Use of Walkers in Infancy and Musculoskeletal System

NCT05899803 | Completed

• 1 other identifier: 2023/23
• Study Type: interventional
• Target: 39
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of this study was to compare lower extremity muscle strength, posture disorders and physical activity levels of children with and without walker use during infancy. Thirty-nine children aged between 8 and 15 years were included. Demographic data, New York Posture Analysis Questionnaire and Physical Activity Assessment Questionnaire Scale (PAQ-C) were collected. Muscle strength was measured with a digital muscle strength meter.

Conditions

Use of a Walker in Infancy; Physical Activity Level; Musculoskeletal Problems

Keywords

Baby equipment; physical activity; muscle strength; posture; walker

Outcome Measures

Primary Outcomes (2)

• Muscle strength

  JTech Commander PowerTrack Muscle Dynamometer

  6 months

• Physical activity level

  Physical Activity Questionnaire for Children (PAQ-C)

  6 months

Secondary Outcomes (1)

• Posture analysis

  6 months

Study Arms (2)

Using Walker Group

EXPERIMENTAL

Children who used baby walkers during childhood were included in this group. All assessment procedures were then performed.

Diagnostic Test: Posture Analysis; Diagnostic Test: Physical activity level; Diagnostic Test: Muscle strength

Walker-Free Group

ACTIVE COMPARATOR

Children who did not use a baby walker during childhood were included in this group. All assessment procedures were then performed.

Diagnostic Test: Posture Analysis; Diagnostic Test: Physical activity level; Diagnostic Test: Muscle strength

Interventions

Posture Analysis DIAGNOSTIC_TEST

This analysis consists of 13 different body parts and evaluates the body in terms of current posture changes. Our study evaluated children from two angles: posterior (head, shoulders, back, hips, feet, and arches) and lateral (neck, chest, shoulders, upper back, trunk, abdomen, and waist). In the scoring system, correct posture was recorded as five points, a moderate amount of deformity posture as three points, and severe deformity posture as one point. The total score calculated at the end of the questionnaire was a maximum of 65 points and a minimum of 13 points. The results of the analysis were evaluated as follows: ≥ 45 points, very good, 40-44 points good, 30-39 points moderate, 20-29 points poor, and a total score of ≤ 19 points.

Also known as: New York Posture Analysis

Using Walker Group; Walker-Free Group

Physical activity level DIAGNOSTIC_TEST

This questionnaire, administered to children aged 4-14, evaluates the activities performed during a week. The questionnaire consisted of nine questions, each of which was evaluated on a 5 points. One point indicated a low physical activity level and five points indicated a high physical activity level. Dividing the total score of the selected items by the number of items gives a summary score for the PAQ-C questionnaire. In our study, we used the Turkish version of the questionnaire, which was found to be reliable and valid.

Also known as: Physical Activity Questionnaire for Children (PAQ-C)

Using Walker Group; Walker-Free Group

Muscle strength DIAGNOSTIC_TEST

Our study objectively measured muscle strength using the JTech Commander PowerTrack Muscle Dynamometer. Right and left muscle tests: Hip flexors/hyperextensors/adductors/abductors/internal rotators/external retractors, knee flexors/extensors, and foot plantar flexors/dorsiflexors were evaluated. The measurement results were recorded in Newtons, the measurements were repeated three times, and the average of these three repetitions was recorded.

Also known as: Digital Muscle Strength Meter

Using Walker Group; Walker-Free Group

Eligibility Criteria

• Age: 8 Years - 15 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• No idiopathic serious orthopedic problems
• No chronic disease
• Children and their parents who volunteered to participate in the study

You may not qualify if:

• Presence of neurologic disease.
• Presence of neuromuscular disease.
• Presence of mental retardation.

Sponsors & Collaborators

• Ozden Gokcek: lead

Study Sites (1)

Ege university faculty of health sciences

Izmir, Karsıyaka, 35575, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Motor Activity

Interventions

Muscle Strength

Condition Hierarchy (Ancestors)

Behavior

Intervention Hierarchy (Ancestors)

Physical Examination; Diagnostic Techniques and Procedures; Diagnosis; Musculoskeletal Physiological Phenomena; Musculoskeletal and Neural Physiological Phenomena

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Principal Investigator

Study Record Dates

• First Submitted: May 23, 2023
• First Posted: June 12, 2023
• Study Start: January 3, 2022
• Primary Completion: April 30, 2022
• Study Completion: June 5, 2022
• Last Updated: June 12, 2023

Record last verified: 2023-06

Data Sharing

• IPD Sharing: Will share
• Shared Documents: STUDY PROTOCOL, SAP, ICF
• Time Frame: It can be requested within a period of two years from the year of publication of the work.
• Access Criteria: If the data are necessary for the conduct or conclusion of another study, they may be requested from the author.

Locations

TU (1)