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Down Syndrome and Effects of Foot Muscle Exercise

Effects of Foot Muscle Exercise on Gross Motor Function and Balance Among Pes Planus Down Syndrome Patients

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT05251935
Enrollment
47
Registered
2022-02-23
Start date
2021-04-22
Completion date
2021-11-30
Last updated
2022-02-23

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Pes Planus Down Syndrome Patients

Keywords

Down syndrome, foot deformities, muscle hypotonia, pes planus, joint laxity, exercise training

Brief summary

Down syndrome (DS) is a common chromosomal pediatric disorder and accounts for approximately 8 % of all congenital anomalies. Children with DS experience delays in Cognitive, Physical, Speech and Language development. Hypotonity and laxity that is part of its features causes delay on motor acquisition. Furthermore it causes musculoskeletal issues and lower extremity malalignment resulting in inefficient and abnormal pattern of movement compromising locomotion and day to day functions therefore, problems for the population further aggravates. Combined effects of these factors causes a high level of stress on foot as it provides the foundation for whole body therefore, individuals with Down syndrome are at risk for foot alignment problems. Pes planus being the most common amongst them and accounts for 91% of the total DS patients diagnosed. Pes planus causes alteration in foot kinetics and kinematics that not only interferes significantly with normal daily life activities as balance and gait but also increases the risk of musculoskeletal injuries. Hence researchers have shown interest in addressing this condition for the effective management of DS population. Conventional treatment approach are the use of insoles, foot orthosis and arch taping however, they fail to produce residual effect. Hence the present study is to determine the role of foot muscles exercises in Down Syndrome having pes planus since its effects are positively recorded in normal population.

Interventions

OTHERFoot Muscle Exercise Protocol

Foot Muscle Exercise was given for 3 days per week for 40 minutes for the period of 6 months including home program

COMBINATION_PRODUCTArch Support Insole and One Leg Balance Activities

Arch Support Insoles were provided that the child had to wear for 5 hours per day thrice weekly for 6 months plus performed one leg balance activities

Sponsors

Ziauddin University
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)

Eligibility

Sex/Gender
ALL
Age
4 Years to 15 Years
Healthy volunteers
No

Inclusion criteria

* • Clinically diagnosed cases of DS including both male and female. * Bilateral flexible pes planus on the basis of Navicular Drop Test. * Able to follow instructions and adhere to the exercise program. * Ambulating independently.

Exclusion criteria

* • Visual or auditory impairment. * Lower limb trauma or surgical intervention past six months.

Design outcomes

Primary

MeasureTime frameDescription
Gross Motor FunctionBaselineGross Motor Function was assessed using GMFM-88 Dimensions D and E
BalanceBaselineBalance was assessed using Pediatric Balance Scale

Countries

Pakistan

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026