Exercises for clubfoot in children 6. Signs and treatment of clubfoot in children: effective exercises

Encyclopedia of Plants 30.06.2020

Encyclopedia of Plants

A set of exercises that you need to perform with your child daily, for a long time. You need to repeat each exercise 5-7 times, with fixation of the foot at the end of the exercise for 15-20 seconds. In this case, the child should lie on his back, on a hard surface (for example, on a changing table).

Exercise 1. Taking the child's shin in one hand, and the middle part of his foot in the other, make the foot move "toward and away from you."

Exercise 2. One hand of an adult holds the child's foot by the heel, and the fingers of the other hand move the toes of the child's foot "away from you and up."

Exercise 3. One hand of an adult fixes the ankle joint of the baby, and the other, clasping the middle part of the foot, moves the foot "from side to side".

Exercise 4. One hand of an adult fixes the middle part of the child's foot, and the thumb of the other hand gently unbends the toes of this foot.

Exercise 5. The position of the adult's hands is the same as in the previous exercise. But extension is carried out only with the big toe of the child.

Exercise 6. One hand of an adult holds the child's foot by the heel, and the fingers of the other hand press on the front and middle parts of the foot, moving it to the side.

Exercise 7. One hand of an adult fixes the child's shin, and the fingers of the other hand press on the outer edge of the foot, bringing it inwards.

Exercise 8. When performing this exercise, the child is placed on the stomach. An adult holds the baby's shin with one hand, pulling his heel with the other hand towards himself.

Exercise 9. One hand of an adult fixes the ankle joint of the baby, and the palm of the other hand is firmly pressed against the child's foot and presses on it, slightly twisting outwards.

Exercise 10. One hand of an adult fixes the ankle joint of the child, while the other grabs the foot and performs an outward movement.

Exercise 11. One hand of an adult holds the child's leg bent at the knee joint, the other hand grabs the foot and carefully pulls it forward, shifting it to its natural position.

For the prevention and treatment of clubfoot, you can use:

1. Walking along the "herringbone path". Draw on the floor with chalk or on paper with bright colors a "Christmas tree" 1-2 m long, with "twigs" at an angle of 15-30 degrees. Invite the baby to walk along such a path, stepping on each “twig”, turning the feet outward. In the summer, you can draw such a path on the sand, lay out planks or bricks, and let the child walk along it several times a day. Gradually, thanks to your perseverance and patience, the correct installation of the feet is developed, the gait is normalized, and the curvature of the legs is corrected.

2. "Rubber". Sitting on the floor, emphasis with hands behind, straightened legs together, put on a wide elastic band on the front sections of the feet. Take the feet to the sides, stretching the elastic band; heels remain closed; try to point your fingers "at yourself" (extension of the feet). Hold this voltage from 10 seconds to 1 minute 1 time. (If at first it is not possible to stretch the elastic band longer, then perform the exercise several times until muscle fatigue).

3. "Bar". Standing with the front sections of the feet on a bar 10 - 15 cm high, the heels hang from the bar, with your hands hold on to the crossbar of the Swedish wall (or to the back of the chair).

1, 2, 3 - springy movements with heels to the floor, stretching the back surfaces of the legs and Achilles tendons. 4 - return to the starting position. 8 times.

4. "Squats". Standing in front of the Swedish wall, hold on to the crossbar in front of you with your hands, feet shoulder-width apart. 1- Sit as deep as possible, connecting the knees, feet turn on the inner arches. 2- Straighten up. 10 times.

5. "Airplane" or "Boat". Lying on the stomach, the legs are straightened and tightly pressed to each other, the feet are in the extension position (toes towards you), hands in front of you.

1- Raise your head, upper shoulder girdle and arms to the sides so that the shoulder blades are connected. At the same time, raise tightly closed legs, stretch the heels back, stretching the spine. Hold this position for 1 minute.

2- Return to ref. position. 1 time.

6. Standing in front of a chair, hands on the belt, legs together.

1- Raise the right leg, bending at the knee, and put it on the chair seat with the foot abducted to the right.

2- Return to starting position.

