Comparative Effects of Core Stability Exercises and Retro-walk on Balance and Coordination in Down Syndrome
DOI:
https://doi.org/10.61919/jhrr.v3i2.149Keywords:
Down Syndrome, Motor Deficits, Core Stability, Retro Walking, Randomized Clinical Trial, Pediatric BalanceAbstract
Background: Individuals with Down syndrome (DS) often face motor deficits impacting balance and coordination. While core stability exercises are a recognized form of intervention, the potential benefits of Retro walking require further exploration.
Objective: To evaluate and compare the effects of core stability exercises and Retro walking on balance and coordination in individuals with DS.
Methods: This randomized clinical trial included 24 participants with a confirmed diagnosis of DS, aged 8-14 years, and with mild to moderate mental retardation. They were allocated into two groups: Group A, receiving core stability exercises, and Group B, undergoing Retro walking, both over an 8-week period. Inclusion criteria were the ability to stand and walk with a Pediatric Balance Scale (PBS) score of at least 14/56. Exclusion criteria encompassed any orthopedic, cardiac, or uncontrolled cardiovascular conditions. Assessments were conducted using the PBS and Foot Tapping Test, pre- and post-intervention. Data analysis was performed using SPSS version 25.0, employing paired and independent t-tests.
Results: Post-intervention, Group A exhibited an increase in PBS scores from 15.83±2.406 to 32.17±2.209 (p < .001), and Group B from 15.08±2.999 to 31.25±1.913 (p < .001). Foot Tapping Test scores for the right side improved from 9.92±1.311 to 20.17±2.082 in Group A (p < .002), and from 9.67±1.614 to 18.08±2.610 in Group B (p < .003).
Conclusion: Both core stability exercises and Retro walking significantly improved balance and coordination in children with DS. These modalities should be considered valuable additions to the therapeutic interventions for this population.
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Lott IT, Rosas HD, Lai F, Zaman S. Contributions of the neurological examination to the diagnosis of dementia in Down syndrome. The Neurobiology of Aging and Alzheimer Disease in Down Syndrome: Elsevier; 2022. p. 251-72.
Kent RD, Eichhorn J, Wilson EM, Suk Y, Bolt DM, Vorperian HK. Auditory-perceptual features of speech in children and adults with Down syndrome: A speech profile analysis. Journal of Speech, Language, and Hearing Research. 2021;64(4):1157-75.
Gupta C, Chandrashekar P, Jin T, He C, Khullar S, Chang Q, et al. Bringing machine learning to research on intellectual and developmental disabilities: Taking inspiration from neurological diseases. Journal of Neurodevelopmental Disorders. 2022;14(1):28.
Kinsey LA. Pre-Anesthesia Assessment in Children with Down Syndrome: A Head to Toe Guide: The University of Arizona; 2021.
Qiang J, Wu D, Du H, Zhu H, Chen S, Pan H. Review on facial-recognition-based applications in disease diagnosis. Bioengineering. 2022;9(7):273.
Chin EM, Johnson TL, Hoon Jr AH. Cerebral palsy: Epidemiology, neurobiology, and lifespan management. 2021.
Alsakhawi RS, Elshafey MA. Effect of core stability exercises and treadmill training on balance in children with Down syndrome: randomized controlled trial. Advances in therapy. 2019;36:2364-73.
Balouchy R. The Effect of 8 Weeks of Selected Core Stability Exercises on Static and Dynamic Bal-ance, Gait Speed, and Stride Length of Students with Intellectual Disability. Journal of Sport Injury Prevention and Biomechanics. 2022;1(1):35-44.
Ghaeeni S, Bahari Z, Khazaei AA. Effect of core stability training on static balance of the children with Down syndrome. Physical Treatments-Specific Physical Therapy Journal. 2015;5(1):49-54.
Gheitasi M, Bayattork M, Miri H, Afshar H. Comparing the effect of suspended and non-suspended core stability exercises on static and dynamic balance and muscular endurance in young males with Down syndrome. Physical Treatments-Specific Physical Therapy Journal. 2019;9(3):153-60.
Bekhet AH, Abdalla AR, Ismail HM, Genena DM, Osman NA, El Khatib A, et al. Benefits of aerobic exercise for breast cancer survivors: a systematic review of randomized controlled trials. Asian Pacific Journal of Cancer Prevention: APJCP. 2019;20(11):3197.
Doernberg EA, Russ SW, Dimitropoulos A. Believing in make-believe: Efficacy of a pretend play intervention for school-aged children with high-functioning autism spectrum disorder. Journal of Autism and Developmental Disorders. 2021;51:576-88.
