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CTRI Number  CTRI/2025/07/091727 [Registered on: 25/07/2025] Trial Registered Prospectively
Last Modified On: 24/07/2025
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   A study to compare virtual reality-based training and conventional physiotherapy to improve motor skills in children with autism 
Scientific Title of Study   Effectiveness of Virtual and Augmented reality-based training versus conventional physiotherapy on sensorimotor skills in children with Autism spectrum disorder 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Srilakshmi J 
Designation  Assistant Professor 
Affiliation  Faculty of Physiotherapy, Dr. M.G.R.Educational and Research Institute 
Address  Faculty of Physiotherapy, Dr. M.G.R.Educational and Research Institute, ACS Medical College and Hospital.

Thiruvallur
TAMIL NADU
600077
India 
Phone  9384818429  
Fax    
Email  srilakshmi.physio@drmgrdu.ac.in  
 
Details of Contact Person
Scientific Query
 
Name  DrVeenakirthika S 
Designation  Joint Registrar and Vice Principal 
Affiliation  Faculty of Physiotherapy, Dr. M.G.R Educational and Research Institute 
Address  Faculty of Physiotherapy, Dr. M.G.R.Educational and Research Institute, ACS Medical College and Hospital.

Thiruvallur
TAMIL NADU
600077
India 
Phone  9384818429  
Fax    
Email  veena.physio@drmgrdu.ac.in  
 
Details of Contact Person
Public Query
 
Name  Srilakshmi J 
Designation  Assistant Professor 
Affiliation  Faculty of Physiotherapy, Dr. MGR Educational and Research Institute 
Address  Faculty of Physiotherapy, Dr. M.G.R Educational and Research Institute, ACS Medical College and Hospital.

Thiruvallur
TAMIL NADU
600077
India 
Phone  09384818429  
Fax    
Email  srilakshmi.physio@drmgrdu.ac.in  
 
Source of Monetary or Material Support  
Faculty of Physiotherapy, Dr. MGR Educational and Research Institute, ACS Medical College and Hospital. Vellapanchavadi, Chennai, Tamil Nadu, India pincode : 600077 I 
 
Primary Sponsor  
Name  Srilakshmi J 
Address  Faculty of Physiotherapy, Dr. M.G.R.Educational and Research Institute, ACS Medical College and Hospital.Vellapanchavadi,Chennai, Tamilnadu, India. pincode : 600077 
Type of Sponsor  Other [other (self)] 
 
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 
DrSrilakshmi J  Faculty of physiotherapy, ACS medical college and hospital  Outpatient Department, Faculty of Physiotherapy, ACS Medical College and Hospital, Vellapanchavadi, chennai -77
Thiruvallur
TAMIL NADU 
9384818429

srilakshmi.physio@drmgrdu.ac.in 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee, Dr.M.G.R. Educational and Research Institute.  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: F840||Autistic disorder,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Group 1: Virtual and augmented reality-based sensorimotor training  Virtual and augmented reality-based sensorimotor training was given for 60 min/day for 5 days a week for 12 weeks by using VR headset applications under therapist supervision. 
Comparator Agent  Group 2: Conventional physiotherapy for sensorimotor skills  Conventional physiotherapy for sensorimotor skills will be given for 60 min/day for 5 days a week for 12 weeks. In-person physiotherapist using traditional motor skill training techniques will be given. 
 
Inclusion Criteria  
Age From  6.00 Year(s)
Age To  12.00 Year(s)
Gender  Both 
Details  1. Children aged 6 to 12 years
2. Diagnosed with Autism Spectrum Disorder according to medical report and classified by ISAA 107 (Moderate)
3. Both genders.
4. Cognitive Functioning Level: Participants must possess a minimum level of cognitive functioning to engage with the VR training exercises. FSIQ score of 70 or above.
5. Participants should have the ability to tolerate and use virtual reality technology.
6. Children who could walk independently and follow simple instructions 
 
ExclusionCriteria 
Details  1. Participants with severe cognitive, behavioral, or clinical limitations that prevent them from following instructions and safely participating in group physical activity.
2. Who have undergone surgery or fractures in the last 6 months.
3. Parents self-reported mental illness or substance abuse.
4. Children with severe visual or hearing impairments
5. Coexisting neurological conditions like epilepsy
6.Recent orthopedic surgeries  
 
Method of Generating Random Sequence   Stratified block randomization 
Method of Concealment   Sequentially numbered, sealed, opaque envelopes 
Blinding/Masking   Outcome Assessor Blinded 
Primary Outcome  
Outcome  TimePoints 
fine motor skill, in-hand-eye coordination, dexterity, and precision in tasks such as object manipulation and manual tasks



 
Baseline, 4 weeks, 8 weeks, 12 weeks 
 
Secondary Outcome  
Outcome  TimePoints 
To evaluate the effectiveness of virtual & augmented reality-based training versus conventional physiotherapy on salivary biomarkers, gross motor skill improvement, & fine motor skill development in children with ASD.  Baseline, 4 weeks, 8 weeks & 12 weeks 
 
Target Sample Size   Total Sample Size="118"
Sample Size from India="118" 
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   Phase 2 
Date of First Enrollment (India)   20/08/2025 
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="6"
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 was conducted in  the Faculty of Physiotherapy pediatric outpatient department equipped with VR/AR systems. The aim was to compare the impact of immersive digital training methods with conventional physiotherapy on improving sensorimotor skills in children with Autism Spectrum Disorder (ASD). Children aged 6 to 12 years, diagnosed with ASD, who could walk independently and follow simple instructions, were included in the study. Exclusion criteria involved children with severe visual or hearing impairments, coexisting neurological conditions like epilepsy, recent orthopedic surgeries, or significant behavioral issues preventing VR participation. Participants were divided into two groups: one receiving virtual and augmented reality-based sensorimotor training, and the other undergoing conventional physiotherapy. Outcome measures focused on evaluating gross and fine motor skills (using tools like the AMAS), sensory integration abilities (assessed with scales such as the Sensory Profile), and  Biomarkers for functional performance,VABS to assess adaptive behavior; and the 6-minute walk test to assess endurance and walking ability before and after the intervention period.


 
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