3- Raise the left leg, bending at the knee, and put it on the chair seat with the foot abducted to the left.

4- Return to starting position. Run 6 times.

7. "Walking goose step" in the squat position with the feet abducted to the sides. Hands free or on the belt. To exhaustion.

8. "Walking on heels" 20 sec.

9. "Bird". Sitting on a chair, legs together, hands on the belt.

1- raise the front sections of the feet with abduction to the sides.

2- return to ref. position. To exhaustion.

10. "Rotation of the foot."

Sitting on a chair, put the right leg on the left knee on the knee, put the hands in the “lock” on the right knee to fix the right leg.

1- With the right foot, “draw” circles clockwise (until slight fatigue).

2- With the left foot, “draw” circles counterclockwise (until slight fatigue).

11. Dance movement. Standing feet together, hands on the belt.

1- Put the right leg to the right side on the heel with the foot abducted to the right, light squat on the left leg.

2- Return to ref. position.

3- Put the left leg to the side on the heel with the abduction of the foot to the left, light squat on the right leg.

4- Return to ref. position. 8 times.

When moving the leg to the side, bend the leg at the knee so that there is a dance movement.

12. Stretching the back surfaces of the legs. Sitting on the floor, legs are straightened and closed, hands on the belt.

Stretch your hands to the feet, feet in the extension position (toward yourself), do not bend your legs:

1, 2, 3 - perform springy slopes.

4- Return to ref. position. 6 times.

13. "Rope walker". Walking on a rope or a gymnastic stick with feet abducted to the sides.

14. Crawling in a plastunsky way with moving forward and relying on the feet laid aside.

15. "Taz". Lying on your back, arms along the body, legs bent and shoulder-width apart.

1 - Raise the pelvis, leaving the feet shoulder-width apart, and knees, trying to connect.

2 - Return to starting position. 6 times

16. Game of ghosts

With the help of this game, you can perfectly develop coordination of movements, the muscles of the child's legs become stronger. A white sheet and a large rug with a hard fleecy surface will help the child to play for his own benefit.

One person (adult) throws a sheet over himself, playing the role of a ghost. The child takes off his shoes and repeats all the actions of a ghost that moves around the room. A ghost can run, walk, sit, freeze, the child does the same so that the ghost does not notice him.

The child repeats all the actions of the ghost quietly, on tiptoe, to train the muscles of the legs. When the ghost turns around, the child must “defend” from it by jumping on one leg. It trains and strengthens the leg muscles.

17. "Fishing with your feet"

This exercise is great for clubfoot by training the feet and ankles. It is necessary to put the child on a chair - "river bank", from there he will fish. But not with hands, but with legs. You need to scatter around the child a few objects, such that you can pick up your toes. This is what the child will do, and at the same time, correct the shape of the foot.

Such a game should be played every day, and then the child's clubfoot will level out, and the mobility of the fingers will increase.

clubfoot foot deformity rehabilitation

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Every third child has an incorrect gait or posture. Clubfoot is the most common congenital malformation, occurring in 37% of newborns.

Flat feet and scoliosis are interrelated, and they need to be addressed together. It is easier for a newborn to correct the incorrect position of the foot, but success can also be achieved at an older age. This is hard work that both the child and the parents have to do every day. The main thing is a genuine desire to help the child and patience.

Be prepared for the fact that it will take several months to achieve the result. But the problem is solvable: clubfoot can be corrected to the proper position of the feet. And the sooner you start treatment, the greater the likelihood of success.

You will learn about all the possible exercises to correct this pathology from our article.

You will need:

Massotherapy

We take the baby's leg by the ankle joint. Gently straighten the foot with the palm, turning it outward.
We continue to adjust the position of the foot with rotational movements. In this case, it is necessary to make the direction of the inner edge of the foot down, and the outer one - up.
I put the crumbs on my tummy. We bend the limb at the knee joint, holding it by the shin. We put our palm on the foot of the crumbs and gently press on it, turning inward. This exercise stretches the calcaneal tendon and eliminates plantar flexion of the foot.
We turn the child on the back. We press the limb of the crumbs to the tabletop, holding it by the ankle. With the help of the second hand, we grab the foot so that the sole touches the palm. Now we delicately turn the foot inward, while simultaneously pressing on its outer side. Favorable results are obtained by the use of a single acupressure of the area where the back of the foot passes into the ankle, and the deflection of the foot.

