Femoral Anteversion, Gait Disorders in Children, Postural Control, Postural Stability, Balance
Conditions
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).
Interventions
For the computerized evaluation of postural control, Biodex Balance System will be used.
For the clinical evaluation of postural control, the Modified Balance Error Scoring System (BESS) will be used.
Sponsors
Bezmialem Vakif University
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
7 Years to 15 Years
Healthy volunteers
Yes
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 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 |
| 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 |
Countries
Turkey (Türkiye)
Outcome results
None listed