Evaluation of Postural Control in Children With Increased Femoral Anteversion

Study Overview
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Brief Summary
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The relationship between increased femoral anteversion and postural control in healthy children has not been studied in the current literature. To our knowledge there is no study to evaluate postural control in children with increased femoral anteversion by computerized posturography. We aimed to evaluate postural control in children with increased femoral anteversion using computerized dynamic posturography (Biodex Balance System).

Detailed Description
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Femoral anteversion is defined as the angle formed by the femoral condyles plane (bicondylar plane) and a plane passing through the center of the neck and femoral head. Toe-in-gait pattern may be due to foot deformity (metatarsus adductus) and / or abnormal transverse alignment of long bones (tibial torsion and / or increased femoral anteversion). Transverse plane deviations are frequently seen in infants and usually improve with typical physiological growth mechanisms. Persistent transverse plan disorder may lead to gait dysfunction. 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. To our knowledge the relationship between increased femoral anteversion and postural control in healthy children has not been studied in the current literature. Postural control in children with increased femoral anteversion was evaluated by computerized posturography. In this study, we aimed to evaluate postural control in children with increased femoral anteversion using computerized dynamic posturography (Biodex Balance System).

Official Title
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Evaluation of Postural Control in Children With Increased Femoral Anteversion

Conditions
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Femoral Anteversion, Gait Disorders in Children, Postural Control, Postural Stability, Balance

Intervention / Treatment
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* Other: Biodex Balance System
* Other: Balance Error Scoring System (BESS)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Diagnosed as bilateral increased femoral anteversion No history of neurological, psychiatric diseases Lack of intellectual disability to prevent evaluation and treatment participation No participation in any physiotherapy program in the last six months Written permission from the parents for participate in the study Exclusion Criteria: History of surgery or BoNT-A for lower extremities Leg length discrepancy

Ages Eligible for Study
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Minimum Age: 7 Years
Maximum Age: 15 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Children with increased femoral anteversion<br>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<br>* For the computerized evaluation of postural control, Biodex Balance System will be used.<br>Other: Balance Error Scoring System (BESS)<br>* For the clinical evaluation of postural control, the Modified Balance Error Scoring System (BESS) will be used.<br>|
| Healthy children<br>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<br>* For the computerized evaluation of postural control, Biodex Balance System will be used.<br>Other: Balance Error Scoring System (BESS)<br>* For the clinical evaluation of postural control, the Modified Balance Error Scoring System (BESS) will be used.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Postural control-postural stability | Computerized test of postural stability with Biodex Balance System | 1 day | 
| Postural control-limits of stability | Computerized test of limits of stability with Biodex Balance System | 1 day | 
| Postural control-sensory integration | Computerized test of sensory integration with Biodex Balance System | 1 day | 
| Balance Error Scorring System-BESS | Clinical evaluation of postural control | 1 day |