT01067651 Completed - Clubfoot Clinical Trials

Comparison of Casting Materials for the Treatment of Clubfoot Using the Ponseti Method

Start date: n/a
Phase: N/A
Study type: Interventional

The purpose of this study was to determine the influence of cast material on correction of congenital idiopathic clubfeet using the Ponseti method.

NCT ID: NCT00825097 Completed - Stroke Clinical Trials

Efficacy Study of Selective Tibial Neurotomy in the Treatment of the Spastic Equinovarus Foot Among Adult Hemiplegic Patients

Neurotomy
Start date: October 2008
Phase: Phase 3
Study type: Interventional

Spastic equinovarus foot (SEF) is a major cause of disability in stroke patients. Treatments may include physical therapy, orthosis, botulinum toxin (BTX) injections and selective neurotomy. Several RCT placebo-controlled studies have demonstrated improvement in spasticity, in pain and in active ankle dorsiflexion after BTX injections. Unfortunately, BTX is an expensive treatment and its effects last about three months. Selective neurotomy consists in a partial section of the motor nerve innervating spastic muscles responsible for the SEF, leading to a permanent treatment of the SEF. Until now, neurotomy has only been assessed by observational case-report studies and has never been submitted to a RCT. The aim of our study is to evaluate the benefits of selective tibial neurotomy in case of SEF according to the 3 domains of the ICF, by comparing it with BTX injections, among a prospective, randomized, controlled single blind study: it would allow to promote a permanent and cost-effective treatment in case of SEF.

NCT ID: NCT00607191 Completed - Clubfoot Clinical Trials

Clubfoot DNA Repository

Start date: January 2008
Phase: N/A
Study type: Observational

To build a DNA repository to enable participation in ongoing and future Clubfoot genetic linkage studies.

NCT ID: NCT00474344 Completed - Clubfoot Clinical Trials

Genetic Linkage Study of Idiopathic Talipes Equinovarus (ITEV) (Clubfoot)

Start date: August 2004
Phase:
Study type: Observational

The goal of this study is to identify and characterize the genetic loci causing idiopathic talipes equinovarus (clubfoot). The hypothesis is that a few genes account for a substantial fraction of ITEV and that these genes can be identified in defined populations. Towards this goal, in preliminary studies, Dr. Hecht's group has identified two genes, NAT2 and CASP10, which demonstrate evidence for linkage and association to ITEV.

NCT ID: NCT00210431 Completed - Cerebral Palsy Clinical Trials

Post Marketing Surveillance Study of Dysport

Start date: October 2004
Phase:
Study type: Observational

The purpose of this study is to provide further information regarding the risks and benefits of Dysport in marketed indications.

NCT ID: NCT00199589 Completed - Spastic Equinovarus Clinical Trials

Treatment of Spastic Equinovarus Foot After Stroke

Start date: October 2002
Phase: N/A
Study type: Interventional

This study evaluates treatment for spastic foot after stroke using ankle foot orthosis with or without selective injection of BTA (Botox).

NCT ID: NCT00175708 Completed - Clubfoot Clinical Trials

Pedobarographic Assessments of Clubfoot Treated Patients

Start date: September 2005
Phase:
Study type: Observational

The purpose of this study is to determine the utility of pedobarographs in evaluating clubfoot post-treatment.

NCT ID: NCT00152347 Completed - Clinical trials for Idiopathic Clubfoot (Talipes Equinovarus)

A Double-Blind, Randomized Control Trial Comparing Botulinum Toxin Type A (Botox) and Placebo in the Treatment of Idiopathic Clubfoot

Start date: September 2005
Phase: N/A
Study type: Interventional

The purpose of this study is to continue the work from the previous review study and determine the effectiveness of Botox in treating patients with idiopathic clubfoot by comparing outcomes of subjects treated with manipulation and casting plus Botox (treatment group) to those treated with manipulation and casting plus placebo (control group). The null hypothesis is that manipulation and casting plus Botox is not an effective treatment for idiopathic clubfoot. The alternate hypothesis is that manipulation and casting plus Botox is an effective treatment for idiopathic clubfoot.