Sensory Integration Versus Fine Motor Intervention in Children With Autism

Study Overview
=================
Brief Summary
-----------------
Clinically, infants with Autism spectrum often display gross motor delays in supine, prone, and sitting skills in their first year of life. Delay in crawling, walking, and achieving other motor milestones are frequently observed in toddler hood. In addition, difficulties in fine motor skills are frequent in individuals with Autism spectrum.

Official Title
-----------------
Therapeutic Outcomes of Sensory Integration Versus Fine Motor Intervention on Autistic Features and Fine Motor Skills in Children With Autism: A Randomized Controlled Trial

Conditions
-----------------
Autism Spectrum Disorder

Intervention / Treatment
-----------------
* Other: fine motor skills
* Other: sensory integration


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: Age ranges from 8 to 12 years. Mild to moderate autistic features Exclusion Criteria: • Significant visual or auditory defects.

Ages Eligible for Study
-----------------
Minimum Age: 8 Years
Maximum Age: 12 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

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


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: conventional training<br>children in this group will receive fine motor exercises to enhance fine motor skills for one hour for each child, three times per week along a period of three months | Other: fine motor skills<br>* stretching and strengthening exercises in addition to exercises to enhance fine motor skills<br>|
| Experimental: sensory integration training<br>Children in this group will receive designed sensory integration program, one hour for each child, three times per week along a period of three months. | Other: sensory integration<br>* Tactile stimulation Proprioceptive stimulation Heavy work activities (i.e., proprioceptive input)<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Gilliam autism rating scale | Items on the developmental sub scale address behaviors and milestones in the first 36 months of life. The four sub scales are summed to provide an autism index. The higher the autism index, the higher the probability the individual has autism and the more severe the autistic behavior | 3 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Bruininks-Oseretsky Test Of Motor Proficiency | Fine manual control domain will be assessed in the current study. The fine manual control domains contain two sub tests fine motor precision and fine motor integration. Total motor composite and subtest measures are available as a raw score, standard score, percentile rank and descriptive category (well below average, below average', average above average and well above average). Gender specific norms were used for scoring as the scale's authors report these as being more accurate than combined gender norms | 3 months | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Autism Spectrum Disorder, Quality of life, sensory integration, fine motor skills