Distinct effects of trampoline-based stretch-shortening cycle exercises on muscle strength and postural control in children with Down syndrome: a randomized controlled study.
Featured on Physle Daily · Saturday, 18 July 2026
A team in Egypt tested whether bouncing exercises on a trampoline could help children with Down syndrome build stronger muscles and improve their balance. Thirty-two children aged 7 to 9 were split into two groups: one continued their usual therapy while the other added 15 minutes of trampoline work twice a week for 12 weeks. The trampoline group showed gains across multiple muscle groups in the legs, hips, and ankles, and their balance improved noticeably.
The improvements were real and measurable, though this remains a small single study, so the findings are a starting point rather than a final answer about how well this approach works in everyday practice.
Researchers wanted to see if bouncing on a trampoline could help children with Down syndrome get stronger and steadier on their feet. A group of children did regular therapy plus twice-weekly trampoline sessions for three months, while another group did regular therapy only.
The children who bounced on the trampoline became stronger in their legs, hips, and ankles, and they also found it easier to keep their balance and stay upright. The improvements were small but real enough to measure.
This study is early evidence that trampoline work might be helpful, though more research would help us understand how well it works for different children and how long the benefits last.
This is a summary of research, not medical advice. Talk to your own healthcare provider about anything affecting your care.
This randomized controlled trial examined stretch-shortening cycle training on a trampoline as a supplement to standard paediatric physiotherapy in children with Down syndrome. The intervention group showed statistically significant gains in hip extensors and adductors, knee extensors and flexors, and ankle dorsiflexors and plantarflexors compared to controls.
Postural stability indices improved across anterior-posterior, medial-lateral, and overall measures. The effect sizes appear modest rather than transformative, and the sample was small and narrow (7-9 years only), which limits generalizability.
The study does not explore adherence, safety parameters, or mechanisms of benefit, nor does it clarify which children might benefit most or how gains persist beyond the intervention period. The work suggests trampoline-based SSC may offer an accessible addition to conventional therapy, though larger and longer-term studies would strengthen the evidence base.
Children with Down syndrome who added 12 weeks of twice-weekly trampoline training to standard therapy showed greater improvements in hip, knee, and ankle muscle strength than those who received standard therapy alone.
The same trampoline group also showed better postural stability in all three measured directions (front-to-back, side-to-side, and overall balance) compared to the control group.
All improvements were statistically significant, though the study involved only 32 children aged 7 to 9 years and lasted 12 weeks.
Source
European review for medical and pharmacological sciences
Azab AR, Mahmoud WS, Basha MA et al. · 2022
doi: 10.26355/eurrev_202203_28343