Analysis of Postural Control in Children Suffering From Triceps Suralis Shortening.

Not Applicable

Completed

• Conditions: Ankle Disease
• Interventions: Procedure: Streching Group; Procedure: Heel group

• Registration Number: NCT05902949
• Lead Sponsor: Fundación Universidad Católica de Valencia San Vicente Mártir

Brief Summary

The central nervous system (CNS) coordinates balance through the visual, vestibular, and somatoproprioceptive systems, which produce muscle activation for postural control. Among the important muscle activations for postural control are those produced in the ankle joint, which is crucial for maintaining postural control in sports settings, along with the gastrocnemius and soleus muscles. Studies show that children who practice sports improve their postural stability and accelerate sensory maturation, which can affect the development of the lower limb extremity, specifically the insertional musculature of the ankle and foot. The present study aims to analyze postural control in school-aged children with triceps suralis retraction and assess the effectiveness of treatment with stretching versus a heel pad for 3 and 6 months. Additionally, the study will analyze whether the physical activity the children engage in influences their stability

Detailed Description

A randomized controlled trial will be conducted to evaluate the effectiveness of using a heel pad and a gastrocnemius and soleus stretching protocol. The outcomes of both interventions will be evaluated and compared, including pre-intervention and post-intervention assessments at 3 months and 6 months.

Study Timeline

• Study First Submitted: 2022-11-29
• Study First Submitted QC: 2023-06-05
• Study Start: 2023-06-15
• Study First Posted: 2023-06-15
• Primary Completion: 2023-12-27
• Study Completion: 2023-12-27
• Status Verified: 2024-01
• Last Update Submitted: 2024-01-15
• Last Update Posted: 2024-01-17

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 150

Inclusion Criteria

1. Children 8-12 years old
2. Regular sports practice
3. Decreased range of flexión

Exclusion Criteria

1. Having neurological, vestibular, muscular, psychological or visual visual disease.
2. Traumatic pathology 12 months prior to the measurement (sprains, talalgias, etc.).
3. Diseases of balance or motor control.
4. Surgeries in the last 12 months.
5. Taking medications that may affect the neuromuscular system.
6. Sports practice in the last 48 hours.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Stretching Group	Streching Group	The pattern will be performed 3 times per day (10 repetitions, 30 seconds each repetition). A daily control diary will be filled in when performing the exercise.
Heel Cup Group	Heel group	The heel cup will be 5mm high (Eva Shore 65)

Primary Outcome Measures

Name	Time	Method
Change from baseline of Physical Activity Questionnaire for Children (PAQ-C) at 6 months	At baseline; post 1 (3 months) and post 2 (6 months)	The data on the type and amount of physical activity performed by the participants will be collected using the Spanish version of the Physical Activity Questionnaire for Children (PAQ-C) (Appendix 3). The PAQ-C has been validated by Manchola-González, Bagur-Calafat, and Girabent-Farrésby Manchola-González, Bagur-Calafat, and Girabent-Farrés will be used to collect data on the type and amount of physical activity performed by the participants.

Secondary Outcome Measures

Name	Time	Method
Instability test	At baseline; post 1 (3 months) and post 2 (6 months)	The instability test will be performed using a foam rubber pad model Balance _Pand Elite ® with dimensions of 50 x 41 x 6cm, a weight of 0.7kg, and a density of 55kg/m (Figure 6). The foam has a nominal density of 40kg/m3 and a vertical compressive strength of 0.45N mm2 and a vertical compressive elasticity of 34N mm2 according to the manufacturer
Stabilometry	At baseline; post 1 (3 months) and post 2 (6 months)	For collecting stabilometry data, an inertial measurement instrument called Gyko® (Janusz Jaworski et al., 2020) (Figure 5) will be used. It is a state-of-the-art device that allows for objective assessment of acceleration, angular velocity, and with an acquisition frequency of 100Hz
Lunge Test	At baseline; post 1 (3 months) and post 2 (6 months)	he Lunge Test will be used to determine the dorsal flexion of the ankle (Figure 10) using the Leg MOtion® system

Trial Locations

Locations (1)

Javier Ferrer Torregrosa; 🇪🇸 Torrent, Valencia, Spain