Effect of Core Stability Exercises and Treadmill Training on Balance in Children With Down Syndrome

NCT03983746 | Completed

• 1 other identifier: P.T.REC/ 013/001928
• Study Type: interventional
• Target: 45
• Locations: 1 country
• Sites: 1

Brief Summary

Introduction: Core stability exercises and treadmill training play a crucial role in physical therapy interventions and have an effect on balance in children with Down syndromes (DS), whether core stability exercises or treadmill training has more effect on improve balance has not been investigated yet. The aim of the study was to investigate the effect of core stability training versus treadmill exercises on balance in children with Down syndrome. Methods: Forty-five children with Down syndrome included in the study. The children aged 4-6 years, and they were equally divided randomly into three groups (A), (B) and (C). Group A received traditional physical therapy intervention strategies to facilitate the balance of participated children. Group (B) received same as the group (A), with additional core stability exercises training. Group (C) received same intervention strategies as group (A) in conjunction with a treadmill exercise program. The children's balance was evaluated using the Berg Balance Scale and the Biodex Balance System. Treatment sessions were for 60 min, thrice a week, for eight consecutive weeks.

Conditions

Physical Therapy

Outcome Measures

Primary Outcomes (2)

• Functional Balance

  The Biodex Balance System (BBS) is used to adjust the stability of a suspended circular force plate. The force platform has a maximum of twenty degrees tilt in any direction when completely un-stabilized and determines the stability of participant based on the variance of the platform from the center. The Berg Balance Scale is a clinical assessment of functional balance. It consists of fourteen functional tasks of increasing difficulty, and each scored on a scale ranging from 0 to 4 (task is performed independently=4; unable to complete the task=0). The maximum possible score is fifty-six which indicating no identifiable balance difficulties.

  30 minutes

• Overall Stability Index

  The Biodex Balance System (BBS) is used to adjust the stability of a suspended circular force plate. The force platform has a maximum of twenty degrees tilt in any direction when completely un-stabilized and determines the stability of participant based on the variance of the platform from the center . The Berg Balance Scale is a clinical assessment of functional balance. It consists of fourteen functional tasks of increasing difficulty, and each scored on a scale ranging from 0 to 4 (task is performed independently=4; unable to complete the task=0). The maximum possible score is fifty-six which indicating no identifiable balance difficulties

  30 minutes

Study Arms (1)

traditional physical therapy program (control group)

EXPERIMENTAL

fifteen children with DS received a traditional exercises program with instructions to the children for 60 minutes aiming to improve posture control and balance

Device: core stability exercises and treadmill training exercises

Interventions

core stability exercises and treadmill training exercises DEVICE

Forty-five children with Down syndrome included in the study. The children aged 4-6 years, and they were equally divided randomly into three groups (A), (B) and (C). Group A received traditional physical therapy intervention strategies to facilitate the balance of participated children. Group (B) received same as the group (A), with additional core stability exercises training. Group (C) received same intervention strategies as group (A) in conjunction with a treadmill exercise program. The children's balance was evaluated using the Berg Balance Scale and the Biodex Balance System. Treatment sessions were for 60 min, thrice a week, for eight consecutive weeks.

Also known as: traditional physical therapy program

traditional physical therapy program (control group)

Eligibility Criteria

• Age: 4 Years - 6 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Able to recognize commands given to them,
• Able to understand our verbal command and encouragement, and
• Able to stand and walk independently without repeated falling

You may not qualify if:

• Any neurological or musculoskeletal disorders (signs of epilepsy and instability of atlantoaxial joint),
• Any mobility disorders
• Any cardiac anomalies
• Any vision or hearing loss

Sponsors & Collaborators

• Cairo University: lead

Study Sites (1)

Faculty of Physical Therapy, Cairo University

Giza, Cairo Governorate, 12111, Egypt

Location

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer, Faculty of Physical Therapy

Study Record Dates

• First Submitted: June 10, 2019
• First Posted: June 12, 2019
• Study Start: January 2, 2019
• Primary Completion: March 12, 2019
• Study Completion: April 15, 2019
• Last Updated: June 12, 2019

Record last verified: 2019-06

Locations

EG (1)