Exergaming on Hand Dexterity In Autistic Children

NCT ID: NCT05475132

Last Updated: 2023-08-01

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

20 participants

Study Classification

INTERVENTIONAL

Study Start Date

2022-06-15

Study Completion Date

2023-02-28

Brief Summary

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Through this study we aim to determine the effect of Exergaming on bimanual hand dexterity in Autistic children. This randomized controlled trial will recruit a sample of 20 autistic children as per the inclusion and exclusion criteria, through convenient sampling. The sample will be then randomly allocated to control group receiving the conventional dexterity training exercises and Intervention group which will be receiving conventional plus exergaming intervention.

Detailed Description

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A study showed that a structured traditional physical activity intervention that targets specific MS resulted in motor function improvement in children with ASD along with exergaming that can improve EF in children with ASD.

On a population of 20 patients with CP, Structured Neurodevelopmental Therapy-based hand rehabilitation (SNDTBHR) was applied and in the results Positive effects of both interventions i.e. SNDTBHR and LMBET were found. Significant differences were found between LMBET and SNDTBHR on GGF, pinch forces, JHFT, and WCST all being in the favor of LMBET. Exergaming interventions in the individuals with ASD showed significant improvements in the physical fitness, executive functioning, and their self perception. Exergaming increased the interest and participation of Autistic children in moderate-to-vigorous physical activity. In contrast, exergaming had small impact on emotional regulation As per the results of another study participants with poorer dexterity in the beginning of exergaming training program greatly improved their dexterity performance, which also improved their quality of life. Adherence and motivation increased significantly and system usability of the exergaming was acceptable. Participants with impaired dexterity showed improvement in the Nine-Hole Peg Test and the PDQ-39

According the researchers knowledge there have been numerous studies conducted on the effect of different exercise protocols on autistic children but there is lack of evidence in determining the effect of exergaming on specifically hand functioning/ dexterity in autistic population'. More studies should be done in order to check if exergaming or conventional treatment differ in their effect on hand dexterity in autistic children. Home based exergaming and low cost video assisted games for dexterity need more in depth study so that they can be readily used by general public.

Conditions

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Autism Spectrum Disorder

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

DOUBLE

Caregivers Outcome Assessors

Study Groups

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Exergaming

App based exercise games for dexterity will be used

Group Type EXPERIMENTAL

Exergaming

Intervention Type OTHER

exercise games will be done for a total of 8 weeks ,100min of exergaming/week (5 days × 20 min).

Conventional Dexterity Exercises

Dexterity exercises used conventionally will be done in this.

Group Type ACTIVE_COMPARATOR

Conventional Dexterity Exercises

Intervention Type OTHER

Exercises traditionally used for dexterity will be done for 8 weeks, 100min of exercises/week (5days × 20 min)

Interventions

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Exergaming

exercise games will be done for a total of 8 weeks ,100min of exergaming/week (5 days × 20 min).

Intervention Type OTHER

Conventional Dexterity Exercises

Exercises traditionally used for dexterity will be done for 8 weeks, 100min of exercises/week (5days × 20 min)

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Male and female children pre-diagnosed with autism spectrum disorder.
* Autistic Children who are compliant with exergaming

Exclusion Criteria

* Children not pre-diagnosed with autism spectrum disorder
* Autistic Children who have other coordination disorder such as developmental coordination disorder
* Autistic Children with upper limb amputation.
* Autistic children with loss of vision
Minimum Eligible Age

5 Years

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Riphah International University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Sara Aabroo

Role: PRINCIPAL_INVESTIGATOR

Riphah International University

Locations

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CARD(Clinic for autism and related disorders)

Lahore, Punjab Province, Pakistan

Site Status

Lahore Autism Centre

Lahore, Punjab Province, Pakistan

Site Status

Countries

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Pakistan

References

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Lord C, Brugha TS, Charman T, Cusack J, Dumas G, Frazier T, Jones EJH, Jones RM, Pickles A, State MW, Taylor JL, Veenstra-VanderWeele J. Autism spectrum disorder. Nat Rev Dis Primers. 2020 Jan 16;6(1):5. doi: 10.1038/s41572-019-0138-4.

