Study Results
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Basic Information
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COMPLETED
44 participants
OBSERVATIONAL
2023-10-20
2024-01-14
Brief Summary
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Detailed Description
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Toe-in gait pattern may be due to foot deformity (metatarsus adductus) and/or transverse alignment disorder of the long bones (tibial torsion and/or femoral anteversion height). When the angle of anterversion is high, walking with the feet turned in is 30.9% at the age of 4, 15% at the age of 4, and around 4% in adults. High femoral anteversion, which is the most common cause of inward walking in early childhood, is mostly seen symmetrically, with a higher incidence in girls and hypermobile children. Most cases are idiopathic and some patients have a familial predisposition.
Alignment disorders in the lower extremities can cause problems affecting other segments of the body, postural disorders and problems in the musculoskeletal system, as well as affect physical performance. The study, which will examine the physical performance status of young adults with high femoral anteversion, will be carried out as a cross-sectional study. The universe of the study will consist of students aged 17-26 who continue their education at the Faculty of Health Sciences of Bezmialem Vakıf University in the 2022-2023 academic year. Within the scope of our cross-sectional study, an application will be made for the approval of the Ethics Committee before the data are collected. The study, which will start after the permission is obtained, will be carried out in accordance with the Declaration of Helsinki. Evaluation and testing of all cases will be done at Bezmialem Vakif University, Faculty of Health Sciences, Department of Physiotherapy and Rehabilitation. 22 subjects with high femoral anteversion angle and 22 subjects with normal femoral anteversion angle will be included in the study. Within the scope of the study, demographic information of all participants will be obtained with the evaluation form and clinical evaluations will be made. Flexibility with sit-reach test, hand grip strength with hydraulic hand dynamometer, general muscle strength with analog back-leg-chest dynamometer, functional performance with single-leg and double-leg horizontal jump tests, and functional capacities with 6-minute walking test will be evaluated. "Statistical Package for the Social Sciences (SPSS) 20.0 for Windows" package program will be used in the statistical analysis of the data obtained from the study which the investigators planned to evaluate physical performance in young adults with high femoral anteversion. All data will be analyzed with the Kolmogorov-Smirnov test to determine the distribution characteristics. In the study, descriptive statistics (mean±standard deviation, minimum-maximum, number and percentile) will be given for discrete and continuous variables. When the differences between two independent groups are evaluated, "t-Test in Independent Groups" in case the parametric test prerequisites are met; If not, the "Mann Whitney -U Test" will be used. "Chi-Square Test" will be used to determine the relationships between two discrete variables. When the variables meet the parametric test prerequisites, the correlation coefficients and statistical significance will be calculated with the "Pearson Test", when they do not, the correlation coefficients and statistical significance for the relations between the variables will be calculated with the "Spearman Test".
Conditions
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Study Design
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CASE_CONTROL
CROSS_SECTIONAL
Study Groups
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Study group
22 young adults aged 17-26 years with high femoral anteversion.
Sit and reach test
It will be used to measure the flexibility of the participants.
Hand grip strength measurement
Grip strength will be evaluated with a hand dynamometer in the position recommended by the American Association of Hand Therapists.
Back-leg-chest muscle strength measurement
An analog Back Leg-Chest dynamometer will be used to evaluate general muscle strength.
Functional performance
Single-leg and double-leg horizontal jump test will be used to evaluate lower extremity functional performance. The tests will be carried out according to the Eurofit test battery (Council of Europe, 1988).
Functional capacity
Functional capacity will be evaluated with six minute walk test according to the ATS criteria.
Control group
22 young adults aged 17-26 years with normal femoral anteversion
Sit and reach test
It will be used to measure the flexibility of the participants.
Hand grip strength measurement
Grip strength will be evaluated with a hand dynamometer in the position recommended by the American Association of Hand Therapists.
Back-leg-chest muscle strength measurement
An analog Back Leg-Chest dynamometer will be used to evaluate general muscle strength.
Functional performance
Single-leg and double-leg horizontal jump test will be used to evaluate lower extremity functional performance. The tests will be carried out according to the Eurofit test battery (Council of Europe, 1988).
Functional capacity
Functional capacity will be evaluated with six minute walk test according to the ATS criteria.
Interventions
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Sit and reach test
It will be used to measure the flexibility of the participants.
Hand grip strength measurement
Grip strength will be evaluated with a hand dynamometer in the position recommended by the American Association of Hand Therapists.
Back-leg-chest muscle strength measurement
An analog Back Leg-Chest dynamometer will be used to evaluate general muscle strength.
Functional performance
Single-leg and double-leg horizontal jump test will be used to evaluate lower extremity functional performance. The tests will be carried out according to the Eurofit test battery (Council of Europe, 1988).
Functional capacity
Functional capacity will be evaluated with six minute walk test according to the ATS criteria.
Eligibility Criteria
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Inclusion Criteria
2. Hip internal rotation \>60 degrees, external rotation \<45
3. According to the Craig test, the anteversion angle is between 20-40 degrees
4. Absence of a history of neurological or psychiatric disease
5. Absence of intellectual disability to prevent participation in assessment and treatment
6. Not participating in any exercise/physiotherapy program in the last six months
7. Body mass index within normal limits (18.5-24.9 kg/m2)
Exclusion Criteria
2. Leg length inequality
3. Beighton score of 4 and above
4. Presence of 3rd degree pes planus
17 Years
26 Years
ALL
Yes
Sponsors
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Bezmialem Vakif University
OTHER
Responsible Party
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Deniz Tuncer
Assistant professor
Locations
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Bezmialem Vakif University
Istanbul, , Turkey (Türkiye)
Countries
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Other Identifiers
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DT-04
Identifier Type: -
Identifier Source: org_study_id
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