Effect of Core Stability Exercises and Balance Training in Postural Control Among Down Syndrome

March 29, 2021 updated by: Riphah International University

Children with Down syndrome often present with problems of posture & balance and mobility. Balance training is an important component of physical activity interventions, with growing evidence that it can be beneficial for children with DS.

Objective: To determine the effect core stability exercises and balance training in postural control among Down syndrome.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed Description

This study was a randomized clinical trail. Children with Down Syndrome were determined on inclusion & exclusion criteria. Children with Down syndrome were arbitrarily allocated into two groups with ages ranged from 5 to 17 years. The sample size was 20 patients. They were assigned randomly into two groups. Group 1 received balance training and Group 2 received core stability exercises. The duration of treatment was 6 weeks. Data is collected from Comprehensive Rehabilitation center Chakwal Postural stability was evaluated pre and post treatment by pediatric berg balance scale. Values which were obtained after this intervention were analyzed for any change using SPSS

Study Type

Interventional

Enrollment (Actual)

20

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

  • Pakistan
    • Punjab
      • Lahore, Punjab, Pakistan, 54000
        • Binash afzal

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

5 years to 17 years (Child)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

  • Trisomy 21 by genetic karyotype
  • A confirmed diagnosis of Down syndrome by a paediatric neurologist, having no neurological or mobility disorders,
  • independent standing and walking abilities,
  • Joint Laxity , low muscle tone and psychomotor development deficits
  • Normal vision and hearing

Exclusion Criteria:

  • A history of congenital heart defects and orthopedic
  • surgery in the past year and severe mental retardation.
  • Seizure
  • Severe visual or auditory disturbances,
  • Weight less than the 3rd percentile of Down syndrome
  • Multiple sclerosis or epilepsy

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: Single

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Balance training

Balance training

  1. Trunk, head, and upper limbs rotation from kneeling.
  2. Upper limbs flexion and extension with simultaneous head movement from kneeling.
  3. Pelvic bridging followed by raising one lower limb and extending knee.
  4. Lifting opposite upper and lower limbs from Quadruped position.

6-Heel and toe raises, alternate rising ofthe right and left feet above the floor, and tandem standing. 7-Weight shifting forward. backward, sideward, and diagonally with eyes opened and eyes closed
Other: BALANCE TRAINING
Trunk, head, and upper limbs rotation from kneeling. 2- Upper limbs flexion and extension with simultaneous head movement from kneeling. 3-Pelvic bridging followed by raising one lower limb and extending knee. 4-Lifting opposite upper and lower limbs from Quadruped position. 6-Heel and toe raises, alternate rising of he right and left feet above the floor, and tandem standing. 7-Weight shifting forward. backward, sideward, and diagonally with eyes opened and eyes closed
Active Comparator: Core stability exercise

Core stability exercises:

  1. Abdominal bracing while lying in supine position.
  2. Abdominal bracing with heel slide while lying in supine position.
  3. Abdominal bracing with Leg lifts while lying in supine position.
  4. Abdominal bracing with bridging while lying in supine position.
  5. Abdominal bracing while Standing 6-Abdominal bracing while walking.

7-Quadra pod arm lifts with bracings while Quadra pod position. 8-Quadra pod alternate arm and leg lifts with bracing while Quadra pod position. 9-Side plank with knee flexion while side lying. 10-Side plank with knee extension while side lying.
Other: CORE STABILITY EXERCISES
  1. Abdominal bracing while lying in supine position.
  2. Abdominal bracing with heel slide while lying in supine position.
  3. Abdominal bracing with Leg lifts while lying in supine position.
  4. Abdominal bracing with bridging while lying in supine position.
  5. Abdominal bracing while Standing.-Abdominal bracing while walking.

7-Quadra pod arm lifts with bracings while Quadra pod position. 8-Quadra pod alternate arm and leg lifts with bracing while Quadra pod position. 9-Side plank with knee flexion while side lying. 10-Side plank with knee extension while side lying

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Pediatric Berg balance scale
Time Frame: 2 months
The Pediatric Balance Scale is a modified version of the Berg Balance Scale that is used to assess functional balance skills in CP children . The scale consists of 14 items that are scored from 0 points (lowest function) to 4 points (highest function) with a maximum score of 56 points.
2 months

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Riphah International University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

September 15, 2019

Primary Completion (Actual)

December 20, 2019

Study Completion (Actual)

March 30, 2020

Study Registration Dates

First Submitted

March 24, 2021

First Submitted That Met QC Criteria

March 24, 2021

First Posted (Actual)

March 26, 2021

Study Record Updates

Last Update Posted (Actual)

March 30, 2021

Last Update Submitted That Met QC Criteria

March 29, 2021

Last Verified

March 1, 2021

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • REC/Lhr/19/1012 Hunza Zulfiqar

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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