|המלצה טובת כדורי, הדבר ה י ח י ד
שאני חושבת אליו. ובגלל שיש לי את הזמן לבדוק הרבה אני מעבירה כאן מה שאני רואה לנכון. אני לא מחנכת ולא מטיפה. כל אחד שיעשה כראות עינו, כמובן. אני לא ממציאה דברים וכשיש לי שאלה אני פונה לפונזטי. כל אחד יכול לעשות את זה. מניסיון זה מאוד מרגיע. אני רוצה לצטט כאן שני דברים. לקוח מקובץ הPDF עמ' 16. ומומלץ לכולם לקרא. 1. מה פונזטי כותב על הורים ונעליים. אני מאוד מסכימה עם מה שכתוב שם. 2. מה הוא כותב על הגיל שכדאי להוריד בו את הנעליים. (מקוה שלא יהיה עדכון). 1. The families who are the most compliant to the bracing protocol are those who have read about the Ponseti method of clubfoot management on the Internet and have chosen that method. They come to the office educated and motivated. The least compliant parents are often from families who did no background research on the Ponseti method and need to be “sold” on it. The best strategy to ensure compliance is to educate the parents and indoctrinate them into the Ponseti culture. It helps to see the Ponseti method of management as a lifestyle that demands certain behavior. 2. When to stop bracingOccasionally, a child will develop excessive heel valgus and external tibial torsion while using the brace. In such instances, the physician should dial the external rotation of the shoes on the bar from approximately 70 degrees to 40 degrees.How long should the nighttime bracing protocol continue? There is no scientific answer to this question. Severe feet should be braced until age 4 years, and mild feet can be braced until age 2 years [C]. It is not always easy to distinguish which foot is mild and which is severe, especially when observing them at age 2 years. Therefore, it is recommended that even the mild feet should be braced for up to 3 to 4 years, provided the child still tolerates the nighttime bracing. Most children get used to the bracing, and it becomes part of their life style. However, if compliance becomes very problematic after age 2 years, it may become necessary to discontinue the bracing to ensure that the child and parents get a good nightʼs sleep. This leniency is not tolerable in the younger age groups. Below age 2 years, the children and their families must be encouraged to comply with the bracing protocol at all costs.
