Effects of Pilates Exercises on Balance and Gait in School Children

NCT06198231 | Completed

• 1 other identifier: REC/RCR&AHS/23/0758
• Study Type: interventional
• Target: 96
• Locations: 1 country
• Sites: 1

Brief Summary

The school children often spend prolonged hours in sedentary activities and may not engage in sufficient physical exercise A sedentary lifestyle among school-going children is a growing concern in modern society. Children are spending more time sitting down and less time being physically active. This can lead to a variety of health problems, including obesity, poor posture, and a lack of cardiovascular fitness. Postural control is crucial for children's balance, gait, and functional tasks, and core stability and hip muscle strength play significant roles in maintaining proper posture and facilitating movement. Pilates is a popular exercise program known for improving core strength, balance, flexibility, and posture. Understanding the potential benefits of Pilates exercises on muscle strength and postural control in this population is essential, considering the sedentary lifestyles of many school children. Limited research has examined the effectiveness of Pilates exercises in school-aged children This randomized controlled trial will be conducted in schools in Daska City Govt. girls high school Raj okay Tehsil DASKA, Govt Girls elementary school KOT JANDHU Tehsil DASK e.g over a duration of six months. The sample size will consist of 96 children aged 6 to 9 years, divided equally into a control group and an experimental group. The inclusion criteria specify children without acute illnesses or injuries, within the normal BMI range, and free from cognitive impairments or chronic medication use. The control group will receive exercises that will focus on flexibility, strength, and endurance targeting postural stability for 45 minutes, while the experimental group will receive program of exercises including 15 minutes of conventional exercise along(strengthening, flexibility exercises) with 30 minutes of Pilates excercises including ( back twists, single leg circles, standing splits, alternate toe touches, ball leg lifts) for 3 times a week, of Pilates exercises aimed at improving lower-limb strength, flexibility, and coordination. Assessments will be conducted at baseline, 4th week, and 8th-week using measures such as the Pediatric Berg Balance Scale, walking speed assessment, FRT.

Conditions

Children

Keywords

Balance; Pilates exercises; Postural control; Randomized control

Outcome Measures

Primary Outcomes (2)

• pediatric berg balance scale

  The Pediatric Balance Scale (PBS) is an assessment tool consists of 14 different balance tasks that challenge various aspects of balance control, including static and dynamic balance (6) The tasks involve different postural positions, such as sitting, standing, and transferring weight, and may require the child to maintain balance while performing specific movements or tasks. Intra class correlation coefficient (ICC) = 0.998\] or individual items (Kappa Coefficients, k = 0.87 to 1.0)

  8 weeks

• walking speed assessment

  The walking speed assessment will utilize a 6-minute walk test in which the child will be instructed to walk back and forth in a designated hallway for 6 minutes. They will pivot briskly around cones without hesitations. Participants will be accompanied by the assessor, who will be positioned just behind them without leading or influencing their walking speed. The assessment will be conducted before and after the exercise intervention to assess improvements in basic mobility. Strong test-retest reliability was demonstrated (intra class correlation = 0.97).

  8 weeks

Secondary Outcomes (1)

• functional reach test

  8 weeks

Study Arms (2)

Pilates exercises

EXPERIMENTAL

The experimental group will receive the same program of exercises given to the control group, 45 minutes of Pilates exercises (such as back twists, single leg circles, standing splits, alternate toe touches, ball leg lifts).The Pilates exercises will be aimed at improving lower-limb strength, flexibility, and coordination, and they will be performed on a mat, using a medical ball. The focus will be on maintaining core contraction, spinal and pelvic alignment, and respiration rhythm. Ten repetitions of Pilates exercises will be performed, with a 2-minute rest period between repetitions.

Other: Pilates exercises

Flexibility ,strength and endurance excercises

ACTIVE COMPARATOR

Control group will perform flexibility exercises for the hip (flexors and adductors), knee (flexors and extensors), and calf muscle, with a hold of 15 sec ,5 repetitions. Strengthening exercises for core muscles (curl-ups, prone extension),hip extensors (in prone position), hamstrings, quadriceps (knee extension in high sitting).Walking in all directions, standing on rough and soft surfaces, stepping down and up, walking,standing on one limb with both eyes closed and open. Each session will start with a 5-minute warm-up and 5-minute cool-down, session duration 45 minutes,3 times a week.

Other: Flexibility ,strength and endurance excercises

Interventions

Pilates exercises OTHER

Pilates exercises

Pilates exercises

Flexibility ,strength and endurance excercises OTHER

flexibility ,strength and endurance excercises

Flexibility ,strength and endurance excercises

Eligibility Criteria

• Age: 6 Years - 9 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Children between the ages of 6 and 9 years
• Both male and female students.
• Students with normal BMI.
• Students willingness for participation.

You may not qualify if:

• Students with cognitive impairments.
• Students with conditions such as chronic fatigue, myalgia, limb deformity or any orthopedic condition.
• Students who are currently taking any form of medication for chronic illnesses.
• Students with limb deformities e.g flat foot, genuvelgum, genuvarum and leg length discrepancy.
• Students with any type of psychological problem.
• Children who have participated in similar Pilates or physical therapy exercise programs targeting balance and gait in the past six months

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah International University

Lahore, Punjab Province, 54000, Pakistan

Location

Related Publications (1)

• Franco MR, Grande GHD, Padulla SAT. Effect of pilates exercise for improving balance in older adults (PEDro synthesis). Br J Sports Med. 2018 Feb;52(3):199-200. doi: 10.1136/bjsports-2016-097073. Epub 2016 Nov 4. No abstract available.

  PMID: 27815239 BACKGROUND

MeSH Terms

Interventions

Exercise Movement Techniques

Intervention Hierarchy (Ancestors)

Physical Therapy Modalities; Therapeutics

Study Officials

• kirn arshad, MS*

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Randomised control trial

Study Record Dates

• First Submitted: December 26, 2023
• First Posted: January 10, 2024
• Study Start: December 1, 2023
• Primary Completion: February 5, 2024
• Study Completion: February 5, 2024
• Last Updated: June 13, 2024

Record last verified: 2024-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)