"Evaluation of Postural Control in Children With Increased Femoral Anteversion"

Completed

• Conditions: Femoral Anteversion; Postural Control; Balance; Postural Stability; Gait Disorders in Children
• Interventions: Other: Biodex Balance System; Other: Balance Error Scoring System (BESS)

• Registration Number: NCT04181125
• Lead Sponsor: Bezmialem Vakif University

Brief Summary

The relationship between increased femoral anteversion and postural control in healthy children has not been studied in the current literature. To our knowledge there is no study to evaluate postural control in children with increased femoral anteversion by computerized posturography. We aimed to evaluate postural control in children with increased femoral anteversion using computerized dynamic posturography (Biodex Balance System).

Detailed Description

Femoral anteversion is defined as the angle formed by the femoral condyles plane (bicondylar plane) and a plane passing through the center of the neck and femoral head. Toe-in-gait pattern may be due to foot deformity (metatarsus adductus) and / or abnormal transverse alignment of long bones (tibial torsion and / or increased femoral anteversion). Transverse plane deviations are frequently seen in infants and usually improve with typical physiological growth mechanisms. Persistent transverse plan disorder may lead to gait dysfunction. 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. To our knowledge the relationship between increased femoral anteversion and postural control in healthy children has not been studied in the current literature. Postural control in children with increased femoral anteversion was evaluated by computerized posturography. In this study, we aimed to evaluate postural control in children with increased femoral anteversion using computerized dynamic posturography (Biodex Balance System).

Study Timeline

• Study Start: 2019-04-01
• Study First Submitted: 2019-11-22
• Study First Submitted QC: 2019-11-27
• Study First Posted: 2019-11-29
• Primary Completion: 2020-09-01
• Status Verified: 2020-11
• Study Completion: 2020-11-01
• Last Update Submitted: 2020-11-21
• Last Update Posted: 2020-11-24

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 32

Inclusion Criteria

• Diagnosed as bilateral increased femoral anteversion
• No history of neurological, psychiatric diseases
• Lack of intellectual disability to prevent evaluation and treatment participation
• No participation in any physiotherapy program in the last six months
• Written permission from the parents for participate in the study

Exclusion Criteria

• History of surgery or BoNT-A for lower extremities
• Leg length discrepancy

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Children with increased femoral anteversion	Biodex Balance System	After the demographic information, developmental history and gait information were recorded with the Evaluation Form, clinical evaluation was performed; bilateral lower extremity range of motion, flexibility, leg length measurement, and muscle strength measurement and muscular endurance tests (abdominal, back and lower extremity) will be performed. For the clinical evaluation of postural control, the Modified Balance Error Scoring System (BESS) and the Biodex Balance System for computerized evaluation will be used.
Children with increased femoral anteversion	Balance Error Scoring System (BESS)	After the demographic information, developmental history and gait information were recorded with the Evaluation Form, clinical evaluation was performed; bilateral lower extremity range of motion, flexibility, leg length measurement, and muscle strength measurement and muscular endurance tests (abdominal, back and lower extremity) will be performed. For the clinical evaluation of postural control, the Modified Balance Error Scoring System (BESS) and the Biodex Balance System for computerized evaluation will be used.
Healthy children	Balance Error Scoring System (BESS)	After the demographic information, developmental history and gait information were recorded with the Evaluation Form, clinical evaluation was performed; bilateral lower extremity range of motion, flexibility, leg length measurement, and muscle strength measurement and muscular endurance tests (abdominal, back and lower extremity) will be performed. For the clinical evaluation of postural control, the Modified Balance Error Scoring System (BESS) and the Biodex Balance System for computerized evaluation will be used.
Healthy children	Biodex Balance System	After the demographic information, developmental history and gait information were recorded with the Evaluation Form, clinical evaluation was performed; bilateral lower extremity range of motion, flexibility, leg length measurement, and muscle strength measurement and muscular endurance tests (abdominal, back and lower extremity) will be performed. For the clinical evaluation of postural control, the Modified Balance Error Scoring System (BESS) and the Biodex Balance System for computerized evaluation will be used.

Primary Outcome Measures

Name	Time	Method
Postural control-sensory integration	1 day	Computerized test of sensory integration with Biodex Balance System
Balance Error Scorring System-BESS	1 day	Clinical evaluation of postural control
Postural control-postural stability	1 day	Computerized test of postural stability with Biodex Balance System
Postural control-limits of stability	1 day	Computerized test of limits of stability with Biodex Balance System

Trial Locations

Locations (1)

Bezmialem Vakif University; 🇹🇷 Istanbul, Turkey