Effects of Vojta Therapy on Functional Mobility and Gait Parameters in Children With Down Syndrome
Effects of Vojta Therapy on Functional Mobility and Gait Parameter in Children With Down Syndrome
Riphah International University
28 participants
Oct 22, 2025
INTERVENTIONAL
Conditions
Summary
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.
Eligibility
Inclusion Criteria6
- 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
Exclusion Criteria5
- 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
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Interventions
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 in this position can help engage the extensor and flexor muscles of the spine, encouraging spinal alignment, limb movement, and balance development
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, and using a balance ball help to strengthen lower limb muscles and improve overall coordination.(30) Proprioceptive Activities: Including balance boards and foam pads for standing exercises can enhance proprioceptive feedback, essential for motor planning and gait adjustments
Locations(1)
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NCT07248267