Mild Cognitive Impairment
Conditions
Keywords
Cognitive Impairment, Balance, Gait, Sensory Integration, Minds In Motion, Maze Movements
Brief summary
This study aims to evaluate the effect of the Minds in Motion Maze program on balance and gait in children with cognitive impairment. It focuses on how movement-based, sensory-integrated activities can improve motor performance. A randomized controlled trial will compare outcomes between an intervention group and a control group. Balance and gait will be assessed using standardized tools before and after the intervention
Detailed description
Cognitive impairment in children is associated not only with limitations in intellectual functioning and adaptive behaviors but also with deficits in motor performance, particularly in balance and gait. These impairments can adversely affect a child's ability to navigate their environment, participate in play, and perform daily activities independently. Motor difficulties in this population often stem from poor postural control, inadequate neuromuscular coordination, and challenges in sensory processing. The Minds in Motion program is a structured, movement-based intervention designed to engage multiple sensory systems- proprioceptive, vestibular, and visual-through a series of maze-like physical activities. This integrative approach stimulates both cognitive and motor pathways, which may contribute to improvements in motor planning, spatial orientation, and movement efficiency. While this program has been implemented in schools to support cognitive and attentional functions, its therapeutic application in physiotherapy for children with cognitive impairment has not been extensively studied. This study aims to evaluate the effects of the Minds in Motion Maze activities program on balance and gait in children diagnosed with cognitive impairment. A Randomized controlled trial will be used, and participants will undergo the intervention. The study will be completed in 10 months after the approval of synopsis. 22 kids age ranged 5-12 years will be randomly assigned into an experimental group and control group. The intervention, the mind-in-motion activity, consist of 15 exercise stations performed 2 times per week for 6 week. Control group receives baseline activities. Standardized tools such as the Pediatric Balance Scale and Observational gait scale will be used to assess changes in balance and gait performance before and after the intervention
Interventions
OTHERmind in motion maze activity
The participants in this group will receive the Mind in-Motion maze activity along with baseline activities. The intervention consisted of the 15 stations of 'The Maze' based on the program called Minds-In-Motion performed for one minute before rotating to next station. Strong Arm Push Eye Can Convergence Eye to Eye The Beam Team Jelly Roll Puppy Dog Crawl Monster Mash Climb Every Mountain Balance Board Bash The Electric Slide Skip to My Lou Cross Walk Bean Bag Boogie Jumping Jack Flash Step Back
OTHERbaseline activities
The control group will perform the baseline activities. The intervention consists of Walking Forward on a Line, Standing on One Leg on a Line-Eyes Open, Standing with Feet Apart on a Line- Eyes Closed, Touching Nose with Index Fingers Eyes Closed, Catching a Tossed Ball- Both Hands, Dropping and Catching a Ball-Both Hands, Knee Push-ups, and Stepping Sideways over a Balance Beam
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
6 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
* School going children of age 6-12 years, * Clinically diagnosed with mild cognitive impairment, * Children without severe medical conditions or orthopedic issues, * Ability to follow simple instructions, * Signed informed consent from parent and guardians.
Exclusion criteria
* Children with severe physical impairment, * Children with vestibular dysfunction and hearing problem, * Use of orthopedic devices that restrict movement.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Observational Gait Scale | Baseline (prior to intervention) and Week 6 (immediately following completion of the 6-week intervention period). | The Observational Gait Scale (OGS) is a clinical assessment tool used to visually evaluate gait patterns in children. Scores are summed to provide an overall gait score, with lower scores indicating greater gait deviation. Baseline (prior to intervention) and Week 6 (immediately following completion of the 6-week intervention period). |
| Pediatric Balance scale | Baseline (prior to intervention) and Week 6 (immediately following completion of the 6-week intervention period). | The Pediatric Balance Scale (PBS) is a standardized clinical measure of balance consisting of 14 functional tasks. Each task is scored on a scale from 0 to 4, with higher scores indicating better balance performance. Baseline (prior to intervention) and Week 6 (immediately following completion of the 6-week intervention period). |
Countries
Pakistan
Contacts
PRINCIPAL_INVESTIGATORIqra Fiaz, MS-PT
Riphah International University
Outcome results
None listed