Effects of VR in Children With DCD: Randomized Controlled Trial

NCT06246318 | Completed

• 1 other identifier: VR24
• Study Type: interventional
• Target: 48
• Locations: 1 country
• Sites: 1

Brief Summary

The aim of the study is to examine the effect of VR application on motor, cognitive and sensory-perceptual skills, and activity and participation levels in children with DCD. The hypotheses on which the study proposal is based are as follows:

1. 1.H0: VR application has no effect on motor skills in children with DCD. H1: VR application has an effect on motor skills in children with DCD.
2. 2.H0: VR application has no effect on cognitive skills in children with DCD. H1: VR application has an effect on cognitive skills in children with DCD.
3. 3.H0: VR application has no effect on sensory-perception skills in children with DCD.
4. 4.H0: VR application has no effect on the functional independence levels in daily living activities in children with DCD.
5. 5.H0: VR application has no effect on participation levels in children with DCD. H1: VR application has an effect on participation levels in children with DCD.

Conditions

Virtual Reality; Developmental Coordination Disorder; Visual Perceptual Weakness; Motor Skills Disorders; Sensory Disorder; Executive Dysfunction; Participation, Patient

Keywords

virtual reality; Visual Perceptual; motor skills; Developmental Coordination Disorder; sensory perception; cognition; participation

Outcome Measures

Primary Outcomes (3)

• Test of Gross Motor Development-2

  Assessment of gross and fine motor skills

  It will be applied 8 weeks after the first evaluations are made.

• Sensory İntegration and praxis test

  It is a standardized test developed by Ayres that evaluates in detail sensory perception and sensory perception-related skills in children between the ages of 4 and 8 years and 11 months. SIPT consists of a total of 17 subtests.

  It will be applied 8 weeks after the first evaluations are made.

• Motor-Free Visual Perception Test-3

  Assessment of visual perception

  It will be applied 8 weeks after the first evaluations are made.

Secondary Outcomes (3)

• Participation and Environment Measure for Children and Youth (PEM-CY)

  It will be applied 8 weeks after the first evaluations are made.

• CHILDHOOD EXECUTIVE FUNCTIONING INVENTORY (CHEXI) FOR PARENTS AND TEACHERS

  It will be applied 8 weeks after the first evaluations are made.

• Functional Independence Measure for Children (WeeFIM)

  It will be applied 8 weeks after the first evaluations are made.

Study Arms (2)

virtual reality plus conventional occupational therapy

EXPERIMENTAL

Virtual reality will be given to the study group in addition to the conventional occupational therapy program. Nintendo Wii Fit Plus will be used as the virtual reality method in the research.

Other: virtual reality; Other: conventional occupational therapy

conventional occupational therapy

OTHER

This is a control group. Sensory integration and gross motor training approaches are used in the conventional occupational therapy program.

Other: conventional occupational therapy

Interventions

virtual reality OTHER

The virtual reality protocol here is based on perceptual-motor activities, supported by Nintendo Wii resources. The user will be able to control a game character in a virtual environment using a remote control with a motion sensor. Wii Fit Plus requires the use of the Wii Balance Board that the player stands on during gameplay. The Wii Balance Board is not a wobbly balance board, but is able to detect and track the user's center of balance, a feature used extensively in the game. Wii Fit Plus includes more than 40 activities including yoga, strength training, aerobics and balance games. During the virtual reality application, different games will be preferred in each session depending on the duration of the games. Virtual reality application will be carried out in a corner prepared for virtual reality application in the room where the conventional occupational therapy session is held. Families have the right to observe and attend all sessions whenever they wish.

virtual reality plus conventional occupational therapy

conventional occupational therapy OTHER

Sensory integration and gross motor training approaches will be used in the conventional occupational therapy program. A manualized protocol based on Ayres sensory integration principles will be followed (Schaaf et al., 2012). The intervention will be carried out by a licensed occupational therapist trained in sensory integration. This approach suggests that if a child engages in individually adapted sensorimotor activities, the nervous system is better able to modulate, organize, and integrate sensory information and is also more likely to use sensory information in adaptive ways (Ayres, 1972). Components of the intervention include a sensory-rich, playful, child-centered approach, providing a decision challenge, and facilitating increasingly complex adaptive behaviors by engaging the child in individually tailored, developmentally appropriate play interactions

conventional occupational therapy; virtual reality plus conventional occupational therapy

Eligibility Criteria

• Age: 5 Years - 8 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Being between 5-8 years old,
• It is to get 15-46 points from the Developmental Coordination Disorder Questionnaire for ages 5-7 and 15-55 points for ages 8.

You may not qualify if:

• Those who are receiving any other therapy program,
• have vision (other than glasses) or hearing problems,
• Children with any neurological disorder will not be included in the study.

Sponsors & Collaborators

• Hacettepe University: lead

Study Sites (1)

Hacettepe University

Ankara, Sıhhiye, 06100, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Motor Skills Disorders; Sensation Disorders; Patient Participation

Condition Hierarchy (Ancestors)

Neurodevelopmental Disorders; Mental Disorders; Neurologic Manifestations; Nervous System Diseases; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Patient Acceptance of Health Care; Treatment Adherence and Compliance; Health Behavior; Behavior

Study Officials

• zeynep kolit, MSc

  Hacettepe University

  PRINCIPAL INVESTIGATOR

• Sedef şahin, PhD

  Hacettepe University

  STUDY DIRECTOR

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: Principal Investigator

Study Record Dates

• First Submitted: January 17, 2024
• First Posted: February 7, 2024
• Study Start: January 25, 2024
• Primary Completion: March 30, 2024
• Study Completion: April 2, 2024
• Last Updated: April 5, 2024

Record last verified: 2024-04

Locations

TU (1)