RecruitingNot ApplicableNCT07484464

Effects of the Otago Exercise Program on Balance, Endurance, and Motor Coordination in Children With Down Syndrome

Effects of OTAGO Exercise Program On Balance, Endurance And Motor Coordination In Children With Down Syndrome

Sponsor

Riphah International University

Enrollment

30 participants

Start Date

Mar 2, 2026

Study Type

INTERVENTIONAL

Conditions

Down Syndrome

Summary

The study will use a quasi-experimental design conducted over ten months in pediatric physiotherapy departments of tertiary care hospitals and special education schools. It will include 30 children aged 6-14 years with mild to moderate intellectual disability, selected after eligibility screening and guardian consent. Outcomes will be assessed using BOT-2, Berg Balance Scale, MMSE-C, and Six-Minute Walk Test to measure motor skills, balance, cognition, and endurance. Ethical approval will be obtained from the Research Ethical Committee of Riphah International University, Lahore, and data will be analyzed using SPSS version 26.0.

Eligibility

Min Age: 8 YearsMax Age: 14 Years

Inclusion Criteria4

• Clinically diagnosed with Trisomy 21.
Aged between 8-14 years.(29)
Able to follow basic verbal instructions.
Ambulatory with or without assistive devices

Exclusion Criteria4

• Severe visual or auditory impairments.
Patient with moderate to severe cognitive impairments. (29)
Co-morbid neurological conditions (e.g., uncontrolled seizures, cerebral palsy).
Cardiac contraindications to moderate physical activity

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Interventions

OTHEROTAGO Exercises

1. WarmUp (510 mins) Marching on the spot Gentle arm swings Neck, shoulder, ankle movements 2. Strength Exercises (3 times/week using ankle weights): Knee Extensions (seated leg straightening) Knee Flexions (standing leg curls) Hip Abductions (leg lifts to the side) Hip Extensions (leg lifts backward) Calf Raises (rise onto toes, holding support) Toe Raises (lift toes while heels remain on ground) 3. Balance Exercises (at least 3 times/week): Heel to Toe Stand One Leg Stand Sit to Stand (from a chair, arms crossed) Turning Around (slow 360 degree turns) Backwards Walking Walking and Turning Head Sideways Walking Stair Climbing 4. Walking Plan: At least 30 minutes of walking, twice weekly 5. Progression: Gradually increase intensity, duration, repetitions 6. Duration: Typical duration 8 weeks