Evaluation of Postural Control in Children With Idiopathic Toe Walking

Bezmialem Vakif University

Status: Completed

Conditions: Balance; Gait Disorders in Children; Postural Stability; Idiopathic Toe Walking; Postural Control

Treatments: Other: Biodex Balance System; Other: Balance Error Scoring System (BESS)

Study type: Observational

Funder types: Other

Identifiers

NCT04200924

DT-02

Details and patient eligibility

About

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.

Full 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).

Enrollment: 32 patients

Sex: All

Ages: 6 to 15 years old

Volunteers: Accepts Healthy Volunteers

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

Trial design

32 participants in 2 patient groups

Children with idiopathic toe walking

Description:

After the demographic information, developmental history and gait information were recorded with the Evaluation Form, clinical evaluation was performed; bilateral lower extremity range of motion, flexibility, leg length measurement, and muscle strength measurement and muscular endurance tests (abdominal, back and lower extremity) will be performed. For the clinical evaluation of postural control, the Modified Balance Error Scoring System (BESS) and the Biodex Balance System for computerized evaluation will be used.

Treatment:

Other: Balance Error Scoring System (BESS)

Other: Biodex Balance System

Healthy children

Description:

After the demographic information, developmental history and gait information were recorded with the Evaluation Form, clinical evaluation was performed; bilateral lower extremity range of motion, flexibility, leg length measurement, and muscle strength measurement and muscular endurance tests (abdominal, back and lower extremity) will be performed. For the clinical evaluation of postural control, the Modified Balance Error Scoring System (BESS) and the Biodex Balance System for computerized evaluation will be used.

Treatment:

Other: Balance Error Scoring System (BESS)

Other: Biodex Balance System