Effects of Adapted Physical Activities on Visual Motor Integration in Children With Developmental Delay

Riphah International University

Status: Completed

Conditions: Development Delay

Treatments: Other: baseline therapy and conventional therapy; Other: baseline treatment and adaptive physical activity

Study type: Interventional

Funder types: Other

Identifiers

NCT05969808

REC/ RCR & AHS/23/0726

Details and patient eligibility

About

Developmental delay occurs when a child does not achieve developmental milestones in comparison to peers of the same age range. Children and adolescents with developmental delay often experience participation restrictions. Visual motor integration (VMI) is the ability of the child's hands and eyes to work together to guide their movements. Visual motor integration is a broad term encompasses cognitive as well as manual domains. This study will focused on the Manual Dexterity and intra-limb coordination (VMI). And it will evaluate the effects of adaptive physical activity on Visual Motor Integration.

Adaptive physical activities (APAs) are exercises and games that have been specially designed to fulfil the unique needs and skills of special needs or developmental delays.

Full description

Randomized control trial will be conducted with sample size 30, used to compare the effectiveness of adaptive physical activity on visual motor integration in children with developmental delay. subjects with developmental delay meeting the predetermined inclusion and exclusion criteria will be divided into two groups using non-probability convenient sampling. pre and post assessment will be done by Box and Block Test, Box and Ball Test, Discrete horizontal finger tapping test, Discrete vertical finger tapping with ball and continuous Vertical tapping with ball. subjects in group A will receive Baseline therapy and conventional therapy and group B will receive baseline therapy and adaptive physical activity.

Enrollment: 30 patients

Sex: All

Ages: 3 to 6 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Age group 3-6 (both Gender Male & Female) (39)
• Gross Motor Function Classification System, Level I
• & II (45)
• Manual Ability Classification System (MACS) levels
• 1-3 (46)
• Pre assessed Developmental delayed.

Exclusion criteria

• Visually impaired Child
• Children with co-morbidities such as Epilepsy, Hydrocephalus
• Fractures, contractures or conflicting concurrent treatment impacting motor Functioning
• Children with significant cognitive impairments.
• Children who have received specific interventions targeting Visual motor integration, manual dexterity or intra-limb coordination

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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30 participants in 2 patient groups

control group

Active Comparator group

Description:

The control group will participate in regular activities and routines typically provided to children with developmental delays. These activities may include general playtime, basic gross motor activities, and free play with toys for 3 times a week for 45mins for 12 weeks. The control group will not receive any specific intervention targeted at improving visual motor integration, manual dexterity, or intra-limb coordination. Experimental group

Treatment:

Other: baseline therapy and conventional therapy

experimental group

Active Comparator group

Description:

The Experimental group will receive the baseline treatment as Control group. Adaptive Physical Activities will perform for to improve Visual Motor Integration 3 times a week for 45mins for 12 weeks. Pre and post assessment will be performed by using box and boll test, box and block test, Discrete Vertical Finger Tapping Test (DVFTT), discrete horizontal finger tapping test and discrete vertical tapping test with ball.

Treatment:

Other: baseline treatment and adaptive physical activity