Down Syndrome and Effects of Foot Muscle Exercise

Not Applicable

Completed

• Conditions: Pes Planus Down Syndrome Patients
• Interventions: Other: Foot Muscle Exercise Protocol; Combination Product: Arch Support Insole and One Leg Balance Activities

• Registration Number: NCT05251935
• Lead Sponsor: Ziauddin University

Brief Summary

Down syndrome (DS) is a common chromosomal pediatric disorder and accounts for approximately 8 % of all congenital anomalies. Children with DS experience delays in Cognitive, Physical, Speech and Language development. Hypotonity and laxity that is part of its features causes delay on motor acquisition. Furthermore it causes musculoskeletal issues and lower extremity malalignment resulting in inefficient and abnormal pattern of movement compromising locomotion and day to day functions therefore, problems for the population further aggravates. Combined effects of these factors causes a high level of stress on foot as it provides the foundation for whole body therefore, individuals with Down syndrome are at risk for foot alignment problems. Pes planus being the most common amongst them and accounts for 91% of the total DS patients diagnosed. Pes planus causes alteration in foot kinetics and kinematics that not only interferes significantly with normal daily life activities as balance and gait but also increases the risk of musculoskeletal injuries. Hence researchers have shown interest in addressing this condition for the effective management of DS population. Conventional treatment approach are the use of insoles, foot orthosis and arch taping however, they fail to produce residual effect. Hence the present study is to determine the role of foot muscles exercises in Down Syndrome having pes planus since its effects are positively recorded in normal population.

Detailed Description

Not available

Study Timeline

• Study Start: 2021-04-22
• Primary Completion: 2021-10-31
• Study Completion: 2021-11-30
• Status Verified: 2022-02
• Study First Submitted: 2022-02-12
• Study First Submitted QC: 2022-02-12
• Last Update Submitted: 2022-02-12
• Study First Posted: 2022-02-23
• Last Update Posted: 2022-02-23

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 47

Inclusion Criteria

• • Clinically diagnosed cases of DS including both male and female.

  • Bilateral flexible pes planus on the basis of Navicular Drop Test.
  • Able to follow instructions and adhere to the exercise program.
  • Ambulating independently.

Exclusion Criteria

• • Visual or auditory impairment.

  • Lower limb trauma or surgical intervention past six months.

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Foot Muscle Exercise	Foot Muscle Exercise Protocol	-
Arch Support Insole and One Leg Balance Activities	Arch Support Insole and One Leg Balance Activities	-

Primary Outcome Measures

Name	Time	Method
Balance	24 weeks	Balance was assessed using Pediatric Balance Scale
Gross Motor Function	24 weeks	Gross Motor Function was assessed using GMFM-88 Dimensions D and E

Trial Locations

Locations (1)

ACELP (Institute of Child Development); 🇵🇰 Karachi, Sindh, Pakistan