About this trial
foot posture in children with Down syndrome. The current study will be randomized control trial, data will be collected from Tanzeem ul Lissan School FSD, Children Hospital FSD and Allied Hospital FSD. The study will include 32 patients equally divided into two groups and randomly allocated. Inclusion criteria for the study will be Children between the age of 4 to 15 years with navicular drop and prone foot. Patients with visual or auditory impairment, lower limb trauma, recent Surgical Intervention on lower limb will be excluded from the study. Experimental group will perform jumping rope combined with play activities and control group will be given play activities. Data collection will be done before and after the intervention. Tools used for data collection will be Navicular Drop Test and Foot Posture Index .Data will be analyzed through SPSS version 23.00.
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
age of 4 to 15 years
navicular drop
prone foot
Acute musculoskeletal injuries
Disqualifiers
visual or auditory impairment
lower limb trauma
recent Surgical Intervention on lower limb
Non- compliance and behavioral issue
Trial design
Parallel
Treatments tested in this trial
jumping rope and play activities
Other interventionjumping rope will focus on strengthening and improving the functionality of foot and ankle muscles, promoting better balance and posture. jumping rope and play activities (one-leg hopping game,walking games on toes, reverse rope walk, straight rope walk, bottle rolling walk,pick and drop game) and these games will be performed to improve the arch, muscle strength, and endurance of foot muscles. The intensity of the jumping rope and play activities will gradually be increased depending on the patient's improvement in activity performance by decreasing the amount or degree of passive support, changing the patient's position, and adjusting the sets and repetitions of activities.
play activities
Other interventionGroup B will perform Play Activities .Play Activites are all dynamic activities commonly used to improve balance, coordination, and foot function, especially in children. These exercises engage various muscles of the lower limbs, improving proprioception, stability, and strength. For children with foot postural deviations like navicular drop, these activities can help reduce excessive pronation and strengthen the foot's arch. Duration period to perform the excercises is for 30 mint per session 5 days a week for six weeks.Data will be assessed by assessor at baseline and at the end o of treatment (Pre and post).
Treatment groups
Trial outcomes
Primary outcomes
foot posture index-6
The patient should be instructed to stand still, with their arms by the side and looking straight ahead.
navicular drop test
Navicular Drop Test (NDT) using a ruler or digital caliper.Measures the difference in navicular height between sitting (non-weight-bearing) and standing (weight-bearing) positions.
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