Clinical trial NCT06142721: Comparison of Walking Parameters Between Idiopathic Toe Walking and Independent Walking Diparetic Cerebral Palsy
Official title: Comparison of Walking Parameters Between Idiopathic Toe Walking Children and Children With Independent Walking Diparetic Cerebral Palsy
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Gait Disorders in Children
Cerebral Palsy Spastic Diplegia
Keywords: Toe walking
cerebral palsy
idiopathic toe walking
3D gait analysis
Lead sponsor: Biruni University
Sponsor class: OTHER
First posted: 2023-11-21
Enrollment: 51
Sex: ALL
Minimum age (years): 3
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: yes
Observational model: CASE_CONTROL
Time perspective: CROSS_SECTIONAL
Sampling method: PROBABILITY_SAMPLE
Study population: A total of 51 cases, including 17 ITW(female:4;male:13), 15 DCP(female:5;male:10) and 19 Control groups (female:6;male:13), were included.

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.

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?

Eligibility criteria: 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.

Primary outcomes:
measure: 3D Gait Analysis
timeFrame: Baseline
Secondary outcomes:
Other outcomes:
Locations:
city: Istanbul
country: Turkey
facility: Acıbadem Altunizade Hospital
Study officials:
affiliation: Biruni University
name: Fatih Erol
role: PRINCIPAL_INVESTIGATOR
References: