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Effects of Shuttle Balance Training on Balance , Gait and Postural Control in Children With Mild Cognitive Impairment

Not Applicable
Recruiting
Conditions
Mild Cognitive Impairment
Registration Number
NCT06974890
Lead Sponsor
Riphah International University
Brief Summary

This study aims to investigate the impact of Shuttle Balance Training (SBT) on balance, gait, and postural control among children diagnosed with mild cognitive impairment (MCI). Mild cognitive impairment in children often manifests as challenges in cognitive processing, motor coordination, and daily activities that involve balance and movement. The research will employ a randomized controlled trial (RCT) design, involving children aged 6-12 years diagnosed with MCI.

Participants will be randomly assigned to either an experimental group receiving Shuttle Balance Training or a control group receiving standard care or placebo interventions. The Shuttle Balance Training protocol consists of structured sessions focusing on dynamic balance exercises, coordination drills, and proprioceptive challenges using shuttle devices. Training sessions will be conducted thrice weekly over a period of 12 weeks, with each session lasting approximately 45 minutes. The study will be randomized controlled trial. Total __ subjects will be assigned by non probability convenient sampling technique. They were randomly assigned to experimental and control groups. The Berg balance scale, limits of stability test, GOAL test, Timed up and go tools will be used. Tests will be used as outcome measure tools for balance, walk, coordination and Physical activity. All measures will be taken at baseline and at the end of treatment session. The collected data will be analyzed in Statistical Package for the Social Sciences (SPSS) 25.0 version. If data will be normally distributed then parametric if not normally distributed than non-parametric test will be apply.

Detailed Description

This study aims to investigate the impact of Shuttle Balance Training (SBT) on balance, gait, and postural control among children diagnosed with mild cognitive impairment (MCI). Mild cognitive impairment in children often manifests as challenges in cognitive processing, motor coordination, and daily activities that involve balance and movement. The research will employ a randomized controlled trial (RCT) design, involving children aged 6-12 years diagnosed with MCI.

Participants will be randomly assigned to either an experimental group receiving Shuttle Balance Training or a control group receiving standard care or placebo interventions. The Shuttle Balance Training protocol consists of structured sessions focusing on dynamic balance exercises, coordination drills, and proprioceptive challenges using shuttle devices. Training sessions will be conducted thrice weekly over a period of 12 weeks, with each session lasting approximately 45 minutes. The study will be randomized controlled trial. Total __ subjects will be assigned by non probability convenient sampling technique. They were randomly assigned to experimental and control groups.

The Berg balance scale, limits of stability test, GOAL test, Timed up and go tools will be used.

Tests will be used as outcome measure tools for balance, walk, coordination and Physical activity.

All measures will be taken at baseline and at the end of treatment session. The collected data will be analyzed in Statistical Package for the Social Sciences (SPSS) 25.0 version. If data will be normally distributed then parametric if not normally distributed than non-parametric test will be apply.

Recruitment & Eligibility

Status
RECRUITING
Sex
All
Target Recruitment
24
Inclusion Criteria

Children with mild cognitive impairment (50-70%IQ)

  • Age group from 6 to 12 years
  • Both male and female
  • Children must have the physical and cognitive ability to engage in the activities
  • Children should be in generally good health, without severe medical conditions or orthopedic issues
Exclusion Criteria
  • Children with severe cognitive impairment
  • Children who have severe neurological disorders
  • Children with visual and auditory impairment
  • Children with severe sensory processing disorders

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Berg Balance ScaleBaseline , 4th week, 8th week & 12th week

A scale that is used to determine the balance in an individual. It has total 14 items, It takes about 20 minutes to complete each item, which has a five-point ordinal scale from 0 to 4, where 0 represents the lowest level of function and 4 the most. It excludes the evaluation of gait.

TOTAL SCORE (Maximum = 56)

Limits of Stability TestBaseline , 4th week, 8th week & 12th week

Limits of Stability (LoS) is a key measure for assessing dynamic balance and voluntary motor control by tracking changes in the center of mass (COM). It helps identify postural instability and fall risk by evaluating how far a person can lean or sway without losing balance. LoS Represents the max distance a person can sway intentionally in direction without losing their balance. Normal range is anteroposterior 12.5 degrees, and medio-lateral 16 degrees.

Goal-Oriented Assessment of Life skills (GOAL) TestBaseline , 4th week, 8th week & 12th week

A test of functional motor skills required for day-to-day functioning is the Goal-Oriented Assessment of Lifeskills (GOAL). The GOAL program, which is intended for children aged 7 to 17, includes seven enjoyable and inspiring activities that are based on real-life tasks that kids do on a daily basis. The 54 Steps-small units of clearly visible, useful conduct within the seven Activities-are the foundation for the GOAL scores. Three components of successful functional performance-accuracy, independence, and speed-are used to score these. Each Step is graded as pass or fail using the Record Form. The Fine Motor and Gross Motor Standard Scores and the Progress Score are then calculated by adding the Step scores.

The Timed up and Go test.Baseline , 4th week, 8th week & 12th week

The timed Up and Go test (TUG) is a relatively simple test used to assess a person's mobility and requires both static and dynamic balance. The patient sits on a standard armchair back against it and resting arm position, regular footwear is used, the patient walks to a line that is 3meters away turns around the line, walks back to the chair and sits down. When the patient's buttocks touches the seat, the test ends there. A stopwatch is used to measure the time. Higher time score indicates high fall risks and less functional independence.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Rising Sun Institute

🇵🇰

Lahore, Punjab, Pakistan

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