Down Syndrome and Effects of Foot Muscle Exercise

Ziauddin University

Status: Completed

Conditions: Pes Planus Down Syndrome Patients

Treatments: Other: Foot Muscle Exercise Protocol; Combination Product: Arch Support Insole and One Leg Balance Activities

Study type: Interventional

Funder types: Other

Identifiers

NCT05251935

Nazia Adeeb

Details and patient eligibility

About

Down syndrome (DS) is a common chromosomal pediatric disorder and accounts for approximately 8 % of all congenital anomalies. Children with DS experience delays in Cognitive, Physical, Speech and Language development. Hypotonity and laxity that is part of its features causes delay on motor acquisition. Furthermore it causes musculoskeletal issues and lower extremity malalignment resulting in inefficient and abnormal pattern of movement compromising locomotion and day to day functions therefore, problems for the population further aggravates. Combined effects of these factors causes a high level of stress on foot as it provides the foundation for whole body therefore, individuals with Down syndrome are at risk for foot alignment problems. Pes planus being the most common amongst them and accounts for 91% of the total DS patients diagnosed. Pes planus causes alteration in foot kinetics and kinematics that not only interferes significantly with normal daily life activities as balance and gait but also increases the risk of musculoskeletal injuries. Hence researchers have shown interest in addressing this condition for the effective management of DS population. Conventional treatment approach are the use of insoles, foot orthosis and arch taping however, they fail to produce residual effect. Hence the present study is to determine the role of foot muscles exercises in Down Syndrome having pes planus since its effects are positively recorded in normal population.

Enrollment: 47 patients

Sex: All

Ages: 4 to 15 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• • Clinically diagnosed cases of DS including both male and female.

  • Bilateral flexible pes planus on the basis of Navicular Drop Test.
  • Able to follow instructions and adhere to the exercise program.
  • Ambulating independently.

Exclusion criteria

• • Visual or auditory impairment.

  • Lower limb trauma or surgical intervention past six months.

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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47 participants in 2 patient groups

Foot Muscle Exercise

Experimental group

Treatment:

Other: Foot Muscle Exercise Protocol

Arch Support Insole and One Leg Balance Activities

Active Comparator group

Treatment:

Combination Product: Arch Support Insole and One Leg Balance Activities