Clinical trial NCT04181125: "Evaluation of Postural Control in Children With Increased Femoral Anteversion"
Official title: "Evaluation of Postural Control in Children With Increased Femoral Anteversion"
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Femoral Anteversion
Gait Disorders in Children
Postural Control
Postural Stability
Balance
Lead sponsor: Bezmialem Vakif University
Sponsor class: OTHER
First posted: 2019-11-29
Enrollment: 32
Sex: ALL
Minimum age (years): 7
Maximum age (years): 15
Standard ages: CHILD
Accepts healthy volunteers: yes
Observational model: CASE_CONTROL
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: 16 children with bilateral increased femoral anteversion aged 6-15 years followed by Bezmialem Vakıf University Department of Orthopedics and Traumatology.

16 healthy volunteers aged 6-15 years will be included in the control group.

Brief summary: 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: 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).

Eligibility criteria: 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

Primary outcomes:
measure: Postural control-postural stability
timeFrame: 1 day
measure: Postural control-limits of stability
timeFrame: 1 day
measure: Postural control-sensory integration
timeFrame: 1 day
measure: Balance Error Scorring System-BESS
timeFrame: 1 day
Secondary outcomes:
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Bezmialem Vakif University
Study officials:
affiliation: Bezmialem Vakif University
name: Hülya Nilgun Gurses, Prof.
role: STUDY_DIRECTOR
References: