The Effect of Backward Walking on Toe Walking Behaviors in a Child With Autism Spectrum Disorder: Single-participant (Subject) Experimental Research
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 1
- 试验地点
- 2
- 主要终点
- Foot Sole Surface Area Measurements
研究概览
简要总结
This study tested the hypothesis that backward walking exercises can reduce Toe Walking Behaviors (TWB) in children with ASD and emphasized the importance of pedobarographic measurements for quantitative TWB assessment.
详细描述
Study Description: Backward Walking Exercise Intervention for Toe Walking in Children with Autism Spectrum Disorder Study Overview This research study investigates whether backward walking exercises can help reduce toe walking behavior in young children with Autism Spectrum Disorder (ASD). Toe walking is a common movement pattern where children walk on their toes instead of using their whole foot, which can affect balance, coordination, and overall development.
Background and Importance Children with Autism Spectrum Disorder often develop unusual walking patterns, including toe walking, which can impact their physical development and daily activities. Traditional approaches to address this behavior have shown limited success, making it important to explore new, evidence-based interventions that can be easily implemented and monitored.
Study Design and Approach
This study uses a single-subject research design, which allows for detailed examination of individual responses to treatment. The research follows a structured A-B-A pattern:
Baseline Phase (1 week): Researchers measure the child's natural walking pattern without any intervention Implementation Phase (9 weeks): The child participates in backward walking exercises on a treadmill Monitoring Phase (1 week): Researchers observe whether improvements continue after stopping the exercises Participants The study focuses on young children (approximately 3-4 years old) who have been diagnosed with Autism Spectrum Disorder and demonstrate persistent toe walking behavior. Participant is carefully selected to ensure they can safely participate in treadmill-based exercises.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
盲法说明
Blinding for the Participant: To obtain reliable data from gait measurements, the participant is asked to exhibit their natural gait on the walking platform. It was observed that the child exhibited natural gait because the participant did not focus much on environmental elements and did not realize that the participant was being subjected to measurement. This situation was considered as blinding for the participant.
入排标准
- 年龄范围
- 3 Years 至 —(Child, Adult, Older Adult)
- 性别
- Female
- 接受健康志愿者
- 否
入选标准
- •It was required that the participant be diagnosed with ASD, exhibit TWB, be able to follow simple instructions, have no health problems other than ASD, and not have participated in any exercise program or physical therapy rehabilitation. It has been reported by orthopedic and physical therapy specialists, whom the parents had previously consulted, that the child exhibits TWB with ASD characteristics only, without any musculoskeletal problems.
排除标准
- •Children with any musculoskeletal problems, diagnoses other than ASD (such as cerebral palsy, etc.), or those who had previously undergone surgical operations on the lower extremities were not included in the study.
结局指标
主要结局
Foot Sole Surface Area Measurements
时间窗: 11weeks (55 days)- 9 weeks of implementation
Toe walking behavior (TWB) was measured using the BTS P-Walk platform \[2440x740x8 mm with 2400x500 mm sensorized area containing 12,000 sensors\]. A 500 mm sensor-free mat was added at platform ends for accurate start/end measurements. The system focused on foot-ground contact surface area data relevant to this study's objectives. Before measurements, the child familiarized herself with the platform through play activities to ensure comfort. All assessments were conducted barefoot with at least three walks per session, selecting the clearest data for analysis. To encourage natural platform crossing, the child carried a small object to her mother waiting opposite. To prevent upper extremity interference with gait patterns, only return walks without the object were analyzed, ensuring accurate toe walking measurements unaffected by carrying tasks or arm movements during the assessment protocol. Changes assessed using visual analysis and statistical measures including ES calculations.
次要结局
未报告次要终点
研究者
Ekrem AKBUGA, PhD
Assistant Proffessor
Giresun University
