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CTRI Number  CTRI/2026/03/105878 [Registered on: 10/03/2026] Trial Registered Prospectively
Last Modified On: 09/03/2026
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Physiotherapy (Not Including YOGA) 
Study Design  Single Arm Study 
Public Title of Study   Effect of a Weighted Pen On Handwriting Difficulties in Children with Autism  
Scientific Title of Study   Weighted Pen as an Assistive Tool for Handwriting Disability in Children with Autism Spectrum Disorder: A Pilot study 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Shweta Solanke 
Designation  PG Student 
Affiliation  TMVs Lokmanya Tilak Physiotherapy College 
Address  TMVs Lokmanya tilak college Of Physiotherapy Third floor Department Of Neuro Physiotherapy Tilak Maharashtra Vidyapeeth J block Sector 14 Near Raghunath Vihar Kharghar Navi Mumbai
TMVs Lokmanya tilak college Of Physiotherapy Third floor Department Of Neuro Physiotherapy Tilak Maharashtra Vidyapeeth J block Sector 14 Near Raghunath Vihar Kharghar Navi Mumbai
Raigarh
MAHARASHTRA
410210
India 
Phone  09082023434  
Fax    
Email  shweta.solanke6662@ gmail.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Trupti Deshmukh 
Designation  Associate Professor 
Affiliation  TMVs Lokmanya Tilak Physiotherapy College 
Address  TMVs Lokmanya tilak college Of Physiotherapy, Third floor Department Of Neuro Physiotherapy, Tilak Maharashtra Vidyapeeth, J block, Sector 14, Near Raghunath Vihar, Kharghar, Navi Mumbai
TMVs Lokmanya tilak college Of Physiotherapy Third floor Department Of Neuro Physiotherapy Tilak Maharashtra Vidyapeeth J block Sector 14 Near Raghunath Vihar Kharghar Navi Mumbai
Raigarh
MAHARASHTRA
410210
India 
Phone  09867631730  
Fax    
Email  tkulkarni1110@gmail.com  
 
Details of Contact Person
Public Query
 
Name  Dr Trupti Deshmukh 
Designation  Associate Professor 
Affiliation  TMVs Lokmanya Tilak Physiotherapy College 
Address  TMVs Lokmanya tilak college Of Physiotherapy, Third floor Department Of Neuro Physiotherapy, Tilak Maharashtra Vidyapeeth, J block, Sector 14, Near Raghunath Vihar, Kharghar, Navi Mumbai
TMVs Lokmanya tilak college Of Physiotherapy Third floor Department Of Neuro Physiotherapy Tilak Maharashtra Vidyapeeth J block Sector 14 Near Raghunath Vihar Kharghar Navi Mumbai
Raigarh
MAHARASHTRA
410210
India 
Phone  09867631730  
Fax    
Email  tkulkarni1110@gmail.com  
 
Source of Monetary or Material Support  
TMVs Lokmanya Tilak College of Physiotherapy Third Floor Department of Neuro Physiotherapy Tilak Maharashtra Vidyapeeth J Block Sector 14 Near Raghunath Vihar Kharghar Navi Mumbai Maharashtra 410210 India 
 
Primary Sponsor  
Name  TMVs Lokmanya Tilak College of Physiotherpy 
Address  TMVs Lokmanya Tilak College of Physiotherapy Third Floor Department of Neuro Physiotherapy Tilak Maharashtra Vidyapeeth J Block Sector 14 Near Raghunath Vihar Kharghar Navi Mumbai Maharashtra 410210 India 
Type of Sponsor  Research institution 
 
Details of Secondary Sponsor  
Name  Address 
TMVs Lokmanya Tilak College of Physiotherpy  TMVs Lokmanya tilak college Of Physiotherapy Third floor Department Of Neuro Physiotherapy Tilak Maharashtra Vidyapeeth J block Sector 14 Near Raghunath Vihar Kharghar Navi Mumbai 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Shweta Solanke  TMVs Lokmanya Tilak College Of Phsiotherpy  TMVs Lokmanya tilak college Of Physiotherapy, Third floor Department Of Neuro Physiotherapy, Tilak Maharashtra Vidyapeeth, J block, Sector 14, Near Raghunath Vihar, Kharghar, Navi Mumbai
Raigarh
MAHARASHTRA 
09082023434

shweta.solanke6662@ gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Institutional Ethics Committee Academic  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 
Comparator Agent  Not Applicable  Not Applicable 
Intervention  Weighted pen combined with fine motor protocol   A structured fine motor training program combined with handwriting practice using a weighted pen. The weighted pen provides additional proprioceptive input and grip stability to improve fine motor control and handwriting performance in children with Autism Spectrum Disorder. The intervention was administered for 6 weeks, 3 sessions per week, with each session lasting 45 minutes (30 minutes of fine motor activities and 15 minutes of handwriting practice using a weighted pen). 
 
Inclusion Criteria  
Age From  8.00 Year(s)
Age To  14.00 Year(s)
Gender  Both 
Details  Children aged 8 to 14 years diagnosed with mild to moderate Autism Spectrum Disorder identified using the Indian Scale for Assessment of Autism (ISAA), with handwriting difficulties and ability to follow simple verbal instructions
 
 
ExclusionCriteria 
Details  Children with severe Autism Spectrum Disorder, presence of other neurological conditions, severe visual or hearing impairment, upper limb musculoskeletal deformities, or those who have received handwriting-specific intervention within the past three months. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
Handwriting Legibility Scale   Baseline mid intervention after 6 weeks of intervention 
 
Secondary Outcome  
Outcome  TimePoints 
Hand Dynamometer & Pinchmeter  Baseline Mid intervention & 6 weeks of intervention 
 
Target Sample Size   Total Sample Size="10"
Sample Size from India="10" 
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)   25/03/2026 
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="15" 
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  
Children with Autism Spectrum Disorder often experience handwriting difficulties due to poor grip strength reduced fine motor control and impaired dexterity. These difficulties can affect academic performance classroom participation and independence in daily activities. Early low cost and practical assistive interventions are needed to address handwriting related disability in this population.
This study aims to evaluate the effectiveness of a weighted pen combined with a structured fine motor protocol on handwriting proficiency grip strength and pinch strength in children with Autism Spectrum Disorder. The study is designed as a single arm quasi experimental pilot study conducted in a clinical and school based setting.
A total of ten children aged eight to fourteen years diagnosed with mild to moderate Autism Spectrum Disorder were included. Participants received fine motor training along with handwriting practice using a weighted pen for six weeks with three sessions per week. Each session lasted forty five minutes.
Handwriting proficiency was assessed using the Handwriting Legibility Scale while grip strength and pinch strength were measured using a hand dynamometer and pinch meter respectively. Assessments were performed at baseline and after completion of the intervention.
The study aims to determine whether a weighted pen can serve as a simple assistive tool to improve handwriting related outcomes and support functional participation in children with Autism Spectrum Disorder
 
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