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Published in: Advances in Therapy 9/2019

01-09-2019 | Trisomy 21 | Original Research

Effect of Core Stability Exercises and Treadmill Training on Balance in Children with Down Syndrome: Randomized Controlled Trial

Authors: Reham Saeed Alsakhawi, Mohamed Ali Elshafey

Published in: Advances in Therapy | Issue 9/2019

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Abstract

Introduction

Core stability exercises and treadmill training play a crucial role in physical therapy interventions and have an effect on balance in children with Down Syndrome (DS); however, whether core stability exercises or treadmill training has more effect on improving balance has not been investigated yet. The aim of the study was to investigate the effect of core stability training versus treadmill exercises on balance in children with Down Syndrome.

Methods

Forty-five children aged 4–6 years with Down Syndrome were included in the study. The children were equally divided randomly into three groups. Group A received traditional physical therapy intervention strategies to facilitate the balance of participating children. Group B received the same as group A and additional core stability exercise training. Group C received the same intervention strategies as group A in conjunction with a treadmill exercise program. The children’s balance was evaluated using the Berg balance scale and the Biodex Balance System. Treatment sessions were for 60 min, thrice a week, for 8 consecutive weeks.

Results

There were significance improvements in the three groups in functional balance and over all stability indices in favor of groups B and C.

