Effects of Ankle Weighted Cuffs Training in Autism Children

NCT06673810 | Completed

• 1 other identifier: REC/RCR/AHS/24/0705
• Study Type: interventional
• Target: 44
• Locations: 1 country
• Sites: 1

Brief Summary

Autism spectrum disorders (ASD) are a diverse group of conditions. They are characterized by some degree of difficulty with social interaction, communication and behaviors. Kinesthetic awareness can be defined as how we sense our body and the way it moves. This person might have difficulty understanding where their body is in relation to other objects, thus appearing clumsy, knocking things over, dropping items or misjudging personal space and thus standing too close to others.

Conditions

Autism Spectrum Disorder

Keywords

Kinesthetic awareness; Toe walking; Ankle weighted training; Autism Spectrum Disorder

Outcome Measures

Primary Outcomes (2)

• Limb Position Sense Test

  For the limb-matching test, Participant instructed to keep his eyes closed while the therapist positioned one extremity, and he then was instructed to copy the position with his opposite extremity. Then participant will be asked to replicate 4 positions with his lower extremities while positioned supine on a mat. The limb-matching test positions are described. Limb Matching Test Positions 1. Hip abduction with full knee extension 2. Hip adduction in neutral 3. Hip flexion with knee flexion with foot on the mat 4. Hip and knee flexion at 90° Dynamic Position Sense Movements for Limb Movement Sense Test 1.Hip circles counterclockwise 2.Hip circles clockwise 3.Active hip abduction and adduction with knee fully extended Intra-class correlations (ICC), which are most often used to express test-retest reliability, were moderate at best, ranging from 0·40 to 0·61 for the four types of position sense tests

  6 weeks

• 50 ft Walk Test

  The aim of the 50-FWT is to determine the percentage of toe walking performed by each child over a 50ft distance. During the 50-FWT, the children are barefoot to ensure the physical therapist's view of their feet is not obstructed by shoes. To prevent the child from walking past the 50-ft distance, a parent or therapist stands at the end of the walk test to assist in stopping. This allows the physical therapist to read the pedometer value before the child began to move again. The child stands at the start line and the accelerometer is set to 0. Each child ambulates 50 ft. The physical therapist walks at least 6 ft behind the child to assess toe walking while not interfering with gait. The pedometer counts the total number of steps taken during the 50-FWT. The therapist counts the number of steps with initial contact on the toe. The number of toe-walking steps counted by the therapist is divided by the total number of steps counted by the pedometer to get a percentage of toe walking

  6 weeks

Study Arms (2)

Group A

EXPERIMENTAL

Ankle Weighted Cuffs Training Along with Routine Physical Therapy Exercises

Other: Ankle Weighted Cuffs Training Along with Routine Physical Therapy Exercises

Control Group

OTHER

Routine Physical Therapy Exercises

Other: Routine Physical Therapy Exercises

Interventions

Ankle Weighted Cuffs Training Along with Routine Physical Therapy Exercises OTHER

Group A will have free ankle weighted cuffs while performing routine physical therapy. These weighted cuffs will be above of the child's ankle and child will be encouraged to perform his/her routine physical activities. Ankle weights will correspond to 2% to 3% of the individual's body weight (sandbags) will be attached at 5 cm above the left and right ankle joints

Group A

Routine Physical Therapy Exercises OTHER

Group B will perform all the routine physical exercises which include jogging, walk/run interval training, treadmill training and cycling . Intervention period will be of 6 weeks comprising of 3 sessions per week of 30 to 45 minutes per session

Control Group

Eligibility Criteria

• Age: 4 Years - 14 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• A pre-diagnosed autism spectrum disorder from a psychiatrist or licensed psychologist.
• Both male and female children.
• Age between 4 to 14 years.

You may not qualify if:

• Children with a history of lower limb surgery.
• Children with a recent (\<1 year) ankle sprain.
• Children presented severe behavioral disturbances, such as aggressive behaviors, self- injurious behaviors, severe motor hyperactivity

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Pakistan Society for the Rehabilitation of Disabled

Lahore, Punjab Province, 54700, Pakistan

Location

Related Publications (5)

• Leyden J, Fung L, Frick S. Autism and toe-walking: are they related? Trends and treatment patterns between 2005 and 2016. J Child Orthop. 2019 Aug 1;13(4):340-345. doi: 10.1302/1863-2548.13.180160.

  PMID: 31489038 BACKGROUND

• Armitano-Lago C, Bennett HJ, Haegele JA. Lower Limb Proprioception and Strength Differences Between Adolescents With Autism Spectrum Disorder and Neurotypical Controls. Percept Mot Skills. 2021 Oct;128(5):2132-2147. doi: 10.1177/00315125211036418. Epub 2021 Aug 2.

  PMID: 34340633 BACKGROUND

• Guinchat V, Vlamynck E, Diaz L, Chambon C, Pouzenc J, Cravero C, Baeza-Velasco C, Hamonet C, Xavier J, Cohen D. Compressive Garments in Individuals with Autism and Severe Proprioceptive Dysfunction: A Retrospective Exploratory Case Series. Children (Basel). 2020 Jul 13;7(7):77. doi: 10.3390/children7070077.

  PMID: 32668622 BACKGROUND

• Valagussa G, Purpura G, Balatti V, Trentin L, Signori A, Grossi E. Quantitative assessment of tip-toe behavior in individuals with autism spectrum disorder and intellectual disability: A cross-sectional study. Autism Res. 2024 Feb;17(2):311-323. doi: 10.1002/aur.3072. Epub 2023 Dec 18.

  PMID: 38108559 BACKGROUND

• Washabaugh EP, Augenstein TE, Krishnan C. Functional resistance training during walking: Mode of application differentially affects gait biomechanics and muscle activation patterns. Gait Posture. 2020 Jan;75:129-136. doi: 10.1016/j.gaitpost.2019.10.024. Epub 2019 Oct 21.

  PMID: 31678694 BACKGROUND

MeSH Terms

Conditions

Autism Spectrum Disorder

Condition Hierarchy (Ancestors)

Child Development Disorders, Pervasive; Neurodevelopmental Disorders; Mental Disorders

Study Officials

• Hafiza Rashida Maqbool, MS*

  Riphah International University

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: OTHER
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: November 3, 2024
• First Posted: November 5, 2024
• Study Start: October 28, 2024
• Primary Completion: December 25, 2024
• Study Completion: January 15, 2025
• Last Updated: January 23, 2025

Record last verified: 2025-01

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)