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The position of the ankle and foot is known as foot posture, and this can have an impact on balance and mobility. Previous research has shown that differences in foot structure and posture between different populations can have a significant impact on balance. However, to our knowledge, no study has examined the relationship between foot posture, anthropometry, muscle strength, and balance in children with Autism Spectrum Disorder. This study was therefore designed to analyse these relationships.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Autism Spectrum Disorder | Autism spectrum disorders (ASD) are complex neurodevelopmental conditions characterised by deficits in communication and reciprocal social interactions, as well as restricted interests and repetitive behaviours. Although motor impairments have been recognised as limiting daily motor skills, they are not included in the DSM-5 diagnostic criteria for ASD. The Centers for Disease Control and Prevention published an estimate that the prevalence of ASD in the US population was approximately 1 in 54 eight-year-old children (around 1.85% of the child population). Furthermore, the World Health Organization (WHO) documented a worldwide prevalence of approximately 0.76% in 2010 (affecting nearly 1.16% of the entire child population). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Performance-based tests (such as TUG, foot posture measurements, Tandem Gait test) will be administered to children with ASD. | Other | Children with ASD underwent balance and foot measurement tests that they could perform only by following instructions. |
| Measure | Description | Time Frame |
|---|---|---|
| Foot Posture Assessment | Foot Posture Assessment: Children's foot posture will be assessed using the Foot Posture Index (FPI-6), which is valid for pediatric individuals. The Foot Posture Index is a scale consisting of a total of 6 items related to the posture of the rear foot and forefoot. These items are talar head palpation, the position of the inclinations above and below the lateral malleolus, the position of the calcaneus, ballooning in the talonavicular joint region, the structure of the medial longitudinal arch, and the abduction/adduction of the forefoot relative to the rearfoot. The total score in this assessment tool ranges from -12 to 12. | Baseline |
| Timed Up and Go (TUG) test | Timed Up and Go (TUG) test: For this test, individuals are seated in a chair. The individual is asked to stand up from the chair without assistance, walk three meters on the marked floor, walk back to the chair, and sit down again. The stopwatch is started with the "start" command and stopped when the individual sits down. The TUG time is recorded in seconds (s). | Baseline |
| One-Leg Standing Test | One-Leg Standing Test: During this test, which is used to assess an individual's static balance, the subject will be asked to lift one leg without touching the supporting leg, keeping their eyes open, and the time spent on one leg will be recorded in seconds. | Baseline |
| Measure | Description | Time Frame |
|---|---|---|
| Foot-Ankle Anthropometric Measurements | Foot-Ankle Anthropometric Measurements: For the foot-ankle anthropometry of patients, foot length (cm), metatarsal width (cm), and navicular drop height (cm) will be assessed with and without body weight applied to the foot. | Baseline |
| Foot Muscle Strength |
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Inclusion Criteria:
Exclusion Criteria:
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The study included individuals aged 5-18 with a diagnosis of Autism Spectrum Disorder
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Health Sciences | Ankara | 06018 | Turkey (Türkiye) |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 20400311 | Result | Fournier KA, Kimberg CI, Radonovich KJ, Tillman MD, Chow JW, Lewis MH, Bodfish JW, Hass CJ. Decreased static and dynamic postural control in children with autism spectrum disorders. Gait Posture. 2010 May;32(1):6-9. doi: 10.1016/j.gaitpost.2010.02.007. Epub 2010 Apr 18. | |
| 30078460 | Result | Lord C, Elsabbagh M, Baird G, Veenstra-Vanderweele J. Autism spectrum disorder. Lancet. 2018 Aug 11;392(10146):508-520. doi: 10.1016/S0140-6736(18)31129-2. Epub 2018 Aug 2. |
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| ID | Term |
|---|---|
| D001321 | Autistic Disorder |
| D005532 | Foot Deformities, Congenital |
| D000067877 | Autism Spectrum Disorder |
| ID | Term |
|---|---|
| D002659 | Child Development Disorders, Pervasive |
| D065886 | Neurodevelopmental Disorders |
| D001523 | Mental Disorders |
| D005530 | Foot Deformities |
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Foot Muscle Strength: Foot plantar flexion and dorsiflexion muscle strength will be assessed using a digital hand dynamometer. |
| Baseline |
| Tandem Walking Test | Tandem Walking Test: The tandem walking test is used to assess dynamic balance. The subject will be asked to walk along a line drawn on the floor, with the heel of one foot touching the toe of the other foot. The duration of the tandem walk will be measured for each walk, consisting of 10 steps. If balance is lost and the participant is unable to complete 10 steps, the number of steps taken and the duration will be recorded. | Baseline |
| D009140 | Musculoskeletal Diseases |
| D038061 | Lower Extremity Deformities, Congenital |
| D017880 | Limb Deformities, Congenital |
| D009139 | Musculoskeletal Abnormalities |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |