Fisioterapia no tratamento das alterações posturais e funcionais associadas ao pé torto congênito

Autores

  • Samily Cristiny Ferreira Costa CEST
  • Milena Abdalla Rodrigues Cacique de New York
  • Ana Julia Serra Ferreira Santos
  • Caroline Borges Camargo
  • Juliana do Nascimento Cantanhede
  • Larissa Castro Fernandes
  • Aíla Maria Castro Dias

DOI:

https://doi.org/10.36557/2674-8169.2026v8n11p398-427

Palavras-chave:

Pé torto congênito; Fisioterapia; Reabilitação; Marcha; Equilíbrio; Funcionalidade.

Resumo

O pé torto congênito (PTC) é uma deformidade musculoesquelética que pode apresentar alterações persistentes relacionadas à mobilidade, equilíbrio, marcha e funcionalidade, mesmo após a correção pelo método de Ponseti. Nesse contexto, a fisioterapia pode contribuir para o acompanhamento e manejo das alterações funcionais desses indivíduos. Objetivo: Analisar as intervenções fisioterapêuticas utilizadas no tratamento das alterações posturais e funcionais decorrentes do pé torto congênito e seus efeitos sobre mobilidade, força muscular, equilíbrio, postura, marcha e funcionalidade. Metodologia: Trata-se de uma revisão de literatura, realizada a partir de estudos publicados entre 2022 e 2026, nas bases de dados PubMed/MEDLINE e PEDro. Após a identificação, triagem e aplicação dos critérios de elegibilidade, foram incluídos 29 estudos para análise. Conclusão: O estudo que avaliou diretamente uma intervenção fisioterapêutica demonstrou resultados favoráveis, especialmente por meio da associação de mobilização articular, alongamentos, fortalecimento, equilíbrio, propriocepção e exercícios funcionais. Entretanto, observou-se que ainda são poucos os estudos que investigam diretamente a efetividade de programas fisioterapêuticos específicos, enquanto grande parte da literatura concentra-se na identificação das alterações biomecânicas e funcionais presentes após o tratamento.

Downloads

Não há dados estatísticos.

Referências

AGOALIKUM, S. et al. The perspectives of caregivers and health service providers on barriers to clubfoot management in Puri-Urban health facility in Ghana. Journal of Children's Orthopaedics, v. 18, n. 4, p. 450-457, 2024. DOI: 10.1177/18632521241262630.

BAIRD, G. O. et al. Symmetry of shoe size and calf girth in children with treated idiopathic clubfoot: a longitudinal study. Journal of Pediatric Orthopaedics, v. 42, n. 10, p. 577-581, 2022. DOI: 10.1097/BPO.0000000000002251.

BENT, M. et al. Gait analysis characteristics in relapsed clubfoot. Journal of Pediatric Orthopaedics, v. 43, n. 2, p. 65-69, 2023. DOI: 10.1097/BPO.0000000000002314.

BHASKAR, A. R. et al. 3D gait analysis of children treated for idiopathic congenital talipes equinovarus after completion of Ponseti treatment. Indian Journal of Orthopaedics, v. 59, n. 11, p. 1812-1822, 2025. DOI: 10.1007/s43465-025-01521-3

BRIERTY, A. et al. Kinematic differences in the presentation of recurrent congenital talipes equinovarus (clubfoot). Gait & Posture, v. 96, p. 195-202, 2022. DOI: 10.1016/j.gaitpost.2022.05.016.

CADY, R.; HENNESSEY, T. A.; SCHWEND, R. M. Diagnosis and treatment of idiopathic congenital clubfoot. Pediatrics, v. 149, n. 2, e2021055555, 2022. DOI: 10.1542/peds.2021-055555.

CHEN, Q. et al. Kinematic characterization of residual deformities in idiopathic clubfoot initially treated with the Ponseti method: gait analysis using the Heidelberg Foot Model. Journal of Children's Orthopaedics, v. 19, n. 5, p. 395-404, 2025. DOI: 10.1177/18632521251369353.

EL-BANNA, G. et al. Clubfoot Activity and Recurrence Exercise Study (CARES). Journal of Pediatric Orthopaedics, v. 42, n. 1, p. e91-e96, 2022. DOI: 10.1097/BPO.0000000000001973.

GREVE, C. et al. Muscle force imbalances predict clubfoot recurrence risk: a musculoskeletal modelling approach. Computer Methods and Programs in Biomedicine, v. 270, p. 108972, 2025. DOI: 10.1016/j.cmpb.2025.108972.

GRIN, L. et al. The relation between clinical and objective gait scores in clubfoot patients with and without a relapse. Gait & Posture, v. 97, p. 210-215, 2022. DOI: 10.1016/j.gaitpost.2022.07.261.

GRIN, L. et al. Kinematic gait impairments in children with clubfeet treated by the Ponseti method: a systematic review and meta-analysis. Children, v. 10, n. 5, p. 785, 2023. DOI: 10.3390/children10050785.

JEANS, K. A.; STEVENS, W. R.; RICCIO, A. I. Community ambulatory activity in children treated for clubfoot: 10-year follow-up. Journal of Pediatric Orthopaedic Society of North America, v. 13, p. 100272, 2025. DOI: 10.1016/j.jposna.2025.100272.

JIRATUMARRAT, P. et al. Comparison of kinematics and pedobarography findings between the unaffected foot of patients with unilateral clubfoot and controls. International Orthopaedics, v. 48, n. 9, p. 2465-2473, 2024. DOI: 10.1007/s00264-024-06219-z.

