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Effect of Core Stability Exercises and Balance Training in Postural Control Among Down Syndrome

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT04818437
Recruitment Status : Completed
First Posted : March 26, 2021
Last Update Posted : March 30, 2021
Sponsor:
Information provided by (Responsible Party):
Riphah International University

Study Description
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Brief Summary:

Children with Down syndrome often present with problems of posture & balance and mobility. Balance training is an important component of physical activity interventions, with growing evidence that it can be beneficial for children with DS.

Objective: To determine the effect core stability exercises and balance training in postural control among Down syndrome.


Condition or disease Intervention/treatment Phase
Down Syndrome Other: BALANCE TRAINING Other: CORE STABILITY EXERCISES Not Applicable

Detailed Description:
This study was a randomized clinical trail. Children with Down Syndrome were determined on inclusion & exclusion criteria. Children with Down syndrome were arbitrarily allocated into two groups with ages ranged from 5 to 17 years. The sample size was 20 patients. They were assigned randomly into two groups. Group 1 received balance training and Group 2 received core stability exercises. The duration of treatment was 6 weeks. Data is collected from Comprehensive Rehabilitation center Chakwal Postural stability was evaluated pre and post treatment by pediatric berg balance scale. Values which were obtained after this intervention were analyzed for any change using SPSS
Study Design
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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 20 participants
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single (Outcomes Assessor)
Primary Purpose: Treatment
Official Title: Effect of Core Stability Exercises and Balance Training in Postural Control Among Down Syndrome
Actual Study Start Date : September 15, 2019
Actual Primary Completion Date : December 20, 2019
Actual Study Completion Date : March 30, 2020

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Down Syndrome

Arms and Interventions
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Arm Intervention/treatment
Experimental: Balance training

Balance training

  1. Trunk, head, and upper limbs rotation from kneeling.
  2. Upper limbs flexion and extension with simultaneous head movement from kneeling.
  3. Pelvic bridging followed by raising one lower limb and extending knee.
  4. Lifting opposite upper and lower limbs from Quadruped position.

6-Heel and toe raises, alternate rising ofthe right and left feet above the floor, and tandem standing. 7-Weight shifting forward. backward, sideward, and diagonally with eyes opened and eyes closed

 Other: BALANCE TRAINING
Trunk, head, and upper limbs rotation from kneeling. 2- Upper limbs flexion and extension with simultaneous head movement from kneeling. 3-Pelvic bridging followed by raising one lower limb and extending knee. 4-Lifting opposite upper and lower limbs from Quadruped position. 6-Heel and toe raises, alternate rising of he right and left feet above the floor, and tandem standing. 7-Weight shifting forward. backward, sideward, and diagonally with eyes opened and eyes closed
Active Comparator: Core stability exercise

Core stability exercises:

  1. Abdominal bracing while lying in supine position.
  2. Abdominal bracing with heel slide while lying in supine position.
  3. Abdominal bracing with Leg lifts while lying in supine position.
  4. Abdominal bracing with bridging while lying in supine position.
  5. Abdominal bracing while Standing 6-Abdominal bracing while walking.

7-Quadra pod arm lifts with bracings while Quadra pod position. 8-Quadra pod alternate arm and leg lifts with bracing while Quadra pod position. 9-Side plank with knee flexion while side lying. 10-Side plank with knee extension while side lying.

 Other: CORE STABILITY EXERCISES
  1. Abdominal bracing while lying in supine position.
  2. Abdominal bracing with heel slide while lying in supine position.
  3. Abdominal bracing with Leg lifts while lying in supine position.
  4. Abdominal bracing with bridging while lying in supine position.
  5. Abdominal bracing while Standing.-Abdominal bracing while walking.

7-Quadra pod arm lifts with bracings while Quadra pod position. 8-Quadra pod alternate arm and leg lifts with bracing while Quadra pod position. 9-Side plank with knee flexion while side lying. 10-Side plank with knee extension while side lying


Outcome Measures
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Primary Outcome Measures :
  1. Pediatric Berg balance scale [ Time Frame: 2 months ]
    The Pediatric Balance Scale is a modified version of the Berg Balance Scale that is used to assess functional balance skills in CP children . The scale consists of 14 items that are scored from 0 points (lowest function) to 4 points (highest function) with a maximum score of 56 points.


Eligibility Criteria
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Ages Eligible for Study:   5 Years to 17 Years   (Child)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Trisomy 21 by genetic karyotype
  • A confirmed diagnosis of Down syndrome by a paediatric neurologist, having no neurological or mobility disorders,
  • independent standing and walking abilities,
  • Joint Laxity , low muscle tone and psychomotor development deficits
  • Normal vision and hearing

Exclusion Criteria:

  • A history of congenital heart defects and orthopedic
  • surgery in the past year and severe mental retardation.
  • Seizure
  • Severe visual or auditory disturbances,
  • Weight less than the 3rd percentile of Down syndrome
  • Multiple sclerosis or epilepsy
Contacts and Locations
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Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04818437


Locations
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Pakistan
Binash afzal
Lahore, Punjab, Pakistan, 54000
Sponsors and Collaborators
Riphah International University
Investigators
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Principal Investigator: Binash Afzal, PHD* Riphah international university lahore campus
More Information
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Publications:

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Responsible Party: Riphah International University
ClinicalTrials.gov Identifier: NCT04818437    
Other Study ID Numbers: REC/Lhr/19/1012 Hunza Zulfiqar
First Posted: March 26, 2021    Key Record Dates
Last Update Posted: March 30, 2021
Last Verified: March 2021
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: No

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Riphah International University:
Down syndrome
Core stability
Postural Control
Pediatric Berg balance scale
Additional relevant MeSH terms:
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Down Syndrome
Syndrome
Disease
Pathologic Processes
Intellectual Disability
Neurobehavioral Manifestations
 Neurologic Manifestations
Nervous System Diseases
Abnormalities, Multiple
Congenital Abnormalities
Chromosome Disorders
Genetic Diseases, Inborn