Adapted Frenkle Exercises Versus Dynamic Balance Training in School Going Children

NCT07619807 | Not Yet Recruiting

• 1 other identifier: RiphahIU- Mehwish
• Study Type: interventional
• Target: 36
• Locations: 1 country
• Sites: 1

Brief Summary

A randomized clinical trial will be conducted at Realm Educational School. Children aged 6-12 years will be randomly assigned to either the AFE or DBT group using convenient sampling. Participants must be physically active and free from neurological, orthopedic, or cognitive impairments, while those with sensory impairments or recent musculoskeletal injuries will be excluded. Outcome measures will include the Pediatric Balance Scale (PBS), Y-Balance Test, Observational Gait Scale (OGS), Timed Up and Go (TUG) test, and BOT-2. Pre- and post-intervention assessments will evaluate the effectiveness of both interventions on balance, gait, mobility, and motor coordination.

Conditions

Healthy Children

Keywords

Balance, Motor coordination, Gait, Frenkel Exercises

Outcome Measures

Primary Outcomes (5)

• Pediatric Balance Scale

  Assesses functional balance in children through 14 task-based items. Scale Range: 0-56 Interpretation: Higher scores indicate better balance performance.

  10 weeks

• Y Balance Test - Pediatric version

  The Y Balance Test is a dynamic balance assessment that measures a child's ability to maintain single-leg stance while reaching in three directions: anterior, posteromedial, and posterolateral. Scale Range: Reach distance measured in centimeters (%) normalized to limb length. Interpretation: Higher reach distances indicate better dynamic balance and postural control.

  10 weeks

• Observational Gait Scale

  Evaluates gait parameters, including stance, swing, and foot placement during walking. Scale Range: 0-22 Interpretation: Higher scores indicate better gait performance.

  10 weeks

• Timed Up and Go Test

  Measures functional mobility and dynamic balance during sit-to-stand, walking, turning, and sitting. Scale Range: Measured in seconds (no fixed minimum or maximum score). Interpretation: Lower completion times indicate better functional mobility and balance performance.

  10 weeks

• Bruininks-Oseretsky Test of Motor Proficiency (BOT-2) - Selected subtests

  Assesses gross motor coordination, bilateral coordination, and balance in children.

  10 weeks

Study Arms (2)

Adapted Frenkle Exercises

EXPERIMENTAL

For 10 weeks, 40 minutes session, twice a week. Frenkle Exercises will be perform from simple to complex ones. These are coordinated exercises that improve motor function, proprioception and balance.

Behavioral: Adapted Frenkle Exercises

Dynamic Balance Training

EXPERIMENTAL

For 10 weeks, dynamic balance training will be performed for 40 minutes in each session. These activities involve the sensory system and require muscle power and coordination.

Behavioral: Dynamic Balance Training

Interventions

Adapted Frenkle Exercises BEHAVIORAL

Participants will receive adapted Frenkel exercises progressing from simple to complex movements, focusing on controlled, precise lower-limb movements to improve coordination and balance. Sitting: Controlled leg movements (side leg placement to floor markers, drawing shapes with toes, slow leg lifts). Standing: Marching in place, side leg lifts, and controlled weight shifting. Walking drills: Straight-line walking with visual cues, step-and-stop walking, and figure-8 walking to negotiate obstacles.

Adapted Frenkle Exercises

Dynamic Balance Training BEHAVIORAL

Participants will receive dynamic balance training emphasizing postural control, coordination, strength, and functional balance through varied movement tasks. Mat-based balance exercises Rope activities (e.g., jumping) Balance equipment and ground-based balance tasks Paired movements, rhythm and coordination activities, stepping stones, and non-dominant limb tasks

Dynamic Balance Training

Eligibility Criteria

• Age: 8 Years - 10 Years
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17)

You may qualify if:

• Healthy school-going children aged 8-10 years
• Both male and female participants
• No history of neurological, orthopedic, or developmental disorders
• Informed parental consent and child assent obtained
• MMSE score ≥ 24
• TUG score \< 20 seconds
• Pediatric Berg Balance Scale score ≥ 40

You may not qualify if:

• History of diagnosed balance or coordination issues.
• Children with orthopedic and motor impairments.
• Behavior or attention disorders limiting participation.
• Neuromuscular conditions, Visual and mental disorders

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Riphah Rehabilitation Center, Riphah International University

Lahore, Punjab Province, 54000, Pakistan

Location

Related Publications (1)

• Mani H, Miyagishima S, Kozuka N, Inoue T, Hasegawa N, Asaka T. Development of the Relationships Among Dynamic Balance Control, Inter-limb Coordination, and Torso Coordination During Gait in Children Aged 3-10 Years. Front Hum Neurosci. 2021 Oct 28;15:740509. doi: 10.3389/fnhum.2021.740509. eCollection 2021.

  PMID: 34776908 BACKGROUND

Study Officials

• Mehwish Javed, MS-PPT

  Riphah International University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Imran Amjad Phd

CONTACT

03324390125; imran.amjad@riphah.edu.pk

Khadija Liaquat MS-NMPT

CONTACT

khadijaliaquat90@gmail.com

Study Design

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

Study Record Dates

• First Submitted: December 14, 2025
• First Posted: June 2, 2026
• Study Start: June 1, 2026
• Primary Completion: July 1, 2026
• Study Completion: August 1, 2026
• Last Updated: June 2, 2026

Record last verified: 2026-06

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)