Clubfoot exercises

We ask the child to stand at the Swedish wall. Grasping one of the crossbars, the baby should put the legs at shoulder level. Now the baby crouches very deep with knees brought together. At the same time, the position of the feet should be such that they turn towards the inner arches. Then the child straightens up. Repeat 10 times.
For about half a minute, the baby should walk on his heels.
Place a gymnastic stick or rope on the floor. You need to walk along them, taking your feet apart.
We put any long straight object on the floor. We put shorter sticks there at a distance of a small step to make it look like a Christmas tree. You need to walk so that the foot leans against the short stick, while the heel is facing the long stick.
We put the child straight with legs brought together. We place our hands on the waist. Now you need to swing your right foot to the right and, when the heel touches the floor, take your foot to the right side, slightly crouching on your left leg. After that, we return to the starting position and do the same with the left foot. We repeat 10 times.

Bandaging according to the Fink-Oettingen method

If the child's clubfoot is mild, then his legs are fixed with bandages.

Perform this only after massaging and gymnastic exercises are done. Bandages should be changed three times a day, while passive corrective gymnastic exercises with a simple massage are always carried out.

It is carried out with a flannel bandage 6 cm wide with a footage of 2 m.

We bend the baby's leg at the knee so that we get a right angle.
We start bandaging from the little finger to the thumb along the sole, raise the foot from the outside.
After that, we transfer the bandage to the shin, wrap the outer surface and the patella from above.
Then again we go down to the lower leg and pass the bandage along its back surface, making a figure eight under the knee joint.
We lead the bandage to the thumb, wrap it around the foot and again direct it to the knee. We fix above the kneecap.
Thus, several loops should form above the knee, which must be lowered to the lower leg and fixed with a bandage.
Now you can straighten your leg.

We follow the fingers under the bandage: if their color has become cyanotic, loosen the bandage.

Gypsum casting (Vilensky's "boots" method)

Most specialists in the treatment of clubfoot opt for the technique put forward by Vilensky. It gives a good effect in correcting pathology not only in infants, but also in older babies.

The doctor relaxes the muscles on the feet and legs of the baby with massaging movements. After such manipulations, plaster bandages are applied to the legs, like boots. The child spends time in such a bandage for about a week.
The doctor removes the cast and turns the foot a little more, giving it a more correct position. After that, a plaster bandage is again applied.
Such actions are repeated until the result is achieved, when the leg takes the desired position.

To consolidate the result, after the final removal of the cast, you need to regularly massage the child, do gymnastics and wear orthopedic shoes.

The use of orthopedic shoes

You need to purchase these shoes only after consulting with an orthopedist. Such shoes are available in specialty stores or are made to order.

The therapeutic effect of antivarus footwear is that it does not allow the baby to tilt the foot to its outer edge while walking, fixing it in a normal, undistorted position.

In the back of such shoes there is a special recess under the heel, which does not allow the foot to lose balance while walking;
Uniform distribution of the load on the limb when walking, fixing the leg in a healthy position, exclude the possibility of its distortion;
In anti-varus orthopedic shoes, the heel position has a turn of approximately 10 degrees, and the frontal and central sections of the foot are held securely.

Anti-varus shoes do not have an instep support. But she has laces, adjustable fasteners in front, providing special support for children's legs, preventing destabilization, bending of the feet when walking.

An indispensable condition for such shoes is the presence of a strong heel, which has the shape of a tibia tightly covering the leg.

For the manufacture of anti-varus orthopedic shoes, only hypoallergenic, natural materials are used. It has a stable wide outsole with anti-slip properties, providing a firm footing.

Use of splints (longets)

For their manufacture, a special material containing a nickel-titanium alloy is used.

The splints look soft, but they have enough elasticity to keep the limbs in the right position.

