Postural Control Instability in Children With Mild Autism

NCT ID: NCT05644366

Last Updated: 2022-12-09

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

10 participants

Study Classification

INTERVENTIONAL

Study Start Date

2014-08-14

Study Completion Date

2015-09-14

Brief Summary

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Objective: Individuals diagnosed with Autism Spectrum Disorder (ASD) exhibit some type of motor control impairment, for instance, motor apraxia and history of gross motor delay that could lead to increased risk of fall. This pilot research was designed to assess and characterize static postural stability and create a starting point to better understand and describe postural control in children with mild autism. Method: We measured static postural control with center of pressure (COP) displacement in 10 children with mild autism during eight sensory conditions that challenge and cancel the visual, proprioceptive and vestibular systems.

Detailed Description

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Materials and methods Institutional Review Board (IRB) approval at the University of Puerto Rico, Medical Science Campus has obtained prior the recruitment of the participants. Parents of children diagnosed with mild ASD who were interested in the study called the number on the recruitment flyer. The PI spoke with the parent to assess whether their child qualified for the study based on the following inclusion and exclusion criteria.

Balance Assessment Protocol

The balance assessment procedure included the following; each subject was instructed to stand on both feet for 15 seconds on the pressure MatScan under eight different conditions. The first four conditions were executed over a stable surface and consisted of the following: (1) eyes open (EO) -evaluates visual, vestibular and proprioceptive systems, (2) eyes closed (EC) -eliminates visual input, evaluates vestibular and proprioceptive system, (3) eyes open while moving head up and down (at 60 beats per minute) (EO HUD) -evaluates visual and proprioceptive system and alters vestibular input, (4) eyes closed while moving the head up and down (EC HUD) -evaluates the effect of removing visual information, and the vestibular input being altered. The subjects then performed the same four tasks, this time standing on an unstable platform (high quality closed cell foam 19 inches long x 15 inches width x 2.25 inches)with the purpose of altering the proprioceptive input and increasing dependence on the visual and vestibular systems.

Conditions

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Autism Spectrum Disorder

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

The balance assessment procedure included the following; each subject was instructed to stand on both feet for 15 seconds on the pressure MatScan under eight different conditions.
Primary Study Purpose

SCREENING

Blinding Strategy

NONE

Study Groups

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Balance Assessment Children with Autism

Postural Stability Testing Each subject was instructed to stand in a static bipedal posture on the MatScanĀ® pressure mat and performed 8 balance tasks.

Group Type EXPERIMENTAL

Postural Control Balance Assessment

Intervention Type OTHER

Postural Stability Testing Each subject was instructed to stand in a static bipedal posture on the MatScanĀ® pressure mat and performed 8 balance tasks.

Interventions

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Postural Control Balance Assessment

Postural Stability Testing Each subject was instructed to stand in a static bipedal posture on the MatScanĀ® pressure mat and performed 8 balance tasks.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* children from 7-12 years of age, male or female
* mild ASD diagnosis (as determined by a medical doctor)
* capable of ambulating independently.

Exclusion Criteria

* children with additional neurological problems
* children with visual problems
* children unable to tolerate walking or standing barefoot
* children who have fallen three or more times in the last three months
* children with vestibular problems.
Minimum Eligible Age

7 Years

Maximum Eligible Age

12 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Texas Woman's University

OTHER

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Martin G. Rosario, PT, PhD

Role: PRINCIPAL_INVESTIGATOR

Texas Woman's University

References

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Ming X, Brimacombe M, Wagner GC. Prevalence of motor impairment in autism spectrum disorders. Brain Dev. 2007 Oct;29(9):565-70. doi: 10.1016/j.braindev.2007.03.002. Epub 2007 Apr 30.

Reference Type BACKGROUND
PMID: 17467940 (View on PubMed)

Teitelbaum P, Teitelbaum O, Nye J, Fryman J, Maurer RG. Movement analysis in infancy may be useful for early diagnosis of autism. Proc Natl Acad Sci U S A. 1998 Nov 10;95(23):13982-7. doi: 10.1073/pnas.95.23.13982.

