Congenital Clubfoot: Difficulties in Maintaining the Use of the Dennis-Brown Orthosis by Caregivers.

Objective This study aimed to identify the main difficulties faced by the family when a child with congenital clubfoot (CC) uses the Dennis-Brown orthosis. Method This study interviewed via Google Forms caregivers of children treated from 2015 to 2018 regarding their difficulties in orthosis use. Results The answers revealed that orthosis-related difficulties are independent of the child's gender, age, or affected side. We noted that 41.7% of the respondents reported some difficulty, especially the child's irritation when using the orthosis (93.3%). Conclusion The main factor in CC relapses is poor adherence to orthosis use. As a result, studying factors causing or increasing the probability of interrupting orthosis use is significant in creating strategies to facilitate their use, potentially reducing CC recurrence.

Congenital Clubfoot: Difficulties in Maintaining the Use of the Dennis-Brown Orthosis by Caregivers / Pé torto congênito: Dificuldades na manutenção do uso da órtese de Dennis-Brown pelos cuidadores

Abstract Objective This study aimed to identify the main difficulties faced by the family when a child with congenital clubfoot (CC) uses the Dennis-Brown orthosis. Method This study interviewed via Google Forms caregivers of children treated from 2015 to 2018 regarding their difficulties in orthosis use. Results The answers revealed that orthosis-related difficulties are independent of the child's gender, age, or affected side. We noted that 41.7% of the respondents reported some difficulty, especially the child's irritation when using the orthosis (93.3%). Conclusion The main factor in CC relapses is poor adherence to orthosis use. As a result, studying factors causing or increasing the probability of interrupting orthosis use is significant in creating strategies to facilitate their use, potentially reducing CC recurrence.

Resumo Objetivo Identificar as principais dificuldades apresentadas pela família durante o uso da órtese de Dennis-Brown. Método Esse estudo foi realizado com os responsáveis por pacientes tratados no período de 2015-2018, os quais responderam a um formulário com perguntas sobre a criança por google forms quanto às dificuldades no uso da órtese. Resultado Com as respostas obtidas, identificamos que as dificuldades com a órtese independem do sexo, idade ou lado afetado na criança. Foi possível identificar que 41,7% dos pacientes que fizeram o uso da órtese apresentaram algum tipo de dificuldade, sendo a principal dificuldade a irritação da criança (93,3%). Conclusão Sabendo que o principal fator de recidivas do PTC é a má aderência ao uso das órteses, o estudo de fatores que causam ou aumentam a probabilidade da interrupção do seu uso se torna um importante aliado para a criação de estratégias para facilitar o uso da órtese, assim possivelmente diminuindo a recidiva da doença.