Effect of designed physical therapy program on correction of in-toeing gait in typically developed children | ||
| Benha International Journal of Physical Therapy | ||
| Volume 2, Issue 2, December 2024, Pages 42-52 PDF (495.57 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/bijpt.2024.297920.1041 | ||
| Authors | ||
| Mohammed Abdelmageed Mashaal* 1; Asmaa O Sayed2; Samir A el shora3 | ||
| 1Ministry of health hospitals , Damietta governorate | ||
| 2Faculty of physical therapy, cairo university | ||
| 3faculty of medicine , al azhar university | ||
| Abstract | ||
| Background: In-toeing is one of the most familiar gait abnormalities in children and young toddlers. Excessive femoral anteversion is the commonest reason for persisting in-toeing gait and alteration of gait function in children. Purpose: To determine the effect of a designed physical therapy program on the correction of in-toeing caused by increased femoral anteversion in typically developed children. Methods: Thirty-four children with an in-toeing gait pattern from both genders; age ranged from 4 to 8 years; participated in this study, based on a previous pilot study of five children. They were randomly allocated from Damietta governmental hospitals. We divided them into two equal groups, the control and the intervention. The control group did not receive any physiotherapy program (they will receive the designed program after finishing treatment for the control group), while the intervention group received the designed physiotherapy program. Range of motion of hip internal and external rotation and foot progression angle were used to measure the femoral anteversion angle and angle of in-toeing, respectively. Each child was measured 2 times, at baseline (pre) and after 3 months (post). Results: Statistical analysis of the results demonstrated that within-group comparison showed a statistically significant amount of change in internal rotation, external rotation range of motion of the hip joint, and foot progression angle in the treatment group compared to the control group. For the intervention group, the amounts of change in internal hip rotation, external hip rotation, and foot progression angle are (-4.71±0.45), (3.94±0.60), and (0.94±0.21), respectively, while for the control group the amounts of change are (-0.88±0.30), (2.56±0.47), and (0.62±0.18), respectively. Conclusion: The designed physical therapy program improved the foot progression angle and internal and external hip range of motion and hence corrected the intoeing gait pattern. | ||
| Keywords | ||
| intoeing; femoral ante version; foot progression angle; Rotational gait pattern | ||
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