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Effects of Maze Activities in Down's Syndrome

Not Applicable
Completed
Conditions
Down Syndrome
Interventions
Other: Standardized Walking Obstacle Course (SWOC)
Other: Conventional Gait Training
Registration Number
NCT06234644
Lead Sponsor
Riphah International University
Brief Summary

Down's Syndrome is due to the chromosomal disorder in 47 chromosomes instead of 46, socalled as Trisomy 21. The syndrome has several clinical symptoms including Cardiovascular,neurological, orthopedic, hormonal, cognitive and visual perceptual impairments. These childrenhave Developmental Delay. Children have hypermobility of joints, hypotonicity or ligamentous laxity, light to moderate obesity, due to underdeveloped respiratory and cardiovascular systemandshortstaturewhichleadtodecreaseinfunctionalambulation.Due to the low level of physical fitness, theseindividuals shows limitation in performing the functional tasks of daily living. The fundamental motor skill is Walking that facilitates the child to interact with the environment and helps indeveloping, social, motor and cognitive skills. Due to their delayed milestones and due to the irintellectual disability, environmental exposure is limited which hampers this fundamental skill.Hence it is necessary to asses the functional ambulation in these children.

This is a Randomized Controlled Trial that will be conducted in Rising Sun Institute Of Special Children. 26 participants will be allocated randomly into 2 groups Group A will receive the conventional interventions of Down's Syndrome but the group B will receive the mobility training with Standardized Walking Obstacle Course (SWOC). Tool used for this research will be a Standardized Walking Obstacle Course (SWOC) (that is used to measure stability and speed during gait in terms of time, number of steps, number of stumbles and number of steps off the path for each participant) and Timed up and go test (Valid for the functional mobility assessment of the children with DS). The data will be analyzed by SPSS version 21

Detailed Description

This study will be a randomized control trail used to compare the Effects of Maze Activities on Mobility in Children With Down's Syndrome. Subjects with Down's syndrome meeting the predetermined inclusion and exclusion criteria will be divided into two groups using simple random sampling technique. Assessment will be done by using time up and go test and Standardized Walking Obstacle Course (SWOC). Subjects in group A will receive the conventional intervention of gait training and Group B will receive the training on Standardized walking obstacle course.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
26
Inclusion Criteria
  • •Age 6 to 12 years of downs's syndrome children

    • Ambulatory Child who can walk without any assistive device(6)
    • Should follow commands and can perform 30 sec walk test.(6)
Read More
Exclusion Criteria
  • •Any congenital Cardiac Anomaly

    • Visual and Hearing Deficits
    • Any surgical intervention for the last 6 months
Read More

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Group AStandardized Walking Obstacle Course (SWOC)The Group A (experimental group) will receive the treatment with Standardized walking obstacle course (SWOC).
Group BConventional Gait TrainingThe Group B (Control group) will receive the treatment with conventional Gait training.
Primary Outcome Measures
NameTimeMethod
Standardized Walking Obstacle Course (SWOC)6 weeks

It is used to measure stability and speed during gait in terms of time, number of steps, number of stumbles and number of steps off the path.Standardized walking obstacle course (SWOC) It is used to measure stability and speed during gait in terms of time, No of steps, No of stumbles, No of step off the path It is used to measure stability and speed during gait in terms of time, number of steps, number of stumbles and number of steps off the path. It was assessed under three conditions such as walk with arms free, walk with tray and walk with sunglasses.

Timed up and Go Test (TUG)6 weeks

Time up and go test is used to assess the balance and stability of a children with different abilities. It involves timing how long it takes for a child to stand up from a chair, walk a short distance, turn around, walk back, and sit down while turning 180 degree.

Interpretation: \< 10 seconds = normal, \< 20 seconds = good mobility, can go out alone, mobile without a gait aid. \< 30 seconds = problems, cannot go outside alone, requires a gait aid. A score of more than or equal to fourteen seconds has been shown to indicate high risk of falls.

Secondary Outcome Measures
NameTimeMethod

Trial Locations

Locations (1)

Riphah international university lahore

🇵🇰

Lahore, Punjab, Pakistan

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