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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.
Navicular drop is a condition where the navicular bone descends, often leading to flatfoot and poor foot posture. This is particularly significant in children with Down syndrome, who are prone to foot structure abnormalities that can affect their mobility and overall physical activity. Children with Down syndrome frequently experience altered foot mechanics, which can contribute to navicular drop and associated complications. These biomechanical changes is crucial for developing targeted interventions that can enhance foot health and improve quality of life. The aim of this study is to investigate the effects of jumping rope and play activities on reducing navicular drop and improving 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.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A: | Active Comparator | Group A will perform jumping rope combined with play activities. The program will focus on strengthening and improving the functionality of foot and ankle muscles, promoting better balance and posture. The program will include 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. Duration period to perform the activities is for 30 mint per session 5 days a week for six weeks. |
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| group B | Active Comparator | Group 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). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| jumping rope and play activities | Other | jumping 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. |
| Measure | Description | Time Frame |
|---|---|---|
| foot posture index-6 | The patient should be instructed to stand still, with their arms by the side and looking straight ahead. | 30 minutes per session 5 days a week for six weeks. |
| 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. | 30 minutes per session 5 days a week for six weeks. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| IMRAN AMJAD, Ph.D | Contact | 9233224390125 | imran.amjad@riphah.edu.pk | |
| Muhammad Asif Javed, MS-PT | Contact | 923224209422 | a.javed@riphah.edu.pk |
| Name | Affiliation | Role |
|---|---|---|
| Adil Munir, MS-PT | Study Principal Investigator Riphah International University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Model Town Football Club [Recruiting] | Recruiting | Lahore | Punjab Province | 54000 | Pakistan |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 17043692 | Background | Shultz SJ, Carcia CR, Gansneder BM, Perrin DH. The independent and interactive effects of navicular drop and quadriceps angle on neuromuscular responses to a weight-bearing perturbation. J Athl Train. 2006 Jul-Sep;41(3):251-9. |
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| ID | Term |
|---|---|
| D004314 | Down Syndrome |
| ID | Term |
|---|---|
| D008607 | Intellectual Disability |
| D019954 | Neurobehavioral Manifestations |
| D009461 | Neurologic Manifestations |
| D009422 | Nervous System Diseases |
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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.
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| play activities | Other | Group 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). |
|
| D000015 | Abnormalities, Multiple |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D025063 | Chromosome Disorders |
| D030342 | Genetic Diseases, Inborn |