Effects of Ballet Training on Kinematics and Subjective Parameters in Children With Idiopathic Coxa Antetorta: a Randomized Controlled Trial
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 5
- 试验地点
- 2
- 主要终点
- Kinematic measurement and
研究概览
简要总结
This study looks at how ballet training affects movement and personal feelings in children with a condition called idiopathic coxa antetorta.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 8 Years 至 12 Years(Child)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •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.
排除标准
- •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
研究组 & 干预措施
Ballet training
The children in this arm of the study will receive ballet training.
干预措施: Balett Training (Procedure)
Control group
The children in the control group in this study will not receive any intervention, according to the German guidelines for idiopathic coxa antetorta 2002. This is in line with the standard approach, as children in this developmental phase typically do not receive therapy for this condition.
结局指标
主要结局
Kinematic measurement and
时间窗: Week1 and week 8
This study will track knee flexion during the mid-stance phase of walking, as children with coxa antetorta often show increased knee bending, which can lead to future knee issues. The children's walking will be recorded using a 2D gait analysis system on the C-Mill treadmill, offering accurate results while minimizing stress and reducing the chance of errors.
Subjective functional mobility
时间窗: Week1 and week 8
The children's mobility and quality of life will be assessed, using the parent-reported Pediatric Outcomes Data Collection Instrument (PODCI), a reliable questionnaire designed for children with musculoskeletal conditions. It measures various aspects of daily functioning and well-being, and the scores range from 0 to 100, with lower scores indicating more difficulties.
次要结局
- Measurement of hip strength (N)(Week1 and week 8)
- Gait Analysis(Week1 and week 8)
- Measurement of femoral anteversion angle (°)(Week1 and week 8)
- Measurement of hip mobility (°)(Week1 and week 8)
- Feasibility assessment(Week 8)
