Ballet Training in Children With Idiopathic Coxa Antetorta

University Children's Hospital Basel

Status: Enrolling

Conditions: Femoral Anteversion

Treatments: Procedure: Balett Training

Study type: Interventional

Funder types: Other

Identifiers

NCT06648408

2024-00689 ks24Widmer;

Details and patient eligibility

About

This study looks at how ballet training affects movement and personal feelings in children with a condition called idiopathic coxa antetorta.

Full description

Increased femoral anteversion (IFA) occurs when the top of the thigh bone tilts forward more than normal. Many healthy kids and teens aren't considered to have a problem with this as long as they show no symptoms, since it often corrects itself by the time they reach ages 12 to 14. However, experts believe this condition might lead to complications later in life. Research indicates that children with IFA may be more prone to issues like kneecap misalignment, knee pain, and even arthritis as they grow older. This is likely due to the way their knees bend differently when they walk. Kids with IFA often walk with their toes pointing inward, which increases their chances of tripping and falling. They may also experience pain that interferes with their daily activities. It is assumed that strengthening the hips and improving hip flexibility could help reduce the need for compensatory movements, ultimately lowering the risk of tripping, falling, and experiencing pain in everyday life. This study is a randomized controlled trial aimed at examining how ballet training influences knee movement-specifically knee flexion-during walking in children with idiopathic coxa antetorta. The goal is to determine whether ballet training enhances the children's overall mobility and how they feel about their ability to move. Additionally, the study seeks to find out how this training can be effectively incorporated into the daily routines of affected schoolchildren.

Enrollment: 17 estimated patients

Sex: All

Ages: 8 to 12 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diagnosis of idiopathic coxa antetorta with FNA> 30°
• Children between 8 and 12 years of age
• Cognitive abilities must include: Ability to actively participate in a 60-minute ballet class; Ability to communicate pain or discomfort; Ability to attend training, testing and follow-up sessions. All included participants can make decisions on their own and do not show any signs of mental or cognitive limitations.

Exclusion criteria

• Any surgery within 6 months prior to the start of the study or surgery scheduled during the study period. Other medications can be continued as prescribed by the participants' physician
• Known cardiovascular or pulmonary diseases that have not received medical clearance to participate in the physical exercise intervention
• Neurological or other musculoskeletal comorbidities
• The children should not have completed any ballet training in the last 12 months
• Pregnancy

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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17 participants in 2 patient groups

Ballet training

Experimental group

Description:

The children in this arm of the study will receive ballet training.

Treatment:

Procedure: Balett Training

Control group

No Intervention group

Description:

The children in the control group in this study will not receive any intervention, according to the German guidelines for idiopathic coxa antetorta 2002. This is in line with the standard approach, as children in this developmental phase typically do not receive therapy for this condition.