Usefulness of tibia counter rotator (TCR) for treatment of tibial internal torsion in children

Song, Dong Ho; Lee, Yoon; Eun, Baik-Lin; Lee, Kwang Jae; Kang, Sang Kuk; Vaq, Sung Gin; You, Sung Hyun; Shin, Jung Bin; Kim, Bong Ok

doi:10.3345/kjp.2007.50.1.79

Cited by 4 publications

(13 citation statements)

References 16 publications

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Section: Introductionmentioning

confidence: 99%

“…Intoeing gait is a common gait problem in children, and tibial internal torsion is known to be one of the most common causes of intoeing gait [ 1 , 2 , 3 , 4 ]. Tibial internal torsion is a condition in which the distal tibial articular surface (ankle joint) is rotated internally along the proximal tibial articular surface (knee joint) in the transverse plane toward the body's midline [ 1 ]. According to some reports, tibial torsion may be medial or neutral at birth, however, as the child grows, lateral torsion develops and the adult level of 18°-23° of lateral torsion has been reached at seven or eight years [ 1 , 5 , 6 , 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

“…However, in Asian people, such as in Korean and Japanese, who have the lifestyle of kneeling on the floor with internal rotation of the legs, tibial internal torsion commonly remains, even in older age, despite the natural course of tibial torsion angle [ 1 , 9 ]. Tibial internal torsion or excessive lateral torsion may cause esthetical, functional or psychological problems and may also induce degenerative arthritis in an older age.…”

Section: Introductionmentioning

confidence: 99%

“…Tibial internal torsion or excessive lateral torsion may cause esthetical, functional or psychological problems and may also induce degenerative arthritis in an older age. Therefore, several previous studies have recommended a proper treatment of severe tibial internal torsion at an early age [ 1 , 10 , 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

“…The therapeutic effect of GP upon tibial internal torsion has been reported in previous studies [ 13 , 14 ]. It was reported that Tibia Counter Rotator (TCR) can be an effective therapeutic tool in the management of tibial internal torsion [ 1 , 15 , 16 ]. It changes the direction of growth of tibial physeal cells and leads to a correction of a tibial internal torsion [ 1 , 15 , 16 ].…”

Section: Introductionmentioning

confidence: 99%

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The Therapeutic Effect of Tibia Counter Rotator With Toe-Out Gait Plate in the Treatment of Tibial Internal Torsion in Children

et al. 2014

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ObjectiveTo evaluate the therapeutic effect of a Tibia Counter Rotator (TCR) with toe-out gait plate (GP) upon tibial internal torsion by a comparative analysis of transmalleolar angle (TMA) and gait analysis with GP alone.MethodsTwenty participants with tibial internal torsion were recruited for this study. Each 10 participants were included in group A with TCR and GP application and in group B with GP application only. The TMA and the kinematic results were used for the evaluation of the therapeutic effects of orthoses.ResultsWithin each group, TMA showed a significant increase after treatment. Group A showed a continuous improvement up to six months, however, group B showed an improvement up to five months only. Group A showed a significantly higher correction effect than group B after treatment. Regarding kinematic data, both groups showed a significantly decreased mean ankle adduction angle after treatment. However, group A showed a significantly lower mean ankle adduction angle than group B after six months.ConclusionThe group with TCR and GP showed a significantly better outcome and continued correction force compared to the group with GP only. Our results suggest that TCR with GP may be useful therapeutic orthoses for children with tibial internal torsion.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Therapeutic Effect of Tibia Counter Rotator With Toe-Out Gait Plate in the Treatment of Tibial Internal Torsion in Children

et al. 2014

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The effects of the support panel of compression leggings on the provision of low pressure for foot progression angle correction

Kim

2023

Textile Research Journal

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This study developed compression leggings (CLs) with a support panel for foot progression angle (FPA) correction to improve the fit without restricting the user's movement while providing an appropriate external force. This study aimed to examine the effects of FPA correction concerning the functionality and usability of the support panel of CLs that ensure low pressure. Clothing pressure (CP), FPA, skin blood flow (SBF), perceived strength, and usability of OCLs during treadmill walking were compared with the normal leggings (NLs). Differences in CP, FPA, SBF, and user evaluation results were analyzed according to different wearing conditions. Despite the low CP generated by the support panel (≤3.21 mmHg), there was a significant positive orthotic effect with an 11.6–18.0% increase in FPA for external rotation and a 10.5% increase in SBF. The users felt pressure and support around the thigh where the support panel was placed and directional tensile strength throughout their lower extremities while recognizing the usefulness in gait correction. Pressure and support provided by the support panel assured appearance satisfaction, dimension satisfaction, compression satisfaction, ease of movement, and safety. This study demonstrated that the support panel of CLs provided an FPA correction effect concerning functionality and usability.

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The effects of fixed and graduated application percentage-type compression leggings in adult women with mild in-toeing gait

Kim

2023

Textile Research Journal

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This study examined the effects of fixed and graduated application percentage-type compression leggings for intervention in adult women with mild in-toeing gait. Participants wore these leggings while walking on a treadmill under three conditions: the control group, compression leggings with a graduated application percentage, and compression leggings with a fixed application percentage. Pressure, foot progression angle, skin blood flow, joint angle, and user evaluation scores were measured for legs affected by in-toeing gait ( n = 11). Statistical analysis compared these parameters among the three conditions. In the results, both compression leggings with a graduated application percentage and compression leggings with a fixed application percentage provided a partially graduated compression, resulting in pressure differences of 4.60 and 9.70 mmHg, respectively. Foot progression angle showed significant increases – 14.3% ( p = 0.000) with compression leggings with a graduated application percentage and 31.1% ( p = 0.000) with compression leggings with a fixed application percentage – compared with the control group condition. Skin blood flow also showed notable rises – 30.5% with compression leggings with a graduated application percentage and 61.1% ( p = 0.000) with compression leggings with a fixed application percentage – compared with the control group, indicating the superior effectiveness of compression leggings with a fixed application percentage. Both compression leggings with a graduated application percentage ( p = 0.000) and compression leggings with a fixed application percentage ( p = 0.000) positively impacted the hip joint angle in the transverse plane, nearing the normal range when compared with controls. Acceptance of both compression leggings was high, with compression leggings with a fixed application percentage proving advantageous for gait correction and compression leggings with a graduated application percentage for ease of use during donning and doffing. The study confirmed the benefits of functionality, usability, and acceptance of the two types of leggings in adult women with mild in-toeing gait.

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Usefulness of tibia counter rotator (TCR) for treatment of tibial internal torsion in children

Abstract: Ko r e a nJ o u r n a lo fPe d i a t r i c sVo l .5 0 ,No .1 ,2 0 0 7

Cited by 4 publications

References 16 publications

The Therapeutic Effect of Tibia Counter Rotator With Toe-Out Gait Plate in the Treatment of Tibial Internal Torsion in Children

The Therapeutic Effect of Tibia Counter Rotator With Toe-Out Gait Plate in the Treatment of Tibial Internal Torsion in Children

The effects of the support panel of compression leggings on the provision of low pressure for foot progression angle correction

The effects of fixed and graduated application percentage-type compression leggings in adult women with mild in-toeing gait

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