Ignite Creation Date:
2024-05-06 @ 8:23 PM
Last Modification Date:
2024-10-26 @ 3:26 PM
Study NCT ID:
NCT06363136
Status:
COMPLETED
Last Update Posted:
2024-06-28
First Post:
2024-04-09
Brief Title:
Foot Posture Strength Performance and Postural Control in Isolated Gastrocnemius Tightness
Sponsor:
Bezmialem Vakif University
Organization:
Bezmialem Vakif University
Study Overview
Official Title:
Evaluation of Foot Posture Muscle Strength Functional Performance and Postural Control in Children With Isolated Gastrocnemius Tightness
Status:
COMPLETED
Status Verified Date:
2024-07
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
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
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
Detailed Description:
Since the gastrocnemius muscle spans both joints the kinematics of the ankle joint are influenced by knee flexion According to Kendall McCrearys assessment of normal joint motion angles when the knee joint is in extension the passive dorsiflexion angle of the ankle is approximately 20 and with knee flexion the angle can approach 30 due to the relaxation of the gastrocnemius During the midstance phase of walking the ankle joint allows for 8-10 of dorsiflexion movement The evaluation of gastrocnemius muscle tightness is conducted using the Silfverskiold method However there are variations in the definitions proposed for the detection of isolated gastrocnemius tightness In our investigation when ankle dorsiflexion rises by at least 10 more in knee flexion than knee extension isolated gastrocnemius tightness will be taken into account
Isolated gastrocnemius tightness during walking can result in compensatory effects on the lower extremity and foot causing biomechanical changes such as pes planus talus eversion rearfoot pronation and various symptoms such as plantar fasciitis leg pain metatarsalgia and Achilles tendinopathy The association between increased rearfoot pronation and isolated gastrocnemius tightness has been demonstrated in the literature Regardless of the etiology of rearfoot pronation adaptive isolated gastrocnemius shortening will occur in conjunction with talar plantar flexion Isolated gastrocnemius tightness causing plantar flexion at the ankle joint and pronation at the subtalar joint also hinders the normal distribution of load on the plantar surface during weight-bearing Reviewing the literature it is observed that the effects of isolated gastrocnemius tightness on foot posture functional parameters and gait dynamics especially rearfoot pronation are reported
Studies on gastrocnemius tightness in healthy children are limited but there is evidence that ankle dorsiflexion decreases with age in children While it is unknown whether gastrocnemius shortening is a normal finding in children recurrent leg pain is common in children Additionally flexible flatfoot is considered a normal observation in developing children and it is known that the medial longitudinal arch develops in the first ten years of life Both foot morphology and ankle dorsiflexion change in developing children but it is unknown whether there is a relationship between the two
In the literature there is no study evaluating foot posture muscle strength functional performance and postural control in children with isolated gastrocnemius muscle shortening In our study we plan to assess 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-leg and double-leg hop tests in healthy children with isolated gastrocnemius muscle shortening
Isolated gastrocnemius tightness during walking can result in compensatory effects on the lower extremity and foot causing biomechanical changes such as pes planus talus eversion rearfoot pronation and various symptoms such as plantar fasciitis leg pain metatarsalgia and Achilles tendinopathy The association between increased rearfoot pronation and isolated gastrocnemius tightness has been demonstrated in the literature Regardless of the etiology of rearfoot pronation adaptive isolated gastrocnemius shortening will occur in conjunction with talar plantar flexion Isolated gastrocnemius tightness causing plantar flexion at the ankle joint and pronation at the subtalar joint also hinders the normal distribution of load on the plantar surface during weight-bearing Reviewing the literature it is observed that the effects of isolated gastrocnemius tightness on foot posture functional parameters and gait dynamics especially rearfoot pronation are reported
Studies on gastrocnemius tightness in healthy children are limited but there is evidence that ankle dorsiflexion decreases with age in children While it is unknown whether gastrocnemius shortening is a normal finding in children recurrent leg pain is common in children Additionally flexible flatfoot is considered a normal observation in developing children and it is known that the medial longitudinal arch develops in the first ten years of life Both foot morphology and ankle dorsiflexion change in developing children but it is unknown whether there is a relationship between the two
In the literature there is no study evaluating foot posture muscle strength functional performance and postural control in children with isolated gastrocnemius muscle shortening In our study we plan to assess 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-leg and double-leg hop tests in healthy children with isolated gastrocnemius muscle shortening
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None