Clinical trial NCT04200924: Evaluation of Postural Control in Children With Idiopathic Toe Walking
Official title: Evaluation of Postural Control in Children With Idiopathic Toe Walking
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Idiopathic Toe Walking
Gait Disorders in Children
Postural Control
Postural Stability
Balance
Lead sponsor: Bezmialem Vakif University
Sponsor class: OTHER
First posted: 2019-12-16
Enrollment: 32
Sex: ALL
Minimum age (years): 6
Maximum age (years): 15
Standard ages: CHILD
Accepts healthy volunteers: yes
Observational model: CASE_CONTROL
Time perspective: PROSPECTIVE
Sampling method: PROBABILITY_SAMPLE
Study population: 16 children with idiopathic toe walking 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 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.

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).

Eligibility criteria: 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

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: Hulya N Gurses, Prof.
role: STUDY_DIRECTOR
References: