Clinical Trial Details
— Status: Active, not recruiting
Administrative data
NCT number |
NCT06246981 |
Other study ID # |
2023/9-387 |
Secondary ID |
|
Status |
Active, not recruiting |
Phase |
|
First received |
|
Last updated |
|
Start date |
January 20, 2024 |
Est. completion date |
October 20, 2024 |
Study information
Verified date |
February 2024 |
Source |
Afyonkarahisar Health Sciences University |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Observational
|
Clinical Trial Summary
Pelvic orientations observed in the pelvis during quiet standing position the standard
orientation of the pelvis, causing pelvic tilt, pelvic obliquity and pelvic rotation. There
is a need to understand the relationship between these orientation disorders and gait. This
is because the orientation of the pelvis both in standard standing posture and during gait is
an integral part of physiotherapy assessment due to the various problems associated with
abnormal pelvic position, including musculoskeletal disorders of the lumbar spine, pelvis,
hips and knees. The aim of this study was to describe the morphology of pelvic orientation
during static standing posture in an asymptomatic young Turkish population aged 19 to 29
years and to examine the relationship between morphologic changes and changes in pelvic tilt,
pelvic obliquity and pelvic rotation angles during gait.
Description:
The pelvic bones are the key structures that connect the trunk to the lower extremities,
support the body's weight and transfer the load to the lower extremities. The symmetrical
orientation of the pelvis about the horizontal plane determines the morphology of the pelvis
during static standing posture. When the symmetry of the pelvis is disturbed, its effect on
gait parameters is unclear. In clinical practice, the pelvis functionally has 3 basic
rotational movements during a gait activity. These are associated with upward (positive) or
downward (negative) movement of the pelvis in the coronal plane; forward or backward movement
in the sagittal plane; and internal (positive) or external (negative) movement in the
horizontal plane. Although these angles are determined by the balance of muscle and ligament
forces acting between the pelvis and adjacent segments, they can also be affected by changes
in pelvic morphology. If the height of the iliac crest in the coronal plane is significantly
different on the right and left, this indicates a pelvic oblique asymmetry. On the other
hand, pelvic asymmetries can also be seen in the sagittal plane. Here, the pelvic tilt angles
on the right and left are usually significantly different from each other. In the literature,
morphologic analyses of the pelvis in static standing posture or dynamically during a gait
activity have been performed separately. However, to our knowledge, there is no study on the
extent to which pelvic asymmetries seen during gait are affected by the morphology of the
pelvis in static standing posture. In this study, the pelvis of young adults aged 19-29 years
will be evaluated in two stages. In the first stage, pelvic orientation (pelvic tilt, pelvic
obliquity and pelvic rotation) will be measured during static standing using a PALM
(palpation meter pelvic inclinometer) inclinometer and leg length will be measured using a
tape measure. In the second stage, spatio-temporal parameters and pelvic parallels will be
assessed during walking using a wearable inertial sensor. With the data obtained, it is aimed
to classify the pelvic morphology of the participants as symmetrical and asymmetrical in the
literature and to reveal the effects of pelvis types specific to this classification on the
parameters during walking. The results of this study will accurately and precisely measure
the orientation of the pelvis with objective tools under static and dynamic conditions, which
may increase the reasoning skills and understanding of rehabilitation strategies to be
developed for pathologies related to this region. In addition, this study will elucidate the
effect of pelvic asymmetries on the kinetic and kinematics of the pelvis on gait quality.