Manual Ankle Rocking Training on Postural Control and Foot Function in Children With Down Syndrome

NCT05392309 | Completed

• 1 other identifier: REC/RCR & AHS/22/0704
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

Down syndrome occurs due to abnormal cell division of extra chromosome 21. It is a genetic disorder that causes postural un stability, leads to poor foot function and causes them difficulty that they can't fulfill their daily life activities and can't be independent. Strengthening exercise of lower limb and core strengthening of trunk muscle will provide postural stability and lower limb strengthening. Aim of this research is to determine the effects of manual Ankle rocking training on postural control and foot function in children with Down syndrome. Those who are diagnosed with down syndrome and are between age 8-15 and both of the genders are included in this research and those who have any surgical issue, visual impairment and musculoskeletal contractures are not included in the study we will use static standing balance test to check postural control and foot function index for Ankle rocking training from two group in which one will be given the baseline treatment of lower limb exercise and core strengthening with ankle rocking training and the other group without ankle rocking training and then the collected data will be analyzed by SPSS. 22

Conditions

Down S Syndrome

Keywords

Down syndrome; Postural control; Postural stability; Balance

Outcome Measures

Primary Outcomes (2)

• Changes in foot function index score

  A Foot Function Index (FFI) was developed in 1991 to measure the impact of foot pathology on function in terms of pain, disability and activity restriction. It is a self-administered index consisting of 23 items divided into 3 sub-scales. Both total and sub-scale scores are produced.

  Baseline and 9th week

• Static standing balance test

  Static standing balance test for postural control and stability

  baseline and 9th week

Study Arms (2)

Manual ankle rocking training

EXPERIMENTAL

Group will receive manual ankle rocking training with lower limb exercise and core strengthening of trunk

Other: Manual ankle rocking training; Other: Conventional

conventional

ACTIVE COMPARATOR

Group will receive lower limb exercises and core strengthening of trunk. Sessions will be 4 days in a week

Other: Conventional

Interventions

Manual ankle rocking training OTHER

Group will receive manual ankle rocking training with lower limb exercise and core strengthening of trunk

Manual ankle rocking training

Conventional OTHER

Group will receive lower limb exercises and core strengthening of trunk. Sessions will be 4 days in a week

Manual ankle rocking training; conventional

Eligibility Criteria

• Age: 8 Years - 15 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Diagnosed children with down syndrome
• Age 8 to 15
• Both gender (male and female)

You may not qualify if:

• Musculoskeletal contractures
• Visual or other sensory input impairment
• Any surgical procedure

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Rising Sun Institute For Special Children, Lahore

Lahore, Punjab Province, 54000, Pakistan

Location

Related Publications (8)

• Balan V, Georgescu M. Postural control in Down syndrome subjects. European Proceedings of Social and Behavioural Sciences. 2019;11.

  BACKGROUND

• Palomba A, Perez D, Tafuri D. THE EFFECTS OF PHYSICAL ACTIVITY ON BALANCE AND POSTURAL CONTROL IN PEOPLE WITH DOWN SYNDROME.

  BACKGROUND

• Shields N, Lim P, Wollersheim D, Nikolopoulos N, Barrett J, Evans A, et al. Do foot posture, deformity, and footwear fit influence physical activity levels in children with Down syndrome? A prospective cohort study. Journal of Intellectual & Developmental Disability. 2017;42(4):332-8

  BACKGROUND

• Wang HY, Long IM, Liu MF. Relationships between task-oriented postural control and motor ability in children and adolescents with Down syndrome. Res Dev Disabil. 2012 Nov-Dec;33(6):1792-8. doi: 10.1016/j.ridd.2012.05.002. Epub 2012 Jun 13.

  PMID: 22699252 BACKGROUND

• 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.

  PMID: 32273655 BACKGROUND

• Eltohamy AM, Mahran MA, Elassal MI, Kamel AH. Ankle Rocking Training and Functional Abilities in Children with Cerebral Palsy. The Egyptian Journal of Hospital Medicine. 2021;85(1):3301-5

  BACKGROUND

• Chen HL, Yeh CF, Howe TH. Postural control during standing reach in children with Down syndrome. Res Dev Disabil. 2015 Mar;38:345-51. doi: 10.1016/j.ridd.2014.12.024. Epub 2015 Jan 13.

  PMID: 25590172 BACKGROUND

• Brugnaro BH, Oliveira MFP, de Campos AC, Pavao SL, Rocha NACF. Postural control in Down syndrome and relationships with the dimensions of the International Classification of Functioning, Disability and Health - a systematic review. Disabil Rehabil. 2022 Jun;44(11):2207-2222. doi: 10.1080/09638288.2020.1830439. Epub 2020 Oct 13.

  PMID: 33049152 BACKGROUND

MeSH Terms

Conditions

Down Syndrome

Interventions

Congresses as Topic

Condition Hierarchy (Ancestors)

Intellectual Disability; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Abnormalities, Multiple; Congenital Abnormalities; Congenital, Hereditary, and Neonatal Diseases and Abnormalities; Chromosome Disorders; Genetic Diseases, Inborn

Intervention Hierarchy (Ancestors)

Organizations; Health Care Economics and Organizations

Study Officials

• Sidra Afzal, PP-DPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 23, 2022
• First Posted: May 26, 2022
• Study Start: March 15, 2022
• Primary Completion: September 15, 2022
• Study Completion: October 31, 2022
• Last Updated: January 5, 2023

Record last verified: 2023-01

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)