Effect Of Pilates On Postural Control And Balance In Children With Down's Syndrome

Not Applicable

Completed

• Conditions: Down Syndrome

• Registration Number: NCT05969873
• Lead Sponsor: Riphah International University

Brief Summary

Down's syndrome (DS) is a genetic condition characterized by the presence of an extra chromosome 21, leading to various clinical symptoms. Individuals with DS often experience challenges in balance, posture, and motor skills, which can impact their daily activities. Pilates activities focus on the concept of control of muscles. Pilates increases trunk flexibility, abdominal and core strength and endurance, and deep core muscle activation hence improving balance and posture.

Detailed Description

The study will be randomized controlled trial used to evaluate the effectiveness of pilates on posture and balance in children with down's syndrome. Subjects with down's syndrome meeting the pre-detremined inclusion and exclusion criteria will be divided into two groups using non-probability sampling technique. Assessment will be done using Pediatric balance scale(PBS) and Timed up and go test (TUG).). Control group will receive regular physical therapy with balance training and experimental group will receive regular physical therapy+ Pilates.

Study Timeline

• Study Start: 2023-07-16
• Study First Submitted: 2023-07-23
• Study First Submitted QC: 2023-07-23
• Study First Posted: 2023-08-01
• Primary Completion: 2023-11-01
• Study Completion: 2023-11-15
• Status Verified: 2023-12
• Last Update Submitted: 2023-12-26
• Last Update Posted: 2023-12-27

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 22

Inclusion Criteria

• Down's syndrome children with age between 6 and 12 years.
• The ability to execute required motor skill proficiency and executive function tests.
• The capacity to walk and stand by oneself

Exclusion Criteria

• • Children who are not able to comprehend commands.

  • Associated cardiovascular and orthopedic condition.
  • Loss of functional hearing and vision or a related respiratory disease.
  • History of traumatic injury
  • History of previous surgery
  • Inability of parents to understand the procedure and their unwillingness to participate

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Pediatric Balance Scale	12 weeks	This tool is used for assessing change from baseline. The PBBS is easy to administer, does not require specialized equipment, and can be completed in \<20 minutes. A 0 to 4 grading scale provides a quantitative and qualitative measure of performance. It involves 14 mobility tasks, with the tasks varying in degrees of difficulty. The tasks are divided into 3 domains: sitting balance, standing balance, and dynamic balance. PBS has high validity and reliability of 0.98. 41-56= low fall risk, 21-40= medium fall risk, 0-20=high risk

Secondary Outcome Measures

Name	Time	Method
Timed up and go test	12 weeks	TUG is a simple test used to assess a person's mobility and evaluate both static and dynamic balance. It uses the time that a person takes to rise from a chair, walk three meters, turns around 180 degrees, walk back to the chair and sit down while turning 180 degrees.; Interpretation: ≤ 10 seconds= normal. A score of ≥ 14 seconds has been shown to indicate high risk of fall.; ICC value for interrater reliability between 2 authors' TUG times for 20 randomly selected patients was .96.

Trial Locations

Locations (1)

Riphah International University; 🇵🇰 Lahore, Punjab, Pakistan