19/12/2025
From December 18–20, 2025, five participants from the provinces of Kratie, Stung Treng, and Siem Reap gathered at the Angkor Meas Hotel in Stung Treng to complete the Basic ACT course. The primary objective of this training was to equip participants with the skills to foster psychological flexibility—the ability to stay in the moment and move toward valued goals, even in the presence of difficult thoughts or feelings.
The training was facilitated by Dr. Sarin Ean, a trained Miraclefeet trainer. Training topics covered by the Ponseti, the gold standard for treating clubfoot, a congenital condition where an infant's foot is twisted inward and downward. Developed by Dr. Ignacio Ponseti, this technique focuses on gradual, non-surgical correction by utilizing the flexibility of a newborn’s bones and ligaments.
The Treatment Process
The method is divided into three primary phases designed to permanently realign the foot:
1. Serial Casting: The doctor manually manipulates the foot into a slightly more corrected position and applies a long-leg plaster cast. This is repeated weekly, typically for 5 to 8 weeks, to slowly "unwind" the deformity.
2. Achilles Tenotomy: In most cases (about 80%), a minor procedure is performed to release a tight heel cord. This allows the heel to drop into a natural position before the final cast is applied for three weeks.
3. Bracing (The Maintenance Phase): To prevent the foot from snapping back into its original position, the child must wear a foot abduction brace (boots attached to a metal bar).
o Initial: 23 hours a day for 3 months.
o Long-term: During naps and nighttime until the child is 4 or 5 years old.
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