Effects of Dohsa Hou Exercises on Functional Mobility

Riphah International University

Status: Completed

Conditions: Down Syndrome

Treatments: Other: Standard treatment protocal; Other: Dohsa hou exercises

Study type: Interventional

Funder types: Other

Identifiers

NCT06131099

REC/RCR&AHS/23/0762

Details and patient eligibility

About

Trisomy 21 is a condition where there's an extra chromosome 21, which leads to a set of clinical signs called Down syndrome. Down syndrome is one of the most complicated genetic conditions that can occur post-term and is the most commonly survivable form of aneuploidy of the autosomal chromosomes.

Dohsa hou is a type of psychomotor therapy that helps improve psychological problems by using bodily movements, sensation and relaxation experience. It was first developed under the name psycho-rehabilitation to help children with cerebral palsy improve their movements and posture. By using Dohsa hou movement's issues were effectively addressed in children with cerebral palsy, despite their physical limitations being caused by physiological disorders. There are two kind of treatments of Dohsa hou exercises that are relaxation therapy to decrease the stress level in body and other one is to align the body to correct the posture and movements of the body.

Full description

This study will be a randomized control trial, used to compare the effects of Dohsa hou exercises on functional mobility in children with Down syndrome. Subjects with Down syndrome meeting the predetermined inclusion and exclusion criteria will be divided into two groups using simple random sampling techniques. Assessment will be done by using Test of trunk impairment scale and Time Up and Go Test. Subjects in one group will be treated with Dohsa hou therapy and in other group standard treatment protocol.

Enrollment: 34 patients

Sex: All

Ages: 6 to 12 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Down syndrome
2. Age group of 6 to 12 years old
3. Male and female (both genders)
4. Body mass index (BMI) within normal range <95%
5. Absence of any psychiatric and physical illness at the time of participation.

Exclusion criteria

1. Uncontrolled seizures
2. Any kind of autoimmune diseases
3. Registered visually impaired or hearing issues
4. Severe atlanto axial instability
5. Congenital heart defects (CHD)
6. Unable or unwilling to understand the commands

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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34 participants in 2 patient groups

Group A

Active Comparator group

Description:

In this group patient will be treated with standard treatment protocol. This group will receive therapy session for 1 hour, three sessions in a week and for 6 weeks, total sessions will be 18. Group A will receive soft tissue massage therapy for 5 mins and the task specific training interventions include bicycle training for 10 mins. After that aerobic exercises includes and finally some of progressive resistive exercises will involve in it.

Treatment:

Other: Standard treatment protocal

Group B

Active Comparator group

Description:

In this group patient will be treated with Dohsa hou exercises. This group will receive therapy session for 1 hour, three sessions in a week and for 6 weeks, total sessions will be 18. Group B will receive Dohsa hou exercises, session will be included three activity parts: (a) 10 minutes of instruction and preparation, (b) 45 minutes of skill instruction and practice, and (c) 5 minutes in a closing activity.

Treatment:

Other: Dohsa hou exercises