Manual Ankle Rocking Training on Postural Control and Foot Function in Children With Down Syndrome
Study Details
Study Description
Brief Summary
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
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Manual ankle rocking training Group will receive manual ankle rocking training with lower limb exercise and core strengthening of trunk |
Other: Manual ankle rocking training
Group will receive manual ankle rocking training with lower limb exercise and core strengthening of trunk
Other: Conventional
Group will receive lower limb exercises and core strengthening of trunk. Sessions will be 4 days in a week
|
| Active Comparator: conventional Group will receive lower limb exercises and core strengthening of trunk. Sessions will be 4 days in a week |
Other: Conventional
Group will receive lower limb exercises and core strengthening of trunk. Sessions will be 4 days in a week
|
Outcome Measures
Primary Outcome Measures
- Changes in foot function index score [Baseline and 9th week]
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.
- Static standing balance test [baseline and 9th week]
Static standing balance test for postural control and stability
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Diagnosed children with down syndrome
-
Age 8 to 15
-
Both gender (male and female)
Exclusion Criteria:
-
Musculoskeletal contractures
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Visual or other sensory input impairment
-
Any surgical procedure
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Rising Sun Institute For Special Children, Lahore | Lahore | Punjab | Pakistan | 54000 |
Sponsors and Collaborators
- Riphah International University
Investigators
- Principal Investigator: Sidra Afzal, PP-DPT, Riphah International University
Study Documents (Full-Text)
None provided.More Information
Publications
- Balan V, Georgescu M. Postural control in Down syndrome subjects. European Proceedings of Social and Behavioural Sciences. 2019;11.
- Brugnaro BH, Oliveira MFP, de Campos AC, Pavão SL, Rocha NACF. Postural control in Down syndrome and relationships with the dimensions of the International Classification of Functioning, Disability and Health - a systematic review. Disabil Rehabil. 2022 Jun;44(11):2207-2222. doi: 10.1080/09638288.2020.1830439. Epub 2020 Oct 13.
- Chen HL, Yeh CF, Howe TH. Postural control during standing reach in children with Down syndrome. Res Dev Disabil. 2015 Mar;38:345-51. doi: 10.1016/j.ridd.2014.12.024. Epub 2015 Jan 13.
- Eltohamy AM, Mahran MA, Elassal MI, Kamel AH. Ankle Rocking Training and Functional Abilities in Children with Cerebral Palsy. The Egyptian Journal of Hospital Medicine. 2021;85(1):3301-5
- Palomba A, Perez D, Tafuri D. THE EFFECTS OF PHYSICAL ACTIVITY ON BALANCE AND POSTURAL CONTROL IN PEOPLE WITH DOWN SYNDROME.
- Shields N, Lim P, Wollersheim D, Nikolopoulos N, Barrett J, Evans A, et al. Do foot posture, deformity, and footwear fit influence physical activity levels in children with Down syndrome? A prospective cohort study. Journal of Intellectual & Developmental Disability. 2017;42(4):332-8
- Wang HY, Long IM, Liu MF. Relationships between task-oriented postural control and motor ability in children and adolescents with Down syndrome. Res Dev Disabil. 2012 Nov-Dec;33(6):1792-8. doi: 10.1016/j.ridd.2012.05.002. Epub 2012 Jun 13.
- Zago M, Duarte NAC, Grecco LAC, Condoluci C, Oliveira CS, Galli M. Gait and postural control patterns and rehabilitation in Down syndrome: a systematic review. J Phys Ther Sci. 2020 Apr;32(4):303-314. doi: 10.1589/jpts.32.303. Epub 2020 Apr 2. Review.
- REC/RCR & AHS/22/0704