Tai Chi-muscle Power Training for Primary School Children With Developmental Coordination Disorder

NCT03598478 | Unknown

• 1 other identifier: 002
• Study Type: interventional
• Target: 156
• Locations: 1 country
• Sites: 1

Brief Summary

Objectives: To compare the effectiveness of Tai Chi-muscle power training (TC-MPT), Tai Chi (TC) alone, muscle power training (MPT) alone, and usual care (as a control) for improving the limits of stability (LOS) of balance control in children with developmental coordination disorder (DCD) and to explore the relationship among LOS, falls, and functional performance in this population. Design: A randomized controlled trial. Sample: 156 children with DCD. Interventions: TC-MPT, TC alone, MPT alone, or usual care for 12 weeks. Major outcomes: Outcomes will be evaluated at baseline, post-intervention, and a 3-month follow-up. An LOS test will give a dynamic LOS score, an isokinetic test will quantify leg muscle force production speed, Movement Assessment Battery for Children-2 will be used to assess functional motor performance, and fall history will be obtained via interviews. Anticipated results and significance: The TC-MPT group is predicted to display the best LOS balance performance, which is associated with reduced fall incidents and improved functional performance. This novel training regime could be readily adopted into school or clinical settings to improve physical well-being in children with DCD, an outcome with positive socioeconomic implications.

Conditions

Developmental Coordination Disorder

Outcome Measures

Primary Outcomes (2)

• Change of limits of stability

  Computerized dynamic posturography - A dynamic limits of stability score (%), from 0-100%. A higher score represents a greater limits of stability (better).

  0, 3, 6 months

• Change of center of gravity control

  Computerized dynamic posturography - time to complete the DLOS test (sec)

  0, 3, 6 months

Secondary Outcomes (5)

• Change of functional motor performance (raw data)

  0, 3, 6 months

• Change of functional motor performance (compared to norm)

  0, 3, 6 months

• Change of leg muscle force production speed

  0, 3, 6 months

• Change of leg muscle strength

  0, 3, 6 months

• Change of fall history

  0, 3, 6 months

Study Arms (4)

TC-MPT group

EXPERIMENTAL

Tai Chi-muscle power training group

Behavioral: TC-MPT

TC group

ACTIVE COMPARATOR

Tai Chi group

Behavioral: TC

MPT group

ACTIVE COMPARATOR

Muscle power training group

Behavioral: MPT

Control group

NO INTERVENTION

Usual medical care is allowed.

Interventions

TC-MPT BEHAVIORAL

Participants will receive two levels of training within each 90-minute session over a 12-week period: (1) TC training and (2) MPT. The TC training protocol consists of five basic TC movements. After receiving TC training, the participants in this group will take a 5-minute break and then receive MPT. During MPT, the participants will contract their major postural muscles bilaterally as fast as possible against a resistance equivalent to 70% of one repetition maximum.

TC-MPT group

TC BEHAVIORAL

Children in the TC group will skip the MPT session and practice TC movements repeatedly for 90 minutes. The exercise progression pattern in the TC-alone group will be the same as that in the TC-MPT group.

TC group

MPT BEHAVIORAL

Those children in the MPT group will perform strengthening exercises repeatedly for 90 minutes, with a short 5-minute break between the three sets of exercises if necessary. The exercise progression pattern in the MPT-alone group will be the same as that in the TC-MPT group.

MPT group

Eligibility Criteria

• Age: 9 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• to 12-years-old
• Classified as DCD according to the Diagnostic and Statistical Manual of Mental Disorders V (DSM-5)
• A percentile score of \< 5th percentile on the MABC-2
• A total score of \< 55 (for children aged 8 to 9 years 11 months) or \< 57 (for children aged 10 or above) on the DCD questionnaire 2007 (Chinese version)
• Attending a mainstream primary school (i.e., intelligence level within the normal range)

You may not qualify if:

• Any known significant congenital, cognitive, psychiatric (other than comorbid attention deficit hyperactivity disorder \[ADHD\] or autism spectrum disorder \[ASD\]), neurological, sensory, musculoskeletal, or cardiopulmonary disorder that may affect motor performance
• Receiving active treatment such as physiotherapy
• Demonstrating excessive disruptive behavior during the assessments
• Those unable to follow instructions properly

Sponsors & Collaborators

• The University of Hong Kong: lead

Study Sites (1)

University of Hong Kong

Hong Kong, Hong Kong

Location

MeSH Terms

Conditions

Motor Skills Disorders

Condition Hierarchy (Ancestors)

Neurodevelopmental Disorders; Mental Disorders

Study Officials

• Shirley Fong, PhD

  The University of Hong Kong

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: July 2, 2018
• First Posted: July 26, 2018
• Study Start: January 1, 2020
• Primary Completion: December 31, 2022
• Study Completion: December 31, 2023
• Last Updated: November 23, 2021

Record last verified: 2021-11

Locations

HK (1)