[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"detail-sidebar-cat-0-en-105":3,"doc-seo-448386-105":59,"doc-detail-448386-en":130},{"code":4,"msg":5,"data":6},0,"success",[7,13,18,23,28,33,38,43,48,51,55],{"id":8,"doc_module":4,"doc_module_name":9,"category_name":10,"show_sort_weight":11,"slug":12},1,"Document","Story & Novel",90,"story-novel",{"id":14,"doc_module":4,"doc_module_name":9,"category_name":15,"show_sort_weight":16,"slug":17},2,"Literature",80,"literature",{"id":19,"doc_module":4,"doc_module_name":9,"category_name":20,"show_sort_weight":21,"slug":22},4,"Exam",70,"exam",{"id":24,"doc_module":4,"doc_module_name":9,"category_name":25,"show_sort_weight":26,"slug":27},5,"Comic",60,"comic",{"id":29,"doc_module":4,"doc_module_name":9,"category_name":30,"show_sort_weight":31,"slug":32},6,"Technology",50,"technology",{"id":34,"doc_module":4,"doc_module_name":9,"category_name":35,"show_sort_weight":36,"slug":37},7,"Healthcare",40,"healthcare",{"id":39,"doc_module":4,"doc_module_name":9,"category_name":40,"show_sort_weight":41,"slug":42},8,"Research & Report",30,"research-report",{"id":44,"doc_module":4,"doc_module_name":9,"category_name":45,"show_sort_weight":46,"slug":47},9,"Religion & Spirituality",20,"religion-spirituality",{"id":46,"doc_module":4,"doc_module_name":9,"category_name":49,"show_sort_weight":46,"slug":50},"World Cup","world-cup",{"id":52,"doc_module":4,"doc_module_name":9,"category_name":53,"show_sort_weight":52,"slug":54},10,"Lifestyle","lifestyle",{"id":56,"doc_module":4,"doc_module_name":9,"category_name":57,"show_sort_weight":24,"slug":58},19,"General","general",{"code":4,"msg":60,"data":61},"ok",{"site_id":62,"language":63,"slug":64,"title":65,"keywords":66,"description":67,"schema_data":68,"social_meta":123,"head_meta":125,"extra_data":127,"updated_unix":129},105,"en","young-children-undergoing-nighttime-bracing-for-clubfoot-have-no-differences-in-sleep-metrics-compared-to-age-matched-controls","Young Children Undergoing Nighttime Bracing for Clubfoot Have No Differences in Sleep Metrics Compared to Age-matched Controls","","Sleep disruption from pain or discomfort can threaten adherence to nighttime bracing for clubfoot. This study compared sleep efficiency in young children using a nighttime foot abduction orthosis (FAO) against age-matched controls. Autovideosomnography with the Nanit infant monitor measured sleep/wake patterns over 7 days in eligible patients aged 12–36 months. The analysis assessed sleep efficiency, total sleep time, night wakings, and parental interventions, finding no significant differences in core sleep metrics.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/young-children-undergoing-nighttime-bracing-for-clubfoot-have-no-differences-in-sleep-metrics-compared-to-age-matched-controls/448386/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/young-children-undergoing-nighttime-bracing-for-clubfoot-have-no-differences-in-sleep-metrics-compared-to-age-matched-controls/448386.png","ImageObject",300,407,{"name":92,"@type":93},"Margaret","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-09","2026-09-30",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What was the primary aim of the study?","Question",{"text":112,"@type":113},"To compare sleep efficiency in young children wearing nighttime FAO bracing with that of age-matched controls.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How were sleep patterns measured in the study?",{"text":117,"@type":113},"Autovideosomnography using the Nanit infant monitor was used to quantify sleep/wake patterns.",{"name":119,"@type":110,"acceptedAnswer":120},"Did nighttime FAO bracing change sleep efficiency or total sleep time?",{"text":121,"@type":113},"No. The study found no significant differences in sleep efficiency or total sleep time versus matched controls.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},448386,1790766846,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":19,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":52,"preview_page_count":4},137451207643,"https://ap-avatar.wpscdn.com/davatar_3d24733baf745e90a7e4bdd5f77d97b2","Journal of the Pediatric Orthopaedic Society of North America 14 (2026) 100285  \nContents lists available at ScienceDirect  \nJournal of the Pediatric Orthopaedic Society of North America  \njournal [homepage:](homepage: www.jposna.com)[ www.jposna.com](homepage: www.jposna.com)  \n| Original Research |  |  |  |\n| --- | --- | --- | --- |\n| Young Children Undergoing Nighttime Bracing for Clubfoot Have No Differences in