Effects of Dohsa Hou Exercises on Functional Mobility

Riphah International University34 enrolled

Overview

Trisomy 21 is a condition where there's an extra chromosome 21, which leads to a set of clinical signs called Down syndrome. Down syndrome is one of the most complicated genetic conditions that can occur post-term and is the most commonly survivable form of aneuploidy of the autosomal chromosomes. Dohsa hou is a type of psychomotor therapy that helps improve psychological problems by using bodily movements, sensation and relaxation experience. It was first developed under the name psycho-rehabilitation to help children with cerebral palsy improve their movements and posture. By using Dohsa hou movement's issues were effectively addressed in children with cerebral palsy, despite their physical limitations being caused by physiological disorders. There are two kind of treatments of Dohsa hou exercises that are relaxation therapy to decrease the stress level in body and other one is to align the body to correct the posture and movements of the body.

This study will be a randomized control trial, used to compare the effects of Dohsa hou exercises on functional mobility in children with Down syndrome. Subjects with Down syndrome meeting the predetermined inclusion and exclusion criteria will be divided into two groups using simple random sampling techniques. Assessment will be done by using Test of trunk impairment scale and Time Up and Go Test. Subjects in one group will be treated with Dohsa hou therapy and in other group standard treatment protocol.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

SINGLE

Enrollment

Conditions

Down Syndrome

Eligibility

Sex: ALLMin age: 6 YearsMax age: 12 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Down syndrome 2. Age group of 6 to 12 years old 3. Male and female (both genders) 4. Body mass index (BMI) within normal range \<95% 5. Absence of any psychiatric and physical illness at the time of participation. Exclusion Criteria: 1. Uncontrolled seizures 2. Any kind of autoimmune diseases 3. Registered visually impaired or hearing issues 4. Severe atlanto axial instability 5. Congenital heart defects (CHD) 6. Unable or unwilling to understand the commands

Outcomes

Primary Outcomes

Trunk impairment scale

The trunk impairment scale will be used for this study to identify the balance and coordination in sitting and standing state. The assessment tool uses a 2 to 4 point ranking system for each item. The highest possible scores for the static and dynamic sitting balance and coordination scales are 7, 10 and 6 points. The TSI score can range from 0 to 23, with a score of 0 indicating minimal performance and a perfect score of 23.

Time frame: 6 weeks

Time up and go

Time up and go test will be used to assess the balance and stability of a children with different abilities. It involves timing how long it takes for a child to stand up from a chair, walk a short distance, turn around, walk back, and sit down while turning 180 degree. Interpretation: \< 10 seconds = normal, \< 20 seconds = good mobility, can go out alone, mobile without a gait aid. \< 30 seconds = problems, cannot go outside alone, requires a gait aid. A score of more than or equal to fourteen seconds has been shown to indicate high risk of falls.