LÓPEZ-CARRERO, E. et al. Effectiveness of the Ponseti method in the treatment of clubfoot: a systematic review. International Journal of Environmental Research and Public Health, v. 20, n. 4, 3714, 2023. DOI: 10.3390/ijerph20043714.

MAGHFURI, H. B.; ALSHAREEF, A. A. The Efficacy of the Ponseti Method in the Management of Clubfoot: A Systematic Review. Cureus, v. 16, n. 1, e52482, 2024. DOI: 10.7759/cureus.52482.

MANOUSAKI, E. et al. The foot drawing method: reliability of measuring foot length and outward rotation in children with clubfoot. BMC Musculoskeletal Disorders, v. 23, p. 506, 2022. DOI: 10.1186/s12891-022-05465-9.

MO, M. et al. Does clubfoot affect sports ability and participation in children? JBJS Open Access, v. 11, n. 3, e26.00209, 2026. DOI: 10.2106/JBJS.OA.26.00209.

NEILL, R. et al. “We don't treat feet, we treat children”: analyzing the integration of rehabilitation services into the health system through a qualitative case study of the National Clubfoot Program Uganda. Disability and Rehabilitation, v. 48, n. 13, p. 4150-4167, 2026. DOI: 10.1080/09638288.2025.2595902.

PAVONE, V. et al. Early developmental milestones in patients with idiopathic clubfoot treated by Ponseti method. Frontiers in Pediatrics, v. 10, p. 869401, 2022. DOI: 10.3389/fped.2022.869401.

SAINI, R. et al. A prospective study on functional outcomes of serial cast correction in congenital talipes equinovarus (CTEV) by Ponseti method. Cureus, v. 15, n. 3, e35987, 2023. DOI: 10.7759/cureus.35987.

SCANDIUZZI DE BRITO, A. T. et al. Treatment of idiopathic congenital clubfoot in a public health service: comparison between ankle-foot orthosis and abduction orthosis. *Journal of Pediatric Orthopaedics*, v. 46, n. 8, p. 520-526, 2026. DOI: 10.1097/BPO.0000000000003274.

SCHAIBLEY, C.; TORRES-IZQUIERDO, B.; HOSSEINZADEH, P. Patient-reported outcomes in children with idiopathic clubfoot deformity treated with Ponseti casting: does recurrence of the deformity play a role? Journal of the American Academy of Orthopaedic Surgeons, v. 33, n. 9, p. 496-502, 2025. DOI: 10.5435/JAAOS-D-24-00792.

SHEPHERD, J. et al. Can gait analysis identify relapse in children with congenital talipes equinovarus? A systematic review & meta-analysis. Gait & Posture, v. 121, p. 352-360, 2025. DOI: 10.1016/j.gaitpost.2025.06.010.

SIEBERT, M. J. et al. Functional implications of flat-topped talus following treatment of idiopathic clubfoot deformity. Foot & Ankle International, v. 44, n. 4, p. 308-316, 2023. DOI: 10.1177/10711007231154899.

SVEHLIK, M. et al. The Ponseti method vs. surgical treatment for idiopathic clubfoot: a prospective long-term follow-up. Children, v. 11, n. 12, p. 1422, 2024. DOI: 10.3390/children11121422.

TARAKCI, E. et al. The effectiveness of three-phase physiotherapy program in children with clubfoot after Ponseti treatment. Foot and Ankle Surgery, v. 28, n. 2, p. 181-185, 2022. DOI: 10.1016/j.fas.2021.03.003.

VAN DIJK, L. S. et al. Participation and motor abilities in children aged 5 to 9 years with idiopathic clubfeet after treatment with the Ponseti method. Journal of Pediatric Orthopaedics, v. 43, n. 1, p. e36-e42, 2023. DOI: 10.1097/BPO.0000000000002278.

WEIHE, J. et al. Sports participation among children and adolescents following treatment with the Ponseti method for idiopathic clubfoot: a multicenter survey study. Journal of Pediatric Orthopaedics, v. 46, n. 9, p. e836-e841, 2026. DOI: 10.1097/BPO.0000000000003323.

WIJNANDS, S. D. N. et al. Muscle-tendon properties and functional gait outcomes in clubfoot patients with and without a relapse compared to typically developing children. Gait & Posture, v. 93, p. 47-53, 2022. DOI: 10.1016/j.gaitpost.2022.01.007.

WIJNANDS, S. D. N. et al. Clubfoot patients show more anterior-posterior displacement during one-leg-standing and less ankle power and plantarflexor moment during one-leg-hopping than typically developing children. Gait & Posture, v. 108, p. 361-366, 2024. DOI: 10.1016/j.gaitpost.2024.01.010.

WYDICK, B.; CAMACHO, G.; PIRAINO, P. Hope Walks: the impact of clubfoot treatment on human flourishing in Ethiopia. Health Economics, v. 35, n. 1, p. 25-35, 2026. DOI: 10.1002/hec.70040.

YASAM, R. P. et al. A prospective study on the role of foot evertor muscle activity in recurrence of clubfoot. The Foot, v. 56, p. 102025, 2023. DOI: 10.1016/j.foot.2023.102025.

Downloads

Publicado

2026-11-05

Como Citar

Costa, S. C. F., Cacique de New York , M. A. R., Ferreira Santos, A. J. S., Camargo, C. B., Cantanhede, J. do N., Fernandes, L. C., & Castro Dias , A. M. (2026). Fisioterapia no tratamento das alterações posturais e funcionais associadas ao pé torto congênito. Brazilian Journal of Implantology and Health Sciences , 8(11), 398–427. https://doi.org/10.36557/2674-8169.2026v8n11p398-427