Clinical trial NCT06648408: Ballet Training in Children With Idiopathic Coxa Antetorta
Official title: Effects of Ballet Training on Kinematics and Subjective Parameters in Children With Idiopathic Coxa Antetorta: a Randomized Controlled Trial
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Femoral Anteversion
Keywords: Increased femoral anteversion (IFA)
Idiopathic coxa antetorta
Childhood knee pain
Physical activity intervention
Ballet training for children
Hip strength and mobility
Knee flexion in children
Exercise for hip flexibility
In-toeing gait in children
Lead sponsor: University Children's Hospital Basel
Sponsor class: OTHER
First posted: 2024-10-18
Enrollment: 17
Sex: ALL
Minimum age (years): 8
Maximum age (years): 12
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: This study looks at how ballet training affects movement and personal feelings in children with a condition called idiopathic coxa antetorta.

Detailed description: Increased femoral anteversion (IFA) occurs when the top of the thigh bone tilts forward more than normal. Many healthy kids and teens aren't considered to have a problem with this as long as they show no symptoms, since it often corrects itself by the time they reach ages 12 to 14. However, experts believe this condition might lead to complications later in life. Research indicates that children with IFA may be more prone to issues like kneecap misalignment, knee pain, and even arthritis as they grow older. This is likely due to the way their knees bend differently when they walk. Kids with IFA often walk with their toes pointing inward, which increases their chances of tripping and falling. They may also experience pain that interferes with their daily activities. It is assumed that strengthening the hips and improving hip flexibility could help reduce the need for compensatory movements, ultimately lowering the risk of tripping, falling, and experiencing pain in everyday life. This study is a randomized controlled trial aimed at examining how ballet training influences knee movement-specifically knee flexion-during walking in children with idiopathic coxa antetorta. The goal is to determine whether ballet training enhances the children's overall mobility and how they feel about their ability to move. Additionally, the study seeks to find out how this training can be effectively incorporated into the daily routines of affected schoolchildren.

Eligibility criteria: Inclusion Criteria:

* Diagnosis of idiopathic coxa antetorta with FNA\> 30°
* Children between 8 and 12 years of age
* Cognitive abilities must include: Ability to actively participate in a 60-minute ballet class; Ability to communicate pain or discomfort; Ability to attend training, testing and follow-up sessions. All included participants can make decisions on their own and do not show any signs of mental or cognitive limitations.

Exclusion Criteria:

* Any surgery within 6 months prior to the start of the study or surgery scheduled during the study period. Other medications can be continued as prescribed by the participants' physician
* Known cardiovascular or pulmonary diseases that have not received medical clearance to participate in the physical exercise intervention
* Neurological or other musculoskeletal comorbidities
* The children should not have completed any ballet training in the last 12 months
* Pregnancy

Primary outcomes:
measure: Kinematic measurement and
timeFrame: Week1 and week 8
measure: Subjective functional mobility
timeFrame: Week1 and week 8
Secondary outcomes:
measure: Gait Analysis
timeFrame: Week1 and week 8
measure: Measurement of femoral anteversion angle (°)
timeFrame: Week1 and week 8
measure: Measurement of hip strength (N)
timeFrame: Week1 and week 8
measure: Measurement of hip mobility (°)
timeFrame: Week1 and week 8
measure: Feasibility assessment
timeFrame: Week 8
Other outcomes:
Locations:
city: Basel
country: Switzerland
facility: Universitäts-Kinderspital beider Basel (UKBB)
Study officials:
affiliation: Universitäts-Kinderspital beider Basel (UKBB)
name: Michèle Widmer, Dr. med.
role: PRINCIPAL_INVESTIGATOR
References: