The Evaluation of Medial Longitudinal Arch Morphology in Children With Spastic Diplegic Cerebral Palsy by Arch Height Index Measurement Method

NCT05025007 | Completed

• 1 other identifier: Cerebral Palys and Foot
• Study Type: observational
• Target: 20
• Locations: 1 country
• Sites: 1

Brief Summary

Foot deformities are one of the most common orthopedic problems in patients with cerebral palsy(CP). Various methods have been proposed to evaluate foot morphology. Arch height index (AHI) measurement is a simple and quantitative method that can be applied in outpatient settings to evaluate the morphology of the medial longitudinal arch(MLA) of the foot. In this study, we aim to investigate the feasibility of AHI measurement in children with CP and, to identify other clinical findings that may be related to foot arch height determined by the AHI method.

Conditions

Diplegic Cerebral Palsy With Spasticity; Pes; Deformity

Keywords

Cerebral Palys; Children; Arch Height Index; Medial Longitudinal Arch; Pes Planus; Pes Cavus; Flatfoot; Foot Deformity

Outcome Measures

Primary Outcomes (5)

• Arch Height Index while bipedeal standing

  The ratio of the height of the dorsum measured from the middle 1/2 of the total length of the foot to truncated foot length while bipedal standing

  Initial evaluation of the participant

• Arch Height Index while sitting

  he ratio of the height of the dorsum measured from the middle 1/2 of the total length of the foot to truncated foot length while sitting with feet calmly on the ground

  Initial evaluation of the participant

• Navicular Index

  The ratio of the height of the navicular bone from the ground to the height of the medial longitudinal arch of the foot on lateral foot radiograph.

  Initial evaluation of the participant

• Calcaneal Inclination Angle

  Angle formed by a line tangent to the inferior cortex of the calcaneus and an horizontal reference line of the plantar plane on lateral foot radiograph.

  Initial evaluation of the participant

• Lateral Talo-first metatarsal Angle

  Angle formed by the longitudinal axis of the first metatarsal shaft and the longitudinal axis of the talus on lateral foot radiograph.

  Initial evaluation of the participant

Secondary Outcomes (3)

• Popliteal angle

  Initial evaluation of the participant

• Ankle range of motion

  Initial evaluation of the participant

• The degree of spasticity of the certain muscles of the lower extremities

  Initial evaluation of the participant

Other Outcomes (1)

• Gait pattern

  Initial evaluation of the participant

Study Arms (1)

Cohort 1

The study cohort will consist of patients with spastic diplegic cerebral palsy who were admitted to our outpatient and inpatient clinics of the Physical Medicine and Rehabilitation Department.

Eligibility Criteria

• Age: 60 Months - 17 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Probability Sample

Study Population

The study cohort will consist of patients with spastic diplegic cerebral palsy who were admitted to our outpatient and inpatient clinics of the Physical Medicine and Rehabilitation Department. Every subject meeting the criteria of inclusion is going to be included in the study via a consecutive participant sampling method.

You may qualify if:

• Being diagnosed with spastic diplegic cerebral palsy
• Being between the ages of 5-17
• Agree to participate in the study

You may not qualify if:

• Excessive spasticity and Achilles contracture that prevents heel contact during stance
• Botulinum toxin injection into the calf muscles in the last 3 months
• Prior orthopedic surgery of the Achilles tendon, foot, or ankle
• Radiculopathy, plexus, or peripheral nerve disorder involving the lower extremities

Sponsors & Collaborators

• Gazi University: lead

Study Sites (1)

Gazi University Hospital, Department of Physical Medicine and Rehabilitation

Ankara, 06560, Turkey (Türkiye)

Location

Related Publications (3)

• Min JJ, Kwon SS, Sung KH, Lee KM, Chung CY, Park MS. Progression of planovalgus deformity in patients with cerebral palsy. BMC Musculoskelet Disord. 2020 Mar 3;21(1):141. doi: 10.1186/s12891-020-3149-0.

  PMID: 32127007 BACKGROUND

• Butler RJ, Hillstrom H, Song J, Richards CJ, Davis IS. Arch height index measurement system: establishment of reliability and normative values. J Am Podiatr Med Assoc. 2008 Mar-Apr;98(2):102-6. doi: 10.7547/0980102.

  PMID: 18347117 BACKGROUND

• Drefus LC, Kedem P, Mangan SM, Scher DM, Hillstrom HJ. Reliability of the Arch Height Index as a Measure of Foot Structure in Children. Pediatr Phys Ther. 2017 Jan;29(1):83-88. doi: 10.1097/PEP.0000000000000337.

  PMID: 27984478 BACKGROUND

MeSH Terms

Conditions

Foot Deformities, Congenital; Flatfoot; Talipes Cavus; Foot Deformities

Condition Hierarchy (Ancestors)

Musculoskeletal Diseases; Lower Extremity Deformities, Congenital; Limb Deformities, Congenital; Musculoskeletal Abnormalities; Congenital Abnormalities; Congenital, Hereditary, and Neonatal Diseases and Abnormalities; Talipes; Foot Deformities, Acquired

Study Officials

• Murat Zinnuroğlu, MD

  Gazi University Faculty of Medicine

  PRINCIPAL INVESTIGATOR

• Levent Karataş, MD

  Gazi University Faculty of Medicine

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: CASE ONLY
• Time Perspective: CROSS SECTIONAL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Medical Doctor, Principal Investigator

Study Record Dates

• First Submitted: August 23, 2021
• First Posted: August 27, 2021
• Study Start: July 15, 2021
• Primary Completion: July 31, 2024
• Study Completion: July 31, 2024
• Last Updated: August 9, 2024

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)