Patient with in-toeing gait due to excessive femoral anteversion. Femoral Anteversion, Femoral Antetorsion, In-toeing, Rotational profile, Kinematic
Conditions
Interventions
Hip external rotation stretching exercise is a static stretching technique that places the hip in opposition to the deformity seen in excessive femoral neck antetorsion. The children were advised to s
s knees down to the floor. The prescription is a bidaily 4 sets of 15 seconds stretch with a 10 break between each set.,Children were asked to avoid in a w-sitting.
Experimental Other,Active Comparator Other
w-sitting avoidance with hip external rotation stretching exercise,w-sitting avoidance
Sponsors
Faculty of Medicine, Ramathibodi Hospital, Mahidol University
Eligibility
Sex/Gender
All
Age
3 Years to 6 Years
Inclusion criteria
Inclusion criteria: 1. Pediatric patients aged 2-6 years 2. Patients with in-toeing gait problems caused by excessive femoral neck antetorsion. 3. Physical examination found;1) Hip internal rotation was more than 60 degrees and 65 degrees in female and male patients, respectively. 2) Hip external rotation was less than 25 degrees.
Exclusion criteria
Exclusion criteria: 1. Patients with neuromuscular disorders such as cerebral palsy. 2. Patients with a history of hip fracture, dislocation, hip surgery, or a history of hip tumors.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Hip internal rotation at first visit and at 3, 6, 12 and 24 months after received intervention physical examination by goniometry | — |
Secondary
| Measure | Time frame |
|---|---|
| Hip external rotation at first visit and at 3, 6, 12 and 24 months after received intervention physical examination by goniometry,Thigh foot angle at first visit and at 3, 6, 12 and 24 months after received intervention physical examination by goniometry,Heel bisector line at first visit and at 3, 6, 12 and 24 months after received intervention physical examination,Beighton Hypermobility Score at first visit and at 3, 6, 12 and 24 months after received intervention physical examination,Kinematic of hip internal rotation at first visit, 12 and 24 months after received intervention Three dimensional gait analysis,Kinematic of hip external rotation at first visit, 12 and 24 months after received intervention Three dimensional gait analysis,Foot progression angle at first visit, 12 and 24 months after received intervention Three dimensional gait analysis,Foot progression angle at first visit and at 3, 6, 12 and 24 months after received intervention physical examination | — |
Countries
Thailand
Contacts
Public ContactChanika Angsanuntsukh
Faculty of Medicine, Ramathibodi Hospital Hospital
Outcome results
None listed