Effects of Bin Therapy on Finger Gnosia And Fine Motor Skill

Not Applicable

Recruiting

Interventions: Other: Bin therapy and finger gnosia
Other: conventional therapy

Brief Summary: Down syndrome is a hereditary disorder resulting from the occurrence of an additional copy of chromosome 21, resulting in discernible variations in cognitive and physical characteristics. Finger gnosis pertains to the capacity to identify and discriminate among individual fingers. Tactile perception and body awareness are both encompassed by this particular component. Finger gnosis encompasses the sensory and cognitive mechanisms that enable an individual to recognize, label, and differentiate between their own fingers and those belonging to others. The therapeutic approach known as BIN Therapy is a non-invasive and pharmacologically unassisted intervention that use electrical stimulation as a means to enhance manual dexterity in individuals afflicted with neurological conditions

Detailed Description: It will be a randomized controlled trial. 30 patients fulfilling the inclusion and exclusion criteria will be recruited by non-probability convenience sampling and then randomly divided in two groups using lottery method. Group A will receive will receive conventional physical therapy exercise program including core strengthening, balance and coordination exercise, fine motor skills activities with 2-3 times a week, with 20-50 minutes of each session with each set comprises of 10-12 repetitions of each exercise. And the group B will receive BIN therapy and finger gnosia. Sensory assessment will be assess by Revised Nottingham sensory assessment.

Recruitment & Eligibility

Inclusion Criteria

Exclusion Criteria

Any other medical conditions or cognitive impairments that could affect their participation in the study.
History of seizures.
History of heart problems

Arm && Interventions

Group	Intervention	Description
bin therapy and finger gnosia	Bin therapy and finger gnosia	Experimental Group
conventional physical therapy	conventional therapy	Control Group

Primary Outcome Measures

Name	Time	Method
Finger Gnosia Assessed by Vernier Caliper	baseline and 8th week	Finger gnosia assessed by vernier caliper by two-point discrimination test. 2-5 mm average score, 6-10 mm mild impairment, 11-15 moderate impairment, 16 mm or above severe impairment

Secondary Outcome Measures

Name	Time	Method
Nottingham sensory assessment	baseline and 8th weeks	tactile sensation 42 max score, proprioception and Kinesthesia 24 max score, total score 66- 0-20 severe sensory impairment, 21-40 moderate sensory impairment, 41-54 mild sensory impairment, 55 - 66 normal sensory function

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