Reference Type BACKGROUND
PMID: 9811912 (View on PubMed)

Fournier KA, Kimberg CI, Radonovich KJ, Tillman MD, Chow JW, Lewis MH, Bodfish JW, Hass CJ. Decreased static and dynamic postural control in children with autism spectrum disorders. Gait Posture. 2010 May;32(1):6-9. doi: 10.1016/j.gaitpost.2010.02.007. Epub 2010 Apr 18.

Reference Type BACKGROUND
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Mari M, Castiello U, Marks D, Marraffa C, Prior M. The reach-to-grasp movement in children with autism spectrum disorder. Philos Trans R Soc Lond B Biol Sci. 2003 Feb 28;358(1430):393-403. doi: 10.1098/rstb.2002.1205.

Reference Type BACKGROUND
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Kohen-Raz R, Volkmar FR, Cohen DJ. Postural control in children with autism. J Autism Dev Disord. 1992 Sep;22(3):419-32. doi: 10.1007/BF01048244.

Reference Type BACKGROUND
PMID: 1383190 (View on PubMed)

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Reference Type BACKGROUND
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Blanche EI, Reinoso G, Chang MC, Bodison S. Proprioceptive processing difficulties among children with autism spectrum disorders and developmental disabilities. Am J Occup Ther. 2012 Sep-Oct;66(5):621-4. doi: 10.5014/ajot.2012.004234.

Reference Type BACKGROUND
PMID: 22917129 (View on PubMed)

Shumway-Cook, A., & Woollacott, M. H. (2001a). Constraints of motor control. Motor control: Theory and practical applications (2nd ed., pp. 127-161). Philadelphia, Pa. ; London: Lippincott Williams & Wilkins.

Reference Type BACKGROUND

Kern, J. K., Garver, C. R., Grannemann, B. D., Trivedi, M. H., Carmody, T., Andrews, A. A., & Mehta, J. A. (2007). Response to vestibular sensory events in autism. Research in Autism Spectrum Disorders, 1(1), 67-74. doi:10.1016/j.rasd.2006.07.006

Reference Type BACKGROUND

Molloy CA, Dietrich KN, Bhattacharya A. Postural stability in children with autism spectrum disorder. J Autism Dev Disord. 2003 Dec;33(6):643-52. doi: 10.1023/b:jadd.0000006001.00667.4c.

Reference Type BACKGROUND
PMID: 14714933 (View on PubMed)

Shumway-Cook, A., & Woollacott, M. H. (2001b). Development of postural control. Motor control: Theory and practical applications (2nd ed., pp. 192-221). Philadelphia, Pa. ; London: Lippincott Williams & Wilkins.

Reference Type BACKGROUND

FUKUDA T. The stepping test: two phases of the labyrinthine reflex. Acta Otolaryngol. 1959 Mar-Apr;50(2):95-108. doi: 10.3109/00016485909129172. No abstract available.

Reference Type BACKGROUND
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Zammit GV, Menz HB, Munteanu SE. Reliability of the TekScan MatScan(R) system for the measurement of plantar forces and pressures during barefoot level walking in healthy adults. J Foot Ankle Res. 2010 Jun 18;3:11. doi: 10.1186/1757-1146-3-11.

Reference Type BACKGROUND
PMID: 20565812 (View on PubMed)

Hansson EE, Beckman A, Hakansson A. Effect of vision, proprioception, and the position of the vestibular organ on postural sway. Acta Otolaryngol. 2010 Dec;130(12):1358-63. doi: 10.3109/00016489.2010.498024. Epub 2010 Jul 16.

Reference Type BACKGROUND
PMID: 20632903 (View on PubMed)

O'sullivan, S. B. (2007). Examination of motor function: Motor control and motor learning. Physical rehabilitation (pp. 233-234) FA Davis Company Philadelphia.

Reference Type BACKGROUND

Other Identifiers

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A2540214

Identifier Type: -

Identifier Source: org_study_id