Down Syndrome
Conditions
Keywords
Balance, Contrology, Down syndrome, Pilates, Pediatric Balance Scale
Brief summary
Down's syndrome (DS) is a genetic condition characterized by the presence of an extra chromosome 21, leading to various clinical symptoms. Individuals with DS often experience challenges in balance, posture, and motor skills, which can impact their daily activities. Pilates activities focus on the concept of control of muscles. Pilates increases trunk flexibility, abdominal and core strength and endurance, and deep core muscle activation hence improving balance and posture.
Detailed description
The study will be randomized controlled trial used to evaluate the effectiveness of pilates on posture and balance in children with down's syndrome. Subjects with down's syndrome meeting the pre-detremined inclusion and exclusion criteria will be divided into two groups using non-probability sampling technique. Assessment will be done using Pediatric balance scale(PBS) and Timed up and go test (TUG).). Control group will receive regular physical therapy with balance training and experimental group will receive regular physical therapy+ Pilates.
Interventions
OTHERPilates exercise
Patients in this group will be treated with pilates exercise and conventional physical therapy as baseline treatment.
OTHERBalance training
Patients in this group will be treated with balance training and conventional physical therapy as baseline treatment.
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Masking description
Participants will get separate treatment protocols and possible efforts will be put to mask the both groups about their treatment.
Intervention model description
The study will be randomized controlled trial used to evaluate the effectiveness of pilates on posture and balance in children with down's syndrome. Subjects with down's syndrome meeting the pre-detremined inclusion and exclusion criteria will be divided into two groups using non-probability sampling technique.
Eligibility
Sex/Gender
ALL
Age
6 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* Down's syndrome children with age between 6 and 12 years. * The ability to execute required motor skill proficiency and executive function tests. * The capacity to walk and stand by oneself
Exclusion criteria
* • Children who are not able to comprehend commands. * Associated cardiovascular and orthopedic condition. * Loss of functional hearing and vision or a related respiratory disease. * History of traumatic injury * History of previous surgery * Inability of parents to understand the procedure and their unwillingness to participate
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pediatric Balance Scale | 12 weeks | This tool is used for assessing change from baseline. The PBBS is easy to administer, does not require specialized equipment, and can be completed in \<20 minutes. A 0 to 4 grading scale provides a quantitative and qualitative measure of performance. It involves 14 mobility tasks, with the tasks varying in degrees of difficulty. The tasks are divided into 3 domains: sitting balance, standing balance, and dynamic balance. PBS has high validity and reliability of 0.98. 41-56= low fall risk, 21-40= medium fall risk, 0-20=high risk |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Timed up and go test | 12 weeks | TUG is a simple test used to assess a person's mobility and evaluate both static and dynamic balance. It uses the time that a person takes to rise from a chair, walk three meters, turns around 180 degrees, walk back to the chair and sit down while turning 180 degrees. Interpretation: ≤ 10 seconds= normal. A score of ≥ 14 seconds has been shown to indicate high risk of fall. ICC value for interrater reliability between 2 authors' TUG times for 20 randomly selected patients was .96. |
Countries
Pakistan
Outcome results
None listed