Effect of Whole Body Vibration Versus Core Stability Exercises on Balance and Muscle Strength in Children With Down Syndrome

Study Overview
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Brief Summary
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Children had Down syndrome often have impaired balance and postural control and result as less active than their peers that can lead to reduced quality of life and movement skills. Effects of physical activity may be important in preventing falling risk and health consequences in those children

Detailed Description
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Sixty children from both genders (boys and girls) participated in this study, their ages ranged from 10 to 16 years and they were randomized into three groups of same number (A, B and C). Groups (A) received conventional physical therapy program, group (B) received the same conventional physical therapy program of group (A) and core stability exercises while group (C) received the same conventional physical therapy program of group (A and B) and whole body vibration exercise

Official Title
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Improvement of Whole Body Vibration and Core Stability Exercises on Muscle Strength in Down Syndrome Children

Conditions
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Down Syndrome

Intervention / Treatment
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* Other: Conventional physical therapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Aged between 10 to 16 years. Able to recognize commands given to them. Understand our verbal command and encouragement. Stand and walk independently without repeated falling. Exclusion Criteria: Children with any neurological (signs of epilepsy and instability of atlantoaxial joint). Musculoskeletal, or mobility disorders. Cardiac anomalies. Vision or hearing loss.

Ages Eligible for Study
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Minimum Age: 10 Years
Maximum Age: 16 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

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
Interventional Model Description: Randomized control study
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Conventional physical therapy group<br>It consisted of 20 children received conventional physical therapy | Other: Conventional physical therapy<br>* Standing with feet together while the therapist was sitting behind and manually locking the child knees. Step standing with the therapist behind the child. High step standing and trying to keep balanced. The child stood on exercise mattress. Single leg stance unilateral standing with assistance. The child was standing on exercise mattress. Standing on a declined surface by using wedge. The child was standing on wedge towards the descending direction. Standing with manual locking of the knees. Changing position. Gait training. Static and dynamic muscle contraction.<br>* Other names: Physical therapy program;|
| Experimental: Core stability exercises group<br>It consisted of 20 children received conventional physical therapy and core stability exercises | Other: Conventional physical therapy<br>* Standing with feet together while the therapist was sitting behind and manually locking the child knees. Step standing with the therapist behind the child. High step standing and trying to keep balanced. The child stood on exercise mattress. Single leg stance unilateral standing with assistance. The child was standing on exercise mattress. Standing on a declined surface by using wedge. The child was standing on wedge towards the descending direction. Standing with manual locking of the knees. Changing position. Gait training. Static and dynamic muscle contraction.<br>* Other names: Physical therapy program;|
| Experimental: Whole body vibration<br>It consisted of 20 children received conventional physical therapy and whole body vibration exercises | Other: Conventional physical therapy<br>* Standing with feet together while the therapist was sitting behind and manually locking the child knees. Step standing with the therapist behind the child. High step standing and trying to keep balanced. The child stood on exercise mattress. Single leg stance unilateral standing with assistance. The child was standing on exercise mattress. Standing on a declined surface by using wedge. The child was standing on wedge towards the descending direction. Standing with manual locking of the knees. Changing position. Gait training. Static and dynamic muscle contraction.<br>* Other names: Physical therapy program;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Biodex Balance System | it is a reliable and objective assessment in order to quantify dynamic balance | before intervention and after 12 weeks of intervention | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Hand-held dynamometer | It is a portable device (Nicholas Manual Muscle Tester, Model 01160; Lafayette Instrument, Lafayette, IN), characterized as low-cost and convenient method | before intervention and after 12 weeks of intervention | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Children; Core Stability Exercises; Down Syndrome; Whole Body Vibration