Deformity of the Forefoot in Children With Unilateral Cerebral Palsy
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 52
- 试验地点
- 2
- 主要终点
- Measure of the forefoot deformity prevalence in plegia and non-plegia foot during gait in unilateral cerebral palsy children
研究概览
简要总结
Midfoot and backfoot deformities are well described in children with Cerebral palsy. However, data regarding forefoot deformities in Cerebral palsy remain scarce in a population were foot deformities are the most frequent musculo-skeletal deformities.
详细描述
Foot deformities are the most frequent musculo-skeletal deformities in children with Cerebral palsy. Pain starts in the foot, especially during gait in Cerebral Palsy Children (GMFCS I and II) and induce gait limitations, balance disorders, wounds, aesthetic disorders and difficulties to support shoes.
Metatarsus Adductus is the most common foot deformity in children with or without disorder, occuring on 1-2/1000 births. In 4 to 14% of the children, evolution is not favorable at 5 years. In that case, the diagnostic of Cerebral palsy have to be considered.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Retrospective
入排标准
- 年龄范围
- 2 Years 至 18 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Child who benefit a standardised clinical evaluation before a 3D Gait Analysis with forefoot deformity measure
- •Child age less than 18 years old
- •Child with left or right unilateral cerebral palsy
- •Walking child ( GMFCS score I, II or III)
- •In case of several 3D Gait Analysis for the child: the 3D gait analysis was chosen first before any local spasticity treatment with botulinic toxin injection or the 3D gait evaluation the more far from local spastica treatment with botulinic toxin injection was chosen in second .
排除标准
- •Hemiplegia due to another etiology
- •History of lower limb or foot surgery before the clinical evaluation
- •Local spasticy treatment with botulinic toxin injection less than 3 months before the clinical evaluation
- •Participation refusal
结局指标
主要结局
Measure of the forefoot deformity prevalence in plegia and non-plegia foot during gait in unilateral cerebral palsy children
时间窗: 1 day
we report in our population the forefoot axis measured by the angle between the heel bisector and the axis between the second and third metatarsal.
次要结局
- functional factors associated with forefoot deformities on plegia side in walking children with unilateral Cerebral Palsy.(1 day)
- Motricity factors associated with forefoot deformities on plegia side in walking children with unilateral Cerebral Palsy.(1 day)
- Anthropometric factors (type of cerebral palsy)associated with forefoot deformities on plegia side in walking children with unilateral Cerebral Palsy.(1 day)
- Anthropometric factors (age) associated with forefoot deformities on plegia side in walking children with unilateral Cerebral Palsy.(1 day)
- Anthropometric factors (sexe) associated with forefoot deformities on plegia side in walking children with unilateral Cerebral Palsy.(1 day)
- biomechanical osteoarticular factors associated with forefoot deformities on plegia side in walking children with unilateral Cerebral Palsy.(1 day)
- Spasticity factors associated with forefoot deformities on plegia side in walking children with unilateral Cerebral Palsy.(1 day)