Effects of Modified Pilates on Improving Trunk Control and Balance in Children With Mild Intellectual Disability

Not Applicable

Recruiting

• Conditions: Mild Intellectual Disability

• Registration Number: NCT06987188
• Lead Sponsor: Riphah International University

Brief Summary

This randomized controlled trial will be conducted at Spectrum Clinic, Lahore, over a duration of 8 weeks to assess the impact of Modified Pilates Exercises on trunk control in children with Intellectual Disability (ID). ID is characterized by below-average IQ and delays in cognitive and functional development, affecting independence and motor skills. Trunk control plays a crucial role in posture, movement coordination, balance, and daily activities. A total of 40 participants will be selected through non-probability convenience sampling and randomly assigned to two groups: Group A (Modified Pilates Exercises) and Group B (General Physiotherapy Plan). Outcomes will be measured using the Trunk Control Measurement Scale (TCMS) and Pediatric Balance Scale (PBS) at baseline and after 8 weeks. Data will be analyzed using SPSS version 25.

Detailed Description

Intellectual Disability (ID) is a condition in which individuals experience below-average IQ. Although a variety of terms, including learning disabilities and mental retardation have been used when referring to people who have impairments that impact on their cognitive and adaptive functioning. ID refers to the onset of delayed developmental milestones, which impact on intellectual and functional development, hence independent functioning is likely to be significantly lower than that of the average person during their lifetime. Trunk control can help children with intellectual disabilities meet developmental milestones by helping them to maintain posture, navigate their surroundings, coordinate body part movement, module fine motor control, initiate vestibule oculomotor reflexes, use their hands for various activities, remain seated without falling over and kept their body aligned while walking, running and jumping.

This study will be randomized controlled trial, conducted in Spectrum clinic, Lahore. This study will be completed in time duration of 8 weeks after the approval of synopsis. Non-probability convenience sampling technique will be used and 40 participants will be recruited in this study. Participants will be divided into two groups. Group A (Modified Pilates Exercises) and Group B (General Physiotherapy Plan). Tools will be used are Trunk control measurement (TCMS) and Pediatric Balance Scale (PBS). The data will be recorded at the baseline and after 8th week of intervention. After collection, data will be analyzed by using SPSS version 25.

Study Timeline

• Study Start: 2025-04-16
• Status Verified: 2025-05
• Study First Submitted: 2025-05-15
• Study First Submitted QC: 2025-05-15
• Last Update Submitted: 2025-05-15
• Study First Posted: 2025-05-23
• Last Update Posted: 2025-05-23
• Primary Completion: 2025-06-11
• Study Completion: 2025-06-11

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 40

Inclusion Criteria

• Children aged 6-12 years.
• Diagnosed with mild intellectual disability (IQ 50-70)
• Ability to follow instruction and participate in Pilates Exercises
• No significant physical or neurological conditions that could affect participants

Exclusion Criteria

• Severe intellectual disability(IQ<50)
• Significant physical and neurological conditions (Cerebral palsy, Spinal Cord Injury)
• Visual and Hearing impairments that could impact participation

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Trunk Control Measurement Scale (TCMS)	Baseline, 4th week, 8th week	The Trunk Control Measurement Scale (TCMS) is a standardized assessment tool used to measure trunk control in individuals with developmental delay, neurological disorders, or motor impairments. It evaluates posture maintenance, trunk stabilization, and movement across six subtasks, each rated on a scale from 0 to 4 or 0 to 5. The total score ranges from 0 to 24, offering a comprehensive evaluation of trunk control ability. The TCMS identifies specific areas of difficulty, tracks progress over time, and directs targeted interventions to enhance trunk control. Administration involves verbal instructions, visual demonstration, or physical guidance from the evaluator, with the participant performing each task up to three times, scored based on the best attempt
Pediatric Berg Balance Measurement Scale (PBBMS)	Baseline, 4th week, 8th week	The Pediatric Berg Balance Measurement (PBBM) is a well-established tool used to assess balance and postural control in children aged 5-15 years. Developed by Berg and colleagues, it comprises 14 items that evaluate standing, sitting, and transitional movements. Scores on the PBBM range from 0 to 56, with higher scores indicating better balance abilities(20). This assessment typically takes 15-20 minutes to administer and is highly reliable and valid. Physiotherapists, occupational therapists, and researchers utilize the PBBM to evaluate balance impairments in children with developmental delays, injuries, or neurological conditions, and to track progress and intervention outcomes effectively.

Trial Locations

Locations (1)

Rising Sun Institute; 🇵🇰 Lahore, Pinjab, Pakistan