Whole-body vibration versus gravity force stimulation on postural stability in children with Down syndrome: A randomized controlled trial

Purpose. To compare how functional walking ability and postural stability are affected in children with DS by whole-body vibration and gravity force stimulation. Methods. This study enrolled sixty DS children from both sexes into three groups at random. A structured physical therapy plan was given to the control and both study groups. Whole-body vibration (WBV) and gravity force stimulation (GFS) were given to the study groups (I) and (II) respectively. Postural stability indices (overall, mediolateral, and anteroposterior) and functional walking capacity were assessed by the Biodex balance system (BBS) and six-minute walk test (6MWT) respectively. The intervention session was conducted thrice/week for 12 consecutive weeks. Results. All stability indices at stability levels 8 and 5 significantly decreased after-intervention compared to before-intervention, but the 6MWT significantly increased in all three groups. All stability indices at stability levels 8 and 5 showed a significant decrease after-intervention, and the 6MWT in all three groups significantly increased in favor of study groups (WBV) and (GFS). However, there were no significant differences in all stability indices at stability levels 8 and 5 and in 6MWT between study groups (WBV) and (GFS) after-intervention. Conclusion. Whole-body vibration and gravity force stimulation both had a similar effect on postural stability and functional walking capacity among children who have Down syndrome.