Evaluation of Postural Control in Children With Idiopathic Toe Walking

NCT ID: NCT04200924

Last Updated: 2022-07-20

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Total Enrollment

32 participants

Study Classification

OBSERVATIONAL

Study Start Date

2019-06-01

Study Completion Date

2022-05-01

Brief Summary

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The aim of this study is to evaluate postural control in children with idiopathic toe walking using computerized dynamic posturography (Biodex Balance System), which is reported to be a reliable and valid instrument for detecting changes in balance and postural control in the literature.

Detailed Description

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Idiopathic toe walking (ITW) is a term used to describe the condition in which children walk with a toe-toe gait pattern in the absence of any known cause. When the literature is examined, it is reported that a possible neuromechanism of idiopathic toe walking is related to postural disorder and a deterioration of sensory information coming from the proprioceptive, vestibular, visual and / or tactile systems. The most important function of the posture is to maintain the balance during the initiation and continuation of the movement. Postural control regulates maintaining the balance and keeping the center of gravity within the body's stability limits. It includes resistance to gravity forces and mechanical support during movement. Postural control is an integral part of achieving targeted action. Although there are few studies showing the possible relationship, no studies have been found to evaluate postural control by computerized posturography in these children. In this study, we aimed to evaluate postural control in children with idiopathic toe walking using computerized dynamic posturography (Biodex Balance System).

Conditions

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Idiopathic Toe Walking Gait Disorders in Children Postural Control Postural Stability Balance

Study Design

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Observational Model Type

CASE_CONTROL

Study Time Perspective

PROSPECTIVE

Study Groups

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Children with idiopathic toe walking

After the demographic information, developmental history and gait information were recorded with the Evaluation Form, clinical evaluation was performed; bilateral lower extremity range of motion, flexibility, leg length measurement, and muscle strength measurement and muscular endurance tests (abdominal, back and lower extremity) will be performed. For the clinical evaluation of postural control, the Modified Balance Error Scoring System (BESS) and the Biodex Balance System for computerized evaluation will be used.

Biodex Balance System

Intervention Type OTHER

For the computerized evaluation of postural control, Biodex Balance System will be used.

Balance Error Scoring System (BESS)

Intervention Type OTHER

For the clinical evaluation of postural control, the Modified Balance Error Scoring System (BESS) will be used.

Healthy children

After the demographic information, developmental history and gait information were recorded with the Evaluation Form, clinical evaluation was performed; bilateral lower extremity range of motion, flexibility, leg length measurement, and muscle strength measurement and muscular endurance tests (abdominal, back and lower extremity) will be performed. For the clinical evaluation of postural control, the Modified Balance Error Scoring System (BESS) and the Biodex Balance System for computerized evaluation will be used.

Biodex Balance System

Intervention Type OTHER

For the computerized evaluation of postural control, Biodex Balance System will be used.

Balance Error Scoring System (BESS)

Intervention Type OTHER

For the clinical evaluation of postural control, the Modified Balance Error Scoring System (BESS) will be used.

Interventions

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Biodex Balance System

For the computerized evaluation of postural control, Biodex Balance System will be used.

Intervention Type OTHER

Balance Error Scoring System (BESS)

For the clinical evaluation of postural control, the Modified Balance Error Scoring System (BESS) will be used.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Having the diagnosis of idiopathic toe walking
* No contact with the heel in the initial contact phase of the gait
* Presence of bilateral toe walking gait
* Normal neurological and orthopedic examination results
* Achievement of independent walking before 18 months
* Absence of pervasive developmental disorder or autism

Exclusion Criteria

* A history of BoNT-A or surgery in the last 6 months
* Presence of leg length discrepancy
Minimum Eligible Age

6 Years

Maximum Eligible Age

15 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Bezmialem Vakif University

OTHER

Sponsor Role lead

Responsible Party

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Deniz Tuncer

Lecturer in Department of Physiotheray and Rehabilitation, Bezmialem Vakif University

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Hulya N Gurses, Prof.

Role: STUDY_DIRECTOR

Bezmialem Vakif University

Locations

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Bezmialem Vakif University

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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DT-02

Identifier Type: -

Identifier Source: org_study_id

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