Clubfoot is one of the most prevalent musculoskeletal congenital defects. Gold standard treatment of idiopathic clubfoot is the conservative Ponseti method, including the reduction of deformity with weekly serial plaster casting and percutaneous Achilles tenotomy. It is well known that parents of children with severe and chronic illnesses are mentally stressed, but in recent studies regarding clubfoot treatment, parents were only asked about their satisfaction with the treatment. Largely unknown is parental distress before and during plaster casting in clubfoot. Therefore, we want to determinate first, how pronounced the parents’ worries are before treatment and if they decrease during the therapy. Second, we hypothesized that parents faced with an extreme deformity (high Pirani score), reveal more distress, than parents whose children have a less pronounced deformity (low Pirani score). Therefore, we wanted to investigate whether the Pirani score correlates with the parents’ mental resilience in relation to the therapy of the child as a global distress parameter. To answer this question, we developed a questionnaire with the following emphases: Physical capacity, mental resilience, motion score, parents score, and child score with point scores 1 (not affected) to 6 (high affected). Subsequently, we interviewed 20 parents whose children were treated with clubfeet and determined the Pirani score of the infants at the beginning (T0) and at the end (TE) of the treatment with plaster casting. High values were obtained in child score (Mean (M) = 3.11), motion score (M = 2.63), and mental resilience (M = 2.25). During treatment, mental resilience improved (p = 0.015) significantly. Spearman correlation coefficient between Pirani score (T0) and mental resilience (T0) is 0.21, so the initial hypothesis had to be rejected. The issues of the children are in the focus of parental worries concerning clubfoot treatment, especially the assumed future motion and the assumed ability to play with other children. Particular emphasis should be placed on educating parents about the excellent long-term results in the function of the treated feet especially as this topic shows the greatest parental distress.

中文翻译：

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在石膏浇铸过程中，用庞塞迪方法-父母窘迫进行马蹄内翻治疗。

马蹄内翻足是最普遍的先天性肌肉骨骼缺陷之一。特发性马蹄内翻足治疗的金标准治疗方法是保守的Ponseti方法，包括每周一次连续石膏植入和经皮跟腱切开术可减少畸形。众所周知，患有重症和慢性疾病的儿童的父母在精神上有压力，但是在有关马蹄足治疗的最新研究中，仅询问父母对治疗的满意度。在马蹄内翻足石膏之前和期间，父母的苦恼是非常未知的。因此，我们首先要确定父母在治疗前的忧虑程度以及在治疗过程中父母的忧虑是否减轻。其次，我们假设父母面临极端畸形（皮拉尼得分高），表现出更多的苦恼，比其子女的畸形少（皮拉尼分数低）的父母要高。因此，我们想研究皮拉尼得分是否与父母的心理适应能力相关，这与作为整体困扰参数的儿童治疗有关。为了回答这个问题，我们开发了一个调查问卷，重点放在以下方面：身体能力，心理适应能力，运动评分，父母评分和儿童评分，满分为1（未受影响）至6（最高受影响）。随后，我们采访了20位父母接受了儿童用节肢动物治疗的父母，并通过石膏石膏治疗确定了婴儿在开始时（T0）和结束时（TE）的皮拉尼得分。在儿童得分（平均（M）= 3.11），运动得分（M = 2.63）和心理韧性（M = 2.25）方面获得了很高的价值。治疗期间 精神适应力显着改善（p = 0.015）。Pirani评分（T0）与心理适应能力（T0）之间的Spearman相关系数为0.21，因此必须拒绝最初的假设。孩子们的问题是父母对马蹄足治疗的担忧的焦点，尤其是假定的未来运动和与其他孩子一起玩的能力。应该特别重视对父母进行有关受治疗脚功能的长期良好效果的教育，尤其是因为该主题显示出最大的父母苦恼。尤其是假定的未来运动和假定的与其他孩子一起玩耍的能力。应该特别重视对父母进行有关受治疗脚功能的长期良好效果的教育，尤其是因为该主题显示出最大的父母苦恼。尤其是假定的未来运动和假定的与其他孩子一起玩耍的能力。应该特别重视对父母进行有关受治疗脚功能的长期效果的教育，尤其是因为该主题显示出最大的父母困扰。