Each such elastic design consists of three separate parts: a splint for the thigh area, for the shin area and for the foot (for the anterior and posterior sections).

Physiotherapy methods

electrophoresis

Its use serves as an incentive to improve blood circulation, which is especially disturbed in this pathology. This procedure is performed on the feet and legs, there are no contraindications to it.

The main thing is to follow the scheme for implementing the technique and use only those drugs that age allows.

With the help of electrophoresis, the medicine penetrates to the required point, which excludes injections and tablets from the process.
The procedure involves applying special napkins or bandages soaked in medication to the limbs.
After that, a current is connected having a certain frequency and power.

Magnetotherapy

It is considered the most gentle way to treat clubfoot, but it can be prescribed to a child no earlier than two years.

The procedure consists in the impact of an electromagnetic field on the ankle or lumbar spine.

It stimulates the process of blood circulation;
Regulates the degree of contractility and extensibility of muscle tissue in the foot and lower leg;
Strengthens the immune system.

Magnetotherapy also relieves pain well.

Muscle electrical stimulation

This procedure stimulates muscle contraction. To do this, skin electrodes are used, followed by passing electrical impulses through them.

Electrical stimulation is aimed at those muscles in which it is necessary to increase the tone in order to give the foot the correct position.

Paraffin application

The most effective procedure in the treatment of clubfoot. The properties of paraffin help it, like wax, to retain heat for a long time.

During the procedure, heated paraffin is placed in the required place and kept for a certain period of time.
The heat penetrates deeply, warming up the internal organs and muscles.
Due to heating, the expansion of blood vessels, capillaries occurs, metabolism increases, smooth muscles relax.

The use of paraffin applications on the lower leg and ankle joint improves the health of the musculoskeletal apparatus, while the amplitude of the swing in the joint increases.

Surgery for pathology

It is prescribed when clubfoot therapy by other methods has not brought results or in particularly difficult situations with severe defects.

With the help of surgical intervention, the position of the deformed foot is corrected, if necessary, it is fixed by means of knitting needles.
In another type of operation, the tendons in the crooked leg are lengthened.

Perform the imposition of a plaster or orthosis. In this case, not only the foot is captured, but also the lower leg and the lower third of the thigh;
After removing the sutures, the leg is again placed in plaster after two weeks;
Remove it after a month and remove the spokes;
Next, the limb is plastered again;
They release the leg from the plaster cast after three months and immediately apply a new one, already capturing only the foot and lower leg;
After five months, the plaster is completely removed, its place is taken by an orthosis, which must be worn continuously for a year.

The doctor emphasizes that clubfoot does not go away on its own and, without proper treatment, can lead to a worsening of the condition. The advanced form of the disease can be treated much worse than that detected at an early stage. In addition to those therapeutic measures that the doctor prescribes for going to the hospital, you need to find time for homework with the baby. Relatives of a sick child should learn massage techniques and therapeutic exercises.

According to Dr. Komarovsky, parents should remember that:

With children's clubfoot, wearing orthopedic shoes is mandatory;
It is desirable that at home the baby runs barefoot on the floor;
If clubfoot occurs due to bone disease, do not self-medicate;
The use of massage has an effect only if the clubfoot is mild or moderate;
Treatment of clubfoot should be mandatory and should be carried out by a doctor;
Clubfoot not treated in time can make a child disabled and significantly complicate his life.

Conclusion

Although the prognosis for the treatment of clubfoot in children is quite favorable, it is not worth postponing a visit to the doctor if you find abnormal development of the feet.

The progression of the disease should not be allowed, this can lead to lameness, scoliosis, flat feet and other problems with the musculoskeletal system.

Not always the news of a child's clubfoot should be taken as a sentence for surgery. With mild degrees of foot deformity, conservative methods of treatment will be quite effective. In this case, the discipline, perseverance and attention of the parents will be the decisive success factors.

Who can assess the condition of the child

A congenital pathology of the musculoskeletal system of a child is detected in the maternity hospital, and in some cases even before childbirth by ultrasound. At the slightest suspicion of clubfoot, the mother will definitely be advised to show the baby to an orthopedist-traumatologist. You should not delay the visit to the doctor for a long time, since treatment can begin from the second week of the baby's life.

