Effects of Rhythmic Balance Auditory Vision Training And Strength Training With Autism Spectrum Disorder.

NCT ID: NCT06308315

Last Updated: 2024-10-15

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 64 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2024-02-25
• Study Completion Date: 2024-09-30

Brief Summary

Autism, a complex neurodevelopmental disorder that is marked by limited interests, and challenges in communication and social interactions and problem includes difficulties in understanding and responding to social cues, repetitive behaviors, intense focus on specific interests, and challenges with verbal and nonverbal communication. Rhythmic Balance Auditory Vision Training (RBAVT) a therapeutic approach which helps in improving coordination and balance in individuals with various neurological conditions. Strength training enhance physical health and muscle development. Thus, the purpose of this study is to compare the effects of rhythmic balance auditory vision training and strength training on motor function and cognition in children with autism spectrum disorder.

Detailed Description

This randomized clinical trial will be conducted in Autism center Lahore. Sample of 76 patients will be recruited in this trial by using the convenience sampling technique. Participants will be randomly allocated in two groups using lottery method. Group A will receive Rhythmic balance visual auditory exercise. Group B will receive strength training exercises. Both groups will receive routine physical therapy as baseline treatment. All the participants will receive 3 sessions per week for 12 weeks.Bruininks-Oseretsky Test of Motor Proficiency (BOT-2) will be used assessment tool to measure fine and gross motor skills and Wisconsin Card Sorting Test (WCST) will be assessment tool that evaluates cognitive flexibility and problem-solving abilities.

Conditions

Autism Spectrum Disorder

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: TREATMENT
• Blinding Strategy: SINGLE

Study Groups

Group A (Rhythmic Training+ Routine Physical therapy)

Rhythmic balance auditory vision training will be given thrice a week for 8 weeks. it is a 45 minute training program that consist of:

1. 5 minute warm up activities (arm swings).

2. Bal-A-Vis-X training thrice a week for 20 minutes.

3. 5-minute cool down activities.

Routine Physical therapy treatment for 15 minutes

Group Type: EXPERIMENTAL

Rhythmic balance visual auditory exercise + Routine physical therapy

Intervention Type: OTHER

5 minute warm-up activities.

Bal-A-Vis-X training includes:

1. Ball Rectangle; A and B hold one ball in each hand, simultaneously bounce right balls to patient left hand; while balls bounce, clap left balls on right hand; catch patient ball with left hand; continue pattern. Bounces must be simultaneous. (10 minutes)

2. Ball rectangle in which one hand has to toss a ball to a partner and the other hand catch an incoming bag from the partner and 2 ball drop/pass/catch, two-foot jumping forward, tandem walking on ground. (10 minutes)

Routine Physical therapy treatment includes:

Range of Motion exercises, Stretching, Strength, balance training for 15 minutes

5 minute cool-down activities.

Group B (Strength Training+ Routine Physical Therapy)

Strength training Program will be performed thrice a week for 8 weeks. session of 45 minute will be given to the patient. The expert managed sessions based on:

10-min warm-up activities, 25-min basic exercise 10- min cool-down activities.

Group Type: EXPERIMENTAL

Strength Training + Routine Physical Therapy

Intervention Type: OTHER

The expert managed sessions based on:

5 minute warm-up activities. 5 minute cool-down activities. Strength training includes 5 tasks for 20 minutes

1. core strengthening,

2. upper and lower limbs strength in both static positions as well as with dynamic movements

3. standing long jump,

4. knee push-ups,

5. sit-ups

Routine Physical therapy treatment will be given for 15 minutes.

It includes:

Range of Motion exercises, Stretching, Strength, balance training.

Interventions

Rhythmic balance visual auditory exercise + Routine physical therapy

5 minute warm-up activities.

Bal-A-Vis-X training includes:

1. Ball Rectangle; A and B hold one ball in each hand, simultaneously bounce right balls to patient left hand; while balls bounce, clap left balls on right hand; catch patient ball with left hand; continue pattern. Bounces must be simultaneous. (10 minutes)

2. Ball rectangle in which one hand has to toss a ball to a partner and the other hand catch an incoming bag from the partner and 2 ball drop/pass/catch, two-foot jumping forward, tandem walking on ground. (10 minutes)

Routine Physical therapy treatment includes:

Range of Motion exercises, Stretching, Strength, balance training for 15 minutes

5 minute cool-down activities.

Intervention Type: OTHER

Strength Training + Routine Physical Therapy

The expert managed sessions based on:

5 minute warm-up activities. 5 minute cool-down activities. Strength training includes 5 tasks for 20 minutes

1. core strengthening,

2. upper and lower limbs strength in both static positions as well as with dynamic movements

3. standing long jump,

4. knee push-ups,

5. sit-ups

Routine Physical therapy treatment will be given for 15 minutes.

It includes:

Range of Motion exercises, Stretching, Strength, balance training.

Intervention Type: OTHER

Eligibility Criteria

Inclusion Criteria

1. Age range between 6 and 12 years.

2. Rating Scale (CARS) with scores ranging from 30 to 36.

3. Confirmation of the diagnosis of autism by a psychiatrist based on Diagnostic and Statistical manual of Mental Disorders.

4. Physical and cognitive ability

Exclusion Criteria

1. Children with history of auditory, visual, or respiratory deficits, or fixed deformities of the extremities.

2. Medical contraindications such as orthopedic or acute conditions that hinder participation in the exercise program.

3. History of psychotropic medication within the last 4 weeks.

• Minimum Eligible Age: 6 Years
• Maximum Eligible Age: 12 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Riphah International University

OTHER

Sponsor Role: lead

Responsible Party

Responsibility Role: SPONSOR

Principal Investigators

Muhammad Kashif, PhD-PT

Role: STUDY_CHAIR

Riphah International University

Locations

Riphah International University

Lahore, Punjab Province, Pakistan

Countries

Pakistan

Other Identifiers

REC/RCR&AHS/23/0297

Identifier Type: -

Identifier Source: org_study_id