Postural and Anthropometric Properties of Foot and Ankle of Patients With DMD

Hacettepe University48 enrolled

Overview

Introduction: Progressive muscle weakness, joint contractures and body alignment disorders seen in patients with Duchenne Muscular Dystrophy (DMD) adversely affect the foot structure of the patients. Objective: The aim of this study is to examine the relationship between foot posture, performance and ambulation in patients with DMD. Method: The patient with ambulatory DMD will be included in the study. The foot postures of the patients will be evaluated with the Foot Posture Index. Relationships between the Foot Posture Index and performance tests (6 minute walk test, timed performance tests (10m walking, Gower's, climb/descend 4 stair)) and the North Star Ambulation Evaluation, an ambulation evaluation, will be examined.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Duchenne Muscular Dystrophy Ambulation Difficulty Posture Disorders in Children Ambulation Disorder, Neurologic

Interventions

Eligibility

Sex: MALEMin age: 5 YearsMax age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1.5 to 18 years old 2. Not to have lost his ambulation 3. Agreeing to participate in the research voluntarily Exclusion Criteria: 1. Having serious mental and psychological problems, 2. Having lost his ambulation 3. Inability to cooperate adequately with the physiotherapist who made the evaluations, 4. Any injury and/or surgery to the lower extremities in the last 6 months.

Outcomes

Primary Outcomes

foot posture index - 6

The Foot Posture Index - 6 (FPI-6) was evaluated with each child standing and using the original protocol. FPI-6 values ranged from -2 to +2 for each of the six criteria and from -12 to +12 for the total score, indicative of position of each foot along the supinated to pronated continuum of foot posture.

Time frame: 10 minutes

6 min walk test (6MWT)

Six Minute Walk Test was used commonly in DMD were found to be valid, reliable and easy to apply in the clinic. Children were asked to walk during 6 minutes as fast as they can at a corridor specified by two cones and walking distances were recorded as meter (m) for 6MWT. The time passed during timed performance tests were recorded as seconds.

Time frame: 6 minutes

north star ambulation assessment

Patients' ambulation will be evaluated with the North Star Ambulation Assessment (NSAA). The NSAA consists of 17 items and evaluates ambulation with functional activities such as walking, getting up from a chair, going up and down stairs, and running. Each item is scored in the range of 0-2 points and the total score is in the range of 0-34. High score indicates better ambulation status

Time frame: 10 minutes

timed performance test

Ascending-descending standard 4 steps, walking 10m, standing from lying position were used in order to assess the performance of children.The time passed during timed performance tests were recorded as seconds.

Time frame: ten minutes