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

NCT05969873 | Completed

• 1 other identifier: REC/RCR & AHS/23/0727
• Study Type: interventional
• Target: 22
• Locations: 1 country
• Sites: 1

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.

Conditions

Down Syndrome

Keywords

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

Outcome Measures

Primary Outcomes (1)

• Pediatric Balance Scale

  This tool is used for assessing change from baseline. The PBBS is easy to administer, does not require specialized equipment, and can be completed in \<20 minutes. A 0 to 4 grading scale provides a quantitative and qualitative measure of performance. It involves 14 mobility tasks, with the tasks varying in degrees of difficulty. The tasks are divided into 3 domains: sitting balance, standing balance, and dynamic balance. PBS has high validity and reliability of 0.98. 41-56= low fall risk, 21-40= medium fall risk, 0-20=high risk

  12 weeks

Secondary Outcomes (1)

• Timed up and go test

  12 weeks

Study Arms (2)

Pilates Group

EXPERIMENTAL

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.

Other: Pilates exercise

Balance training group

ACTIVE COMPARATOR

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.

Other: Balance training

Interventions

Pilates exercise OTHER

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

Also known as: Experimental group

Pilates Group

Balance training OTHER

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

Also known as: Control group

Balance training group

Eligibility Criteria

• Age: 6 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• 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

You may not qualify if:

• 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

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah International University

Lahore, Punjab Province, 54000, Pakistan

Location

Related Publications (1)

• 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.

  PMID: 35272439 BACKGROUND

MeSH Terms

Conditions

Down Syndrome

Interventions

Exercise Movement Techniques; Control Groups

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)

Physical Therapy Modalities; Therapeutics; Epidemiologic Research Design; Epidemiologic Methods; Investigative Techniques; Research Design; Methods

Study Officials

• Rida Khawar Dar, MS*

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Masking Details: Participants will get separate treatment protocols and possible efforts will be put to mask the both groups about their treatment.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: 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.

Study Record Dates

• First Submitted: July 23, 2023
• First Posted: August 1, 2023
• Study Start: July 16, 2023
• Primary Completion: November 1, 2023
• Study Completion: November 15, 2023
• Last Updated: December 27, 2023

Record last verified: 2023-12

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)