Effectiveness of Relaxation Technique for Behavioral Management of ADHD Children During Dental Treatment.

Study Overview
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Brief Summary
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Evaluation of effect of relaxation technique (Muscle Relaxation) on behavioral management and anxiety control of ADHD children during dental treatment.

Detailed Description
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Evaluation of effect of relaxation technique (Muscle Relaxation) on behavioral management and anxiety control of ADHD children during dental treatment compared to Tell Show Do technique (control group) using modified Frankl scale.

Official Title
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Effectiveness of Relaxation Technique (Muscle Relaxation) for Behavioral Management of ADHD Children During Dental Treatment. (Randomized Clinical Trial)

Conditions
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Attention Deficit Disorder With Hyperactivity

Intervention / Treatment
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* Behavioral: Muscle Relaxation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Children: 6 to 9 years old ADHD children Teeth: Teeth requiring dental treatment or preventive measure. Exclusion Criteria: Non ADHD children. ADHD children having allergy to local anaesthesia or systemic problem that contraindicate dental treatment. Refusal of participation

Ages Eligible for Study
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Minimum Age: 6 Years
Maximum Age: 9 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Single


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: ADHD Group<br>Muscle Relaxation technique for behavioral management | Behavioral: Muscle Relaxation<br>* Ask the child to lie down in a comfortable position. Ask him/her to notice how their muscles feel in each part of the body. Taking one area of the body at a time (face, shoulders, arms, hands, fingers, abdomen, legs, feet, and toes). Instruct the child to contract the muscles for 5 seconds, take a deep breath, and release. Next, instruct the child to contract all muscles simultaneously, hold for 5 seconds, then release. Finally, ask him/her to notice how his/her muscles feel after the exercise.<br>* Other names: Relaxation technique;|
| No Intervention: Tell Show Do Group<br>Tell Show Do Technique for behavioral management | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Modified Frankl Scale for child cooperation | Rating 1: DEFINITLY NEGATIVE (--): Refusal of treatment, crying forcefully, fearful, or any other overt evidence of extreme negativism. Rating 2: NEGATIVE (-): Reluctant to accept treatment, uncooperative, some evidence of negative attitude but not pronounced, i.e. sullen, withdrawn. Rating 3: NEGATIVE POSITIVE (-+): Fluctuation between uncooperativeness and some evidence of unpronounced negative attitude, and cautious acceptance to treatment with reservation shifting throughout the visit. Rating 4: POSITIVE (+): Acceptance of treatment; at times cautious, willingness to comply with the dentist, at times with reservation but patient follows the dentist's directions cooperatively. Rating 5: DEFINITLY POSITIVE (++): Good rapport with the dentist, interested in the dental procedures, laughing and enjoying the situation. | one day | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Completion of treatment | weather the dental treatment completed or not | one day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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ADHD, behavioral management, dental management