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Evaluation of Postural Control in Children With Idiopathic Toe Walking

Sponsor
Bezmialem Vakif University (Other)
Overall Status
Completed
CT.gov ID
NCT04200924
Collaborator
(none)
32
Enrollment
1
Location
35
Actual Duration (Months)
0.9
Patients Per Site Per Month

Study Details

Study Description

Brief Summary

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.

Condition or Disease Intervention/Treatment Phase
  • Other: Biodex Balance System
  • Other: Balance Error Scoring System (BESS)

Detailed Description

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).

Study Design

Study Type:
Observational [Patient Registry]
Actual Enrollment :
32 participants
Observational Model:
Case-Control
Time Perspective:
Prospective
Official Title:
Evaluation of Postural Control in Children With Idiopathic Toe Walking
Actual Study Start Date :
Jun 1, 2019
Actual Primary Completion Date :
Mar 1, 2022
Actual Study Completion Date :
May 1, 2022

Arms and Interventions

Arm Intervention/Treatment
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.

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

Other: Balance Error Scoring System (BESS)
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.

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

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

Outcome Measures

Primary Outcome Measures

  1. Postural control-postural stability [1 day]

    Computerized test of postural stability with Biodex Balance System

  2. Postural control-limits of stability [1 day]

    Computerized test of limits of stability with Biodex Balance System

  3. Postural control-sensory integration [1 day]

    Computerized test of sensory integration with Biodex Balance System

  4. Balance Error Scorring System-BESS [1 day]

    Clinical evaluation of postural control

Eligibility Criteria

Criteria

Ages Eligible for Study:
6 Years to 15 Years
Sexes Eligible for Study:
All
Accepts Healthy Volunteers:
Yes
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

Contacts and Locations

Locations

Site City State Country Postal Code
1 Bezmialem Vakif University Istanbul Turkey

Sponsors and Collaborators

  • Bezmialem Vakif University

Investigators

  • Study Director: Hulya N Gurses, Prof., Bezmialem Vakif University

Study Documents (Full-Text)

None provided.

More Information

Publications

None provided.
Responsible Party:
Deniz Tuncer, Lecturer in Department of Physiotheray and Rehabilitation, Bezmialem Vakif University, Bezmialem Vakif University
ClinicalTrials.gov Identifier:
NCT04200924
Other Study ID Numbers:
  • DT-02
First Posted:
Dec 16, 2019
Last Update Posted:
Jul 20, 2022
Last Verified:
Jul 1, 2022
Studies a U.S. FDA-regulated Drug Product:
No
Studies a U.S. FDA-regulated Device Product:
No

Study Results

No Results Posted as of Jul 20, 2022