Effect of Core Stability Exercises and Balance Training in Postural Control Among Down Syndrome

Study Overview
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Brief Summary
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Children with Down syndrome often present with problems of posture & balance and mobility. Balance training is an important component of physical activity interventions, with growing evidence that it can be beneficial for children with DS. Objective: To determine the effect core stability exercises and balance training in postural control among Down syndrome.

Detailed Description
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This study was a randomized clinical trail. Children with Down Syndrome were determined on inclusion & exclusion criteria. Children with Down syndrome were arbitrarily allocated into two groups with ages ranged from 5 to 17 years. The sample size was 20 patients. They were assigned randomly into two groups. Group 1 received balance training and Group 2 received core stability exercises. The duration of treatment was 6 weeks. Data is collected from Comprehensive Rehabilitation center Chakwal Postural stability was evaluated pre and post treatment by pediatric berg balance scale. Values which were obtained after this intervention were analyzed for any change using SPSS

Official Title
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Effect of Core Stability Exercises and Balance Training in Postural Control Among Down Syndrome

Conditions
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Down Syndrome

Intervention / Treatment
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* Other: BALANCE TRAINING
* Other: CORE STABILITY EXERCISES


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Trisomy 21 by genetic karyotype A confirmed diagnosis of Down syndrome by a paediatric neurologist, having no neurological or mobility disorders, independent standing and walking abilities, Joint Laxity , low muscle tone and psychomotor development deficits Normal vision and hearing Exclusion Criteria: A history of congenital heart defects and orthopedic surgery in the past year and severe mental retardation. Seizure Severe visual or auditory disturbances, Weight less than the 3rd percentile of Down syndrome Multiple sclerosis or epilepsy

Ages Eligible for Study
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Minimum Age: 5 Years
Maximum Age: 17 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: Balance training<br>Balance training Trunk, head, and upper limbs rotation from kneeling. Upper limbs flexion and extension with simultaneous head movement from kneeling. Pelvic bridging followed by raising one lower limb and extending knee. Lifting opposite upper and lower limbs from Quadruped position. 6-Heel and toe raises, alternate rising ofthe right and left feet above the floor, and tandem standing. 7-Weight shifting forward. backward, sideward, and diagonally with eyes opened and eyes closed | Other: BALANCE TRAINING<br>* Trunk, head, and upper limbs rotation from kneeling. 2- Upper limbs flexion and extension with simultaneous head movement from kneeling. 3-Pelvic bridging followed by raising one lower limb and extending knee. 4-Lifting opposite upper and lower limbs from Quadruped position. 6-Heel and toe raises, alternate rising of he right and left feet above the floor, and tandem standing. 7-Weight shifting forward. backward, sideward, and diagonally with eyes opened and eyes closed<br>|
| Active Comparator: Core stability exercise<br>Core stability exercises: Abdominal bracing while lying in supine position. Abdominal bracing with heel slide while lying in supine position. Abdominal bracing with Leg lifts while lying in supine position. Abdominal bracing with bridging while lying in supine position. Abdominal bracing while Standing 6-Abdominal bracing while walking. 7-Quadra pod arm lifts with bracings while Quadra pod position. 8-Quadra pod alternate arm and leg lifts with bracing while Quadra pod position. 9-Side plank with knee flexion while side lying. 10-Side plank with knee extension while side lying. | Other: CORE STABILITY EXERCISES<br>* Abdominal bracing while lying in supine position. Abdominal bracing with heel slide while lying in supine position. Abdominal bracing with Leg lifts while lying in supine position. Abdominal bracing with bridging while lying in supine position. Abdominal bracing while Standing.-Abdominal bracing while walking. 7-Quadra pod arm lifts with bracings while Quadra pod position. 8-Quadra pod alternate arm and leg lifts with bracing while Quadra pod position. 9-Side plank with knee flexion while side lying. 10-Side plank with knee extension while side lying<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pediatric Berg balance scale | The Pediatric Balance Scale is a modified version of the Berg Balance Scale that is used to assess functional balance skills in CP children . The scale consists of 14 items that are scored from 0 points (lowest function) to 4 points (highest function) with a maximum score of 56 points. | 2 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Down syndrome, Core stability, Postural Control, Pediatric Berg balance scale