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Hearing loss is generally identified initially in life leading to difficulties in communication. In children, vestibular dysfunctions can cause a deficit in gross motor development and balance stability. At an early age, delayed gross motor development can cause impairment in the bilateral vestibular system and sensorineural hearing. The children with balance impairment cannot usually participate in physical activities. Running, cycling, hoping and leading to social isolation3. In Pakistan, 2.49% of the population suffers from some disability; the hearing loss population is 7.4%. In Pakistan, hearing loss is more reported in males as compared to females. According to the non-official data, nearly 1.2 in every 1000 Pakistani children suffer from moderate to severe bilateral hearing loss5. In this, 15% population is suffering from profound and nearly 85% from moderate to severe hearing loss.Children who have vestibular dysfunctions may experience many disorders of the vestibular system.Acute unilateral vestibular loss (AUVL) is the most frequent vestibular dysfunction. The etiology of acute unilateral vestibular loss is unknown, but the studies say it may be due to genetic and acquired causes (inflammatory and viral infections). The symptoms include static
This study seeks to provide a detailed understanding of the effects of dynamic cycling and inclined treadmill training on the motor skills of children with hearing impairments through an extensive review of relevant literature, careful data collection, and robust statistical analysis. The findings may assist parents, educators, and healthcare professionals in making informed choices about the most effective therapies to enhance mobility and overall development in children with hearing impairments. Ultimately, this research contributes to pediatric rehabilitation and promotes a holistic approach to addressing the specific needs of children with hearing loss.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| dynamic cycling | Experimental | one group will perform dynamic cycling for 6 consecutive weeks,3 days a week for 30 minutes per session. |
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| inclined treadmill | Experimental | one group will perform treadmil for 3 days a week with 10 degree inclination for 6 six consecutive weeks. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| DYNAMIC CYCLING | Device | Balance Training: Exercises focused on improving coordination and balance, such as standing on one leg, walking on uneven surfaces, or using balance boards. Core Strengthening: Strengthening core muscles helps children maintain stability during dynamic movements, such as walking or running. Proprioceptive Training: Exercises that improve awareness of the body's position in space, such as obstacle courses or activities that challenge movement coordination. |
| Measure | Description | Time Frame |
|---|---|---|
| Dynamic gate index | The Dynamic Gait Index was developed by Anne Shumway-Cook (1995) and has been used with older adults to determine their likelihood of falling. Scores of 19 and less are related to falls in older adults. It tests 8 facets of gait and can be used with an assistive device. | 10-15 min |
| CTSIB TEST | The test is the therapist's version of the Computerized Dynamic Post urography which attempts to measure the way that vision, Vestibular and somatosensory interaction allows us to maintain our balance against the forces of gravity. The test was developed by Shumway Cook and Horak in 1986 and further discussed as a clinical tool in 1987 Patients with uncompensated unilateral vestibular deficits have been shown to have difficulty when visual and support surface information are manipulated. | 10 min |
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Inclusion Criteria: children of age 8 to 10 years consistency in hearing impairment ability to understand the command
Exclusion Criteria:
children with any acute or chronic disease recurrent falls history of any MSK disease
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Imran Amjad Dr, PhD | Contact | 9233224390125 | Imran.amjad@riphah.edu.pk | |
| Muhammad Asif Javed, MS | Contact | 03224209422 | a.javed@riphah.edu.pk |
| Name | Affiliation | Role |
|---|---|---|
| Asra Ghafoor, MS | Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Riphah International University | Recruiting | Lahore | Punjab Province | 54000 | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 15057920 | Background | Strader DB, Wright T, Thomas DL, Seeff LB; American Association for the Study of Liver Diseases. Diagnosis, management, and treatment of hepatitis C. Hepatology. 2004 Apr;39(4):1147-71. doi: 10.1002/hep.20119. No abstract available. |
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parallal assignment. it will be randomized controlled study,in which probability convenient sampling will be usd.two groups of hearing impaired children will be randomly divided.
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participant will get separate treatment protocols and possible effort will be put to mask the both group about the treatment.
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| INCLINED TREAD MILL | Device | Dynamic Cycling: Refers to the fluctuating nature of movement patterns, often used in therapies like stationary biking or recumbe.nt cycling, where the intensity and resistance vary. Dynamic cycling can also refer to training that involves alternating between high and low-intensity phases or cycling between different positions (sitting, standing) or speeds during the activity |
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