Mild cases of foot deformity may go unnoticed by pediatricians in the maternity hospital. Over time, the defect is detected at periodic examinations in the clinic. Vigilant relatives can also pay attention to the inverted feet of the baby.

In addition, clubfoot may appear when the child takes the first steps. Overweight children with weak legs prefer to wrap their toes inward to feel more confident. Such a gait should not cause concern if it does not become habitual. After several months of trials, the baby should learn to put the legs straight.

In any case, parents should not neglect the advice of an orthopedist. He will assess the condition of the baby's foot, identify the cause of the pathology, prescribe a course of treatment and give a preliminary forecast for recovery.

The orthopedist will begin the examination of a small patient with an assessment of the degree of clubfoot. Today, two methods are used for this purpose: the Pirani scale and the Dimeglio scale.

Conclusions about the severity of clubfoot according to Pirani (Fig. 1) are made according to six clinical signs:

curvature of the outer edge of the foot;
depth of the medial fold;
depth of the back fold;
the possibility of probing the lateral part of the head of the talus;
the possibility of probing the calcaneus;
foot mobility.

The severity of clubfoot according to Pirani

Table 1. Scheme calculating points according to the Pirani method

According to Dimeglio, the angles of a possible correction are analyzed in all possible planes, taking into account additional features (Fig. 2):

A - foot equinus;

B - heel varus;

B - internal rotation of the foot relative to the anterior surface of the knee joint;

D - adduction of the forefoot.

Rice. 2 Assessment main signs clubfoot in degrees

Table 2. Definition type foot and degree severity clubfoot

Both methods accurately characterize the severity of the disease and make it possible to predict the success of conservative treatment.

How is foot defect treated?

Orthopedic efforts to treat clubfoot are 96% successful. Another thing is that the path to healthy feet and a beautiful walk lies through hard work, and maybe even surgery. In any case, parents should be patient.

In mild cases of foot deformity, the orthopedist will prescribe:

massage;
physiotherapy;
medical gymnastics;
orthopedic shoes.

Moderate to severe clubfoot will require:

bandaging;
plastering;
wearing orthoses and brace.

After removing the fixing bandages, children are prescribed rehabilitation procedures.

If conservative methods of treatment turned out to be powerless, Achilloplasty is used, followed by exercise therapy, massage, hardware rehabilitation methods.

Therapeutic gymnastics is included in all therapeutic courses practiced for clubfoot. In cases of mild deformities, along with massage and physiotherapy, it plays a decisive role in recovery. After gypsum or surgery, exercise therapy will be the key to a quick recovery of walking skills and fixing the correct fixation of the foot.

The first classes with children are conducted by a trained trainer. Due to the fact that gymnastics for young patients should become a daily activity, parents are taught the methods of exercise therapy. Exercises are selected taking into account the age of the children and change over time. The decision to move to the next complex of exercise therapy is made by an orthopedist-traumatologist.

The purpose of exercise is to train atonic muscles and relax contractures. In order for classes to be crowned with success, they are carried out 2-3 times a day. Since only a specialist can accurately determine the groups of spasmodic and relaxed muscles, he prescribes a complex of exercise therapy.

Gymnastics for newborns

The fulfillment by parents of all methods of exercise therapy for the first time is controlled by a specialist. Exercises for babies are combined with massage movements. In this case, they are in the nature of passive gymnastics, but the benefits are no less than from independent training of older children.

Main principles:

the complex is performed after thermal procedures;
take care not to cause pain;
all movements should be smooth and soft;
activities should be fun.

Shortened muscles and ligaments are stretched by rubbing, hypertonicity is removed by stroking, patting, light vibration. Atony is resisted by intense flexion-extension, rotation.

The duration of work with the feet is at least 5-7 minutes. Each technique is performed 10-12 times for one leg and the same number for the other. First, the baby is placed on the changing table on the back. To warm up, bend and unbend the legs alternately at the knees, raise the straight lines at an angle of 90 ° together and one at a time.

