Areas of Research

The Center for Excellence in Clubfoot Research (CECR) has an active research program that focuses on finding the cause of clubfoot, the effectiveness of nonoperative and operative treatment methods and new ideas for clubfoot treatment. The center has developed a comprehensive database of information about the hospital's clubfoot patients that has allowed numerous studies on the cause of clubfoot and the most effective treatment methods.

CECR uses a multidisciplinary approach, providing a forum for experts throughout the hospital to collaborate on specific challenges in the treatment of clubfoot deformities in children.

  • TSRHC's clinical staff is skilled in the Ponseti method of gentle manipulations with serial casting. This technique is performed in a clinical setting with weekly plaster cast applications.
  • TSRHC's Physical Therapy staff has been trained in the French functional method of clubfoot treatment. This program consists of a daily stretching, taping and splinting regimen performed by the therapist. The therapists also instruct parents and caregivers on how to maintain the regimen and perform home manipulations.
  • TSRHC's movement science laboratory plays an important role in the center's research, providing objective measurements of patients' strength, range of motion and gait patterns following treatment. As a result of this collaboration, the first assessment of true objective outcomes for clubfoot is available to the international medical community.
  • TSRHC's genetic research lab is working with other centers throughout the country to localize the gene(s) involved with clubfoot. The staff will begin collecting DNA on as many patients and families as possible, with a goal of performing genome-wide association studies.

To highlight the important role of true clubfoot pioneers and to gain knowledge from their experience, the center will routinely host some of the premier orthopedists for lecture series, symposia and workshops.

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