Mindful Movement And GAME BASED Training In Developmental Delay

Developmental delay in children is characterized by delayed acquisition of cognitive, motor, language, and social skills and is commonly associated with conditions such as cerebral palsy, autism spectrum disorder, and genetic disorders. Children with developmental delay frequently experience impairments in motor skills, balance, and gait, which negatively a ffect their functional independence and social participation. Addressing these motor deficits is essential to enhance their quality of life. Mindful movement and game-based training are two therapeutic approaches that have shown potential in improving motor performance in this population. Mindful movement emphasizes slow, controlled movements, body awareness, emotional regulation, imaginative play, and biomechanical warm-up exercises to enhance motor control. In contrast, game-based training employs engaging and interactive activities to improve motor coordination, balance, strength, and social interaction. This randomized clinical trial aims to compare the effects of mindful movement and game-based training in children with developmental delay. The study will be conducted at Acme Hospital over a 10-month period and will include 36 children aged 9-11 years selected through non-probability convenient sampling. Participants will be assigned into two groups: Group A will receive mindful movement therapy, and Group B will undergo game-based training. Outcomes will be assessed using validated tools, including the Bruininks-Oseretsky Test of Motor Proficiency (BOT-2), Pediatric Berg Balance Scale (PBS), Functional Reach Test (FRT), Observational Gait Scale (OGS), and Edinburgh Visual Gait Score (EVGS), to evaluate motor skills, balance, gait, and overall motor proficiency.

Inclusion Criteria: * Children age 9-11 years * Both male and female * Children diagnosed with developmental delay * Mini mental state examination \>24 * Participants who are able to understand and follow the instruction * Bruininks-Oseretsky Test of Motor Proficiency (BOT-2): \< 40 * Pediatric Berg Balance Scale (PBS) score of less than 45 * Functional Reach Test (FRT): 6-7 inches * Observational Gait Scale (OGS): 0-3, \>10 * Edinburgh Visual Gait Score (EVGS): \< 37 Exclusion Criteria: * Any cognitive impairment that limits understanding of instructions * Uncontrolled seizures or medical conditions that contraindicate therapy * Participation in other structured physiotherapy programs targeting motor skills, gait and balance * Children with severe visual or hearing impairments affecting the ability to follow intervention activities . * Children with recent lower-limb orthopedic injuries, fractures, or surgeries within the previous 6 months. * Children with diagnosed genetic neuromuscular disorders associated with progressive motor deterioration (e.g., muscular dystrophy).