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CTRI Number  CTRI/2025/09/094378 [Registered on: 08/09/2025] Trial Registered Prospectively
Last Modified On: 04/09/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Single Arm Study 
Public Title of Study   Effects of pelvic proprioceptive neuromuscular facilitation technique on balance and gait parameters of children with Down syndrome- pre-post interventional study 
Scientific Title of Study   The effect of pelvic Proprioceptive Neuromuscular Facilitation technique on balance and gait parameters in children with Down Syndrome- a pre-post interventional study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
nil  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Nikita Yadav 
Designation  Postgraduate student 
Affiliation  YMT college of physiotherapy 
Address  301, 3rd floor, department of Neuro physiotherapy, YMT college of physiotherapy, Kharghar, sector 4, Navi Mumbai
301, 3rd floor, department of Neuro physiotherapy, YMT college of physiotherapy, Kharghar, sector 4, Navi Mumbai
Raigarh
MAHARASHTRA
410210
India 
Phone  9867143891  
Fax    
Email  ynikita126@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Sharda Bhalerao  
Designation  Thesis guide 
Affiliation  YMT college of physiotherapy  
Address  301, 3rd floor, department of Neuro physiotherapy, YMT college of physiotherapy, Kharghar, sector 4, Navi Mumbai

Raigarh
MAHARASHTRA
410210
India 
Phone  9850059332  
Fax    
Email  bhaleraosharda90@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Sharda Bhalerao  
Designation  Thesis guide 
Affiliation  YMT college of physiotherapy  
Address  301, 3rd floor, department of Neuro physiotherapy, YMT college of physiotherapy, Kharghar, sector 4, Navi Mumbai

Raigarh
MAHARASHTRA
410210
India 
Phone  9850059332  
Fax    
Email  bhaleraosharda90@gmail.com  
 
Source of Monetary or Material Support  
YMT college of physiotherapy, kharghar, 410210 
 
Primary Sponsor  
Name  YMT college of physiotherapy 
Address  sector 4, kharghar, navi mumbai  
Type of Sponsor  Private medical college 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Sharda Bhalerao   YMT college of physiotherapy   301, 3rd floor, department of Neuro physiotherapy, YMT college of physiotherapy, Kharghar, sector 4, Navi Mumbai
Raigarh
MAHARASHTRA 
9850059332

ynikita126@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
IEC, YMTcollege of physiotherapy  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: Q90||Down syndrome,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Not applicable   Not applicable  
Intervention  Proprioceptive Neuromuscular Facilitation technique   30 mins of pelvic PNF, 5 days a week for 4 weeks 
 
Inclusion Criteria  
Age From  5.00 Year(s)
Age To  12.00 Year(s)
Gender  Both 
Details  clincally diagnosed children with Down syndrome between 5-12 years with pre-determind IQ score between 50-69 and are able to walk independently with or without walking aid 
 
ExclusionCriteria 
Details  fractures of lower limb, recurrent dislocations, visual or auditory impairments, cardio-respiratory complications, other neurological conditions 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Pediatric Balance Scale
Gait parameters 
4 weeks  
 
Secondary Outcome  
Outcome  TimePoints 
NIL  NIL 
 
Target Sample Size   Total Sample Size="29"
Sample Size from India="29" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   15/09/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="1"
Days="0" 
Recruitment Status of Trial (Global)   Not Applicable 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   Hypothesis
Null Hypothesis-Pelvic Proprioceptive Neuromuscular Facilitation technique will have no significant effect on balance and gait parameters in children with Down syndrome.
Alternate Hypothesis-Pelvic Proprioceptive Neuromuscular Facilitation technique will have a significant effect on balance and gait parameters in children with Down syndrome.

Brief summary
This pre–post interventional study investigates the effect of pelvic PNF techniques on balance and gait parameters in children with Down syndrome, a genetic disorder often associated with hypotonia, ligament laxity, delayed motor milestones, and poor postural control. These impairments frequently lead to gait abnormalities such as reduced velocity, shorter step/stride length, and increased step width, which negatively impact independence and quality of life.
The pelvis is considered a key point of control for gait. Pelvic PNF has been used successfully in populations such as stroke and cerebral palsy to improve pelvic alignment, trunk control, balance, and gait. However, there is limited research on its effectiveness in children with Down syndrome.
In this study, 29 children aged 5–12 years with mild intellectual disability (IQ 50–69) and independent walking ability will undergo a 4-week pelvic PNF training protocol (5 sessions/week, 30 minutes each). Balance will be assessed using the Pediatric Balance Scale (PBS), and gait will be evaluated using spatiotemporal parameters (step length, step width, stride length, cadence, gait velocity) measured through ink footprints and timing methods.
The data will be analyzed with paired t-test or Wilcoxon signed-rank test depending on normality. The study aims to provide evidence on whether pelvic PNF can significantly improve gait and balance, thereby enhancing mobility, independence, and quality of life in children with Down syndrome
 
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