Comparison of Walking Parameters Between Idiopathic Toe Walking and Independent Walking Diparetic Cerebral Palsy

Sponsor

Biruni University (Other)

Overall Status

Completed

CT.gov ID

NCT06142721

Collaborator

(none)

Enrollment

Location

Actual Duration (Months)

12.7

Patients Per Site Per Month

Study Details

Study Description

Brief Summary

The aim of the observational study is to compare static, kinematic and kinetic parameters with normal gait parameters in cases with Idiopathic toe walking (ITW) and Diparetic Cerebral Palsy (DCP) who have Gross Motor Function Classification System 1 level with the 3D Gait Analysis method, and to enable the early diagnosis of DCP and ITW. Male and female cases aged between 3-18 years will be included. This study will be carried out at Acıbadem Altunizade Hospital.

Condition or Disease	Intervention/Treatment	Phase
Gait Disorders in Children Cerebral Palsy Spastic Diplegia	Other: 3D Gait Analysis

Detailed Description

It is an observational study. The aim of the observational study is to compare static, kinematic and kinetic parameters with normal gait parameters in cases with Idiopathic toe walking (ITW) and Diparetic Cerebral Palsy (DCP) who have Gross Motor Function Classification System 1 level with the 3D Gait Analysis method, and to enable the early diagnosis of DCP and ITW. Male and female cases aged between 3-18 years will be included. This study will be carried out at Acıbadem Altunizade Hospital. 51 cases will be included in our study. These cases will be divided into three groups. The first group will consist of patients diagnosed with idioaptic toe walking (n:17), the second group will be composed of diparetic cerebral palsy (n:15) with independent ambulation, and the third group will be the control group (n:19). First, the demographic information of the cases will be recorded. With 3D walking analysis, kinetic, kinematic and static data will be collected. The analysis of the obtained data will be done with Polygon Software (Vicon, Oxford, UK). Evaluated kinetic, kinematic and static parameters will be compared between three groups.

Is the lower extremity compensation of children with diparetic cerebral palsy who can walk independently more than children with idiopathic toe walking?

Study Design

Study Type:

Observational

Actual Enrollment :

51 participants

Observational Model:

Case-Control

Time Perspective:

Cross-Sectional

Official Title:

Comparison of Walking Parameters Between Idiopathic Toe Walking Children and Children With Independent Walking Diparetic Cerebral Palsy

Actual Study Start Date :

Sep 15, 2022

Actual Primary Completion Date :

Jan 15, 2023

Actual Study Completion Date :

Jan 15, 2023

Arms and Interventions

Arm	Intervention/Treatment
ITW Group 3D gait analysis was applied to children with idiopathic toe walking. Static, kinematic and kinetic walking parameters were evaluated.	Other: 3D Gait Analysis 3D gait analysis was applied to children. Static, kinematic and kinetic walking parameters were evaluated
DCP Group 3D gait analysis was applied to diparetic children who were able to walk independently. Static, kinematic and kinetic walking parameters were evaluated.	Other: 3D Gait Analysis 3D gait analysis was applied to children. Static, kinematic and kinetic walking parameters were evaluated
Healthy Group 3D gait analysis was applied to healthy children. Static, kinematic and kinetic walking parameters were evaluated.	Other: 3D Gait Analysis 3D gait analysis was applied to children. Static, kinematic and kinetic walking parameters were evaluated

Arm

Intervention/Treatment

ITW Group

3D gait analysis was applied to children with idiopathic toe walking. Static, kinematic and kinetic walking parameters were evaluated.

Other: 3D Gait Analysis

3D gait analysis was applied to children. Static, kinematic and kinetic walking parameters were evaluated

DCP Group

3D gait analysis was applied to diparetic children who were able to walk independently. Static, kinematic and kinetic walking parameters were evaluated.

Other: 3D Gait Analysis

3D gait analysis was applied to children. Static, kinematic and kinetic walking parameters were evaluated

Healthy Group

3D gait analysis was applied to healthy children. Static, kinematic and kinetic walking parameters were evaluated.

Other: 3D Gait Analysis

3D gait analysis was applied to children. Static, kinematic and kinetic walking parameters were evaluated

Outcome Measures

Primary Outcome Measures

3D Gait Analysis [Baseline]
Sixteen markers defined according to the Modified Helen Heyes protocol are applied to certain anatomical regions of both lower extremities. 3D gait analysis can precisely calculate joint angles and movement patterns in all three planes. Collect spatio-temporal data.

Eligibility Criteria

Criteria

Ages Eligible for Study:

3 Years to 18 Years

Sexes Eligible for Study:

All

Accepts Healthy Volunteers:

Yes

Inclusion Criteria:

Voluntary consent from family
Diagnosed with idiopathic toe walking and spastic diparesis between the ages of 3-18.
Cases with GMFCS 1
The patients who applied to the healthy children's clinic, showed typical development, did not have any musculoskeletal and neurological problems, and wished to voluntarily participate in the study were included in the control group.

Exclusion Criteria:

Refusing to participate in the study
Under the age of 3 and over the age of 18
Not at GMFCS 1 level
Cases who did not have any orthopedic problems other than accompanying toe walking were excluded from the study.