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临床试验/NCT05319197
NCT05319197已完成不适用

INVESTIGATION OF HAND FUNCTIONS IN CHILDREN WITH SPECIFIC LEARNING DISORDER

Kutahya Health Sciences University1 个研究点 分布在 1 个国家目标入组 60 人开始时间: 2022年5月5日最近更新:
适应症

试验速览

阶段
不适用
状态
已完成
发起方
入组人数
60
试验地点
1
主要终点
Pinch Grip Force

研究概览

简要总结

Children with Specific Learning Difficulties (SLD) may have problems with fine and gross motor skills compared to their healthy peers. These children may have poor manual dexterity. Taken together, it is not clear how motor and sensory competence of the hand are affected together. In this study, it was aimed to evaluate the sensory and motor ability of the hand and to compare the examined parameters between the SLD group and the healthy control group.

详细描述

Specific learning disability (SLD) is a common neurodevelopmental disorder that begins at school age and sometimes goes undetected until adulthood. Its incidence in school-aged children is about 5-15%. Children with SLD have difficulty in fulfilling academic qualifications. In addition, there are various problems with fine motor skills, motor-coordination, balance and gross motor skills.

Upper extremity speed and dexterity affect fine motor performance (as they involve manipulative tasks that require a certain amount of time and higher motor skills). In the literature, it is reported that manual dexterity is a stronger predictor than balance on the functional mobility of children with SLD, and it is emphasized that strategies to improve dexterity performance should be focused in interventions for fine motor skills for these children. In addition, it is demonstrated that taking the necessary precautions and planning by evaluating the gross and fine motor skills in detail in SLD is important for the independence and achievements of children in their daily living activities.

Weak hand skills are expected in children with SLD. Problems based on hand performance can be addressed in a more comprehensive way by comparing these children with children with typical development in terms of motor performance and functional mobility. Similarly, although it is recommended to evaluate senses such as touch and stereognosia when evaluating fine motor performance in these children, no comprehensive study including sensory and motor evaluations has been found in the literature.

In this study, in children with SLD; It is aimed to examine the limitations of hand motor and sensory functions in daily activities in terms of general motor competencies and hand skills of the child and to compare them with the healthy control group.

研究设计

研究类型
Observational
观察模型
Case Control
时间视角
Cross Sectional

入排标准

年龄范围
8 Years 至 14 Years(Child)
性别
All
接受健康志愿者

入选标准

  • To have a diagnosis of special learning disability (regarding DSM-V criteria)
  • To be in the age range of 8-14

排除标准

  • Any acute or chronic orthopedic or neurological disease that may affect walking performance,
  • Any surgery within the last 6 months,
  • Severe sensory (hearing, vision, etc.) impairment that prevents him/her from taking commands
  • Cognitive and mental severe impairment

结局指标

主要结局

Pinch Grip Force

时间窗: 6 minutes

Participants were seated at a table on which the dynamometers were positioned. The subjects were told to keep their elbow flexed without resting their arm or the grip handle of the dynamometer on the table. Results will be evaluated in pounds.

Minnesota Manual Dexterity Test

时间窗: 25 minutes

to assess manual dexterity, higher scores mean a worse outcome.

Bruininks-Oseretsky Motor Proficiency Test- 2 Short Form (BOT-2SF)

时间窗: 20 minutes

Assesses fine motor precision, fine motor integration, and manual dexterity. Scores are reported as a percentile rank; higher scores indicate better fine motor skills.

Abilhand Kids

时间窗: 5 minutes

to assess for performance of activity. score range 0-42 point, higher scores mean a better outcome.

Sensory Function

时间窗: 30 minutes

Proprioception, stereognosis, and two-point discrimination will be tested. Lower scores indicate better sensory function.

Hand Grip Force

时间窗: 10 minutes

Changes from the baseline, To measure hand grip strength through Hydraulic Hand held Dynamo-meter. It will be measured in kilograms.

次要结局

未报告次要终点

研究者

发起方
Kutahya Health Sciences University
申办方类型
Other
责任方
Sponsor

研究点 (1)

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