MedDataX Logo

Effect of Core Stability Exercises and Balance Training in Postural Control Among Down Syndrome

NCT ID: NCT04818437

Last Updated: 2021-03-30

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

Get a concise snapshot of the trial, including recruitment status, study phase, enrollment targets, and key timeline milestones.

Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-09-15

Study Completion Date

2020-03-30

Brief Summary

Review the sponsor-provided synopsis that highlights what the study is about and why it is being conducted.

Children with Down syndrome often present with problems of posture \& balance and mobility. Balance training is an important component of physical activity interventions, with growing evidence that it can be beneficial for children with DS.

Objective: To determine the effect core stability exercises and balance training in postural control among Down syndrome.

Detailed Description

Dive into the extended narrative that explains the scientific background, objectives, and procedures in greater depth.

This study was a randomized clinical trail. Children with Down Syndrome were determined on inclusion \& exclusion criteria. Children with Down syndrome were arbitrarily allocated into two groups with ages ranged from 5 to 17 years. The sample size was 20 patients. They were assigned randomly into two groups. Group 1 received balance training and Group 2 received core stability exercises. The duration of treatment was 6 weeks. Data is collected from Comprehensive Rehabilitation center Chakwal Postural stability was evaluated pre and post treatment by pediatric berg balance scale. Values which were obtained after this intervention were analyzed for any change using SPSS

Conditions

See the medical conditions and disease areas that this research is targeting or investigating.

Down Syndrome

Keywords

Explore important study keywords that can help with search, categorization, and topic discovery.

Down syndrome Core stability Postural Control Pediatric Berg balance scale

Study Design

Understand how the trial is structured, including allocation methods, masking strategies, primary purpose, and other design elements.

Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

SINGLE

Outcome Assessors

Study Groups

Review each arm or cohort in the study, along with the interventions and objectives associated with them.

Balance training

Balance training

1. Trunk, head, and upper limbs rotation from kneeling.
2. Upper limbs flexion and extension with simultaneous head movement from kneeling.
3. Pelvic bridging followed by raising one lower limb and extending knee.
4. Lifting opposite upper and lower limbs from Quadruped position.

6-Heel and toe raises, alternate rising ofthe right and left feet above the floor, and tandem standing. 7-Weight shifting forward. backward, sideward, and diagonally with eyes opened and eyes closed

Group Type EXPERIMENTAL

BALANCE TRAINING

Intervention Type OTHER

Trunk, head, and upper limbs rotation from kneeling. 2- Upper limbs flexion and extension with simultaneous head movement from kneeling. 3-Pelvic bridging followed by raising one lower limb and extending knee. 4-Lifting opposite upper and lower limbs from Quadruped position. 6-Heel and toe raises, alternate rising of he right and left feet above the floor, and tandem standing. 7-Weight shifting forward. backward, sideward, and diagonally with eyes opened and eyes closed

Core stability exercise

Core stability exercises:

1. Abdominal bracing while lying in supine position.
2. Abdominal bracing with heel slide while lying in supine position.
3. Abdominal bracing with Leg lifts while lying in supine position.
4. Abdominal bracing with bridging while lying in supine position.
5. Abdominal bracing while Standing 6-Abdominal bracing while walking.

7-Quadra pod arm lifts with bracings while Quadra pod position. 8-Quadra pod alternate arm and leg lifts with bracing while Quadra pod position. 9-Side plank with knee flexion while side lying. 10-Side plank with knee extension while side lying.

Group Type ACTIVE_COMPARATOR

CORE STABILITY EXERCISES

Intervention Type OTHER

1. Abdominal bracing while lying in supine position.
2. Abdominal bracing with heel slide while lying in supine position.
3. Abdominal bracing with Leg lifts while lying in supine position.
4. Abdominal bracing with bridging while lying in supine position.
5. Abdominal bracing while Standing.-Abdominal bracing while walking.

7-Quadra pod arm lifts with bracings while Quadra pod position. 8-Quadra pod alternate arm and leg lifts with bracing while Quadra pod position. 9-Side plank with knee flexion while side lying. 10-Side plank with knee extension while side lying

Interventions

Learn about the drugs, procedures, or behavioral strategies being tested and how they are applied within this trial.

BALANCE TRAINING

Trunk, head, and upper limbs rotation from kneeling. 2- Upper limbs flexion and extension with simultaneous head movement from kneeling. 3-Pelvic bridging followed by raising one lower limb and extending knee. 4-Lifting opposite upper and lower limbs from Quadruped position. 6-Heel and toe raises, alternate rising of he right and left feet above the floor, and tandem standing. 7-Weight shifting forward. backward, sideward, and diagonally with eyes opened and eyes closed

Intervention Type OTHER

CORE STABILITY EXERCISES

1. Abdominal bracing while lying in supine position.
2. Abdominal bracing with heel slide while lying in supine position.
3. Abdominal bracing with Leg lifts while lying in supine position.
4. Abdominal bracing with bridging while lying in supine position.
5. Abdominal bracing while Standing.-Abdominal bracing while walking.

7-Quadra pod arm lifts with bracings while Quadra pod position. 8-Quadra pod alternate arm and leg lifts with bracing while Quadra pod position. 9-Side plank with knee flexion while side lying. 10-Side plank with knee extension while side lying

Intervention Type OTHER

Eligibility Criteria

Check the participation requirements, including inclusion and exclusion rules, age limits, and whether healthy volunteers are accepted.

