Viewing Study NCT02393404



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Study NCT ID: NCT02393404
Status: UNKNOWN
Last Update Posted: 2015-03-19
First Post: 2015-03-09

Brief Title: Functional Movement-power Training for Children With Developmental Coordination Disorder A Randomised Controlled Trial
Sponsor: The University of Hong Kong
Organization: The University of Hong Kong

Study Overview

Official Title: Enhancing Neuromuscular Performance and Central Nervous System Plasticity Through Functional Movement-power Training to Improve Balance Strategies in Children With Developmental Coordination Disorder A Randomised Controlled Trial
Status: UNKNOWN
Status Verified Date: 2015-03
Last Known Status: ACTIVE_NOT_RECRUITING
Delayed Posting: No
If Stopped, Why?: Not Stopped
Has Expanded Access: False
If Expanded Access, NCT#: N/A
Has Expanded Access, NCT# Status: N/A
Acronym: None
Brief Summary: Objective To compare the effectiveness of functional movement-power training PT-FMT functional movement training FMT alone and no intervention in improving balance strategies and performance among children with developmental coordination disorder DCD

Design A randomised controlled clinical trial Sample 87 children with DCD Interventions 12 weeks of PT and FMT or FMT alone in the two intervention groups

Major outcomes Sensory organisation test - balance strategy and composite scores Movement Assessment Battery for Children - total impairment score and balance subscore hand-held dynamometer measurements of lower limb muscle strength and time to peak force
Detailed Description: With the growing numbers of children with dyspraxia in Hong Kong the focus of paediatric rehabilitation services has shifted from severe motor disorders eg cerebral palsy to relatively minor motor problems such as developmental coordination disorder DCD Evidence-based treatment strategies must be developed to suit this changing need Children diagnosed with DCD are characterised by marked impairment in motor functions Poor balance ability is a major concern because it may predispose children to falls and affect their motor skill development At present rehabilitation regimes for DCD-affected children use functional movement training FMT to induce neural plastic changes in the central nervous system CNS and thus enhance functional balance performance Less emphasis is placed on treating the neuromuscular impairments that might also affect functional outcomes Recently the investigators research team discovered that slowed hamstring muscle force production a neuromuscular deficit may be one of the causes of poor balance strategies in children with DCD but no effective treatment strategy has yet been examined Power training PT has been found to be effective in increasing the speed of muscle force production and balance in adults through various neuromuscular mechanisms In this study the investigators intend to treat both the CNS and peripheral neuromuscular deficits in DCD-affected children Therefore the investigators will incorporate PT into a conventional FMT regime The investigators hypothesise that balance strategies and functional performance in children with DCD will be improved most by treating both the CNS and neuromuscular deficits This hypothesis will be supported by the finding that PT with FMT is superior to FMT alone in improving balance strategies and functional performance in children with DCD

Objective To compare the effectiveness of PT-FMT FMT alone and no intervention in improving balance strategies and performance among children with DCD Design A randomised controlled clinical trial Sample 87 children with DCD Interventions 12 weeks of PT and FMT or FMT alone in the two intervention groups

Major outcomes Sensory organisation test - balance strategy and composite scores Movement Assessment Battery for Children - total impairment score and balance subscore hand-held dynamometer measurements of lower limb muscle strength and time to peak force

Anticipated results and clinical significance DCD-affected children who receive FMT together with PT will have the best balance performance outcomes If the results are positive this training programme could be readily transferrable to clinical practice This could have positive socio-economic implications such as shorter treatment periods and reduced healthcare costs

Study Oversight

Has Oversight DMC: None
Is a FDA Regulated Drug?: None
Is a FDA Regulated Device?: None
Is an Unapproved Device?: None
Is a PPSD?: None
Is a US Export?: None
Is an FDA AA801 Violation?: None