Children with Down syndrome commonly exhibit hypotonia, impaired balance, and reduced functional mobility. This study aimed to evaluate the effects of a structured yoga-based physical activity program on balance and functional performance in children with Down syndrome.

Fifteen children aged 7-12 years participated in a 12-week intervention program consisting of adaptive yoga exercises, breathing techniques, and relaxation practices. Outcome measures included balance assessment using a sensor-based digital system and functional performance tests.

The findings are expected to provide evidence on the effectiveness of structured physical activity interventions in improving motor performance in children with Down syndrome.

This study was designed as a single-group interventional pilot study to investigate the effects of a structured yoga-based physical activity program on balance and functional performance in children with Down syndrome.

Participants aged between 7 and 12 years were recruited from a special education center. The intervention lasted 12 weeks and included adaptive yoga postures, breathing exercises, and relaxation techniques tailored to the functional abilities of the participants.

Balance was assessed using a sensor-based digital balance system, and functional performance was evaluated using standardized clinical tests including the Timed Up and Go test, Five Times Sit to Stand test, Two-Minute Walk Test, and One-Leg Balance Test.

Assessments were conducted before and after the intervention. The study aimed to explore whether structured physical activity can improve postural control and functional mobility in children with Down syndrome.

This pilot study provides preliminary evidence to support the integration of structured physical activity programs into rehabilitation strategies for children with Down syndrome.

Inclusion Criteria:

• Children aged 7-18 years with a clinical diagnosis of Down syndrome
• Ability to follow simple verbal instructions
• Ability to stand independently with or without assistive devices
• Participation in a structured physical activity program
• Informed consent obtained from parents or legal guardians

Exclusion Criteria:

• Severe orthopedic, neurological, or cardiovascular conditions affecting balance or mobility
• Uncontrolled epilepsy
• Severe visual or vestibular impairments affecting balance
• Recent lower limb surgery or injury (within the past 6 months)
• Inability to complete assessment procedures

Individual participant data will not be shared.