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

NCT ID: NCT05969873

Last Updated: 2023-12-27

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 22 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2023-07-16
• Study Completion Date: 2023-11-15

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.

Conditions

Down Syndrome

Keywords

Balance; Contrology; Down syndrome; Pilates; Pediatric Balance Scale

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Pilates Group

In this group patients will be treated with physical therapy treatment pilates exercise. Group A underwent 45 minutes of Pilates exercises in addition to the identical exercise programme as group A to improve the strength, coordination and flexibility of the lower limbs. Pilates movements were carried out ten times, with a two-minute break in between each repetition. For six weeks, both groups participated in the intervention programme three times per week. Starting the programme off with supine exercises of segmental motions that include using the trunk muscles to maintain a neutral posture is normal. To enhance shoulder girdle control, supine arm workouts were gradually added. The spine's ability to flex and extend was steadily increased.

Group Type: EXPERIMENTAL

Pilates exercise

Intervention Type: OTHER

Patients in this group will be treated with pilates exercise and conventional physical therapy as baseline treatment.

Balance training group

In this group patients will be treated with PT treatment with balance training. Exercises for stability of posture on numerous surfaces and positions were performed by Group B, including exercises for the flexors and adductors of hip, flexors and extensors of knee, and calf muscle (15-second hold and five repetitions) for improving their flexibility. The lower extremity and trunk muscles were the focus of Group B. The postural control exercise included walking in every direction, moving past the point of stability in various postures like half-kneeling, standing on hard and soft surfaces, stepping down and up, walking and standing at the same time, and one leg standing with eyes open and closed. Each session started with a 5-minute warm-up and ended with a 5-minute cool-down in between each phase.

Group Type: ACTIVE_COMPARATOR

Balance training

Intervention Type: OTHER

Patients in this group will be treated with balance training and conventional physical therapy as baseline treatment.

Interventions

Pilates exercise

Patients in this group will be treated with pilates exercise and conventional physical therapy as baseline treatment.

Intervention Type: OTHER

Balance training

Patients in this group will be treated with balance training and conventional physical therapy as baseline treatment.

Intervention Type: OTHER

Other Intervention Names

Experimental group; Control group

Eligibility Criteria

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

• Minimum Eligible Age: 6 Years
• Maximum Eligible Age: 12 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Rida Khawar Dar, MS*

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

Riphah International University

Lahore, Punjab Province, Pakistan

Countries

Pakistan

References

Abd-Elfattah HM, Galal DOSM, Aly MIE, Aly SM, Elnegamy TE. Effect of Pilates Exercises on Standing, Walking, and Balance in Children With Diplegic Cerebral Palsy. Ann Rehabil Med. 2022 Feb;46(1):45-52. doi: 10.5535/arm.21148. Epub 2022 Feb 28.

Reference Type: BACKGROUND

PMID: 35272439 (View on PubMed)

Other Identifiers

REC/RCR & AHS/23/0727

Identifier Type: -

Identifier Source: org_study_id