Manual Ankle Rocking Training on Postural Control and Foot Function in Children With Down Syndrome

Study Overview
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Brief Summary
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Down syndrome occurs due to abnormal cell division of extra chromosome 21. It is a genetic disorder that causes postural un stability, leads to poor foot function and causes them difficulty that they can't fulfill their daily life activities and can't be independent. Strengthening exercise of lower limb and core strengthening of trunk muscle will provide postural stability and lower limb strengthening. Aim of this research is to determine the effects of manual Ankle rocking training on postural control and foot function in children with Down syndrome. Those who are diagnosed with down syndrome and are between age 8-15 and both of the genders are included in this research and those who have any surgical issue, visual impairment and musculoskeletal contractures are not included in the study we will use static standing balance test to check postural control and foot function index for Ankle rocking training from two group in which one will be given the baseline treatment of lower limb exercise and core strengthening with ankle rocking training and the other group without ankle rocking training and then the collected data will be analyzed by SPSS. 22

Official Title
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Effects of Manual Ankle Rocking Training on Postural Control and Foot Function in Children With Down Syndrome

Conditions
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Down S Syndrome

Intervention / Treatment
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* Other: Manual ankle rocking training
* Other: Conventional


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Diagnosed children with down syndrome Age 8 to 15 Both gender (male and female) Exclusion Criteria: Musculoskeletal contractures Visual or other sensory input impairment Any surgical procedure

Ages Eligible for Study
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Minimum Age: 8 Years
Maximum Age: 15 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Manual ankle rocking training<br>Group will receive manual ankle rocking training with lower limb exercise and core strengthening of trunk | Other: Manual ankle rocking training<br>* Group will receive manual ankle rocking training with lower limb exercise and core strengthening of trunk<br>Other: Conventional<br>* Group will receive lower limb exercises and core strengthening of trunk. Sessions will be 4 days in a week<br>|
| Active Comparator: conventional<br>Group will receive lower limb exercises and core strengthening of trunk. Sessions will be 4 days in a week | Other: Conventional<br>* Group will receive lower limb exercises and core strengthening of trunk. Sessions will be 4 days in a week<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Changes in foot function index score | A Foot Function Index (FFI) was developed in 1991 to measure the impact of foot pathology on function in terms of pain, disability and activity restriction. It is a self-administered index consisting of 23 items divided into 3 sub-scales. Both total and sub-scale scores are produced. | Baseline and 9th week | 
| Static standing balance test | Static standing balance test for postural control and stability | baseline and 9th week | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Down syndrome, Postural control, Postural stability, Balance