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

1. juni 2026 oppdatert av: 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.

Studieoversikt

Status

Har ikke rekruttert ennå

Forhold

Intervensjon / Behandling

Detaljert 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.

Studietype

Intervensjonell

Registrering (Antatt)

36

Fase

  • Ikke aktuelt

Kontakter og plasseringer

Denne delen inneholder kontaktinformasjon for de som utfører studien, og informasjon om hvor denne studien blir utført.

Studiekontakt

Studer Kontakt Backup

Studiesteder

  • Pakistan
    • Punjab Province
      • Lahore, Punjab Province, Pakistan, 54000
        • Riphah Rehabilitation Center, Riphah International University
        • Ta kontakt med:
        • Ta kontakt med:

Deltakelseskriterier

Forskere ser etter personer som passer til en bestemt beskrivelse, kalt kvalifikasjonskriterier. Noen eksempler på disse kriteriene er en persons generelle helsetilstand eller tidligere behandlinger.

Kvalifikasjonskriterier

Alder som er kvalifisert for studier

  • Barn

Tar imot friske 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

Denne delen gir detaljer om studieplanen, inkludert hvordan studien er utformet og hva studien måler.

Hvordan er studiet utformet?

Designdetaljer

  • Primært formål: Behandling
  • Tildeling: Randomisert
  • Intervensjonsmodell: Parallell tildeling
  • Masking: Ingen (Open Label)

Våpen og intervensjoner

Deltakergruppe / Arm
Intervensjon / Behandling
Eksperimentell: 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.
Atferdsmessig: 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.
Eksperimentell: 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.
Atferdsmessig: 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

Hva måler studien?

Primære resultatmål

Resultatmål
Tiltaksbeskrivelse
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

Samarbeidspartnere og etterforskere

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Sponsor

Riphah International University

Etterforskere

  • Hovedetterforsker: Mehwish Javed, MS-PPT, Riphah International University

Publikasjoner og nyttige lenker

Den som er ansvarlig for å legge inn informasjon om studien leverer frivillig disse publikasjonene. Disse kan handle om alt relatert til studiet.

Generelle publikasjoner

Studierekorddatoer

Disse datoene sporer fremdriften for innsending av studieposter og sammendragsresultater til ClinicalTrials.gov. Studieposter og rapporterte resultater gjennomgås av National Library of Medicine (NLM) for å sikre at de oppfyller spesifikke kvalitetskontrollstandarder før de legges ut på det offentlige nettstedet.

Studer hoveddatoer

Studiestart (Antatt)

1. juni 2026

Primær fullføring (Antatt)

1. juli 2026

Studiet fullført (Antatt)

1. august 2026

Datoer for studieregistrering

Først innsendt

14. desember 2025

Først innsendt som oppfylte QC-kriteriene

1. juni 2026

Først lagt ut (Faktiske)

2. juni 2026

Oppdateringer av studieposter

Sist oppdatering lagt ut (Faktiske)

2. juni 2026

Siste oppdatering sendt inn som oppfylte QC-kriteriene

1. juni 2026

Sist bekreftet

1. juni 2026

Mer informasjon

Begreper knyttet til denne studien

Nøkkelord

Andre studie-ID-numre

  • RiphahIU- Mehwish

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