Exercise 1

Starting position "on the stomach", the leg is bent at the knee (Fig. 3). With one hand, hold the shin, and with the palm of the other hand, gently press on the child's foot, directing it to the back. This exercise helps to stretch the calcaneal tendon and eliminate plantar flexion of the foot.

Rice. 3 Exercise 1

Exercise 2

For the same purpose, an exercise is carried out in the position of the child on the back (Fig. 4). With one hand, press the child's shin against the surface of the table, fixing it at the ankles. Grab the other foot so that the palm rests on the sole. Gently bend the foot to the back while pressing on its outer edge. The combination of foot flexion with simultaneous acupressure at the transition point of the rear of the foot to the lower leg is effective.

Rice. 4 Exercise 2

Exercise 3

It is prescribed to eliminate adduction of the forefoot.

Starting position "lying on your back" (Fig. 5). Fix the child's foot in the ankle joint. With the other hand, gently make straightening movements, gradually moving the forefoot outward.

Rice. 5 Exercise 3

Exercise 4

Rotational movements of the foot outward along the longitudinal axis (Fig. 6). The outward rotational movements of the foot are carried out very carefully, gradually lowering the inner and raising the outer edge of the foot.

Rice. 6 Exercise 4

If the baby can walk

For children from 2 to 3 years old, a special exercise therapy course has been developed, aimed at general strengthening of muscles and ligaments, and improving blood circulation. It takes into account the increased abilities of the child and his desire to play. Exercises are performed at home without shoes. At the initial stage, do the exercises three times, bringing the number of repetitions to eight over time.

Rice. 7 Warm-up before gymnastics

As a warm-up (Fig. 7), walking options are used, each of which lasts 1-3 minutes:

"ballet step" - with the sock retracted to the side and the heel pushed forward;
"clown step" - walking from the position of the heels together, socks far to the sides while maintaining the direction of the feet;
"on the heels" - with the breeding of socks to the sides;
"on the inside of the foot";
"soldier's step" - with high knees.

After warm-up:

Exercise 1

For 20-40 seconds, the child should stand on the outer and inner sides of the feet. The first tests can be done with the support of parents.

Exercise 2

The kid puts his feet in parallel and, without lifting his heels from the floor, raises his toes as high as possible (Fig. 8).

Rice. 8 Heel exercise

Exercise 3

Starting position as in exercise 1. You should tighten your fingers without lifting your heels from the floor.

Exercise 4

With each foot separately, it is necessary to lift a pebble, rope or flap from the floor.

Exercise 5

Learning to walk backwards. From the “legs together” stand, put the right foot on the toe far behind. We transfer the weight of the body to the set aside leg, while lowering the foot to the heel. We repeat the movement with the left leg.

Exercise 6

In the "sitting" position, the child alternately rotates the feet outward (Fig. 9)

Rice. 9 Foot rotation

Exercise 7

Corrective posture "sitting between the heels" (Fig. 10). The child is on his knees, the feet are separated to the sides with toes apart. Slowly lower yourself and sit between your heels. Sitting in this way, the child can play for quite a long time.

Rice. 10 Landing "between the heels"

Exercise 8

The child squats without lifting the heel off the floor (Fig. 11). Alternatively, you can practice cross-legged squats. To maintain balance, the first tests are done by holding the hands of the parents or the back of the chair.

Figure 11 Support Squat

Exercise 9

For training and massage of the arch of the foot, they walk across a gymnastic stick with a diameter of up to 2 cm. The heels touch the floor.

Exercise 10

Walking on a stick with arms outstretched to the side.

It is good to practice on the Swedish wall. Even simple climbing on the bars trains the legs well.

In bed in the morning and before going to bed in the “lying on their back” position, children can move and rotate their feet to the sides, opposite to the deformation.

Preschooler fixes the result

At the age of 5-6 years, children can start their daily activities with a light jog. In this case, attention should not be focused on speed, but on the correct setting of the legs. If clear progress has been made, and the child does not forget to monitor the position of the feet, the task can be complicated. To do this, the complex includes exercises for the shoulder girdle, which are performed on the go.

