Comparative Study of Inclined Treadmill and Dynamic Cycling on Balace in Hearing Impaired Children.

NCT06673836 | Recruiting DMC

• 1 other identifier: REC/RCR/AHS/24/ASRA GHAFOOR
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

Hearing loss is generally identified initially in life leading to difficulties in communication. In children, vestibular dysfunctions can cause a deficit in gross motor development and balance stability. At an early age, delayed gross motor development can cause impairment in the bilateral vestibular system and sensorineural hearing. The children with balance impairment cannot usually participate in physical activities. Running, cycling, hoping and leading to social isolation3. In Pakistan, 2.49% of the population suffers from some disability; the hearing loss population is 7.4%. In Pakistan, hearing loss is more reported in males as compared to females. According to the non-official data, nearly 1.2 in every 1000 Pakistani children suffer from moderate to severe bilateral hearing loss5. In this, 15% population is suffering from profound and nearly 85% from moderate to severe hearing loss.Children who have vestibular dysfunctions may experience many disorders of the vestibular system.Acute unilateral vestibular loss (AUVL) is the most frequent vestibular dysfunction. The etiology of acute unilateral vestibular loss is unknown, but the studies say it may be due to genetic and acquired causes (inflammatory and viral infections). The symptoms include static

Conditions

Balance Assessment

Keywords

balance; dynamic cycling; gait

Outcome Measures

Primary Outcomes (2)

• Dynamic gate index

  The Dynamic Gait Index was developed by Anne Shumway-Cook (1995) and has been used with older adults to determine their likelihood of falling. Scores of 19 and less are related to falls in older adults. It tests 8 facets of gait and can be used with an assistive device.

  10-15 min

• CTSIB TEST

  The test is the therapist\'s version of the Computerized Dynamic Post urography which attempts to measure the way that vision, Vestibular and somatosensory interaction allows us to maintain our balance against the forces of gravity. The test was developed by Shumway Cook and Horak in 1986 and further discussed as a clinical tool in 1987 Patients with uncompensated unilateral vestibular deficits have been shown to have difficulty when visual and support surface information are manipulated.

  10 min

Study Arms (2)

dynamic cycling

EXPERIMENTAL

one group will perform dynamic cycling for 6 consecutive weeks,3 days a week for 30 minutes per session.

Device: DYNAMIC CYCLING

inclined treadmill

EXPERIMENTAL

one group will perform treadmil for 3 days a week with 10 degree inclination for 6 six consecutive weeks.

Device: INCLINED TREAD MILL

Interventions

DYNAMIC CYCLING DEVICE

Balance Training: Exercises focused on improving coordination and balance, such as standing on one leg, walking on uneven surfaces, or using balance boards. Core Strengthening: Strengthening core muscles helps children maintain stability during dynamic movements, such as walking or running. Proprioceptive Training: Exercises that improve awareness of the body's position in space, such as obstacle courses or activities that challenge movement coordination.

Also known as: Balance Training: Exercises focused on improving coordination and balance, such as standing on one leg, walking on uneven surfaces, or using balance boards. Core Strengthening: Strengthening core musc, inclined treadmill training is a powerful tool for addressing the balance and gait challenges faced by hearing-impaired children. Through gradual and progressive training, this intervention helps to s

dynamic cycling

INCLINED TREAD MILL DEVICE

Dynamic Cycling: Refers to the fluctuating nature of movement patterns, often used in therapies like stationary biking or recumbe.nt cycling, where the intensity and resistance vary. Dynamic cycling can also refer to training that involves alternating between high and low-intensity phases or cycling between different positions (sitting, standing) or speeds during the activity

Also known as: dynamic cyling

inclined treadmill

Eligibility Criteria

• Age: 8 Years - 10 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may not qualify if:

• children with any acute or chronic disease recurrent falls history of any MSK disease

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah International University

Lahore, Punjab Province, 54000, Pakistan

RECRUITING

Related Publications (1)

• Strader DB, Wright T, Thomas DL, Seeff LB; American Association for the Study of Liver Diseases. Diagnosis, management, and treatment of hepatitis C. Hepatology. 2004 Apr;39(4):1147-71. doi: 10.1002/hep.20119. No abstract available.

  PMID: 15057920 BACKGROUND

Study Officials

• Asra Ghafoor, MS

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Imran Amjad Dr, PhD

CONTACT

9233224390125; Imran.amjad@riphah.edu.pk

Muhammad Asif Javed, MS

CONTACT

03224209422; a.javed@riphah.edu.pk

Study Design

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

Model Details: parallal assignment. it will be randomized controlled study,in which probability convenient sampling will be usd.two groups of hearing impaired children will be randomly divided.

Study Record Dates

• First Submitted: November 3, 2024
• First Posted: November 5, 2024
• Study Start: September 27, 2024
• Primary Completion: November 28, 2024
• Study Completion: December 30, 2024
• Last Updated: November 5, 2024

Record last verified: 2024-11

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)