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CTRI Number  CTRI/2025/01/078983 [Registered on: 20/01/2025] Trial Registered Prospectively
Last Modified On: 19/01/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Randomized, Parallel Group, Active Controlled Trial 
Public Title of Study   Improving Postural Stability in Children with Autism The Impact of a Gait and Balance Training Program 
Scientific Title of Study   Effect of gait and balance training program on static and dynamic postural instability among children with autism spectrum disorder- A randomized controlled trial 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Megha Yadav 
Designation  Professor 
Affiliation  Galgotias University 
Address  B 512A, Galgotias University, Sector 17A, opp. yamuna expresswa, greater noida, gautam budh nagar, uttar pradesh 203201

Gautam Buddha Nagar
UTTAR PRADESH
203201
India 
Phone  9711147463  
Fax    
Email  meghayadav1987@gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Adeeba Ahsan 
Designation  Research Scholar 
Affiliation  Galgotias University 
Address  E005, Galgotias University, Sector 17A, opp. yamuna expresswa, greater noida, gautam budh nagar, uttar pradesh 203201

Gautam Buddha Nagar
UTTAR PRADESH
203201
India 
Phone  9810520145  
Fax    
Email  adeebaahsan73@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Megha Yadav 
Designation  Professor 
Affiliation  Galgotias University 
Address  B 512A, Galgotias University, Sector 17A, opp. yamuna expresswa, greater noida, gautam budh nagar, uttar pradesh 203201

Gautam Buddha Nagar
UTTAR PRADESH
203201
India 
Phone  9711147463  
Fax    
Email  meghayadav1987@gmail.com  
 
Source of Monetary or Material Support  
NIL 
 
Primary Sponsor  
Name  Galgotias University 
Address  Galgotias University, Plot No.2, Sector 17-A Yamuna Expressway, Greater Noida,Gautam Buddh Nagar, Uttar Pradesh 203201 
Type of Sponsor  Research institution 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Megha Yadav  Galgotias University  Room no, E003, department of physiotherapy, school of allied health sciences, galgotias university, plot no. 02, sector 17-A, yamuna expressway, greater noida, 203201, gautam budh nagar, uttar pradesh
Gautam Buddha Nagar
UTTAR PRADESH 
9711147463

meghayadav1987@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Departmental Research Commitee Galgotias University  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F948||Other childhood disorders of social functioning,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Gait and balance training on firm surfaces  Gait and balance training on firm surface consist of 3 phases: warm up, main exercise, and cool down. 1.The warm up phase will consist of stretching of the lower extremities and light full-body exercise for 10 minutes. 2. The main exercise phase will consist of 15 minutes of gait training (walking forward, walking backward, and sideways walking), 5 minutes of static balance training (tandem standing and 1 leg standing), and 15 minutes of dynamic balance training (tandem walking, standing on both feet or 1 foot while grabbing the ball and moving it in multiple directions, S-shaped or figure-eight walking, and standing on both feet and giving and receiving a ball). 3. The cool down phase will consist of stretching of the lower extremities and light full-body exercise for 10 minutes. 
Comparator Agent  Gait and balance training on mudflat surfaces  Gait and balance training on mudflat surface consist of 3 phases: warm up, main exercise, and cool down. 1.The warm up phase will consist of stretching of the lower extremities and light full-body exercise for 10 minutes. 2. The main exercise phase will consist of 15 minutes of gait training (walking forward, walking backward, and sideways walking), 5 minutes of static balance training (tandem standing and 1 leg standing), and 15 minutes of dynamic balance training (tandem walking, standing on both feet or 1 foot while grabbing the ball and moving it in multiple directions, S-shaped or figure-eight walking, and standing on both feet and giving and receiving a ball). 3. The cool down phase will consist of stretching of the lower extremities and light full-body exercise for 10 minutes. 
 
Inclusion Criteria  
Age From  6.00 Year(s)
Age To  12.00 Year(s)
Gender  Both 
Details  Autistic children between 6 and 12 years of age written agreement with the research processes
Absence of malnutrition
Interest in participating in the intervention program
 
 
ExclusionCriteria 
Details  children having developmental disorder other than autism.
children who have undergone any surgery.
 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Participant and Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 

The Pediatric Balance Scale evaluates balance in school-aged children through 14 tasks scored 0–4, with a maximum of 56 points. The Single-Leg Stance (SLS) test measures static balance by timing participants standing on one leg with arms crossed and eyes forward. Trials stop if balance is lost or eyes open during eyes-closed tests. SLS is assessed in both eyes-open and eyes-closed conditions. 
4 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
The 10MWT is commonly used to evaluate gait velocity. Patients walked 10 m, and the walking speed was calculated using the middle 6 m, excluding the first and last 2 m. Patients instructed to walk at a comfortable speed. The test will be performed twice in each condition, and the average value will be used for the analysis.
The TUG test is a reliable and valid tool for measuring functional mobility. The subjects stand up from a chair with an armrest, walk about 3 m, turn around, walk back to the chair, and sit down. The time taken to perform this process is measured. 
Assessment on the 0 day, followed by 4 weeks follow up. 
 
Target Sample Size   Total Sample Size="52"
Sample Size from India="52" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   30/01/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="1"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

This study aims to evaluate the efficacy of a gait and balance training program on an unstable mudflats surface for children with Autism Spectrum Disorder (ASD). ASD is characterized by atypical development, social communication deficits, repetitive behaviors, and motor impairments, including distinct gait patterns and reduced postural stability, which increase the risk of falls. Physical exercise has been shown to improve motor performance, coordination, and sensory capacities in children with ASD. Participants will be randomly assigned to an experimental group, training on mudflats, or a control group, training on a firm indoor surface. Both groups will engage in a supervised 55-minute session, 3 days a week, for 4 weeks, comprising warm-up, main exercises, and cool-down phases. The study will compare the effectiveness of these surfaces in improving gait and balance.

 
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