Idiopathic Toe-Walking Position Sensation

NCT05692791 | Completed

• 1 other identifier: AEUnivers
• Study Type: observational
• Target: 94
• Locations: 1 country
• Sites: 1

Brief 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?

Conditions

Gait Disorder, Sensorimotor

Keywords

Idiopathic Toe Walking

Outcome Measures

Primary Outcomes (1)

• Hip-Knee-Ankle Joint Position Sense

  Position the body segment being tested and then passively position the individual's joint in space. Hold the lateral surfaces of the limb to minimize cues from touch and pressure sensations. Move the body segment into a position and either have the patient maintain the position or assist the patient in maintaining the position if needed. Have the patient duplicate the position with the opposite extremity. The procedure is repeated enough times to conclude if joint position sense is intact or impaired. A suggested minimum number of trials is five per joint.

  15 weeks

Study Arms (2)

ITW

Diagnostic Test: Two-point Discrimination Test; Diagnostic Test: Semmes-Weinstein monofilament test

Control Group

Diagnostic Test: Two-point Discrimination Test; Diagnostic Test: Semmes-Weinstein monofilament test

Interventions

Two-point Discrimination Test DIAGNOSTIC_TEST

Two-point discrimination (2PD) is the ability to discern that two nearby objects touching the skin are truly two distinct points, not one. It is often tested with two sharp points during a neurological examination and is assumed to reflect how finely innervated an area of skin is.

Control Group; ITW

Semmes-Weinstein monofilament test DIAGNOSTIC_TEST

Semmes-Weinstein monofilament test is used to assess light touch sensations.

Control Group; ITW

Eligibility Criteria

• Age: 3 Years - 10 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)
• Sampling Method: Probability Sample

Study Population

Children who have idiopathic toe walking in the experimental group and healthy children in the control group with the same ages.

You may qualify if:

• Having idiopathic toe walking diagnosis

You may not qualify if:

• Having another known neuromuscular disease

Sponsors & Collaborators

• Kirsehir Ahi Evran Universitesi: lead

Study Sites (1)

Ahi Evran University

Kırşehir, Turkey (Türkiye)

Location

Related Publications (2)

• Silva PG, Jones A, Araujo PM, Natour J. Assessment of light touch sensation in the hands of systemic sclerosis patients. Clinics (Sao Paulo). 2014 Sep;69(9):585-8. doi: 10.6061/clinics/2014(09)02.

  PMID: 25318088 BACKGROUND

• Westberry DE, Davids JR, Davis RB, de Morais Filho MC. Idiopathic toe walking: a kinematic and kinetic profile. J Pediatr Orthop. 2008 Apr-May;28(3):352-8. doi: 10.1097/BPO.0b013e318168d996.

  PMID: 18362803 BACKGROUND

MeSH Terms

Conditions

Gait Disorders, Neurologic

Condition Hierarchy (Ancestors)

Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer

Study Record Dates

• First Submitted: January 12, 2023
• First Posted: January 20, 2023
• Study Start: April 30, 2024
• Primary Completion: June 25, 2024
• Study Completion: June 25, 2024
• Last Updated: July 26, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF, CSR
• Time Frame: 6 months after publishing

Locations

TU (1)