Ballet Training in Children With Idiopathic Coxa Antetorta

NCT ID: NCT06648408

Last Updated: 2024-12-09

Basic Information

• Recruitment Status: RECRUITING
• Clinical Phase: NA
• Total Enrollment: 17 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-08-08
• Study Completion Date: 2025-04-30

Brief Summary

This study looks at how ballet training affects movement and personal feelings in children with a condition called idiopathic coxa antetorta.

Detailed Description

Increased femoral anteversion (IFA) occurs when the top of the thigh bone tilts forward more than normal. Many healthy kids and teens aren't considered to have a problem with this as long as they show no symptoms, since it often corrects itself by the time they reach ages 12 to 14. However, experts believe this condition might lead to complications later in life. Research indicates that children with IFA may be more prone to issues like kneecap misalignment, knee pain, and even arthritis as they grow older. This is likely due to the way their knees bend differently when they walk. Kids with IFA often walk with their toes pointing inward, which increases their chances of tripping and falling. They may also experience pain that interferes with their daily activities. It is assumed that strengthening the hips and improving hip flexibility could help reduce the need for compensatory movements, ultimately lowering the risk of tripping, falling, and experiencing pain in everyday life. This study is a randomized controlled trial aimed at examining how ballet training influences knee movement-specifically knee flexion-during walking in children with idiopathic coxa antetorta. The goal is to determine whether ballet training enhances the children's overall mobility and how they feel about their ability to move. Additionally, the study seeks to find out how this training can be effectively incorporated into the daily routines of affected schoolchildren.

Conditions

Femoral Anteversion

Keywords

Increased femoral anteversion (IFA); Idiopathic coxa antetorta; Childhood knee pain; Physical activity intervention; Ballet training for children; Hip strength and mobility; Knee flexion in children; Exercise for hip flexibility; In-toeing gait in children

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

Ballet training

The children in this arm of the study will receive ballet training.

Group Type: EXPERIMENTAL

Balett Training

Intervention Type: PROCEDURE

The ballet training will happen twice a week for six weeks, with each session lasting 60 minutes, for a total of 12 sessions. These sessions will be held in groups of 10 to 12 children and led by experienced ballet teachers. The classes will follow a beginner-level ballet routine, introducing the kids to ballet techniques in a fun and playful way, making sure they learn the movements step by step. Each lesson will follow the same structure, allowing the children to improve their skills week after week. In addition to the group sessions, the children will be given a 10-minute daily home exercise program. This will include simple ballet exercises they learned in their first class, which they should practice on the five days when they don't have ballet sessions. The children will track their practice in a child-friendly diary designed just for them.

Control group

The children in the control group in this study will not receive any intervention, according to the German guidelines for idiopathic coxa antetorta 2002. This is in line with the standard approach, as children in this developmental phase typically do not receive therapy for this condition.

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Balett Training

The ballet training will happen twice a week for six weeks, with each session lasting 60 minutes, for a total of 12 sessions. These sessions will be held in groups of 10 to 12 children and led by experienced ballet teachers. The classes will follow a beginner-level ballet routine, introducing the kids to ballet techniques in a fun and playful way, making sure they learn the movements step by step. Each lesson will follow the same structure, allowing the children to improve their skills week after week. In addition to the group sessions, the children will be given a 10-minute daily home exercise program. This will include simple ballet exercises they learned in their first class, which they should practice on the five days when they don't have ballet sessions. The children will track their practice in a child-friendly diary designed just for them.

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

• Diagnosis of idiopathic coxa antetorta with FNA> 30°
• Children between 8 and 12 years of age
• Cognitive abilities must include: Ability to actively participate in a 60-minute ballet class; Ability to communicate pain or discomfort; Ability to attend training, testing and follow-up sessions. All included participants can make decisions on their own and do not show any signs of mental or cognitive limitations.

Exclusion Criteria

• Any surgery within 6 months prior to the start of the study or surgery scheduled during the study period. Other medications can be continued as prescribed by the participants' physician
• Known cardiovascular or pulmonary diseases that have not received medical clearance to participate in the physical exercise intervention
• Neurological or other musculoskeletal comorbidities
• The children should not have completed any ballet training in the last 12 months
• Pregnancy

• Minimum Eligible Age: 8 Years
• Maximum Eligible Age: 12 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

University Children's Hospital Basel

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Michèle Widmer, Dr. med.

Role: PRINCIPAL_INVESTIGATOR

Universitäts-Kinderspital beider Basel (UKBB)

Locations

Universitäts-Kinderspital beider Basel (UKBB)

Basel, , Switzerland

Site Status: RECRUITING

Countries

Switzerland

Central Contacts

Michèle Widmer, Dr. med.

Role: CONTACT

Phone: +41 617042834

Email: michele.widmer@ukbb.ch

Facility Contacts

Michèle Widmer, Dr. med.

Role: primary

Other Identifiers

2024-00689; ks24Widmer

Identifier Type: -

Identifier Source: org_study_id