Effects of the Otago Exercise Program on Balance, Endurance, and Motor Coordination in Children With Down Syndrome

The study will use a quasi-experimental design conducted over ten months in pediatric physiotherapy departments of tertiary care hospitals and special education schools. It will include 30 children aged 6-14 years with mild to moderate intellectual disability, selected after eligibility screening and guardian consent. Outcomes will be assessed using BOT-2, Berg Balance Scale, MMSE-C, and Six-Minute Walk Test to measure motor skills, balance, cognition, and endurance. Ethical approval will be obtained from the Research Ethical Committee of Riphah International University, Lahore, and data will be analyzed using SPSS version 26.0.

Inclusion Criteria: * • Clinically diagnosed with Trisomy 21. * Aged between 8-14 years.(29) * Able to follow basic verbal instructions. * Ambulatory with or without assistive devices Exclusion Criteria: * • Severe visual or auditory impairments. * Patient with moderate to severe cognitive impairments. (29) * Co-morbid neurological conditions (e.g., uncontrolled seizures, cerebral palsy). * Cardiac contraindications to moderate physical activity