Foot Muscle Exercise: A Novel Approach to Improve Motor Functions in Children with Down Syndrome Having Pes Planus - A Randomized Controlled Trial.

Developmental neurorehabilitation Pub Date : 2024-04-01 Epub Date: 2024-06-18 DOI:10.1080/17518423.2024.2365798
Nazia Adeeb, Sumaira Imran Farooqui, Zainab Meher Hasan, Abid Khan, Jaza Rizvi
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Abstract

Objective: The study aimed to determine the efficacy of foot muscle exercises in children with DS having pes planus.

Methods: Forty-seven subjects randomly assigned to foot muscle exercises (study group) or an arch support insole with one-leg balance exercises (control group), thrice weekly intervention for 12-weeks followed by a home program with residual effect assessed after 24-weeks from baseline.

Results: The motor functions were significantly improved in both groups (p = 0.00). A positive residual effect was found in the study group for both parameters. Whilst in the control group it failed to give a positive residual effect for GMFM-88, while PBS yielded positive outcomes. The study group showed significantly better results than the control group in comparison.

Conclusion: The novel finding suggests that the foot muscle exercise has the potential to improve motor functions in children with Down syndrome and it can be used as an alternative therapeutic approach to the conventional method.

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足部肌肉锻炼:改善患有扁平足的唐氏综合症儿童运动功能的新方法--随机对照试验。
研究目的研究旨在确定足部肌肉锻炼对患有扁平足的DS儿童的疗效:47名受试者被随机分配接受足部肌肉锻炼(研究组)或足弓支撑鞋垫和单腿平衡锻炼(对照组),每周进行三次干预,为期12周,然后进行家庭计划,自基线起24周后评估残余效果:结果:两组的运动功能均有明显改善(P = 0.00)。研究组在两个参数上都发现了积极的残余效应。而在对照组中,GMFM-88 未能产生积极的残余效应,而 PBS 则产生了积极的结果。相比之下,研究组的效果明显优于对照组:这项新发现表明,足部肌肉锻炼具有改善唐氏综合症儿童运动功能的潜力,可作为传统方法之外的另一种治疗方法。
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