Clinical Trials Logo

Clinical Trial Summary

The aim of this study is to investigate the effect of plantar two-point discrimination on hip-knee-ankle position sense in children with toe walking.The main questions it aims to answer are: - Are two-point discrimination and light pressure sensation in the plantar region affected in children with idiopathic toe gait? - Does the two-point discrimination in the plantar in general and the heel in particular affect the position sense of the hip-knee and ankle?


Clinical Trial Description

Children who tend to walk on toes after they should have developed a heel-toe gait are diagnosed with idiopathic toe walking (ITW).Cerebral palsy, muscular dystrophy, and orthopaedic problems such congenital talipes equinus are some of the diseases that are frequently linked to a toe-walking gait. A diagnosis of ITW is made when there is no physical or medical cause for the absence of a heel strike. Five percent of healthy children are estimated to have ITW, and boys are more likely than girls to be affected. Reduced ankle range of motion is prevalent symptom in children with ITW. Since ITW often manifests as symmetrical tiptoe walking in children, reports showing a comparable bilateral reduction in ankle range of motion at both lower limbs indicate the symmetrical character of this gait type. Lower vibration perception thresholds, a tendency to be left-handed, and noticeable variations in sensory seeking and modulation scores are all characteristics of children with an ITW gait. The small fibers that innervate the cutaneous receptors (such as Merkel's cell, Pacinian corpuscles, Meissner's corpuscles, and Ruffini endings in the skin) are more crucial for postural control than the large fibers that innervate the major muscle spindles and the Golgi tendon organs. Standing balance control is more dependent on Merkel's cells and Ruffini endings (slow adapting receptors), which are in charge of touch and pressure sensitivity, than it is on Meissner's and Pacinian corpuscles (rapid adapting receptors), which are in charge of vibrotactile sensitivity.Additionally, it has been demonstrated that tactile sensation in the foot sole affects the activity of the tibialis anterior muscle as well as the regulation of gait pattern at lower limb joints. These investigations support the notion that cutaneous feeling is crucial for preserving postural and gait stability.The literature states that plantar pressure and sensory changes have disruptive effects on postural control.The aim of this study is to investigate the effect of plantar two-point discrimination on hip-knee-ankle position sense in children with toe walking. ;


Study Design


Related Conditions & MeSH terms


NCT number NCT05692791
Study type Observational
Source Kirsehir Ahi Evran Universitesi
Contact Ömer Faruk Özçelep, Msc
Phone +90 531 946 3799
Email omer.ozcelep@ahievran.edu.tr
Status Not yet recruiting
Phase
Start date March 30, 2024
Completion date May 30, 2024

See also
  Status Clinical Trial Phase
Not yet recruiting NCT05988905 - The Effects of Gait Performance and Brain Activity After Robot-assisted Gait Training (RAGT) On Patients With Lower Extremity Thermal Injury N/A
Completed NCT04281394 - Effects of Robot-assisted Gait Training in Patients Burn Injury on Lower Extremity N/A
Completed NCT04681235 - Virtual Reality Training Affects on Motor Functions and Mental Health in Stroke Patients N/A
Recruiting NCT05967078 - ExerG: Video Game-based Physical Cognitive Training for Patients: a Usability Study N/A
Completed NCT02310841 - Pilot Study for Patient-cooperative Control Strategies for Actuated Transfemoral Prostheses N/A
Not yet recruiting NCT05883917 - Clinical Utility of Robot-Assisted Gait Training in Patients With Spinal Cord Injury Caused by Electrical Burns: A Case Report N/A
Not yet recruiting NCT05886166 - Clinical Utility of Exoskeleton Robot Training in Patients With Septic Arthritis After a Thermal Injury: A Case Report N/A
Recruiting NCT04947865 - Reflex Excitability in Post-stroke Stiff-Knee Gait N/A
Recruiting NCT03869879 - Mobility Rehab, a Therapist-assisted System for Gait Rehabilitation N/A
Completed NCT04062292 - Gait Parameters and Balance in Patients With Obstructive Lung Diseases
Completed NCT03015714 - Aquatic Therapy for Freezing of Gait in Parkinson's Disease Patients N/A
Completed NCT01635348 - Thinking, Walking Outcomes by Type of Exercise Phase 2
Recruiting NCT05218187 - Robotic Gait Rehabilitation in Parkinson's Disease Phase 1/Phase 2
Completed NCT04054076 - 10 Years Follow-up Study of Plantar Pressure, Kinetics and Kinematics in a Cohort of Patients Diagnosed With Diabetes N/A
Completed NCT04491162 - The Effect of Body Weight Support Treadmill Training on Lower Limb Function in Patients With Chronic Stroke N/A
Completed NCT03343132 - Gait Adaptability: Tracking Locomotor Recovery After Incomplete Spinal Cord Injury
Completed NCT04758364 - Factors That Effect the Gait Speed in Diabetic Individuals Without Neuropathy
Completed NCT03057522 - Step Rate in Recreational Runners N/A
Completed NCT05127538 - Balance and Gait in Diabetic Neuropathy N/A
Completed NCT03769220 - Evaluation of the Measurement Properties of a 5 Time Repeated Instrumented Timed Up and Go (5iTUG)