Older children will be happy to play with a ball, lift objects with their toes, sit “like a frog”, exercise with a stick, swim, ride a bicycle.

At this age, all the exercises described above are performed 20-40 times, and the total duration of classes is adjusted to 30-45 minutes. The following exercises can be added to the complex:

Exercise 11

Wall squats. The leg rests on a full foot (Fig. 12).

Rice. 12 Wall Squats

Exercise 12

Lowering the heels from the step (Fig. 13). These exercises are more convenient to do, holding on to a support located at chest level, or with the help of an adult.

Rice. Step 12

With clubfoot, the chances of a complete recovery of children are very high. Physiotherapy plays an important role in this process. In addition to the impact of physical activity, an exciting game and the desire to be beautiful will help in the treatment.

Clubfoot. Therapeutic gymnastics and massage

Treatment of clubfoot in children Treatment of clubfoot in children

Exercise therapy complex for clubfoot in children:
Important: exercises for clubfoot in children are done without shoes.

1) Walking (done every day):
1. "Step of the ballerina". Put the toe of one leg forward and slightly to the side, then push the heel of the same leg forward as much as possible, take a step, then repeat everything with the other leg. In this case, you need to ensure that the legs are straightened at the knees to the end.
2. "We walk like a clown." Stand up - heels together, toes as far as possible to the sides. Thus, start walking, while trying to maintain the original position.
3. "Toe walking". The toes must be to the sides.
4. "Walking on heels" The same.
5. "Walking X" (for those who do not suffer from X-shaped legs). Try to stand on the inside of the foot. To do this, you need to sit down a little, push your knees forward, raise the outer edge of the foot (toes to the sides). It should be noted that this exercise is difficult, it immediately becomes very difficult for the child.
6. "Walking like soldiers." Raising the knees high (they should be directed only forward parallel to each other), spread the toes to the sides.

2) Exercises for clubfoot in children with a gymnastic stick, you can use any longer stick with a diameter of about 1.5 - 2.0 cm (done every day):
1. Walking across the stick. In this case, the heels must necessarily touch the ground.
2. Walking along the stick like a circus performer.
3. Walking in the same way as in the "Step of the Ballerina", only the toe must be placed on a stick, and the heel must be left on the ground.

3) Squats (can be combined):
1. Regular squats. It is necessary to strive to ensure that the child does them on his own. Arms forward, feet fully on the ground. At first, you can hold the child by the hands. Run 10-15 times.
2. Cross-legged squats. The same thing, but here the child needs the help of a parent. You have to hold his hands.
3. Exercise - "Pussy". The child stands in front of the sofa (chair), makes a tilt, reaches the floor with his hands, and begins to move forward with one hand to the sofa, reaches the sofa. At the same time, the legs are straightened. The parent at this time sits behind and holds the child by the legs (you should try to pull the child's heels as low as possible to the floor). Having reached the sofa, the child does push-ups, then again returns to the starting position with his hands on the floor.

4) Exercises with a gymnastic wall (can be combined with squats):
1. In addition to the wall, either a small wooden slide is purchased or made. The child stands on the hill completely with the whole foot, and moves, holding on to the parent, up. The knees should be fully extended. It is necessary to ensure that the toes are directed to the sides, and the foot is completely touching the slide.
2. Standing on a hill and holding on to one of the steps of the wall, the child can do squats on their own. It is necessary to ensure that the knees are directed only parallel to the front, and not to the sides.
3. Just climbing the ladders of the slide. At the same time, it is good if the child will climb without shoes.
4. Sailor climbing. Imitating a sailor, you need to wrap your hips around one of the supports of the gymnastic wall, put your foot on the lower step so that the foot is turned to the side, then push off, put the other foot as well, etc.

At night, before putting on splints:
1. Lying down, lift the foot up to the stop, then to the side until it stops. Repeat 20 times with each leg.
2. Lying down, the parent raises the leg up and to the side and asks the child to hold the leg in this position for a count of 10. Repeat 3 times with each leg.

