Retro Walking With and Without Bosu Ball for Balance and Mobility in Hearing Impaired Children

NCT07578909 | Recruiting

• 1 other identifier: REC/RCR&AHS/24/Salma Kanwal
• Study Type: interventional
• Target: 24
• Locations: 1 country
• Sites: 1

Brief Summary

his randomized controlled trial aims to evaluate the effects of retro walking with and without BOSU ball training on balance and mobility in hearing-impaired children aged 8-12 years. A total of 24 participants will be divided into experimental and control groups. The experimental group will receive retro walking along with BOSU ball training, while the control group will perform retro walking only for 8 weeks. Balance and mobility will be assessed using the Pediatric Balance Scale, Timed Up and Go Test, and One-Leg Stance Test. Data will be collected from specialized schools in Lahore and analyzed using SPSS 27. Ethical approval will be obtained prior to study commencement.

Conditions

Hearing Impaired Children

Keywords

Hearing loss; Balance; Bosu ball; Retro walking

Outcome Measures

Primary Outcomes (3)

• Pediatrics Balance Scale

  The Pediatric Balance Scale (PBS) is a valid and reliable test used to assess functional balance in children. It includes 14 simple activity-based tasks scored out of 56, where higher scores indicate better balance. The test is quick to administer and commonly used in children with balance impairments, including hearing loss.

  Baseline, 8weeks

• Time Up and Go Test

  The Timed Up and Go Test (TUG) is a reliable and valid tool used to assess functional mobility and dynamic balance in children aged 3-18 years. It has strong test-retest, intra-rater, and inter-rater reliability and correlates well with other measures of balance, strength, and functional ability.

  Baseline, 8weeks

• Single leg stance test

  It is used to assess static balance by measuring how long a child can stand on one leg. The child maintains a specific posture while timing starts when one foot is lifted and stops when balance is lost or the foot touches the ground. Proper posture is required throughout, and the test is repeated if incorrect positioning occurs.

  Baseline, 8weeks

Study Arms (2)

Retro walking with bosu ball

EXPERIMENTAL

The experimental group will receive a structured balance and mobility training program that includes retro walking performed with the use of a Bosu ball. Participants will practice backward walking or the unstable surface of the Bosu ball.

Device: Bosu Ball

Retro walking without bosu ball

ACTIVE COMPARATOR

The control group will participate in a conventional balance and mobility training program involving retro walking on a stable, flat surface without the use of a BOSU ball. Participants will perform backward walking only under supervision.

Other: Retro walking

Interventions

Retro walking OTHER

The intervention consists of structured retro walking exercises designed to improve balance, coordination, and mobility. It includes variations such as knee and heel pulling, slalom movements, cross steps, skipping, and fast backward running with different body and foot positions. These activities are performed under supervision to enhance postural control, dynamic stability, and functional walking performance

Retro walking without bosu ball

Bosu Ball DEVICE

The BOSU ball intervention includes a series of balance and strength exercises performed in both stable (flat side up) and unstable (bouncy side up) positions. Activities involve weight shifting, circular foot movements, squats, single-leg stance, leg abduction, lunges, push-ups, and abdominal crunches to challenge stability. These movements are designed to improve balance, core strength, coordination, and functional mobility under controlled conditions.all these interventions for 8 weeks

Also known as: Retro Walking

Retro walking with bosu ball

Eligibility Criteria

• Age: 8 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Age 8 to 12 years.
• Children with hearing loss in right and left ear (bilateral).
• Children with hearing-impaired intensity over 61 dB.
• Both genders will be included.
• Balance cut off value \<45 on pediatrics balance scale.

You may not qualify if:

• Presence of neurologic disease.
• Hyperactivity and vision problems.
• Have any musculoskeletal disorders.
• Children with cochlear implant.
• Children with leg length discrepancy

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Govt. Deaf and Defective Hearing Model High School for girls, Rajgarh

Lahore, Punjab Province, 54000, Pakistan

RECRUITING

Related Publications (1)

• Duarte DSB, Cabral AML, Britto DBLA. Vestibular assessment in children aged zero to twelve years: an integrative review. Braz J Otorhinolaryngol. 2022 Nov-Dec;88 Suppl 3(Suppl 3):S212-S224. doi: 10.1016/j.bjorl.2022.09.006. Epub 2022 Oct 14.

  PMID: 36347786 BACKGROUND

MeSH Terms

Conditions

Hearing Loss

Condition Hierarchy (Ancestors)

Hearing Disorders; Ear Diseases; Otorhinolaryngologic Diseases; Sensation Disorders; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms

Study Officials

• Salma Kanwal, MS-PT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Imran Amjad, phD

CONTACT

03324390125; 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: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: May 5, 2026
• First Posted: May 11, 2026
• Study Start: April 15, 2026
• Primary Completion (Estimated): July 5, 2026
• Study Completion (Estimated): August 5, 2026
• Last Updated: May 11, 2026

Record last verified: 2026-05

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)