Effect of Aerobic Exercise on Static & Dynamic Balance in Children with Down Syndrome

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Usman Arif
Amina Shameen
Mubashra Tariq
Muhammad Aadil
Syed Muhammad Saad Hayat
Sahiba sabber


Background: Down syndrome, characterized by an extra chromosome 21, affects physical and developmental growth. Children with Down syndrome often exhibit impairments in balance and motor function, necessitating interventions that enhance physical capabilities and overall quality of life.

Objective: To evaluate the efficacy of aerobic exercises compared to standard physical therapy in improving static and dynamic balance in children with Down syndrome.

Methods: This randomized controlled trial included 20 children aged 5-12 years with Down syndrome, recruited from the Rising Sun Institute of Special Education. Participants were randomly divided into a control group, which received standard physical therapy, and an experimental group, which engaged in aerobic exercise (cycling) three times a week for 30 minutes over an 8-week period. The primary outcomes, static and dynamic balance, were assessed using the Pediatric Balance Scale (PBS) and the 6-Minute Walk Test (6MWT) before and after the intervention.

Results: The experimental group showed significant improvements compared to the control group. The mean changes in the Timed Up and Go test were reduced by 3.67 seconds (p < 0.05), the PBS scores increased by 10.23 points (p < 0.05), and the 6MWT distance extended by 66.11 meters (p < 0.05).

Conclusion: Aerobic exercise interventions significantly enhance static and dynamic balance in children with Down syndrome, surpassing the effects of standard physical therapy. Incorporating structured aerobic exercises into rehabilitation programs is recommended to optimize developmental outcomes in this population.

Keywords: Down Syndrome, Aerobic Exercise, Pediatric Balance Scale, 6-Minute Walk Test, Static Balance, Dynamic Balance, Randomized Controlled Trial.

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How to Cite
Usman Arif, Amina Shameen, Mubashra Tariq, Muhammad Aadil, Syed Muhammad Saad Hayat, & Sahiba sabber. (2024). Effect of Aerobic Exercise on Static & Dynamic Balance in Children with Down Syndrome. Journal of Health and Rehabilitation Research, 4(2), 1666–1669. https://doi.org/10.61919/jhrr.v4i2.1202


Antonarakis, S. E., et al. (2020). Down syndrome. Nature Reviews Disease Primers, 6(1), 1-20.

Rahman, S. A. A., & Shaheen, A. (2010). Efficacy of weight-bearing exercises on balance in children with Down syndrome. Egyptian Journal of Neurology, Psychiatry, and Neurosurgery, 47(1), 37-42.

Sherman, S. L., et al. (2007). Epidemiology of Down syndrome. Mental Retardation and Developmental Disabilities Research Reviews, 13(3), 221-227.

Presson, A. P., et al. (2013). Current estimate of Down syndrome population prevalence in the United States. The Journal of Pediatrics, 163(4), 1163-1168.

Dehghani, M., & Gunay, M. (2015). The effect of balance training on static and dynamic balance in children with intellectual disability. Journal of Applied Environmental and Biological Sciences, 5(9), 127-131.

Maïano, C., et al. (2019). Do exercise interventions improve balance for children and adolescents with Down syndrome? A systematic review. Physical Therapy, 99(5), 507-518.

Jiang, G. P., et al. (2018). Balance proprioception and gross motor development of Chinese children aged 3 to 6 years. Journal of Motor Behavior, 50(3), 343-352.

Annerén, G., & Edman, B. (1993). Down syndrome--a gene dosage disease caused by trisomy of genes within a small segment of the long arm of chromosome 21 exemplified by the study of effects from the superoxide-dismutase type 1 (SOD-1) gene. APMIS Suppl, 40, 71-79.

Amini, H. A., et al. (2016). Effect of backward walking training on improves postural stability in children with Down syndrome. International Journal of Pediatrics, 4(7), 2171-2181.

Shin, Y. A., et al. (2021). The effect of resistance and balance training on postural control and physical fitness in adults with Down syndrome. Exercise Science, 30(2), 175-182.

Hamed, S. A., Osama, S. A., & Azab, A.-S. R. (2016). Effect of aquatic program therapy on dynamic balance in Down’s syndrome children. Journal of Medical Sciences Clinical Research, 4(3).

Li, C., et al. (2013). Benefits of physical exercise intervention on fitness of people with Down syndrome: a systematic review of randomized controlled trials. International Journal of Rehabilitation Research.

Barnard, M., et al. (2019). The health benefits of exercise therapy for patients with Down syndrome: A systematic review. African Journal of Disability, 8(1), 1-9.

González-Aguero, A., et al. (2010). Health-related physical fitness in children and adolescents with Down syndrome and response to training. Scandinavian Journal of Medicine & Science in Sports, 20(5), 716-724.

Lee, W. Z., & Kuan, G. (2021). Effect of Exercises on the Physical and Functional Fitness among Down Syndrome: A Review.

Gupta, S., Rao, B. K., & Kumaran, S. (2011). Effect of strength and balance training in children with Down’s syndrome: a randomized controlled trial. Clinical Rehabilitation, 25(5), 425-432.

Lewis, C. L., & Fragala-Pinkham, M. A. (2005). Effects of aerobic conditioning and strength training on a child with Down syndrome: a case study. Pediatric Physical Therapy, 17(1), 30-36.

Downs, S. J., et al. (2020). Motor competence assessments for children with intellectual disabilities and/or autism: a systematic review. BMJ Open Sport & Exercise Medicine, 6(1), e000902.

Cabeza-Ruiz, R., et al. (2011). Time and frequency analysis of the static balance in young adults with Down syndrome. Gait & Posture, 33(1), 23-28.

Elshafey, M. A., & Alsakhawi, R. S. (2022). Inspiratory muscle training and physical fitness in children with down syndrome: a randomized controlled trial. Archives of Physical Medicine and Rehabilitation, 103(12), 2279-2287.

Eid, M. A., et al. (2022). Effects of vitamin D supplementation and aerobic exercises on balance and physical performance in children with Down syndrome. International Journal of Therapy And Rehabilitation, 29(2), 1-11.

Emara, H. A. (2016). Effects of whole body vibration on body composition and muscle strength of children with Down syndrome. International Journal of Therapies and Rehabilitation Research, 5(4), 1.

Popa, C. E., & Dobrescu, T. (2017). The Effectiveness of Therapeutic Physical Exercises in Improving Balance and Coordination in Children with Down Syndrome. Romanian Journal for Multidimensional Education, 9(3).