Al Otaiba S, McMaster K, Wanzek J, Zaru MW. What we know and need to know about literacy interventions for elementary students with reading difficulties and disabilities, including dyslexia. Reading Research Quarterly. 2023;58(2):313-32.
Burkhardt JA, Rapport MJK. Quality of life and functional mobility after progressive resistance exercise in an adolescent with a liver transplant. Pediatric Physical Therapy. 2020;32(4):E70-E5.
Choi J-Y, Son S-M, Park S-H, editors. A backward walking training program to improve balance and mobility in children with cerebral palsy. Healthcare; 2021: MDPI.
Elnahhas AM, Elshennawy S, Aly MG. Effects of backward gait training on balance, gross motor function, and gait in children with cerebral palsy: a systematic review. Clinical rehabilitation. 2019;33(1):3-12.
Wang J, Xu J, An R. Effectiveness of backward walking training on balance performance: A systematic review and meta-analysis. Gait & posture. 2019;68:466-75.
Rajkumar S. Effectiveness of Forward Versus Backward Stepping Strategy in Body Weight Support Treadmill Training on Functional Mobility and Balance among Spastic Diplegic Cerebral Palsy: A Simple Randomized Experimental study: PPG College of Physiotherapy, Coimbatore; 2019.
Di Corrado D, Francavilla VC, La Paglia R, Parisi MC, Buscemi A, Coco M. Short-Term Effects of Specific Sensorimotor Training on Postural Assessment in Healthy Individuals: A Pilot Study with a Randomized Placebo-Controlled Trial. Journal of Functional Morphology and Kinesiology. 2023;8(2):46.
Shima A, Tanaka K, Ogawa A, Omae E, Miyake T, Nagamori Y, et al. Case report: Backward gait training combined with gait-synchronized cerebellar transcranial alternating current stimulation in progressive supranuclear palsy. Frontiers in Human Neuroscience. 2023;17:1082555.
Shukla K. Predictive balance control during backward walking and effects of a haptic input based intervention on predictive balance control during walking: University of Saskatchewan; 2022.
da Silveira GE, Andrade RM, Guilhermino GG, Schmidt AV, Neves LM, Ribeiro AP. The Effects of Short-and Long-Term Spinal Brace Use with and without Exercise on Spine, Balance, and Gait in Adolescents with Idiopathic Scoliosis. Medicina. 2022;58(8):1024.
Hartlage A, Nicholson C, Silvius A, Ennis B. The Effect of Aquatic Physical Therapy on Children With Down Syndrome. The Journal of Aquatic Physical Therapy. 2021;29(3):73-7.
Gangatharan R, Sankaralingam DJS. Effectiveness Of Swiss Ball Training Exercises And Trunk Training Exercises To Improve Postural Instability In Subjects With Parkinson's Disease. Korean Journal of Physiology and Pharmacology. 2023;27(4):134-42.
Dunsky A. The effect of balance and coordination exercises on quality of life in older adults: a mini-review. Frontiers in aging neuroscience. 2019;11:318.
Suh JH, Kim H, Jung GP, Ko JY, Ryu JS. The effect of lumbar stabilization and walking exercises on chronic low back pain: A randomized controlled trial. Medicine. 2019;98(26).
PUNTUMETAKUL R, SAIKLANG P, YODCHAISARN W, HUNSAWONG T, RUANGSRI J. Effects of core stabilization exercise versus general trunk-strengthening exercise on balance performance, pain intensity and trunk muscle activity patterns in clinical lumbar instability patients: A single blind randomized trial. Walailak Journal of Science and Technology (WJST). 2021;18(7):9054 (13 pages)- (13 pages).
Angulo J, El Assar M, Álvarez-Bustos A, Rodríguez-Mañas L. Physical activity and exercise: Strategies to manage frailty. Redox biology. 2020;35:101513.
Jia R-x, Liang J-h, Xu Y, Wang Y-q. Effects of physical activity and exercise on the cognitive function of patients with Alzheimer disease: a meta-analysis. BMC geriatrics. 2019;19:1-14.
Junker D, Stöggl T. The training effects of foam rolling on core strength endurance, balance, muscle performance and range of motion: a randomized controlled trial. Journal of sports science & medicine. 2019;18(2):229.
Doğan Ö, Savaş S. Effect of an 8-weeks core training program applied to 12-14 years old basketball players on strength, balance and basketball skill. Pakistan Journal of Medical&Health Sciences. 2021.
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Copyright (c) 2023 Rameel ur Rehman Cheema , Tahir Hafeez, Abdul Mannan , Maira Sarfaraz , Muhammad Rehan Amjad , Mishal Azhar
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