Idiopathic Toe Walking, Gait Disorders in Children, Postural Control, Postural Stability, Balance
Conditions
Brief summary
The aim of this study is to evaluate postural control in children with idiopathic toe walking using computerized dynamic posturography (Biodex Balance System), which is reported to be a reliable and valid instrument for detecting changes in balance and postural control in the literature.
Detailed description
Idiopathic toe walking (ITW) is a term used to describe the condition in which children walk with a toe-toe gait pattern in the absence of any known cause. When the literature is examined, it is reported that a possible neuromechanism of idiopathic toe walking is related to postural disorder and a deterioration of sensory information coming from the proprioceptive, vestibular, visual and / or tactile systems. 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. Although there are few studies showing the possible relationship, no studies have been found to evaluate postural control by computerized posturography in these children. In this study, we aimed to evaluate postural control in children with idiopathic toe walking 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
6 Years to 15 Years
Healthy volunteers
Yes
Inclusion criteria
* Having the diagnosis of idiopathic toe walking * No contact with the heel in the initial contact phase of the gait * Presence of bilateral toe walking gait * Normal neurological and orthopedic examination results * Achievement of independent walking before 18 months * Absence of pervasive developmental disorder or autism
Exclusion criteria
* A history of BoNT-A or surgery in the last 6 months * Presence of 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