Reference Type BACKGROUND
PMID: 31949163 (View on PubMed)

Kim SK. Recent update of autism spectrum disorders. Korean J Pediatr. 2015 Jan;58(1):8-14. doi: 10.3345/kjp.2015.58.1.8. Epub 2015 Jan 31.

Reference Type BACKGROUND
PMID: 25729393 (View on PubMed)

Paquet A, Olliac B, Golse B, Vaivre-Douret L. Nature of motor impairments in autism spectrum disorder: A comparison with developmental coordination disorder. J Clin Exp Neuropsychol. 2019 Feb;41(1):1-14. doi: 10.1080/13803395.2018.1483486. Epub 2018 Jun 20.

Reference Type BACKGROUND
PMID: 29923455 (View on PubMed)

Pixa NH, Steinberg F, Doppelmayr M. High-definition transcranial direct current stimulation to both primary motor cortices improves unimanual and bimanual dexterity. Neurosci Lett. 2017 Mar 16;643:84-88. doi: 10.1016/j.neulet.2017.02.033. Epub 2017 Feb 14.

Reference Type BACKGROUND
PMID: 28229937 (View on PubMed)

Fulceri F, Grossi E, Contaldo A, Narzisi A, Apicella F, Parrini I, Tancredi R, Calderoni S, Muratori F. Motor Skills as Moderators of Core Symptoms in Autism Spectrum Disorders: Preliminary Data From an Exploratory Analysis With Artificial Neural Networks. Front Psychol. 2019 Jan 9;9:2683. doi: 10.3389/fpsyg.2018.02683. eCollection 2018.

Reference Type BACKGROUND
PMID: 30687159 (View on PubMed)

Friel KM, Kuo HC, Fuller J, Ferre CL, Brandao M, Carmel JB, Bleyenheuft Y, Gowatsky JL, Stanford AD, Rowny SB, Luber B, Bassi B, Murphy DL, Lisanby SH, Gordon AM. Skilled Bimanual Training Drives Motor Cortex Plasticity in Children With Unilateral Cerebral Palsy. Neurorehabil Neural Repair. 2016 Oct;30(9):834-44. doi: 10.1177/1545968315625838. Epub 2016 Feb 11.

Reference Type BACKGROUND
PMID: 26867559 (View on PubMed)

Fang Q, Aiken CA, Fang C, Pan Z. Effects of Exergaming on Physical and Cognitive Functions in Individuals with Autism Spectrum Disorder: A Systematic Review. Games Health J. 2019 Apr;8(2):74-84. doi: 10.1089/g4h.2018.0032. Epub 2018 Oct 17.

Reference Type BACKGROUND
PMID: 30332294 (View on PubMed)

Rafiei Milajerdi H, Sheikh M, Najafabadi MG, Saghaei B, Naghdi N, Dewey D. The Effects of Physical Activity and Exergaming on Motor Skills and Executive Functions in Children with Autism Spectrum Disorder. Games Health J. 2021 Feb;10(1):33-42. doi: 10.1089/g4h.2019.0180. Epub 2020 Dec 23.

Reference Type BACKGROUND
PMID: 33370161 (View on PubMed)

van Beek JJW, van Wegen EEH, Bohlhalter S, Vanbellingen T. Exergaming-Based Dexterity Training in Persons With Parkinson Disease: A Pilot Feasibility Study. J Neurol Phys Ther. 2019 Jul;43(3):168-174. doi: 10.1097/NPT.0000000000000278.

Reference Type BACKGROUND
PMID: 31136450 (View on PubMed)

Gao Z, Zeng N, Pope ZC, Wang R, Yu F. Effects of exergaming on motor skill competence, perceived competence, and physical activity in preschool children. J Sport Health Sci. 2019 Mar;8(2):106-113. doi: 10.1016/j.jshs.2018.12.001. Epub 2018 Dec 6.

Reference Type BACKGROUND
PMID: 30997256 (View on PubMed)

Other Identifiers

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REC/22/0204 Maham Shabbir

Identifier Type: -

Identifier Source: org_study_id

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