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Effect of strength and balance training in children with Down's syndrome: a randomized controlled trial
Sukriti Gupta1, Bhamini Krishna Rao, Kumaran S D
1Sardar Bhagwan Singh Post Graduate Institute of Biomedical Sciences, Balawala, Dehradun, India. sukritigupta22@gmail.com
Objective:
The aim of the study was to determine the effect of exercise training on strength and balance in children with Down's syndrome.
Design:
Randomized controlled trial.
Setting:
Rehabilitation school for special children.
Subjects And Intervention:
Twenty-three children were randomized to intervention and control group. The intervention group (n = 12) underwent progressive resistive exercises for lower limbs and balance training for six weeks. The control group continued their regular activities followed at school.
Outcome Measure:
A handheld dynamometer was used to measure the lower limb muscle strength. Balance was assessed by the balance subscale of Bruininks Oseretsky Test of Motor Proficiency (BOTMP).
Results:
Following the training, the children in the intervention group showed a statistically significant improvement (P < 0.05) in the lower limb strength of all the muscle groups assessed. The strength of knee extensors was 12.12 lbs in the control group versus 18.4 lbs in the experimental group; in hip flexors it was 12.34 lbs in the control group versus 16.66 lbs in the experimental group post-intervention. The balance of the children also improved significantly with an improvement in scores of the balance subscale of BOTMP (19.50 in the experimental group versus 9.00 in the control group, P = 0.001).
Conclusion:
This study suggests that a specific exercise training programme may improve the strength and balance in children with Down's syndrome.
