Muscle Strength Clinical Trial
Official title:
Evaluation of Foot Posture, Muscle Strength, Functional Performance, and Postural Control in Children With Isolated Gastrocnemius Tightness
Studies on gastrocnemius tightness in healthy children are limited, but there is evidence that ankle dorsiflexion decreases with increasing age in children. It is not known whether gastrocnemius tightness is a normal finding in children, but recurrent leg pain is common in children. It is also known that flexible flatfoot is a normal observation in developing children and that the medial longitudinal arch develops during the first decade of life. Both foot morphology and ankle dorsiflexion change in developing children; however, it is not known whether there is a relationship between them or not. In the literature, there is no study evaluating foot posture, muscle strength, functional performance, and postural control in children with isolated gastrocnemius muscle tightness. It was planned to evaluate postural control using computerized dynamic posturography (Biodex Balance System), lower extremity muscle strength using a hand-held dynamometer, foot posture using the Foot Posture Index (FPI-6), and functional performance using single-foot-double-foot jump tests in healthy children with isolated gastrocnemius muscle tightness.
Status | Recruiting |
Enrollment | 28 |
Est. completion date | June 30, 2024 |
Est. primary completion date | May 30, 2024 |
Accepts healthy volunteers | Accepts Healthy Volunteers |
Gender | All |
Age group | 7 Years to 16 Years |
Eligibility | Inclusion Criteria: Study group - Presence of bilateral isolated gastrocnemius tightness (The test is considered positive when ankle dorsal flexion dorsiflexion increases over a minimum of 10 degrees with the knee flexed than the knee extension. - Being between 7-16 years of age - Body mass index within normal limits (18.5-24.9 kg/m2) Exclusion criteria - Presence of high femoral anteversion, internal tibial torsion, and metatarsus adductus - Presence of hypermobility (Beighton score >4 and above) - Leg length discrepancy - Presence of any neurological, rheumatic, musculoskeletal, metabolic, and connective tissue disease - History of pain, deformity, or surgery associated with the vertebral column and lower extremities - Presence of cognitive, mental, and/or severe psychiatric illness - Participation in any exercise program or sportive activity in the last six months For the control group, the same inclusion/exclusion criteria will be accepted except that the bilateral Silfverskiold test is negative. |
Country | Name | City | State |
---|---|---|---|
Turkey | Bezmialem Vakif University | Istanbul |
Lead Sponsor | Collaborator |
---|---|
Bezmialem Vakif University |
Turkey,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Postural Control Assessment | Postural stability, limits of stability, and sensory integration of balance will be assessed using the Biodex Balance System®. | 1 day | |
Primary | Lower extremity muscle strength measurement | The strength of hip adductors-abductors, external-internal rotators, flexors-extensors, knee flexors-extensors, and ankle dorsiflexors-plantar flexors, invertors-evertors muscles will be evaluated isometrically using a handheld dynamometer (MicroFET 2 force gauge, Hoggan Health Industries, Salt Lake City, Utah). | 1 day | |
Secondary | Foot posture assessment | The Foot Posture Index (FPI-6) will be used to assess foot alignment in different planes. Six analyses will be scored on a +2 to -2 scale, and the total score will be recorded. | 1 day | |
Secondary | Functional performance assessment | The Single Leg and Double Leg Horizontal Jump Testswill be used to evaluate lower extremity functional performance. | 1 day |
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