Analysis of Postural Control in Children Suffering From Triceps Suralis Shortening.

NCT ID: NCT05902949

Last Updated: 2024-01-17

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

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2023-06-15

Study Completion Date

2023-12-27

Brief Summary

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The central nervous system (CNS) coordinates balance through the visual, vestibular, and somatoproprioceptive systems, which produce muscle activation for postural control. Among the important muscle activations for postural control are those produced in the ankle joint, which is crucial for maintaining postural control in sports settings, along with the gastrocnemius and soleus muscles. Studies show that children who practice sports improve their postural stability and accelerate sensory maturation, which can affect the development of the lower limb extremity, specifically the insertional musculature of the ankle and foot. The present study aims to analyze postural control in school-aged children with triceps suralis retraction and assess the effectiveness of treatment with stretching versus a heel pad for 3 and 6 months. Additionally, the study will analyze whether the physical activity the children engage in influences their stability

Detailed Description

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A randomized controlled trial will be conducted to evaluate the effectiveness of using a heel pad and a gastrocnemius and soleus stretching protocol. The outcomes of both interventions will be evaluated and compared, including pre-intervention and post-intervention assessments at 3 months and 6 months.

Conditions

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Ankle Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Participants Outcome Assessors

Study Groups

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Stretching Group

The pattern will be performed 3 times per day (10 repetitions, 30 seconds each repetition). A daily control diary will be filled in when performing the exercise.

Group Type ACTIVE_COMPARATOR

Streching Group

Intervention Type PROCEDURE

The Streching group will perform a conventional stretching exercise.

Heel Cup Group

The heel cup will be 5mm high (Eva Shore 65)

Group Type ACTIVE_COMPARATOR

Heel group

Intervention Type PROCEDURE

The heel pad group will be applied a plantar support during the months of the study.

Interventions

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Streching Group

The Streching group will perform a conventional stretching exercise.

Intervention Type PROCEDURE

Heel group

The heel pad group will be applied a plantar support during the months of the study.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

1. Children 8-12 years old
2. Regular sports practice
3. Decreased range of flexión

Exclusion Criteria

1. Having neurological, vestibular, muscular, psychological or visual visual disease.
2. Traumatic pathology 12 months prior to the measurement (sprains, talalgias, etc.).
3. Diseases of balance or motor control.
4. Surgeries in the last 12 months.
5. Taking medications that may affect the neuromuscular system.
6. Sports practice in the last 48 hours.
Minimum Eligible Age

8 Years

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Fundación Universidad Católica de Valencia San Vicente Mártir

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Locations

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Javier Ferrer Torregrosa

Torrent, Valencia, Spain

Site Status

Countries

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Spain

References

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Garcia-Soidan JL, Garcia-Lineira J, Leiros-Rodriguez R, Soto-Rodriguez A. Physical Activity Practice and Optimal Development of Postural Control in School Children: Are They Related? J Clin Med. 2020 Sep 10;9(9):2919. doi: 10.3390/jcm9092919.

Reference Type BACKGROUND
PMID: 32927763 (View on PubMed)

Vallandingham RA, Gaven SL, Powden CJ. Changes in Dorsiflexion and Dynamic Postural Control After Mobilizations in Individuals With Chronic Ankle Instability: A Systematic Review and Meta-Analysis. J Athl Train. 2019 Apr;54(4):403-417. doi: 10.4085/1062-6050-380-17. Epub 2019 Mar 14.

Reference Type BACKGROUND
PMID: 30870009 (View on PubMed)

Martinez-Corcoles V, Nieto-Gil P, Ramos-Petersen L, Ferrer-Torregrosa J. Balance performance analysis after the COVID-19 quarantine in children aged between 8 and 12 years old: Longitudinal study. Gait Posture. 2022 May;94:203-209. doi: 10.1016/j.gaitpost.2022.03.019. Epub 2022 Mar 27.

Reference Type BACKGROUND
PMID: 35366430 (View on PubMed)

Hsu YS, Kuan CC, Young YH. Assessing the development of balance function in children using stabilometry. Int J Pediatr Otorhinolaryngol. 2009 May;73(5):737-40. doi: 10.1016/j.ijporl.2009.01.016. Epub 2009 Feb 20.

Reference Type BACKGROUND
PMID: 19232750 (View on PubMed)

Hoch MC, Staton GS, McKeon PO. Dorsiflexion range of motion significantly influences dynamic balance. J Sci Med Sport. 2011 Jan;14(1):90-2. doi: 10.1016/j.jsams.2010.08.001. Epub 2010 Sep 16.

Reference Type BACKGROUND
PMID: 20843744 (View on PubMed)

Han J, Anson J, Waddington G, Adams R, Liu Y. The Role of Ankle Proprioception for Balance Control in relation to Sports Performance and Injury. Biomed Res Int. 2015;2015:842804. doi: 10.1155/2015/842804. Epub 2015 Oct 25.

Reference Type BACKGROUND
PMID: 26583139 (View on PubMed)

Grindstaff TL, Dolan N, Morton SK. Ankle dorsiflexion range of motion influences Lateral Step Down Test scores in individuals with chronic ankle instability. Phys Ther Sport. 2017 Jan;23:75-81. doi: 10.1016/j.ptsp.2016.07.008. Epub 2016 Jul 29.

Reference Type BACKGROUND
PMID: 27662790 (View on PubMed)

Martinez-Corcoles V, Garcia-Campos J, Vicente-Mampel J, Chicharro-Luna E, Jimenez EMM, Ferrer-Torregrosa J. Postural analysis of children with muscle retraction after six-month exercise or heel cup interventions in a randomized trial. Sci Rep. 2025 Apr 19;15(1):13578. doi: 10.1038/s41598-025-98527-6.

Reference Type DERIVED
PMID: 40253482 (View on PubMed)

Other Identifiers

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UCV/2017-2018//113

Identifier Type: -

Identifier Source: org_study_id

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