Viewing Study NCT05208255



Ignite Creation Date: 2024-05-06 @ 5:07 PM
Last Modification Date: 2024-10-26 @ 2:23 PM
Study NCT ID: NCT05208255
Status: UNKNOWN
Last Update Posted: 2022-01-26
First Post: 2021-12-29

Brief Title: Effect of Telerehabilitation-Based Exercise and Motor Imagery Training in Children With ADHD
Sponsor: Izmir Katip Celebi University
Organization: Izmir Katip Celebi University

Study Overview

Official Title: Investigation of the Effect of Telerehabilitation-Based Exercise and Motor Imagery Training on ADHD Symptoms and Balance in Children With ADHD A Pilot Study
Status: UNKNOWN
Status Verified Date: 2022-01
Last Known Status: NOT_YET_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: Attention Deficit Hyperactivity Disorder ADHD is one of the most common neurodevelopmental disorders with heterogeneous clinical features such as inattention hyperactivity and impulsivity

It has been shown that one-third of children with ADHD have problems with tasks that require fine and gross motor skills In addition it was stated that the motor skill problems experienced during dynamic balance tasks were more pronounced than typically developing children The motor problems seen in children with ADHD may be caused by dysfunction in some related brain regions that delayed or impaired cerebellar development may contribute to the pathophysiology of ADHD Motor imagery skills have been investigated as the underlying cause of motor impairment in children with ADHD and Developmental Coordination Disorder DCD Although it has shown that motor imagery is markedly impaired in children with DID It has been stated that this situation is not clear in children with ADHD Motor imagery is the mental thinking of a movement without actual movement being revealed

It has been reported that combined physical and mental programs applied at different rates as well as motor imagery training without physical exercise are effective in improving postural control In a study conducted with children with DCD it was shown that motor imagery training improves childrens movement skills

In the treatment of ADHD there are multidimensional treatment approaches that include medical and psychosocial interventions Pharmacological treatments including stimulant and non-stimulant drugs are highly effective in reducing ADHD symptoms and the disruptive behaviours associated with them Also physical exercises are known to reduce ADHD symptoms Exercise methods enable patients receiving drug therapy to respond better to drugs it has been shown to improve cognitive functions in ADHD cases

In conclusion the underlying aetiology of motor imagery skills and motor coordination and balance problems in ADHD is not clear The use of telerehabilitation methods has become widespread due to the difficulties in conducting face-to-face treatment and follow-up processes during the pandemic process In addition there is no exercise program based on telerehabilitation and motor imagery in children with ADHD This study aims to examine the effects of telerehabilitation-based exercise and motor imagery practices on ADHD symptoms and balance skills in children with ADHD
Detailed Description: Attention Deficit Hyperactivity Disorder ADHD is one of the most common neurodevelopmental disorders in children 72 in the world ADHD with a prevalence of approximately 13 in Turkey It is a disorder that affects impulsivity inattention and hyperactivity symptoms and affects daily life activities and causes inadequacies

Children with ADHD have lower motor skills and performance than healthy children reported to have higher motor coordination disorders It has been shown that one-third of children with ADHD have problems with tasks that require fine and gross motor skills In addition it was stated that the motor skill problems experienced during dynamic situations were more pronounced than healthy children It has been reported that motor disorders seen in children with ADHD may result from dysfunction in some related brain regions and that especially delayed or impaired cerebellar development may contribute to the pathophysiology of ADHD ADHD can cause significant academic social and psychiatric problems If left untreated these problems continue for life

Motor imagery was investigated as the underlying cause of motor impairment in children with ADHD and Developmental Coordination Disorder DDD It was stated that motor imagery was significantly impaired in children with ADHD But this situation was not clear in children with ADHD Motor imagery is defined as the mental thinking of a movement without actual movement being revealed It has been reported that combined physical and motor imagery programs applied at different rates as well as motor imagery training without physical exercise are effective in improving postural control In a study conducted with children with DCD it was shown that motor imagery training improves childrens movement skills

In the treatment of ADHD there are multidimensional treatment approaches that include medical and psychosocial interventions Psychostimulants are the drugs most commonly used in the treatment of ADHD Pharmacological treatments including stimulant and non-stimulant drugs are highly effective in reducing ADHDs attention deficit and hyperactivityimpulsivity features and associated destructive behaviors In addition from psycho-educational interventions Multiple approach models that combine psychosocial intervention such as family education school-oriented regulation cognitive behavioral therapy and social education have also been found to be effective methods When looking at the effective exercise methods on ADHD symptoms there are mostly studies on aerobic exercises and other physical exercises Also other physical exercises are known to reduce ADHD symptoms It has been shown that exercise methods enable patients receiving drug therapy to respond better to drugs and improve cognitive functions in ADHD cases

Due to the Coronavirus disease Covid-19 which started in the last months of 2019 and whose negative effects are still continuing some difficulties are experienced in the health systems This situation has led to a greater tendency towards telerehabilitation applications during the treatment and follow-up process Telerehabilitation is a method that aims to provide rehabilitation to patients and clinicians by using information and communication technologies by reducing obstacles such as distance time and cost Although telerehabilitation programs have been used in different disease groups in recent years these programs use is not common in children with ADHD

In conclusion motor imagery disorder is unclear in children with ADHD In addition there are different opinions about the underlying aetiology of motor coordination and balance problems that cause children with ADHD to have difficulties in daily life and sports activities The use of telerehabilitation methods has become widespread due to the difficulties in conducting face-to-face treatment and follow-up processes due to the pandemic In addition there is no exercise program based on telerehabilitation and motor imagery in children with ADHD

Study Oversight

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