Inclusion Criteria

* Trisomy 21 by genetic karyotype
* A confirmed diagnosis of Down syndrome by a paediatric neurologist, having no neurological or mobility disorders,
* independent standing and walking abilities,
* Joint Laxity , low muscle tone and psychomotor development deficits
* Normal vision and hearing

Exclusion Criteria

* A history of congenital heart defects and orthopedic
* surgery in the past year and severe mental retardation.
* Seizure
* Severe visual or auditory disturbances,
* Weight less than the 3rd percentile of Down syndrome
* Multiple sclerosis or epilepsy
Minimum Eligible Age

5 Years

Maximum Eligible Age

17 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

Meet the organizations funding or collaborating on the study and learn about their roles.

Riphah International University

OTHER

Sponsor Role lead

Responsible Party

Identify the individual or organization who holds primary responsibility for the study information submitted to regulators.

Responsibility Role SPONSOR

Principal Investigators

Learn about the lead researchers overseeing the trial and their institutional affiliations.

Binash Afzal, PHD*

Role: PRINCIPAL_INVESTIGATOR

Riphah international university lahore campus

Locations

Explore where the study is taking place and check the recruitment status at each participating site.

Binash afzal

Lahore, Punjab Province, Pakistan

Site Status

Countries

Review the countries where the study has at least one active or historical site.

Pakistan

References

Explore related publications, articles, or registry entries linked to this study.

Alsakhawi RS, Elshafey MA. Effect of Core Stability Exercises and Treadmill Training on Balance in Children with Down Syndrome: Randomized Controlled Trial. Adv Ther. 2019 Sep;36(9):2364-2373. doi: 10.1007/s12325-019-01024-2. Epub 2019 Jul 12.

Reference Type BACKGROUND
PMID: 31301057 (View on PubMed)

Eid MA, Aly SM, Huneif MA, Ismail DK. Effect of isokinetic training on muscle strength and postural balance in children with Down's syndrome. Int J Rehabil Res. 2017 Jun;40(2):127-133. doi: 10.1097/MRR.0000000000000218.

Reference Type BACKGROUND
PMID: 28146007 (View on PubMed)

Zago M, Duarte NAC, Grecco LAC, Condoluci C, Oliveira CS, Galli M. Gait and postural control patterns and rehabilitation in Down syndrome: a systematic review. J Phys Ther Sci. 2020 Apr;32(4):303-314. doi: 10.1589/jpts.32.303. Epub 2020 Apr 2.

Reference Type BACKGROUND
PMID: 32273655 (View on PubMed)

Sugimoto D, Bowen SL, Meehan WP 3rd, Stracciolini A. Effects of Neuromuscular Training on Children and Young Adults with Down Syndrome: Systematic Review and Meta-Analysis. Res Dev Disabil. 2016 Aug;55:197-206. doi: 10.1016/j.ridd.2016.04.003. Epub 2016 Apr 25.

Reference Type BACKGROUND
PMID: 27123540 (View on PubMed)

Motealleh A, Mohamadi M, Moghadam MB, Nejati N, Arjang N, Ebrahimi N. Effects of Core Neuromuscular Training on Pain, Balance, and Functional Performance in Women With Patellofemoral Pain Syndrome: A Clinical Trial. J Chiropr Med. 2019 Mar;18(1):9-18. doi: 10.1016/j.jcm.2018.07.006. Epub 2019 Feb 10.

Reference Type BACKGROUND
PMID: 31193229 (View on PubMed)

Maiano C, Hue O, Lepage G, Morin AJS, Tracey D, Moullec G. Do Exercise Interventions Improve Balance for Children and Adolescents With Down Syndrome? A Systematic Review. Phys Ther. 2019 May 1;99(5):507-518. doi: 10.1093/ptj/pzz012.

Reference Type BACKGROUND
PMID: 31089706 (View on PubMed)

Capio CM, Mak TCT, Tse MA, Masters RSW. Fundamental movement skills and balance of children with Down syndrome. J Intellect Disabil Res. 2018 Mar;62(3):225-236. doi: 10.1111/jir.12458. Epub 2017 Dec 5.

Reference Type BACKGROUND
PMID: 29205624 (View on PubMed)

Silva V, Campos C, Sa A, Cavadas M, Pinto J, Simoes P, Machado S, Murillo-Rodriguez E, Barbosa-Rocha N. Wii-based exercise program to improve physical fitness, motor proficiency and functional mobility in adults with Down syndrome. J Intellect Disabil Res. 2017 Aug;61(8):755-765. doi: 10.1111/jir.12384. Epub 2017 Jun 6.

Reference Type BACKGROUND
PMID: 28585394 (View on PubMed)

Pena GM, Pavao SL, Oliveira MFP, Godoi D, de Campos AC, Rocha NACF. Dual-task effects on postural sway during sit-to-stand movement in children with Down syndrome. J Intellect Disabil Res. 2019 Jun;63(6):576-586. doi: 10.1111/jir.12599. Epub 2019 Jan 28.

Reference Type BACKGROUND
PMID: 30687997 (View on PubMed)

Saquetto MB, Pereira FF, Queiroz RS, da Silva CM, Conceicao CS, Gomes Neto M. Effects of whole-body vibration on muscle strength, bone mineral content and density, and balance and body composition of children and adolescents with Down syndrome: a systematic review. Osteoporos Int. 2018 Mar;29(3):527-533. doi: 10.1007/s00198-017-4360-1. Epub 2018 Jan 12.

Reference Type BACKGROUND
PMID: 29330572 (View on PubMed)

Other Identifiers

Review additional registry numbers or institutional identifiers associated with this trial.

REC/Lhr/19/1012 Hunza Zulfiqar

Identifier Type: -

Identifier Source: org_study_id