Effects of Plyometric Exercises on Static and Dynamic Balance of Children With Down,s Syndrome.

• ClinicalTrials.gov Identifier: NCT05951543
• Recruitment Status: Completed
• First Posted: July 19, 2023
• Last Update Posted: November 13, 2023
• Sponsor: Riphah International University
• Information provided by (Responsible Party): Riphah International University

Study Description

Brief Summary:

Down syndrome is a condition in which a person has an extra chromosome. Typically, a baby is born with 46 chromosomes. Down syndrome is a genetic condition that causes mild to serious physical and developmental problems. Symptoms associated with the syndrome include mental retardation, distinctive facial characteristics, and increased risk for heart defects and digestive problems, which can range from mild to severe.. Early treatment programs can help improve skills. They may include speech, physical, occupational, and/or educational therapy. The aim of the the current study is to determine the effects of plyometric exercise on static and dynamic balance in children with Down syndrome

Condition or disease	Intervention/treatment	Phase
Down Syndrome	Other: plyometric exercises; Other: dynamic balance group control group	Not Applicable

Detailed Description:

This will be a randomized controlled trail. After approval from ethical committee, data will be collected from rising sun institute of special education, Lahore. Total sample size will be 20 and there will be two groups. Group A will be given with Standard Physical therapy treatment twice a week for 8 weeks. While group B will be given with plyometric exercises along with standard physical therapy treatment twice a week for 8 weeks. Patients will be evaluated before and after the intervention on Pediatric balance scale, time up and go test, five times sit to stand. Data will be analyzed on SPSS 26.0 and necessary analysis will be done after checking the normality of data.

Study Design

• Study Type: Interventional (Clinical Trial)
• Actual Enrollment: 20 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Intervention Model Description: It is a randomize control trail ,used to evaluate the effects of plyometric exercises on static and dynamic balance of children with down syndrome.subjects with down syndrome meeting the predetermine inclusion and exclusion criteria will be devided into two groups using simple random sampling technique.
• Masking: Single (Participant)
• Masking Description: participants will get separate treatment protocols and possible efferts will be put to mask the both groups about their treatment
• Primary Purpose: Treatment
• Official Title: Effects of Plyometric Exercises on Static and Dynamic Balance in Children With Down,s Syndrome
• Actual Study Start Date: May 23, 2023
• Actual Primary Completion Date: August 31, 2023
• Actual Study Completion Date: September 15, 2023

Arms and Interventions

Arm	Intervention/treatment
Experimental: plyometric group; Experimental group will be given baseline exercises along with plyometric exercises such as Vertical jump, run and jump, drop jump (jump height between 40 and 50 cm) drop jump and horizontal jump with same height from 3rd week.particepents perform exercises carrying medicine balls. Participants will place their hands on the wall and performed foot stretches with the feet apart, 30 to 50 cm from the wall. Side row, biceps stretch and frontal row. Throwing and receiving, with a distance between 3 to 4 m.	Other: plyometric exercises; Experimental group will be given baseline exercises along with plyometric exercises such as Vertical jump, run and jump, drop jump (jump height between 40 and 50 cm) drop jump and horizontal jump with same height from 3rd week.particepents perform exercises carrying medicine balls. Participants will place their hands on the wall and performed foot stretches with the feet apart, 30 to 50 cm from the wall. Side row, biceps stretch and frontal row. Throwing and receiving, with a distance between 3 to 4 m.; Other Name: Balance
dynamic balance group control group; Control group will be given with the standard physical therapy intervention that includes progressive resistance training that will be performed using weights, two sets of 10 repetitions will be given for each muscle group, resistance will be increased by ½ Kg as children are able to complete without undue stresses); balance exercises (stand on a balance board, one-leg stance, heal-to-toes stance, walking on balance board, walking on a balance beam, walking on a line, and walking on the inclined surface); flexibility exercises	Other: dynamic balance group control group; Control group will be given with the standard physical therapy intervention that includes progressive resistance training that will be performed using weights, two sets of 10 repetitions will be given for each muscle group, resistance will be increased by ½ Kg as children are able to complete without undue stresses); balance exercises (stand on a balance board, one-leg stance, heal-to-toes stance, walking on balance board, walking on a balance beam, walking on a line, and walking on the inclined surface); flexibility exercises

Outcome Measures

Primary Outcome Measures :

1. Balance and standing [ Time Frame: 8 weeks ]
   Paediatric berg balance scale

Eligibility Criteria

• Ages Eligible for Study: 6 Years to 12 Years (Child)
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: No

Criteria

Inclusion Criteria:

• 6 to 12 years of age both genders will be included.
• Children with medical diagnosis of DS.
• Able to follow the command

Exclusion Criteria:

• Recent injury to lower extremities.
• Children with cerebral palsy and other neuromuscular disease will be excluded.

Contacts and Locations

Locations

Pakistan

Riphah International University

Lahore, Punjab, Pakistan

Sponsors and Collaborators

Riphah International University

Investigators

• Principal Investigator: Ayesha Khalid, MS; Riphah International University

More Information

Publications:

Elnaggar RK. Effects of plyometric exercises on muscle-activation strategies and response-capacity to balance threats in children with hemiplegic cerebral palsy. Physiother Theory Pract. 2022 Sep;38(9):1165-1173. doi: 10.1080/09593985.2020.1833389. Epub 2020 Oct 12.

• Responsible Party: Riphah International University
• ClinicalTrials.gov Identifier: NCT05951543
• Other Study ID Numbers: REC/RCR&AHS/23/0709
• First Posted: July 19, 2023
• Last Update Posted: November 13, 2023
• Last Verified: November 2023

Individual Participant Data (IPD) Sharing Statement:

• Plan to Share IPD: No

• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No

Keywords provided by Riphah International University:

Balance, Dynamic, Down syndrome, Plyometric, Static.

Additional relevant MeSH terms:

Down Syndrome; Syndrome; Disease; Pathologic Processes; Intellectual Disability; Neurobehavioral Manifestations; Neurologic Manifestations; Nervous System Diseases; Abnormalities, Multiple; Congenital Abnormalities; Chromosome Disorders; Genetic Diseases, Inborn