Evaluation of Postural Control in Children With Idiopathic Toe Walking

Balance Clinical Trial

Official title:

Evaluation of Postural Control in Children With Idiopathic Toe Walking

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04200924
• Other study ID #: DT-02
• Status: Completed
• Start date: June 1, 2019
• Est. completion date: May 1, 2022

Study information

• Verified date: July 2022
• Source: Bezmialem Vakif University
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational [Patient Registry]

Clinical Trial 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.

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).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 32
• Est. completion date: May 1, 2022
• Est. primary completion date: March 1, 2022
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 6 Years to 15 Years

Eligibility

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

Related Conditions & MeSH terms

• Balance
• Gait Disorders in Children
• Idiopathic Toe Walking
• Postural Control
• Postural Stability

Intervention

Other:
• Biodex Balance System
For the computerized evaluation of postural control, Biodex Balance System will be used.
• Balance Error Scoring System (BESS)
For the clinical evaluation of postural control, the Modified Balance Error Scoring System (BESS) will be used.

Locations

Country	Name	City	State
Turkey	Bezmialem Vakif University	Istanbul

Sponsors (1)

Lead Sponsor	Collaborator
Bezmialem Vakif University

Country where clinical trial is conducted

Turkey, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Postural control-postural stability	Computerized test of postural stability with Biodex Balance System	1 day
Primary	Postural control-limits of stability	Computerized test of limits of stability with Biodex Balance System	1 day
Primary	Postural control-sensory integration	Computerized test of sensory integration with Biodex Balance System	1 day
Primary	Balance Error Scorring System-BESS	Clinical evaluation of postural control	1 day