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NCT Number: NCT07578909

Retro Walking With and Without Bosu Ball for Balance and Mobility in Hearing Impaired Children

his randomized controlled trial aims to evaluate the effects of retro walking with and without BOSU ball training on balance and mobility in hearing-impaired children aged 8-12 years. A total of 24 participants will be divided into experimental and control groups. The experimental group will receive retro walking along with BOSU ball training, while the control group will perform retro walking only for 8 weeks. Balance and mobility will be assessed using the Pediatric Balance Scale, Timed Up and Go Test, and One-Leg Stance Test. Data will be collected from specialized schools in Lahore and analyzed using SPSS 27. Ethical approval will be obtained prior to study commencement.

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Key information

Conditions

Hearing Impaired Children Ear Diseases Hearing Disorders Hearing Loss Nervous System Diseases Neurologic Manifestations Otorhinolaryngologic Diseases Pathological Conditions, Signs and Symptoms Sensation Disorders Signs and Symptoms

Age range

8 year–12 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

About this study

Children with hearing impairment often experience balance and motor deficits due to concomitant damage to the vestibular structures. Interventions focusing on balance training have shown promise in improving postural control and motor coordination in this population. Retro walking, or backward walking, has been identified as an effective exercise to enhance balance and motor control. Additionally, the BOSU ball, a fitness training device that provides an unstable surface, is commonly used for balance training. However, the combined effect of retro walking and BOSU ball training on balance and mobility in hearing-impaired children remains underexplored. The aim of this study is to investigate the effects of retro walking on balance and mobility with and without Bosu ball in hearing impaired children.

The study design will be a randomized control trial. Data will be collected from Govt. Deaf and Defective Hearing Model High School for Girls Rajgarh and Deaf Reach School, Training Center and College, Lahore. The study will be completed in 10 months after the approval of synopsis. Children aged 8 to 12 years will be randomly assigned either into the experimental group(n=12) or control group (n=12). The experimental group will be provided retro walking exercises for 30 minutes 8 weeks and BOSU ball will also be 8 weeks duration. The Control group will provide only retro walking exercises for 8 weeks. Participants fulfilling the eligibility criteria will be asked to assign the consent form before entering into the study. Balance will be measured by pediatric balance scale, mobility will be measured by time up and go test and static balance will be measured by one leg stance test. The synopsis will be presented to Research Ethical Committee of Riphah International University, Lahore for ethical approval to conduct this study. Data will be analyzed through SPSS 27.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Age 8 to 12 years.
  • Children with hearing loss in right and left ear (bilateral).
  • Children with hearing-impaired intensity over 61 dB.
  • Both genders will be included.
  • Balance cut off value <45 on pediatrics balance scale.

Exclusion criteria

  • Presence of neurologic disease.
  • Hyperactivity and vision problems.
  • Have any musculoskeletal disorders.
  • Children with cochlear implant.
  • Children with leg length discrepancy

Treatment and study plan

Retro walking

Other

The intervention consists of structured retro walking exercises designed to improve balance, coordination, and mobility. It includes variations such as knee and heel pulling, slalom movements, cross steps, skipping, and fast backward running with different body and foot positions. These activities are performed under supervision to enhance postural control, dynamic stability, and functional walking performance

BOSU ball

Device

The BOSU ball intervention includes a series of balance and strength exercises performed in both stable (flat side up) and unstable (bouncy side up) positions. Activities involve weight shifting, circular foot movements, squats, single-leg stance, leg abduction, lunges, push-ups, and abdominal crunches to challenge stability. These movements are designed to improve balance, core strength, coordination, and functional mobility under controlled conditions.all these interventions for 8 weeks

Other names: Retro Walking

Primary outcomes

  1. Pediatrics Balance Scale

    Time frame: Baseline, 8weeks

    The Pediatric Balance Scale (PBS) is a valid and reliable test used to assess functional balance in children. It includes 14 simple activity-based tasks scored out of 56, where higher scores indicate better balance. The test is quick to administer and commonly used in children with balance impairments, including hearing loss.

  2. Time Up and Go Test

    Time frame: Baseline, 8weeks

    The Timed Up and Go Test (TUG) is a reliable and valid tool used to assess functional mobility and dynamic balance in children aged 3-18 years. It has strong test-retest, intra-rater, and inter-rater reliability and correlates well with other measures of balance, strength, and functional ability.

  3. Single leg stance test

    Time frame: Baseline, 8weeks

    It is used to assess static balance by measuring how long a child can stand on one leg. The child maintains a specific posture while timing starts when one foot is lifted and stops when balance is lost or the foot touches the ground. Proper posture is required throughout, and the test is repeated if incorrect positioning occurs.

Study contacts

Contact information is provided by the study sponsor or research team.

Imran Amjad, phD

CONTACT

[email protected]

03324390125

Muhammad Asif Javed, MS-PT

CONTACT

[email protected]

923224209422

Sponsors and collaborators

Lead sponsor

Riphah International University

Other

Registry information

Official study title

Comparative Effects of Retro Walking With and Without Bosu Ball on Balance and Mobility in Children With Hearing Impairment

Important dates

Study start
2026
Primary completion
2026
Study completion
2026
First posted
May 11, 2026
Registry last updated
May 11, 2026

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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