Effects of Bean Bag Tossing Game on Balance and Gait in Children With Down Syndrome.

ConditionDown Syndrome

Trial statusRecruiting

Trial phaseNot applicable

Trial typeInterventional

Biological sexAll

Age5-17

SponsorRiphah International University

About this trial

The research design will be a randomized clinical trial. The study will recruit 36 children with spastic cerebral palsy and toe walking that fall within the ages of 5-17 years who have a defined balance deficit. The participants will be randomly assigned to one of two groups: group A (n=18), which will play the Bean Bag Tossing Game on Wedge, and group B (n=18), which will play the Bean Bag Tossing Game on a Balance Board. The intervention will be performed 3 times a week for 4 weeks 30 minutes a day. All participants will be assessed according to eligibility criteria. Guardians of participants who meet the eligibility criteria are requested to sign consent forms before they are entered into the study. The study involves two standardized assessment tools that measure the Gait and balance in children with Down syndrome: Berg Balance Scale and GALLOP Scale. The synopsis will present to the Research Ethical Committee of Riphah International University Lahore for ethical approval to conduct this study. Data will be analyzed by SPSS 27.0 version

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Ageof7-12years

Abletorecognize the command given to them

Understand the verbal command

Standand walk independently without repeated falling

Disqualifiers

Children suffering from seizures

Children with Multiple Sclerosis

Children with Muscular Dystrophy

Children with cardiac anomalies

Trial design

Design model

Parallel

Treatments tested in this trial

Bean Bag Tossing Game on Wedge
Other intervention
In this group first the Children will be given the baseline therapy of backward walking for 10 minutes, single leg standing, vertical or horizontal jumps for 10 minutes and then given the balance training by playing bean bag tossing game while standing on wedge. Bean bag boards should be placed 1 foot apart from the tossing line. Use a rope (or another object) to mark the tossing line. The child will take 3 bean bags while standing on the wedge and ask the child to toss the bean bags in the bean bag board one by one starting to stand on wedge from 5 minutes to increases the time to maximum 10minutes
Bean Bag Tossing Game on Balance Board
Other intervention
In this group first the Children will be given the baseline therapy of backward walking for 10 minutes, single leg standing, vertical or horizontal jumps for 10 minutes (18) and then given the balance training by playing bean bag tossing game while standing on a balance board. Bean bag boards should be placed 1 foot apart from the tossing line. Use a rope (or another object) to mark the tossing line. The child will take 3 bean bags while standing on a balance board and ask the child to toss the bean bags in the bean bag board one by one. Ask the child to maintain the balance while standing on balance board

Treatment groups

36 Participants

are divided into 2 treatment groups

Group A: Bean Bag Tossing Game on Wedge.Experimental treatment 1 intervention

Group B: Bean Bag Tossing Game on Balance BoardOther 1 intervention

Trial outcomes

Primary outcomes

Static Balance

To assess static balance before and after the intervention, the Berg Balance Scale (BBS) will be used to evaluate improvements in postural stability and functional balance. This method allows for the measurement of a child's ability to maintain equilibrium during a series of standardized tasks, such as standing unsupported, reaching forward, and maintaining different standing positions. Changes in the total BBS score will indicate improvements in balance performance, while task-specific scores may reflect enhanced control, coordination, and stability achieved through activities such as bean bag tossing on a wedge and balance board.

Time frame

Baseline, 4 weeks

Dynamic Balance

To assess dynamic balance before and after the intervention, the Gallop Scale will be used to evaluate improvements in coordinated movement and balance during locomotor activities. This method allows for the measurement of a child's ability to perform rhythmic and controlled galloping patterns, including step coordination, body alignment, and fluidity of movement. Changes in the Gallop Scale scores will indicate improvements in dynamic balance performance, while specific components of the assessment may reflect enhanced motor control, timing, and coordination developed through activities such as bean bag tossing on a wedge and balance board.

Time frame

Baseline, 4 weeks

Sponsors and contacts

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Riphah International University

Lead sponsor

Source ClinicalTrials.gov

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