Physiotherapy العلاج الطبيعي

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https://dspace.alquds.edu/handle/20.500.12213/7168

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Browsing Physiotherapy العلاج الطبيعي by Author "Razan Michael Hilal"

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    The Effect of a Suggested Exercise Program on Balance and Cardiovascular Fitness in Children with DownSyndrome: A Quasi Comparative Study
    (Al-Quds Univeersity, 2025-12-13) Razan Michael Hilal; رزان ميشيل هلال
    Background: Down syndrome (DS), or trisomy 21, is a genetic disorder causedby having an extra copy of chromosome 21, which leads to physical and intellectual disabilities, typicalfacial features, delayed growth, and hypotonia. DS’s people objected tomedicalcomplications:heart defects, obesity, and diabetes. Objective: To evaluate the effectiveness of a structured exercise program that integrates aerobic exercise and balance training, toward improving cardiovascular fitness and balance among DS’s children. Methods: A quasi-comparative (single-blinded) study conducted with 40 DS’s children aged 4 to 12 years from Jemima and Life Gate in Beit Jala. Participants were assigned by convenience sampling to either experimental group, which engaged in a structured exercise program for two sessions per week, with a 60-minute duration, over 12 weeks.Or to control group received standard physiotherapy sessions. Balance and cardiovascular fitness were assessed using the pre- and post-Berg Balance (PBB) Test and the 6-minute walk (6MWT) test. Results:The findings indicate that the structured exercise program hadsignificant improvements in cardiovascular endurance and balance among DS’s children. Participants in the intervention group demonstrated a statistically significant increase in 6MW Test (p=0.001) with a very large effect size (Cohen’s d=3.433), alongside marked improvements in overall balance as measured by the PBB Scale (p=0.001, Cohen’s d=1.447) compared to the control group. Notably, the intervention group showed substantial gains in specific balance tasks, including more challengingactivities such as turning 360 degrees and standing on one foot (p=0.001). Furthermore, a strong positive correlation was found between cardiovascular endurance and balance at post-test (r=0.663, p=0.001). Conclusion:This study demonstrates that a structured exercise program combining aerobic and balance training can effectively enhance cardiovascular endurance and balance amongDS’s children.Suggesting that targeted physical activity interventions may playa crucial role in promoting overall motor function and physical fitness among DS.
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    The Effect of a Suggested Exercise Program on Balance and Cardiovascular Fitness in Children with DownSyndrome: A Quasi Comparative Study
    (Al-Quds Univeersity, 2025-12-13) Razan Michael Hilal; رزان ميشيل هلال
    Background: Down syndrome (DS), or trisomy 21, is a genetic disorder causedby having an extra copy of chromosome 21, which leads to physical and intellectual disabilities, typicalfacial features, delayed growth, and hypotonia. DS’s people objected tomedicalcomplications:heart defects, obesity, and diabetes. Objective: To evaluate the effectiveness of a structured exercise program that integrates aerobic exercise and balance training, toward improving cardiovascular fitness and balance among DS’s children. Methods: A quasi-comparative (single-blinded) study conducted with 40 DS’s children aged 4 to 12 years from Jemima and Life Gate in Beit Jala. Participants were assigned by convenience sampling to either experimental group, which engaged in a structured exercise program for two sessions per week, with a 60-minute duration, over 12 weeks.Or to control group received standard physiotherapy sessions. Balance and cardiovascular fitness were assessed using the pre- and post-Berg Balance (PBB) Test and the 6-minute walk (6MWT) test. Results:The findings indicate that the structured exercise program hadsignificant improvements in cardiovascular endurance and balance among DS’s children. Participants in the intervention group demonstrated a statistically significant increase in 6MW Test (p=0.001) with a very large effect size (Cohen’s d=3.433), alongside marked improvements in overall balance as measured by the PBB Scale (p=0.001, Cohen’s d=1.447) compared to the control group. Notably, the intervention group showed substantial gains in specific balance tasks, including more challengingactivities such as turning 360 degrees and standing on one foot (p=0.001). Furthermore, a strong positive correlation was found between cardiovascular endurance and balance at post-test (r=0.663, p=0.001). Conclusion:This study demonstrates that a structured exercise program combining aerobic and balance training can effectively enhance cardiovascular endurance and balance amongDS’s children.Suggesting that targeted physical activity interventions may playa crucial role in promoting overall motor function and physical fitness among DS.