Also, parents can develop a set of exercises for clubfoot in children and gradually increase the load. An exercise therapist can suggest some useful exercises.
The following may be advised:
The first lesson must begin with a run - preferably in a circle. This will help the child warm up the muscles. I must say that when running speed is not required. The main thing is that the child correctly put the legs. At the next lesson, you need to introduce additional exercises, and then do a "psychological" exercise so that it deliberately distracts the baby from the correct setting of the legs. It is necessary to raise your hands to your chest, clench your fists and twist them in front of you while running. To begin with, you can twist your fists only in one direction, for example, towards yourself, and after a while, after several classes - 10 times in each direction. Parents should pay attention to how the child will put the legs during this exercise.
Walking, running around the hall should be diluted with jumping on toes. In this case, the setting of the legs should be like that of Charlie Chaplin, in other words, heels together and socks apart. In this position, the legs should come off the floor, and then land. Such a gait is good to climb the stairs, best of all, constantly. It is also necessary to include walking "goose step" in the classes. An excellent corrective posture is sitting between the heels on the floor, turning the legs like a frog.
It is also necessary to include exercises for stretching the spine. Thanks to these exercises, the back is unloaded.
I must say that regardless of the cause of clubfoot, children should have a strict daily routine, in which an obligatory place should be given to exercise therapy - Therapeutic exercise for clubfoot in children and swimming. It is also a good prevention of clubfoot in children. If the approach to treatment is correct, all the recommendations of the orthopedist are fulfilled, then the pathological deformity of the foot can be completely eliminated.

Exercise therapy for clubfoot in children http://lfk-gimnastika.com/lfk-dlya-detej/141-lfk-pri-kosolaposti-u-detej
Massage for clubfoot in children is one of the most effective methods of treatment.
Massage is used to relax the internal and posterior muscle groups of the lower leg, where there is an increased tone, you need to stroke, shake the muscles, followed by stretching them with vibrating movements.
To strengthen the stretched or weakened anterior and outer muscle groups of the lower leg, other, more active techniques are used - rubbing and kneading, as well as light tapping with the fingers.
Children's massage for clubfoot is most effectively carried out with a general tonic massage of the whole body, without working with the hands. The same is true for massage for clubfoot in adults.
First you need to stroke the entire length of the leg, then the thigh, lower leg, Achilles tendon and sole are massaged in turn.
The thigh is stroked from the bottom up, from the popliteal fossa along the posterior outer surface to the subgluteal fold. Vigorously rubbed and kneaded with a little shaking - for better muscle relaxation.
When massaging the lower leg on the back surface, a differentiated massage is performed.
After stroking from the heel to the popliteal fossa, it is necessary to influence the calf muscle.
Achilles tendon - stroking by pinching, strokes, stretching with vibration.
The position of the foot during the massage is light pronation, that is, the rise of the outer edge. When massaging, you need to stretch the inner edge of the foot and tone the outer edge.
The front surface of the legs is also massaged, after stroking along the entire length, then alternately. Then they move to the back of the foot - during the massage, the foot is at a right angle to the lower leg, with the normal position of the anterior section.
Vigorous rubbing along the edge of a rake, hatching, forceps, kneading along the edge - shifting, pressing, forceps, light percussion techniques.
The ankle is rubbed well, the ankles are rubbed in a circular motion. It is important to keep the foot in the correct position of easy pronation.
When massaging the front surface of the lower leg, you need to vigorously rub, tonic pressure and light blows - chopping and tapping with your fingers.
The knee joint is stroked in a circular motion and rubbed.
The front surface of the thigh is massaged vigorously with the help of certain movements, which are called passive.
With one hand, you need to fix the lower part of the lower leg, and with the other you need to grab the foot so that the palm rests on the sole. Carefully bend at the same time to the back and pressing on the outer edge, slightly turning the foot to the outside. Then you need to fix the ankle joint, gently pressing on the forefoot, moving it outward.
Rotations of the foot outward along the longitudinal axis should be done gently, gradually lowering the inner and raising the outer edge of the foot.
However, it must be remembered that one massage for congenital clubfoot is not enough, therefore, regular therapeutic exercises are needed to improve and consolidate the result obtained.
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