Effect Of Pilates On Postural Control And Balance In Children With Down's Syndrome

Riphah International University22 enrolled

Overview

Down's syndrome (DS) is a genetic condition characterized by the presence of an extra chromosome 21, leading to various clinical symptoms. Individuals with DS often experience challenges in balance, posture, and motor skills, which can impact their daily activities. Pilates activities focus on the concept of control of muscles. Pilates increases trunk flexibility, abdominal and core strength and endurance, and deep core muscle activation hence improving balance and posture.

The study will be randomized controlled trial used to evaluate the effectiveness of pilates on posture and balance in children with down's syndrome. Subjects with down's syndrome meeting the pre-detremined inclusion and exclusion criteria will be divided into two groups using non-probability sampling technique. Assessment will be done using Pediatric balance scale(PBS) and Timed up and go test (TUG).). Control group will receive regular physical therapy with balance training and experimental group will receive regular physical therapy+ Pilates.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Down Syndrome

Interventions

Pilates exerciseOTHER

Patients in this group will be treated with pilates exercise and conventional physical therapy as baseline treatment.

Balance trainingOTHER

Patients in this group will be treated with balance training and conventional physical therapy as baseline treatment.

Eligibility

Sex: ALLMin age: 6 YearsMax age: 12 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Down's syndrome children with age between 6 and 12 years. * The ability to execute required motor skill proficiency and executive function tests. * The capacity to walk and stand by oneself Exclusion Criteria: * • Children who are not able to comprehend commands. * Associated cardiovascular and orthopedic condition. * Loss of functional hearing and vision or a related respiratory disease. * History of traumatic injury * History of previous surgery * Inability of parents to understand the procedure and their unwillingness to participate

Locations (1)

Riphah International University

Lahore, Punjab Province, Pakistan

Outcomes

Primary Outcomes

Pediatric Balance Scale

This tool is used for assessing change from baseline. The PBBS is easy to administer, does not require specialized equipment, and can be completed in \<20 minutes. A 0 to 4 grading scale provides a quantitative and qualitative measure of performance. It involves 14 mobility tasks, with the tasks varying in degrees of difficulty. The tasks are divided into 3 domains: sitting balance, standing balance, and dynamic balance. PBS has high validity and reliability of 0.98. 41-56= low fall risk, 21-40= medium fall risk, 0-20=high risk

Time frame: 12 weeks

Secondary Outcomes

Timed up and go test

TUG is a simple test used to assess a person's mobility and evaluate both static and dynamic balance. It uses the time that a person takes to rise from a chair, walk three meters, turns around 180 degrees, walk back to the chair and sit down while turning 180 degrees. Interpretation: ≤ 10 seconds= normal. A score of ≥ 14 seconds has been shown to indicate high risk of fall. ICC value for interrater reliability between 2 authors' TUG times for 20 randomly selected patients was .96.

Time frame: 12 weeks

Data from ClinicalTrials.gov

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