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The Dévény method and clubfoot I.

My next guest in the “interview with an expert” series is Orsolya Türei, professional physiotherapist. I asked her about the Dévény method (DSGM SMT) which complements the Ponseti clubfoot treatment.

Can you please share a few things about you and your professional background?
My name is Orsolya Türei, licensed physiotherapist (MSc in physiotherapy) and DSGM specialized physiotherapist. I have been working at the Heim Pál Children’s Hospital for nearly 20 years now. My clinical speciality is pediatric orthopedia and as a result of my specialized qualification pediatric neurology.

How did you become aware of the Dévény method and the Ponseti treatment?
Clubfoot (pes equinovarus congenitus) is one of the most common orthopedic birth defect, I encountered it in our hospital where the doctors apply the unique Ponseti method to treat it.

The correctional system of Ignatio Ponseti is a primarily conservative way of treatment. It’s success comes from the fact that the treatment plan is relying on the biomechanical knowledge of the foot.
This functionality motivated me to dive deeper and learn more about it. Apart from this by 2010 I learned a unique physiotherapy method: Dévény Special Manual Technique & Gymnastics Method (DSGM), the unique outlook of it further allowed me to develop my systemic approach to clubfoot treatment. Our Hospital is a Ponseti treatment centre, the number of clubfoot cases I encountered and the special approach of the Dévény method on interpreting the pathology of the human body, together served as a foundation for my MSc diploma thesis. It is titled THE ROLE AND RELEVANCE OF THE DÉVÉNY METHOD WHILE CORRECTING CONGENITAL CLUBFOOT WITH THE PONSETI TREATMENT, after the evaluation I have received an excellent grade on it in 2020. I hereby would like to thank all the families for their support who answered the questionnaire I posted earlier.

Could you please explain in plain words the different between SMT and STG?
This original therapeutical method has been developed by physiotherapist and rhythmic gymnastics coach Anna Dévény (1935-2017) since 1976, based on the experiences of her two professions. Dévény Special Manual Technique & Gymnastics Method (abbreviated as DSGM) is a new therapeutic method in motion rehabilitation proven by several decades of practical experience. It builds on a new approach, applies radically new technical elements and implementation, therefore it opens new, previously unknown opportunities in medication.
DSGM covers two main fields of application: DSGM I.-, and DSGM II.
(source of translation: https://dsgm.eu/en/deveny-method/)

Vámosi, 2016

DSGM I.: means the enablement of non-working functions by a special manual technique (SMT).
SMT is a manual technique completely different from massage: this therapeutic method does not exclusively focus on muscles and it concentrates greatly on tendons and fascia, the thin coat that covers tendon-muscle units.
There are three main effects of its application:
1. Releasing contractures (muscle shortenings, articular shrinkage)
2. Normalising the position of muscles
3. Direct stimulation of the nervous system
(source of translation: https://dsgm.eu/en/deveny-method/)
Enabling the ontogenesis of the motorium with all of the above.
DSGM II.: means the further refinement of a correctly working motion system by use of a special analytics gymnastics (STG). STG is the technique to bring out the maximum from the body, which is a fusion of Sára Berczik’s method with the approach and exercises of Anna Dévény. STG uses the exercise material of aesthetic physical training for a correctional purpose. It aims to create practical, conscious, precise, efficient, harmonic, basically aesthetical motion by developing the individuals strength, endurance and coordination.

So to summarise, DSGM I.: stimulates, corrects and brings the genetically coded possibilities to the surface, as Anna Dévény says: “it allows the body to display its gross motor skills”. While DSGM II. Enhances an already functioning motorium with the help of analytic gymanstics.

In the next part of our interview series Orsolya will tell us when the Dévény therapy should be started in case of clubfoot.

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