Effects of Modified Pilates on Improving Trunk Control and Balance in Children With Mild Intellectual Disability

Riphah International University

Status: Enrolling

Conditions: Mild Intellectual Disability

Treatments: Other: Modified Pilate Exercises; Other: General Physiotherapy Plan

Study type: Interventional

Funder types: Other

Identifiers

NCT06987188

REC/RCR/AHS/24/0758

Details and patient eligibility

About

This randomized controlled trial will be conducted at Spectrum Clinic, Lahore, over a duration of 8 weeks to assess the impact of Modified Pilates Exercises on trunk control in children with Intellectual Disability (ID). ID is characterized by below-average IQ and delays in cognitive and functional development, affecting independence and motor skills. Trunk control plays a crucial role in posture, movement coordination, balance, and daily activities. A total of 40 participants will be selected through non-probability convenience sampling and randomly assigned to two groups: Group A (Modified Pilates Exercises) and Group B (General Physiotherapy Plan). Outcomes will be measured using the Trunk Control Measurement Scale (TCMS) and Pediatric Balance Scale (PBS) at baseline and after 8 weeks. Data will be analyzed using SPSS version 25.

Full description

Intellectual Disability (ID) is a condition in which individuals experience below-average IQ. Although a variety of terms, including learning disabilities and mental retardation have been used when referring to people who have impairments that impact on their cognitive and adaptive functioning. ID refers to the onset of delayed developmental milestones, which impact on intellectual and functional development, hence independent functioning is likely to be significantly lower than that of the average person during their lifetime. Trunk control can help children with intellectual disabilities meet developmental milestones by helping them to maintain posture, navigate their surroundings, coordinate body part movement, module fine motor control, initiate vestibule oculomotor reflexes, use their hands for various activities, remain seated without falling over and kept their body aligned while walking, running and jumping.

This study will be randomized controlled trial, conducted in Spectrum clinic, Lahore. This study will be completed in time duration of 8 weeks after the approval of synopsis. Non-probability convenience sampling technique will be used and 40 participants will be recruited in this study. Participants will be divided into two groups. Group A (Modified Pilates Exercises) and Group B (General Physiotherapy Plan). Tools will be used are Trunk control measurement (TCMS) and Pediatric Balance Scale (PBS). The data will be recorded at the baseline and after 8th week of intervention. After collection, data will be analyzed by using SPSS version 25.

Enrollment: 40 estimated patients

Sex: All

Ages: 6 to 12 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Children aged 6-12 years.
• Diagnosed with mild intellectual disability (IQ 50-70)
• Ability to follow instruction and participate in Pilates Exercises
• No significant physical or neurological conditions that could affect participants

Exclusion criteria

• Severe intellectual disability(IQ<50)
• Significant physical and neurological conditions (Cerebral palsy, Spinal Cord Injury)
• Visual and Hearing impairments that could impact participation

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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40 participants in 2 patient groups

Group A

Experimental group

Description:

: Modified Pilates Exercises, will be given for 8 weeks, 4 times per week. Diaphragmatic Breathing, Bridging and Planks will be given. Intervention Session will be 40-45 minutes with short resting intervals

Treatment:

Other: General Physiotherapy Plan

Other: Modified Pilate Exercises

Group B

Experimental group

Description:

General Physiotherapy plan, Will be given for 8 weeks, 4 times per week. Bottom up Exercises, Bridging and Turning over facilitation. Intervention Session will be 40-45 minutes with short resting intervals

Treatment:

Other: General Physiotherapy Plan

Other: Modified Pilate Exercises