| CTRI Number |
CTRI/2025/03/083642 [Registered on: 28/03/2025] Trial Registered Prospectively |
| Last Modified On: |
25/03/2025 |
| Post Graduate Thesis |
Yes |
| Type of Trial |
Interventional |
|
Type of Study
|
Physiotherapy (Not Including YOGA) |
| Study Design |
Randomized, Parallel Group Trial |
|
Public Title of Study
|
Comparative Effects of Reflex Mediated Postural Stabilization and Reflex Locomotion Adjunct to Conventional Physiotherapy on Motor Impairments in Children with Developmental Delay. |
|
Scientific Title of Study
|
Comparative Efficacy of Reflex Mediated Postural Stabilization and Reflex
Locomotion with Adjunct to Conventional
Physiotherapy on Motor Impairments in
Children with Developmental Delay: A
Parallel Three-Arm 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 |
Rutuja Sawalkar |
| Designation |
Junior Resident |
| Affiliation |
Ravi Nair Physiotherapy College |
| Address |
Paediatric Physiotherapy OPD and IPD 16 17 and 18 Ravi Nair Physiotherapy College Datta Meghe Institute of Higher Education and Research Sawangi Wardha Maharashtra India Ravi Nair Physiotherapy College Datta Meghe Institute of Higher Education and Research Sawangi Wardha Maharashtra India 442001 Wardha MAHARASHTRA 442001 India |
| Phone |
7218967108 |
| Fax |
|
| Email |
rutujasawalkar36@gmail.com |
|
Details of Contact Person Scientific Query
|
| Name |
Dr Neha Umale |
| Designation |
Associate Professor |
| Affiliation |
Ravi Nair Physiotherapy College |
| Address |
Ravi Nair Physiotherapy College Datta Meghe Institute of Higher Education and Research Sawangi Wardha Maharashtra India
Wardha MAHARASHTRA 442001 India |
| Phone |
9665682103 |
| Fax |
|
| Email |
umaleneha@gmail.com |
|
Details of Contact Person Public Query
|
| Name |
Dr Sharath Hullumani |
| Designation |
Assistant Professor |
| Affiliation |
Ravi Nair Physiotherapy College |
| Address |
Ravi Nair Physiotherapy College Datta Meghe Institute of Higher Education and Research Sawangi Wardha Maharashtra India
Wardha MAHARASHTRA 442001 India |
| Phone |
8660621272 |
| Fax |
|
| Email |
sharathhullumani@gmail.com |
|
|
Source of Monetary or Material Support
|
| Ravi Nair Physiotherapy College Datta Meghe Institute of Higher Education and Research Sawangi Wardha Maharashtra India 442001 |
|
|
Primary Sponsor
|
| Name |
Ravi Nair Physiotherapy College |
| Address |
Ravi Nair Physiotherapy College Datta Meghe Institute of Higher Education and Research Sawangi Wardha Maharashtra India 442001 |
| Type of Sponsor |
Research institution and hospital |
|
|
Details of Secondary Sponsor
|
|
|
Countries of Recruitment
|
India |
|
Sites of Study
|
| No of Sites = 1 |
| Name of Principal
Investigator |
Name of Site |
Site Address |
Phone/Fax/Email |
| Dr Rutuja Sawalkar |
Acharya Vinoba Bhave Rural Hospital |
Paediatric Physiotherapy OPD and IPD 16 17 and 18 Ravi Nair Physiotherapy College Datta Meghe Institute of Higher Education and Research Sawangi Wardha Maharashtra India 442001 Wardha MAHARASHTRA |
7218967108
rutujasawalkar36@gmail.com |
|
|
Details of Ethics Committee
|
| No of Ethics Committees= 1 |
| Name of Committee |
Approval Status |
| Datta Meghe Institute of Higher Education and Research (DU) |
Approved |
|
|
Regulatory Clearance Status from DCGI
|
|
|
Health Condition / Problems Studied
|
| Health Type |
Condition |
| Patients |
(1) ICD-10 Condition: F82||Specific developmental disorder ofmotor function, |
|
|
Intervention / Comparator Agent
|
| Type |
Name |
Details |
| Comparator Agent |
Conventional Physiotherapy |
1. Strength Training
Stimulus: Use of toys and games to engage the child. Childs Position: Varied positions (sitting, standing). Therapist Position:Close to the child for support. Method: Incorporate playful activities that require pushing, pulling, and lifting to enhance muscle strength. Dosage: 20-30 minutes per session, 2-3 times a week.
