Effect of Cognitive-motor Training Versus Pilates Exercises on Postural Stability in Down Syndrome.
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: cognitive-motor training, pilates exercises.
- Who it may be relevant to
- Registry conditions: Children. Basic parameters: 8 years — 13 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Pakistan
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Official title
Effect of Cognitive-motor Training Versus Pilates Exercises on Postural Stability in Children With Down Syndrome.
Overview
The study will be randomized clinical trial. Data will be collected from City hospital, Mirpur AJK. Total thirty two subjects will be assigned randomly by using lottery randomization into two groups. Inclusion criteria for the study will include patients diagnosed with Down syndrome, age between 8 to 13 years, patient able to understand instructions necessary for intervention, independent standing and walking abilities. Patient with any heart deficit, visual or hearing disorder, mobility impairment and instability of atlantooccipital joint will be excluded. Group A will receive cognitive-motor training while group B will receive Pilates exercises. Treatment session will be of 8 weeks. Peadriatic balance scale and trunk control measurement scale will be used to assess postural stability. Measure will be taken at baseline and at the end of treatment session. The collected data will be analyzed in Statistical Package for the Social Sciences (SPSS) 23.00.If data be normally distributed then parametric if not normally distributed than non-parametric.
Detailed description
Postural instability or difficulty maintaining balance is a commom challenge in individuals with Down syndrome due to combination of hypotonia, joint laxity, delayed motor skills, sensory processing issues, cognitive and neurological differences, visual and vestibular challenges. In cognitive-motor training, both locomotor skills and object control exercises (dual tasks, dancing and rhythm games, reaction time exercises and puzzle game with physical exercises) will performed by participants. Pilates exercises includes bridging, hundred, single leg circles, alternate toe tap, ball wall squat will be performed by the participants. The aim of this study is to determine the effects of cognitive-motor training and Pilates exercises on postural stability in children with Down syndrome. The study will be randomized clinical trial. Data will be collected from City hospital, Mirpur AJK. Total thirty two subjects will be assigned randomly by using lottery randomization into two groups. Inclusion criteria for the study will include patients diagnosed with Down syndrome, age between 8 to 13 years, patient able to understand instructions necessary for intervention, independent standing and walking abilities. Patient with any heart deficit, visual or hearing disorder, mobility impairment and instability of atlantooccipital joint will be excluded. Group A will receive cognitive-motor training while group B will receive Pilates exercises. Treatment session will be of 8 weeks. Peadriatic balance scale and trunk control measurement scale will be used to assess postural stability. Measure will be taken at baseline and at the end of treatment session. The collected data will be analyzed in Statistical Package for the Social Sciences (SPSS) 23.00.If data be normally distributed then parametric if not normally distributed than non-parametric.
Interventions
- Other cognitive-motor training
. Warm-Up (5-10 minutes) Physical: Gentle stretching and simple movements like arm swings, leg lifts, or walking in place. Breathing exercises to promote relaxation and focus. Cognitive: Engage in simple attention exercises, such as pointing to different colors, naming objects, or counting aloud while performing light physical movements. Balance and Coordination (10-15 minutes) Activities, Dual-Task Training (20-30 minutes) ,Combining Cognitive and Motor Skills. Throwing and catching,Dance - Other pilates exercises
Pilates exercises protocol: In Supine, Make circles with one raised lower limb in a clockwise direction and then in a counter-clockwise direction. Ball wall squat Bridge In Crook lying position, lifting the pelvis of the mat. Hundred In Supine position,lifting the head, followed by lifting both legs 30 degrees with both knees flexed and then gradually with both knees extended. Alternate toe taps In Supine with 90 degrees flexion of both hips and knees. Alternate tapping of toes on the mat. Sing
Primary outcome measures
- Pediatric Balance Scale [Time frame: baseline,8 weeks]
Eligibility criteria
Inclusion criteria
- Patients diagnosed with Down syndrome.
- Age between 8 to 13 years.
- Patient able to understand instructions necessary for intervention.
- Independent standing and walking abilities.
- Both the genders will included.
Exclusion criteria
- Severe mental retardation.
- Any heart deficit.
- Visual impairments.
- Musculoskeletal or mobility disorder.
- Hearing impairements.
- Signs of epilepsy or instability of atlanto axial joint.
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Other
Study locations
Pakistan · 1 center
- Bilal Hussain — Islamabad
Publications
- Al-Nemr A, Reffat S. Effect of Pilates exercises on balance and gross motor coordination in children with Down syndrome. Acta Neurol Belg. 2024 Oct;124(5):1499-1505. doi: 10.1007/s13760-024-02517-w. Epub 2024 Apr 1. PMID 38558387
Identifiers
NCT: NCT07428837 · REC/RCR&AHS/FARAH NOREEN