Clinical trial NCT06987188: Effects of Modified Pilates on Improving Trunk Control and Balance in Children With Mild Intellectual Disability
Official title: Effects of Modified Pilates on Improving Trunk Control and Balance in Children With Mild Intellectual Disability
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Mild Intellectual Disability
Keywords: Mild Intellectual Disability
Trunk control
Balance
Physical therapy
pilate exercises
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2025-05-23
Enrollment: 40
Sex: ALL
Minimum age (years): 6
Maximum age (years): 12
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: This study will be randomized controlled trial, conducted in Mind spark clinic, Lahore. This study will be completed in time duration of 8 weeks after the approval of synopsis. Non-probability convenience sampling technique will be used and 40 participants will be recruited in this study. Participants will be divided into two groups. Group A (Modified Pilates Exercises) and Group B (General Physiotherapy Plan). Tools will be used are Trunk control measurement (TCMS) and Pediatric Balance Scale (PBS). The data will be recorded at the baseline and after 8th week of intervention. After collection, data will be analyzed by using SPSS version 25.
Primary purpose: OTHER

Brief summary: This randomized controlled trial will be conducted at Spectrum Clinic, Lahore, over a duration of 8 weeks to assess the impact of Modified Pilates Exercises on trunk control in children with Intellectual Disability (ID). ID is characterized by below-average IQ and delays in cognitive and functional development, affecting independence and motor skills. Trunk control plays a crucial role in posture, movement coordination, balance, and daily activities. A total of 40 participants will be selected through non-probability convenience sampling and randomly assigned to two groups: Group A (Modified Pilates Exercises) and Group B (General Physiotherapy Plan). Outcomes will be measured using the Trunk Control Measurement Scale (TCMS) and Pediatric Balance Scale (PBS) at baseline and after 8 weeks. Data will be analyzed using SPSS version 25.

Detailed description: Intellectual Disability (ID) is a condition in which individuals experience below-average IQ. Although a variety of terms, including learning disabilities and mental retardation have been used when referring to people who have impairments that impact on their cognitive and adaptive functioning. ID refers to the onset of delayed developmental milestones, which impact on intellectual and functional development, hence independent functioning is likely to be significantly lower than that of the average person during their lifetime. Trunk control can help children with intellectual disabilities meet developmental milestones by helping them to maintain posture, navigate their surroundings, coordinate body part movement, module fine motor control, initiate vestibule oculomotor reflexes, use their hands for various activities, remain seated without falling over and kept their body aligned while walking, running and jumping.

This study will be randomized controlled trial, conducted in Spectrum clinic, Lahore. This study will be completed in time duration of 8 weeks after the approval of synopsis. Non-probability convenience sampling technique will be used and 40 participants will be recruited in this study. Participants will be divided into two groups. Group A (Modified Pilates Exercises) and Group B (General Physiotherapy Plan). Tools will be used are Trunk control measurement (TCMS) and Pediatric Balance Scale (PBS). The data will be recorded at the baseline and after 8th week of intervention. After collection, data will be analyzed by using SPSS version 25.

Eligibility criteria: Inclusion Criteria:

* Children aged 6-12 years.
* Diagnosed with mild intellectual disability (IQ 50-70)
* Ability to follow instruction and participate in Pilates Exercises
* No significant physical or neurological conditions that could affect participants

Exclusion Criteria:

* Severe intellectual disability(IQ\<50)
* Significant physical and neurological conditions (Cerebral palsy, Spinal Cord Injury)
* Visual and Hearing impairments that could impact participation

Primary outcomes:
measure: Trunk Control Measurement Scale (TCMS)
timeFrame: Baseline, 4th week, 8th week
measure: Pediatric Berg Balance Measurement Scale (PBBMS)
timeFrame: Baseline, 4th week, 8th week
Secondary outcomes:
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Rising Sun Institute
state: Pinjab
Study officials:
affiliation: Riphah International University
name: Khansa Khizar, MS-PPT
role: PRINCIPAL_INVESTIGATOR
References:
citation: Balayi E, Sedaghati P, Ahmadabadi S. Effects of neuromuscular training on postural control of children with intellectual disability and developmental coordination disorders : Neuromuscular training and postural control. BMC Musculoskelet Disord. 2022 Jul 2;23(1):631. doi: 10.1186/s12891-022-05569-2.