Effect of Cognitive-motor Training Versus Pilates Exercises on Postural Stability in Children With Down Syndrome.
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 32
- 试验地点
- 1
- 主要终点
- Pediatric Balance Scale
研究概览
简要总结
The study will be randomized clinical trial. Data will be collected from City hospital, Mirpur AJK. Total thirty two subjects will be assigned randomly by using lottery randomization into two groups. Inclusion criteria for the study will include patients diagnosed with Down syndrome, age between 8 to 13 years, patient able to understand instructions necessary for intervention, independent standing and walking abilities. Patient with any heart deficit, visual or hearing disorder, mobility impairment and instability of atlantooccipital joint will be excluded. Group A will receive cognitive-motor training while group B will receive Pilates exercises. Treatment session will be of 8 weeks. Peadriatic balance scale and trunk control measurement scale will be used to assess postural stability. Measure 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) 23.00.If data be normally distributed then parametric if not normally distributed than non-parametric.
详细描述
Postural instability or difficulty maintaining balance is a commom challenge in individuals with Down syndrome due to combination of hypotonia, joint laxity, delayed motor skills, sensory processing issues, cognitive and neurological differences, visual and vestibular challenges. In cognitive-motor training, both locomotor skills and object control exercises (dual tasks, dancing and rhythm games, reaction time exercises and puzzle game with physical exercises) will performed by participants. Pilates exercises includes bridging, hundred, single leg circles, alternate toe tap, ball wall squat will be performed by the participants. The aim of this study is to determine the effects of cognitive-motor training and Pilates exercises on postural stability in children with Down syndrome. The study will be randomized clinical trial. Data will be collected from City hospital, Mirpur AJK. Total thirty two subjects will be assigned randomly by using lottery randomization into two groups. Inclusion criteria for the study will include patients diagnosed with Down syndrome, age between 8 to 13 years, patient able to understand instructions necessary for intervention, independent standing and walking abilities. Patient with any heart deficit, visual or hearing disorder, mobility impairment and instability of atlantooccipital joint will be excluded. Group A will receive cognitive-motor training while group B will receive Pilates exercises. Treatment session will be of 8 weeks. Peadriatic balance scale and trunk control measurement scale will be used to assess postural stability. Measure 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) 23.00.If data be normally distributed then parametric if not normally distributed than non-parametric.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Other
- 盲法
- None
入排标准
- 年龄范围
- 8 Years 至 13 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients diagnosed with Down syndrome.
- •Age between 8 to 13 years.
- •Patient able to understand instructions necessary for intervention.
- •Independent standing and walking abilities.
- •Both the genders will included.
排除标准
- •Severe mental retardation.
- •Any heart deficit.
- •Visual impairments.
- •Musculoskeletal or mobility disorder.
- •Hearing impairements.
- •Signs of epilepsy or instability of atlanto axial joint.
研究组 & 干预措施
cognitive-motor training with baseline trearment of 45 minutes.
Gentle stretching and simple movements like arm swings, leg lifts, or walking in place. Breathing exercises to promote relaxation and focus.Cognitive: Engage in simple attention exercises, such as pointing to different colors, naming objects, or counting aloud while performing light physical movements, Balance and Coordination Activities, Dual-Task Training, Dance and rhythm games, Reaction time exercises and Puzzle games with physical activity.
干预措施: cognitive-motor training (Other)
pilates exercises with baseline treatment of 45 minutes.
Pilates exercises protocol:In Supine, Make circles with one raised lower limb in a clockwise direction and then in a counter-clockwise direction.Ball wall squat BridgeIn Crook lying position.Hundred. In Supine position, lifting the head, followed by lifting both legs 30 degrees with both knees flexed and then gradually with both knees extended.
Alternate toe taps. In Supine with 90 degrees flexion of both hips and knees. Alternate tapping of toes on the mat. Single leg circles Standing against a wall while a Swiss ball is in the lumber, Area Performing semisquat(1).
Intervention period will be of 8 weeks with 3 to 4 sessions per week
干预措施: pilates exercises (Other)
结局指标
主要结局
Pediatric Balance Scale
时间窗: baseline,8 weeks
The Pediatric Balance Scale is a modified version of the Berg Balance Scale that is used to assess functional balance skills in school-aged children. The scale consists of 14 items that are scored from 0 points (lowest function) to 4 points (highest function) with a maximum score of 56 points.
次要结局
未报告次要终点