"Evaluation of Postural Control in Children With Increased Femoral Anteversion"

The relationship between increased femoral anteversion and postural control in healthy children has not been studied in the current literature. To our knowledge there is no study to evaluate postural control in children with increased femoral anteversion by computerized posturography. We aimed to evaluate postural control in children with increased femoral anteversion using computerized dynamic posturography (Biodex Balance System).

Study Overview

• Status: Completed
• Conditions: Gait Disorders in Children; Balance; Postural Stability; Postural Control; Femoral Anteversion
• Intervention / Treatment: Other: Biodex Balance System; Other: Balance Error Scoring System (BESS)

Detailed Description

Femoral anteversion is defined as the angle formed by the femoral condyles plane (bicondylar plane) and a plane passing through the center of the neck and femoral head. Toe-in-gait pattern may be due to foot deformity (metatarsus adductus) and / or abnormal transverse alignment of long bones (tibial torsion and / or increased femoral anteversion). Transverse plane deviations are frequently seen in infants and usually improve with typical physiological growth mechanisms. Persistent transverse plan disorder may lead to gait dysfunction. 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. To our knowledge the relationship between increased femoral anteversion and postural control in healthy children has not been studied in the current literature. Postural control in children with increased femoral anteversion was evaluated by computerized posturography. In this study, we aimed to evaluate postural control in children with increased femoral anteversion using computerized dynamic posturography (Biodex Balance System).

• Study Type: Observational
• Enrollment (Actual): 32

Contacts and Locations

Study Locations

• Turkey
  • Istanbul, Turkey
    • Bezmialem Vakif University

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 7 years to 15 years (CHILD)
• Accepts Healthy Volunteers: Yes
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

16 children with bilateral increased femoral anteversion aged 6-15 years followed by Bezmialem Vakıf University Department of Orthopedics and Traumatology.

16 healthy volunteers aged 6-15 years will be included in the control group.

Description

Inclusion Criteria:

• Diagnosed as bilateral increased femoral anteversion
• No history of neurological, psychiatric diseases
• Lack of intellectual disability to prevent evaluation and treatment participation
• No participation in any physiotherapy program in the last six months
• Written permission from the parents for participate in the study

Exclusion Criteria:

• History of surgery or BoNT-A for lower extremities
• Leg length discrepancy

Study Plan

How is the study designed?

Number of groups / cohorts

2

Cohorts and Interventions

Group / Cohort	Intervention / Treatment
Healthy children; 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.	Other: Biodex Balance System; For the computerized evaluation of postural control, Biodex Balance System will be used.; Other: Balance Error Scoring System (BESS); For the clinical evaluation of postural control, the Modified Balance Error Scoring System (BESS) will be used.
Children with increased femoral anteversion; 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.	Other: Biodex Balance System; For the computerized evaluation of postural control, Biodex Balance System will be used.; Other: Balance Error Scoring System (BESS); For the clinical evaluation of postural control, the Modified Balance Error Scoring System (BESS) will be used.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Postural control-postural stability	Computerized test of postural stability with Biodex Balance System	1 day
Postural control-limits of stability	Computerized test of limits of stability with Biodex Balance System	1 day
Postural control-sensory integration	Computerized test of sensory integration with Biodex Balance System	1 day
Balance Error Scorring System-BESS	Clinical evaluation of postural control	1 day

Collaborators and Investigators

• Sponsor: Bezmialem Vakif University
• Investigators: Study Director: Hülya Nilgun Gurses, Prof., Bezmialem Vakif University

Study record dates

Study Major Dates

• Study Start (ACTUAL): April 1, 2019
• Primary Completion (ACTUAL): September 1, 2020
• Study Completion (ACTUAL): November 1, 2020

Study Registration Dates

• First Submitted: November 22, 2019
• First Submitted That Met QC Criteria: November 27, 2019
• First Posted (ACTUAL): November 29, 2019

Study Record Updates

• Last Update Posted (ACTUAL): November 24, 2020
• Last Update Submitted That Met QC Criteria: November 21, 2020
• Last Verified: November 1, 2020

More Information

Terms related to this study

• Other Study ID Numbers: DT-01