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Effects of Textured Insoles and Exercise in Children With Joint Hypermobility

Not Applicable
Recruiting
Conditions
Exercise
Textured Insoles
Joint Laxity
Child, Only
Interventions
Behavioral: Exercise
Behavioral: Exercise+texture insoles
Registration Number
NCT06350240
Lead Sponsor
Gazi University
Brief Summary

Joint hypermobility is the condition that the joints have a greater range of motion than normal and can be observed frequently in children. In children with joint hypermobility, motor problems, tactile and proprioceptive sensory disorders can be observed. It is very important to support children with joint hypermobility with intervention programs that are rich in both motor and sensory aspects. The aim of this project is to create an exercise protocol rich in tactile, proprioceptive senses for children with joint hypermobility and to examine the effects of using textured insoles in addition to exercise on tactile sense, balance, foot load distribution and quality of life in children.

Detailed Description

It was planned to include 40 children with joint hypermobility in the project. Children's joint hypermobility will be determined by the Beighton Score. Children will be divided into two groups. Children in both groups will be offered an exercise program consisting of home and park activities that will improve their motor and sensory aspects. Children in the intervention group will be asked to additionally use textured insoles. Before and after the study, children's plantar foot tactile sense, balance, foot load distribution and quality of life will be evaluated. Pre- and post-treatment values and change values in both groups will be compared with each other.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
40
Inclusion Criteria
  • Children with a Beighton score of 6 and above
  • Being between the ages of 5-18
  • Being cooperative in the assessments and treatment
  • Having a body mass index between 18.5-24.9
Exclusion Criteria
  • Having had any surgery or trauma in the last 6 months
  • Having any neurological, metabolic, rheumatological or chronic disease.
  • Having a vestibular system problem
  • Being diagnosed with Ehlers-Danlos Syndrome
  • Having foot wounds and anomalies that may affect sole sensation
  • Having chronic pain.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Control groupExerciseExercise group
Intervention groupExercise+texture insolesExercise and use of textured insoles group
Primary Outcome Measures
NameTimeMethod
Tactile senseThrough study completion, an average of 1 year

Tactile sensory evaluation was performed with Semmes-Weinstein Monofilaments.

Foot load distributionThrough study completion, an average of 1 year

Diagnostic Support Baropodometer Footscan® 3D system will be used for static and dynamic pedobarographic analysis.

BalanceThrough study completion, an average of 1 year

Biodex Balance System will be used for static balance assessment. Functional reach test will be used for dynamic balance assessment. The child will be asked to stand sideways against the wall. Marking will be made from the tip of the third finger, with the child's arm flexed at 90 degrees. The child will be asked to reach forward as far as he can without taking a step, lifting his heels off the ground, and without changing his arm position. The third fingertip will be marked again and the distance between the two marks will be measured in centimeters

Secondary Outcome Measures
NameTimeMethod
Quality of life assessmentThrough study completion, an average of 1 year

Children's quality of life will be evaluated with the 'Pediatric Quality of Life Inventory'.This scale is a quality of life scale that evaluates children's physical and psychosocial experiences. Turkish validity and reliability studies have been conducted.

Foot postureThrough study completion, an average of 1 year

Foot posture analysis will be evaluated using the Foot Posture Index.

Trial Locations

Locations (1)

Gazi University

🇹🇷

Ankara, Turkey

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