2. Balance and Coordination Activities
Stimulus: Fun balance games (e.g., standing on one leg). Childs Position: Standing or sitting on unstable surfaces (e.g., therapy balls). Therapist Position: Nearby for safety and support. Method: Encourage the child to perform tasks that challenge their balance and coordination. Dosage: 15-20 minutes per session
3. Functional Movement Activities
Stimulus: Encourage crawling or walking movements through play.
Childs Position: On hands and knees or standing with support.
Therapist Position: Close by for encouragement and safety. Method: Integrate playful activities that motivate movement while applying conventional physiotherapy techniques to enhance coordination and mobility.
Dosage: 3 sessions per week, 30 minutes each session. |
| Intervention |
Reflex Mediated Postural Stabilization |
Side Lying Exercises Stimulus: Enhance lateral weight shifting and postural control. Childs Position: Side-lying on a mat. Therapist Position: Behind or in front of the child. Method: Apply pressure to stimulate lateral reflexes (Reflex Mediated Postural Stabilization), promoting balance and coordination. This Protocol is given for 4 weeks, 5 days per week for 30-40 minutes. |
| Intervention |
Reflex Locomotion |
1. Supine Positioning
Stimulus: Promote reaching and kicking movements.
Childs Position: Supine on a mat.
Therapist Position: At the childs feet, encouraging movement. Method: Use targeted pressure on the legs (Vojta Reflex rolling) to elicit coordinated movements.
4 times per day, 15-20 minutes
2. Prone Positioning
Stimulus: Encourage head lifting and arm movements.
Childs Position: Prone on a mat.
Therapist Position: Beside the child, facilitating movement. Method: Apply pressure to specific zones on the back (Vojta Reflex rolling) to stimulate reflex locomotion.
4 times per day, 15-20 minutes
This Protocol is given for 4 weeks, 5 days per week for 30-40 minutes. |
|
|
Inclusion Criteria
|
| Age From |
2.00 Year(s) |
| Age To |
4.00 Year(s) |
| Gender |
Both |
| Details |
Both male and female |
|
| ExclusionCriteria |
| Details |
Seizures, severe ocular or mental disorders.
2. Any operational procedure within the last six months.
3. Children with pure language and social domain involvement.
4. Exclusive learning disabilities.
5. Medication affecting the experimental procedure.
6. Patients with any traumatic/musculoskeletal injury to lower limbs |
|
|
Method of Generating Random Sequence
|
Computer generated randomization |
|
Method of Concealment
|
Sequentially numbered, sealed, opaque envelopes |
|
Blinding/Masking
|
Not Applicable |
|
Primary Outcome
|
| Outcome |
TimePoints |
| Gross Motor Function Measure (GMFM) |
Baseline and 4th week |
|
|
Secondary Outcome
|
| Outcome |
TimePoints |
1.Gross Motor Function Classification System (GMFCS)
2.Manual Ability Classification System (MACS) |
Baseline & 4th week |
|
|
Target Sample Size
|
Total Sample Size="22" Sample Size from India="22"
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)
|
09/04/2025 |
| 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="1" Months="0" 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 - YES
- What data in particular will be shared?
Response - Individual participant data that underlie the results reported in this article, after de-identification (text, tables, figures, and appendices).
- What additional supporting information will be shared?
Response - Informed Consent Form
- Who will be able to view these files?
Response - Researchers who provide a methodologically sound proposal.
- For what types of analyses will this data be available?
Response - To achieve aims in the approved proposal.
- By what mechanism will data be made available?
Response - Proposals should be directed to [sharathhullumani@gmail.com].
- For how long will this data be available start date provided 16-03-2025 and end date provided 16-03-2030?
Response - Beginning 3 months and ending 5 years following article publication.
- Any URL or additional information regarding plan/policy for sharing IPD?
Additional Information - NIL
|
|
Brief Summary
|
To determine the comparative efficacy of Reflex Mediated Postural Stabilization and Reflex Locomotion in adjunct to conventional physiotherapy on improving motor function in children with developmental delays.To evaluate the comparative efficacy of Reflex Mediated Postural Stabilization and Reflex Locomotion in adjunct to conventional physiotherapy on improving motor function in children with developmental delays. |