Effects of Vojta Therapy on Functional Mobility and Gait Parameters in Children With Down Syndrome

Официальное название

Effects of Vojta Therapy on Functional Mobility and Gait Parameter in Children With Down Syndrome

Обзор

This randomized clinical trial investigates the effects of Vojta therapy on functional mobility and gait parameters in children with down syndrome. The study involves 28 male and female children aged 2-10 years old, who will be randomly assigned to one of the two groups i.e. control and experimental group. Key performance outcomes -GMFM 88 and gait outcome assessment -will be assessed both before and after the intervention. The research aims to evaluate the effects of vojta therapy on functional mobility and gait parameters in children with down syndrome. This RCT study will examine the potential key parameters of gait I.e. its spacial parameters that are step length, stride length, stride width, In and out toe and BOS and functional mobility Data will be analyzed through SPSS version 27.00.

Подробное описание

This randomized clinical trial provides a detailed effects of Vojta therapy on functional mobility and gait parameters in children with down syndrome. The study is grounded to evaluate the effects of vojta therapy on functional mobility and gait parameters in children with down syndrome. This RCT study will examine the potential key parameters of gait I.e its spacial parameters that are step length , stride length , stride width ,In and out toe and BOS and functional mobility and this study will add potential information in field of pediatrics by examining whether vojta therapy an effective therapeutic intervention over conventional therapeutic plan of care .The study will give the evidence based therapeutic intervention for improvement of DS patient's quality of life and overall mobility .study will be helpful for broader application of reflexive therapies if study will yield supporting results for treating children of down syndrome and their improving their alarming functional mobility and gait commodities.

The study will recruit 28 children with down syndrome between the ages of 2 and 10, who will be randomly assigned to either to control and experimental intervention group for a eight-week period. Performance will be measured using standardized tools that are GMFM 88 and gait outcomes parameters. These assessments will be conducted at baseline before the intervention begins and again immediately following the eight-week intervention given period. The collected data will be analyzed to evaluate the in-between differences of effects of intervention on both groups , with statistical adjustments for baseline values to ensure a robust comparison. The findings are expected to give the evidence based therapeutic intervention for improvement of DS patient's quality of life and overall mobility .study will be helpful for broader application of reflexive therapies if study will yield supporting results for treating children of down syndrome and their improving their alarming functional mobility and gait commodities. Data will be analyzed through SPSS version 27.00.

Вмешательства

• Другое Vojta Therapy
  The intervention group received Vojta therapy. Vojta therapy was implemented by stimulating the chest zone, which is located between the 7th and 8th rib, use of additional zones was allowed to support the activation. The starting positions for Vojta therapy were supine or side-lying position with the head turned 30°toward the side being stimulated or side-lying. Patients were treated for 30 min.Vojta defined two main movements: Reflex crawling: Stimulating key points on the shoulders and pelvis
• Другое repetitive sensorimotor exercises
  The intervention should focus on strength training i.e:Core Stability and Trunk Control Exercises: Target Muscles: Core stability exercises focus on strengthening the muscles of the trunk, essential for postural control and balance. Exercises: Activities like sit-to-stand exercises, balance board training, and core strengthening using resistance bands are commonly used. Balance and Coordination Training :Dynamic Balance Exercises: Activities such as standing on one leg, heel-to-toe walking, a

Первичные конечные точки

• 1. GMFM-88 scale [Срок оценки: 8 weeks]

Критерии участия

Критерии включения

• Age: 2-10 years old
• Confirmed diagnosis of Down syndrome by pediatric neurologist.
• Written informed consent obtained from parents or guardians.
• Independent standing and walking abilities assessed by GMFM dimension D and E.
• Functional hearing and vision, and understanding of instructions which were necessary for the measurement procedures
• No other physical therapy or interventions within the past three months

Критерии исключения

• Presence of other significant medical conditions (e.g., severe cardiac issues).
• History of orthopedic surgery or significant musculoskeletal issues affecting mobility.
• Any additional neurological disorders that could confound results.
• Patient with Serious cognitive \& behavior issues that would interfere with group participation.
• Participation in other clinical trials during the study period

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Да

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Другое

Центры проведения

Пакистан · 1 центр

• Hashim — Lahore

Публикации

• Panchal R, Rizvi MR, Sharma A, Ahmad F, Hasan S, Shaik AR, Seyam MK, Uddin S, Ahamed WM, Iqbal A, Alghadir AH. Comparing the effectiveness of the FIFA 11+ warm-up and conventional warm-up in enhancing cyclist performance and mitigating injury risk. Sci Rep. 2025 Mar 19;15(1):9430. doi: 10.1038/s41598-025-91005-z. PMID 40108222

Идентификаторы

NCT: NCT07248267 · REC/RCR&AHS/AYESHA

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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