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Adapted Frenkle Exercises Versus Dynamic Balance Training in School Going Children (DBT)

1. juni 2026 opdateret af: Riphah International University

Comparison of Adapted Frenkel Exercises and Dynamic Balance Training on Balance, Gait, Mobility, and Motor Coordination in School-Going Children

A randomized clinical trial will be conducted at Realm Educational School. Children aged 6-12 years will be randomly assigned to either the AFE or DBT group using convenient sampling. Participants must be physically active and free from neurological, orthopedic, or cognitive impairments, while those with sensory impairments or recent musculoskeletal injuries will be excluded. Outcome measures will include the Pediatric Balance Scale (PBS), Y-Balance Test, Observational Gait Scale (OGS), Timed Up and Go (TUG) test, and BOT-2. Pre- and post-intervention assessments will evaluate the effectiveness of both interventions on balance, gait, mobility, and motor coordination.

Studieoversigt

Status

Ikke rekrutterer endnu

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Balance, gait, mobility, and motor coordination are essential for the physical and functional development of school-going children and influence their participation in academic, recreational, and daily activities. The ages of 6-12 years represent a critical period for neuromuscular and postural maturation, making early motor interventions particularly effective. Deficits in these skills may result in reduced physical activity, poor posture, and social withdrawal. This study compares Adapted Frenkel Exercises (AFE), which focus on slow, visually guided, and controlled movements to enhance coordination and proprioception, with Dynamic Balance Training (DBT), which uses functional, task-specific activities such as balance beam walking, multidirectional stepping, and hopping to improve stability during movement. A randomized clinical trial will be conducted at Realm Educational School over 10 weeks (2 sessions per week). Each session will be of 40 minutes. Children aged 6-12 years will be randomly assigned to either the AFE or DBT group using convenient sampling. Participants must be physically active and free from neurological, orthopedic, or cognitive impairments, while those with sensory impairments or recent musculoskeletal injuries will be excluded. Outcome measures will include the Pediatric Balance Scale (PBS), Y-Balance Test, Observational Gait Scale (OGS), Timed Up and Go (TUG) test, and BOT-2. Pre- and post-intervention assessments will evaluate the effectiveness of both interventions on balance, gait, mobility, and motor coordination.

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

36

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Undersøgelse Kontakt Backup

Studiesteder

  • Pakistan
    • Punjab Province
      • Lahore, Punjab Province, Pakistan, 54000

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Barn

Tager imod sunde frivillige

Ja

Beskrivelse

Inclusion Criteria:

  1. Healthy school-going children aged 8-10 years
  2. Both male and female participants
  3. No history of neurological, orthopedic, or developmental disorders
  4. Informed parental consent and child assent obtained
  5. MMSE score ≥ 24
  6. TUG score < 20 seconds
  7. Pediatric Berg Balance Scale score ≥ 40

Exclusion Criteria:

  1. History of diagnosed balance or coordination issues.
  2. Children with orthopedic and motor impairments.
  3. Behavior or attention disorders limiting participation.
  4. Neuromuscular conditions, Visual and mental disorders

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Behandling
  • Tildeling: Randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Adapted Frenkle Exercises
For 10 weeks, 40 minutes session, twice a week. Frenkle Exercises will be perform from simple to complex ones. These are coordinated exercises that improve motor function, proprioception and balance.
Adfærdsmæssigt: Adapted Frenkle Exercises

Participants will receive adapted Frenkel exercises progressing from simple to complex movements, focusing on controlled, precise lower-limb movements to improve coordination and balance.

Sitting: Controlled leg movements (side leg placement to floor markers, drawing shapes with toes, slow leg lifts).

Standing: Marching in place, side leg lifts, and controlled weight shifting. Walking drills: Straight-line walking with visual cues, step-and-stop walking, and figure-8 walking to negotiate obstacles.
Eksperimentel: Dynamic Balance Training
For 10 weeks, dynamic balance training will be performed for 40 minutes in each session. These activities involve the sensory system and require muscle power and coordination.
Adfærdsmæssigt: Dynamic Balance Training

Participants will receive dynamic balance training emphasizing postural control, coordination, strength, and functional balance through varied movement tasks.

Mat-based balance exercises Rope activities (e.g., jumping) Balance equipment and ground-based balance tasks Paired movements, rhythm and coordination activities, stepping stones, and non-dominant limb tasks

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Pediatric Balance Scale
Tidsramme: 10 weeks
Assesses functional balance in children through 14 task-based items. Scale Range: 0-56 Interpretation: Higher scores indicate better balance performance.
10 weeks
Y Balance Test - Pediatric version
Tidsramme: 10 weeks

The Y Balance Test is a dynamic balance assessment that measures a child's ability to maintain single-leg stance while reaching in three directions: anterior, posteromedial, and posterolateral.

Scale Range: Reach distance measured in centimeters (%) normalized to limb length.

Interpretation: Higher reach distances indicate better dynamic balance and postural control.
10 weeks
Observational Gait Scale
Tidsramme: 10 weeks

Evaluates gait parameters, including stance, swing, and foot placement during walking.

Scale Range: 0-22 Interpretation: Higher scores indicate better gait performance.
10 weeks
Timed Up and Go Test
Tidsramme: 10 weeks

Measures functional mobility and dynamic balance during sit-to-stand, walking, turning, and sitting.

Scale Range: Measured in seconds (no fixed minimum or maximum score). Interpretation: Lower completion times indicate better functional mobility and balance performance.
10 weeks
Bruininks-Oseretsky Test of Motor Proficiency (BOT-2) - Selected subtests
Tidsramme: 10 weeks
Assesses gross motor coordination, bilateral coordination, and balance in children.
10 weeks

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Riphah International University

Efterforskere

  • Ledende efterforsker: Mehwish Javed, MS-PPT, Riphah International University

Publikationer og nyttige links

Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.

Generelle publikationer

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Anslået)

1. juni 2026

Primær færdiggørelse (Anslået)

1. juli 2026

Studieafslutning (Anslået)

1. august 2026

Datoer for studieregistrering

Først indsendt

14. december 2025

Først indsendt, der opfyldte QC-kriterier

1. juni 2026

Først opslået (Faktiske)

2. juni 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

2. juni 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

1. juni 2026

Sidst verificeret

1. juni 2026

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Andre undersøgelses-id-numre

  • RiphahIU- Mehwish

Plan for individuelle deltagerdata (IPD)

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