Conclusions

Core stability and treadmill training improved balance in children with Down Syndrome and should be applied in conjunction with physical therapy programs.
Literature
1.
go back to reference Rahmani P, Shahrokhi H, Daneshmandi H. Evaluation of spinal abnormalities associated with flexibility and body mass index in girls with Down Syndrome. Res Rehabil Sci. 2012;8(4):754–62. Rahmani P, Shahrokhi H, Daneshmandi H. Evaluation of spinal abnormalities associated with flexibility and body mass index in girls with Down Syndrome. Res Rehabil Sci. 2012;8(4):754–62.
2.
go back to reference Ghaeeni S, Bahari Z, Khazaei AA. Effect of core stability training on static balance of the children with Down Syndrome. Phys Treat J. 2015;5(1):49–54. Ghaeeni S, Bahari Z, Khazaei AA. Effect of core stability training on static balance of the children with Down Syndrome. Phys Treat J. 2015;5(1):49–54.
7.
go back to reference Aly SM, Abonour AA. Effect of core stability exercise on postural stability in children with Down Syndrome. Int J Med Res Health Sci. 2016;5(10):213–22. Aly SM, Abonour AA. Effect of core stability exercise on postural stability in children with Down Syndrome. Int J Med Res Health Sci. 2016;5(10):213–22.
9.
go back to reference Bliss LS, Teeple P. Core stability: the centerpiece of any training program. Curr Sports Med Rep. 2005;4(3):179–83.CrossRefPubMed Bliss LS, Teeple P. Core stability: the centerpiece of any training program. Curr Sports Med Rep. 2005;4(3):179–83.CrossRefPubMed
10.
go back to reference Samson KM. The effects of a five-week core stabilization- training program on dynamic balance in tennis athletes [doctoral dissertation]. Morgantown: West Virginia University; 2005. Samson KM. The effects of a five-week core stabilization- training program on dynamic balance in tennis athletes [doctoral dissertation]. Morgantown: West Virginia University; 2005.
13.
go back to reference Briggs AM, Greig AM, Wark JD, Fazzalari NL, Bennell KL. A review of anatomical and mechanical factors affecting vertebral body integrity. Int J Med Sci. 2004;1(3):170–80.CrossRefPubMedPubMedCentral Briggs AM, Greig AM, Wark JD, Fazzalari NL, Bennell KL. A review of anatomical and mechanical factors affecting vertebral body integrity. Int J Med Sci. 2004;1(3):170–80.CrossRefPubMedPubMedCentral
14.
go back to reference Mohamad-Ali-nasab A, Sahebazaman M. The effect of core stabilization exercises to test components of equilibrium Y in football players (Persian). Sports Med (Harekat). 2012;9:63–86. Mohamad-Ali-nasab A, Sahebazaman M. The effect of core stabilization exercises to test components of equilibrium Y in football players (Persian). Sports Med (Harekat). 2012;9:63–86.
18.
go back to reference Alsakhawi RS, Alsakhawi RS. Effect of using treadmill exercise on mobility skills in hemophilic children. Int J Physiother Res. 2017;5(5):2392–8.CrossRef Alsakhawi RS, Alsakhawi RS. Effect of using treadmill exercise on mobility skills in hemophilic children. Int J Physiother Res. 2017;5(5):2392–8.CrossRef
19.
go back to reference Carmeli E, Kessel S, Coleman R, Ayalon M. Effects of a treadmill walking program on muscle strength and balance in elderly people with Down Syndrome. J Gerontol Ser A Biol Sci Med Sci. 2002;57(2):M106–10.CrossRef Carmeli E, Kessel S, Coleman R, Ayalon M. Effects of a treadmill walking program on muscle strength and balance in elderly people with Down Syndrome. J Gerontol Ser A Biol Sci Med Sci. 2002;57(2):M106–10.CrossRef
20.
go back to reference Marc E, Garcez M, William P, Mirian S. Oxidative stress and hematologic and biochemical parameters in individuals with DS. Mayo Clin Proc. 2005;80(12):1607–11.CrossRef Marc E, Garcez M, William P, Mirian S. Oxidative stress and hematologic and biochemical parameters in individuals with DS. Mayo Clin Proc. 2005;80(12):1607–11.CrossRef
22.
go back to reference Wu J, Looper J, Ulrich DA, Angulo-Barroso RM. Effects of various treadmill interventions on the development of joint kinematics in infants with Down Syndrome. Phys Ther J. 2010;90(9):1265–76.CrossRef Wu J, Looper J, Ulrich DA, Angulo-Barroso RM. Effects of various treadmill interventions on the development of joint kinematics in infants with Down Syndrome. Phys Ther J. 2010;90(9):1265–76.CrossRef
27.
go back to reference Shirley NY. Biodex Balance System operation and service manual #945-300. New York: Biodex Medical Systems. 1999. Shirley NY. Biodex Balance System operation and service manual #945-300. New York: Biodex Medical Systems. 1999.
29.
go back to reference Schmitz R, Arnold B. Inter-tester and intra-tester reliability of the Biodex Stability System. J Sport Rehabil. 1998;7(2):95–101.CrossRef Schmitz R, Arnold B. Inter-tester and intra-tester reliability of the Biodex Stability System. J Sport Rehabil. 1998;7(2):95–101.CrossRef
34.
go back to reference Ali MSM, Elazem FHA, Anwar GM. Effect of core stabilizing program on balance in spastic diplegic cerebral palsy children. Int J PharmTech Res. 2016;9(5):129–36. Ali MSM, Elazem FHA, Anwar GM. Effect of core stabilizing program on balance in spastic diplegic cerebral palsy children. Int J PharmTech Res. 2016;9(5):129–36.
35.
go back to reference Razieh F, Ali-Asghar N, Hamidreza H. The effect of core stability exercise program on the balance of patients with multiple sclerosis. Casp J Neurol Sci. 2016;2(4):9–17.CrossRef Razieh F, Ali-Asghar N, Hamidreza H. The effect of core stability exercise program on the balance of patients with multiple sclerosis. Casp J Neurol Sci. 2016;2(4):9–17.CrossRef
36.
go back to reference Sayadinezhad T, Abdolvahab M, Akbarfahimi M, Jalili M, Rafiee SH, Baghestani AR. The study of the effect of progressive resistance training on functional balance of 8-12 years old children with Down Syndrome (Persian). J Mod Rehabil. 2013;7(1):29–34. Sayadinezhad T, Abdolvahab M, Akbarfahimi M, Jalili M, Rafiee SH, Baghestani AR. The study of the effect of progressive resistance training on functional balance of 8-12 years old children with Down Syndrome (Persian). J Mod Rehabil. 2013;7(1):29–34.
37.
go back to reference Jeffreys I. Developing a progressive core stability program. Strength Cond J. 2002;24(5):65–6.CrossRef Jeffreys I. Developing a progressive core stability program. Strength Cond J. 2002;24(5):65–6.CrossRef
38.
go back to reference Golsefidi NR, Younesi A, Golsefidi AS. Effects of 8-week core stabilization exercises on the balance of students with high-functioning autism. IJSS. 2013;3(12):1369–74. Golsefidi NR, Younesi A, Golsefidi AS. Effects of 8-week core stabilization exercises on the balance of students with high-functioning autism. IJSS. 2013;3(12):1369–74.
39.
go back to reference King AC, Taylor CB, Haskell WL, DeBusk RF. Influence of regular aerobic exercise on psychological health: a randomized, controlled trial of healthy middle-aged adults. Health Psychol. 1989;8:305–24.CrossRefPubMed King AC, Taylor CB, Haskell WL, DeBusk RF. Influence of regular aerobic exercise on psychological health: a randomized, controlled trial of healthy middle-aged adults. Health Psychol. 1989;8:305–24.CrossRefPubMed
40.
go back to reference Norris CM. Functional load abdominal training: part I. Phys Ther Sport. 2001;2(1):29–39.CrossRef Norris CM. Functional load abdominal training: part I. Phys Ther Sport. 2001;2(1):29–39.CrossRef
41.
go back to reference Gribble P, Hertel J. Consideration for normalizing measures of star excursion balance test. Meas Phys Educ Exerc Sci. 2003;7:89–100.CrossRef Gribble P, Hertel J. Consideration for normalizing measures of star excursion balance test. Meas Phys Educ Exerc Sci. 2003;7:89–100.CrossRef
42.
go back to reference Dingwell JB, Robb RT, Troy KL, Grabiner MD. Effects of an attention demanding task on dynamic stability during treadmill walking. J Neuroeng Rehabil. 2008;5:12.CrossRefPubMedPubMedCentral Dingwell JB, Robb RT, Troy KL, Grabiner MD. Effects of an attention demanding task on dynamic stability during treadmill walking. J Neuroeng Rehabil. 2008;5:12.CrossRefPubMedPubMedCentral
Metadata
Title
Effect of Core Stability Exercises and Treadmill Training on Balance in Children with Down Syndrome: Randomized Controlled Trial
Authors
Reham Saeed Alsakhawi
Mohamed Ali Elshafey
Publication date
01-09-2019
Publisher
Springer Healthcare
Published in
Advances in Therapy / Issue 9/2019
Print ISSN: 0741-238X
Electronic ISSN: 1865-8652
DOI
https://doi.org/10.1007/s12325-019-01024-2

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