Sleep Metrics Compared to Age-matched Controls |  |  | |\n| Erikson Nichols, MS, MMS1; Shambhavi Thakur, MHI2; Natalie Barnett, PhD2; Clare Kehoe, MSN3; Caroline Gmelich, BA, MPH4; Emily Dodwell, MD, MPH5; David Scher, MD5, *\u003Cbr>1 Geisel School of Medicine at Dartmouth, Hanover, NH, USA\u003Cbr>2 Nanit, New York, NY, USA\u003Cbr>3 NYU Langone Health, New York, NY, USA\u003Cbr>4 Hackensack Meridian School of Medicine, Clifton, NJ, USA\u003Cbr>5 Hospital for Special Surgery, New York, NY, USA |  |  |  |\n| A R T I C L E I N F O |  | A B S T R A C T |  |\n| Keywords: Clubfoot\u003Cbr>Clubfoot bracing Boots and bar\u003Cbr>Sleep Autovideosomnography |  | Background: The potential for impaired sleep due to pain or discomfort can be a concern for adherence tonighttime bracing when treating clubfoot. The primary aim of our study was to compare sleep efficiency in young children wearing a nighttime foot abduction orthosis (FAO) to that of a matched control group. Secondary aims included the comparison of total sleep time, number of night wakings, and number of parental interventions between groups.\u003Cbr>Methods: Autovideosomnography using the Nanit infant monitor (Nanit, Inc, New York, NY) was utilized to measure sleep/wake patterns. Clubfoot patients aged 12–36 months at time of enrollment (November 2019 to March 2024, inclusive) undergoing nighttime FAO treatment, with a home Wi-Fi network and who were sleeping alone in a crib, were eligible for inclusion.\u003Cbr>Sleep metrics from 7 days for 25 children with clubfoot sleeping with nighttime FAO were compared to data from 100 age- and geographically matched controls within Nanit's database. Shapiro–Wilk tests were performed to assess normality. Mann–Whitney U tests were used to assess differences in all sleep metrics and age between cohorts. Statistical significance was set at P \u003C .05.\u003Cbr>Results: There were no significant differences in sleep efficiency, total sleep time, or number of night wakings. There were slightly more nighttime interventions for parents of children with clubfeet compared to controls. Conclusions: Sleep metrics of young children undergoing Ponseti-style FAO bracing are not significantly different from those of matched controls.\u003Cbr>Key Concepts:\u003Cbr>(1) Autovideosomnography using the Nanit infant monitor was utilized to measure sleep/wake patterns in 25 clubfoot patients undergoing Ponseti-style boots and bar treatment and 75 matched controls.\u003Cbr>(2) Clubfoot patients undergoing Ponseti-style boots and bar treatment did not have any significant differences across sleep efficiency, total sleep time, total time awake or number of night wakings compared to controls.\u003Cbr>(3) As brace tolerance and consistent adherence to a nighttime bracing regimen are essential to prevent recurrent clubfoot, caregivers and physicians may be reassured that clubfoot bracing will not significantly impact a child’s sleep.\u003Cbr>Level of Evidence: Level II |  |\n\nIntroduction  \nThe Ponseti method for the treatment of clubfeet is the standard of care worldwide, with proven success over many decades [1]. However, strict adherence to the prescribed treatment protocol is essential to  \nachieve optimal outcomes. A critical component of this treatment pathway is bracing following the completion of casting. This is accomplished via the application of what Dr. Ponseti initially introduced as the foot abduction orthosis (FAO) in 1963, more colloquially referred to as“boots and bar” [1].  \n* Corresponding author: Division of Pediatric Orthopaedic Surgery, Hospital for Special Surgery, New York, NY USA E-mail address: [scherd@hss","cbCaicNiVl5Ge4Bu","https://ap.wps.com/l/cbCaicNiVl5Ge4Bu","pdf",562233,"English","# Background\n# Methods\n## Study eligibility and measurements\n# Results\n# Conclusions","[{\"question\":\"What was the primary aim of the study?\",\"answer\":\"To compare sleep efficiency in young children wearing nighttime FAO bracing with that of age-matched controls.\"},{\"question\":\"How were sleep patterns measured in the study?\",\"answer\":\"Autovideosomnography using the Nanit infant monitor was used to quantify sleep/wake patterns.\"},{\"question\":\"Did nighttime FAO bracing change sleep efficiency or total sleep time?\",\"answer\":\"No. The study found no significant differences in sleep efficiency or total sleep time versus matched controls.\"}]","Young Children Undergoing Nighttime Bracing for Clubfoot Have No Differences in Sleep Metrics Compared to Age-matched Controls | PDF",1790726804]