Physical Fitness in DS: A Comparison of Cuevas Medak and Rebound Exercises

NCT07248449 | Recruiting DMC

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

Brief Summary

This randomized clinical trial investigates the comparative effects of Cuevas Medak Exercises Vs Rebound Exercises on physical fitness in DS. The.current study will be single blinded randomized clinical design in which nonprobability convenience sampling technique will be used. Inclusion criteria will be Down Syndrome. both genders will be included. The study involves 22 DS aged 3-8, will be assigned using lottery method, the participants will be randomly divided into two groups. One group will be given Cuevas Medek Exercises and the other with Rebound exercises. SAMU-Disability Fitness (DISFIT) battery will be used to assess the Physical Fitness in Down syndrome. Both groups will be given three treatment session per week for 12 weeks and total time for each session will be 30-45 minutes. . Data will be analyzed through SPSS version 26.0

Conditions

Down Syndrome

Keywords

Cuevas Medek Exercise, Rebound Exercise, Down syndrome

Outcome Measures

Primary Outcomes (1)

• SAMU-DISFITT Battery for Physical fitness

  The SAMU-DISFIT battery is a reliable and feasible physical fitness battery which has been created with the purpose of establishing tests which measure the four basic components of PF (flexibility, cardiorespiratory fitness, musculoskeletal fitness and motor fitness) in DS. physical fitness (PF) of child with DS: Body Mass Index (BMI), Waist Circumference

  Baseline,12 weeks

Study Arms (2)

Experimental:11 children of DS will be given Cuevas Medak Exercises for 12 weeks

EXPERIMENTAL

Baseline treatment will be applied to patient through following functional activities. Core strengthening exercises (isometrics) shall be given as a common treatment. This involved completing two sets of 15 repetitions with each repetition held for 5 seconds. The children in group 1 received Cuevas Medek exercise 3 times per week for 3 successive months. The patient was supported at board at the leg level with slight posterior support to maintain balance. After being lifted off the ground for a few seconds, gentle up and down oscillations were applied. The study utilized three wooden boxes with identical dimensions measuring 20cm x 40cm x 60cm each, along with a larger box, a wooden plate, and two planks of equal size measuring 17cm x 80cm. These items were arranged in various configurations to create structures such as slides, piano flaps, and stairs.

Other: Cuevas Medak Exercises

Expermental:11 children of DS will be given Rebound Exercises for 15 min

EXPERIMENTAL

Group b will receive Rebound exercise. Baseline treatment will be applied to patient. The children in group 2 received rebounding exercise 3 times per week for 3 successive months. Mini trampoline.Each rebounding session consisted of the following schedule: (3 min of rebounding) - (3 min rest) - (3 min of rebounding) - (3 min rest) - (3 min of rebounding). Thus, one treatment session corresponded to 9 min of rebounding exercise (21). side sitting and high kneeling); bouncing and / or being bounced without leaving the surface of the trampoline.

Other: Cuevas Medak Exercises

Interventions

Cuevas Medak Exercises OTHER

Group A 11 children of DS will be given Cuevas Medak Exercises for 12 weeks and total time for each session will be 30-45 min. Group B 11 children of DS will be given Rebound Exercises for 15 min though this can be broken into multiple 3-5 min

Also known as: Rebound Exercises

Experimental:11 children of DS will be given Cuevas Medak Exercises for 12 weeks; Expermental:11 children of DS will be given Rebound Exercises for 15 min

Eligibility Criteria

• Age: 3 Years - 8 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Children with Down syndrome
• Age 3-8 years Both genders
• Children who were able to understand the commands given to them.
• They were able to stand and walk independently.

You may not qualify if:

• Patients with medical conditions that would severely limit their participation in the study
• Hearing loss
• Contracture
• Musculoskeletal disorders,
• Atlanto-axial instability
• Cardiac anomalies
• Thyroid abnormality
• Seizures
• Uncorrected vision problems
• Orthopedic surgery or spasticity-reduction intervention

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Muhammad Nouman Ashraf

Lahore, Punjab Province, 54000, Pakistan

RECRUITING

Related Publications (1)

• Cabeza-Ruiz R, Alcantara-Cordero FJ, Ruiz-Gavilan I, Sanchez-Lopez AM. Feasibility and Reliability of a Physical Fitness Test Battery in Individuals with Down Syndrome. Int J Environ Res Public Health. 2019 Jul 27;16(15):2685. doi: 10.3390/ijerph16152685.

  PMID: 31357594 BACKGROUND

MeSH Terms

Conditions

Down Syndrome

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

Study Officials

• Ayesha Afzal, MS-PT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

IMRAN, PhD AMJAD, PHD

CONTACT

9233224390125; imran.amjad@riphah.edu.pk

Muhammad Asif Javed, MS-PT

CONTACT

923224209422; a.javed@riphah.edu.pk

Study Design

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

Model Details: This is a randomized clinical trial (RCT) designed to compare the effectiveness of two different exercises, Cuevas Medak Vs Rebound Exercises on physical Fitness of Down Syndrome. The study will involve 22 participants of both gender between the ages of 3-8 years. These participants will be randomly divided into two groups. children who will be able to understand the commands given to them. Using lottery method, the participants will be randomly divided into two groups. One group will be given Cuevas Medek Exercises and the other with Rebound exercises. SAMU-Disability Fitness (DISFIT) battery will be used to assess the Physical Fitness in Down syndrome. Both groups will be given three treatment session per week for 12 weeks and total time for each session will be 30-45 minutes. Data will be analyzed by using SPSS v 26.Sample size is 22 and is calculated by epitol

Study Record Dates

• First Submitted: November 18, 2025
• First Posted: November 25, 2025
• Study Start: October 22, 2025
• Primary Completion: January 30, 2026
• Study Completion: January 30, 2026
• Last Updated: November 25, 2025

Record last verified: 2025-11

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)