VestibulOTherapy: Vestibular Impact on Learning

Study Overview
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Brief Summary
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Research Question: Will daily engagement in activities tailored to the evidence-based vestibular research result in improved attention and learning outcomes for children ages 6-9 years of age after an 8-week classroom-based intervention?

Detailed Description
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Vestibulotherapy is an emerging frame of reference aiming to help neurotypical children with under-performing vestibular systems develop neural pathways supporting communication and learning. Theory based upon systematic review: Given adequate vestibular activation through targeted activities (in an otherwise under-performing vestibular system), myelination and neuroplasticity propagate along learning pathways leading to greater neural connectivity and efficiency for sequencing, ordinance, attention, memory, body schema, spatial cognition, executive function, and interoception. As a result of prescribed vestibular interventions and gained attributes supporting learning, students will experience increased academic growth and success as outlined by the following model.

Official Title
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VestibulOTherapy: Vestibular Impact on Learning

Conditions
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Vestibular Disorder, Educational Problems, Attention Deficit Disorder

Intervention / Treatment
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* Behavioral: VestibulOTherapy


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: neurotypical development between the ages of 6-10 years of age performance challenges in school in the areas of math, spelling, organization, sequencing, attention, or engagement demonstrate attributes of vestibular dysfunction per the Vestibular Profile may have ADD or ADHD May have challenges with speech articulation good potential for learning and engaging in prescribed interventions Exclusion Criteria: Neurodiverse development (with the exception of ADHD or ADD) Absence of vestibular challenges Absence of learning challenges. unable to participate in interventions on a routine basis due to attendance or other limitations.

Ages Eligible for Study
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Minimum Age: 6 Years
Maximum Age: 10 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: Other
Intervention Model: Sequential Assignment
Interventional Model Description: This program involves a multiple baseline design for a group of students ages 6-9 years. The intervention will last for 8 weeks with educational outcomes monitored before, during, and after the intervention. With final reporting at 6 months post intervention.
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Classroom interventions<br>Students within five classrooms will engage in prescribed vestibular activities embedded within learning curricula to determine the impact of the intervention on learning outcomes, particularly memory, sequencing, attention, and ordinance related outcomes. | Behavioral: VestibulOTherapy<br>* For this study, the following activity-orientated interventions will occur within the natural learning environments so that generous opportunities exist for neural plasticity and growth. Each student will be engaged in 20-30 minutes/day of intermittent classroom activities, plus 20-30- minutes of daily stability work embedded into classroom routines including stabilizing self on a Hokki stool or t-stool or standing on a balance board during sedentary work, such as circle time or read-a-loud.<br>* Other names: occupational therapy;|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Academic Score reporting | Academic record review: Math, spelling, and reading records from the 1st Semester of school will indicate trends in student performance. Immediately following and six months post-intervention, the trends will be compared to determine if a significant change occurs in these dependent variables. During and immediately following the intervention, spelling and math tests will be taken on consistent days of the week to avoid variabilities in data. Numerical data will be graphed to illustrate and examine trends and slope over time to determine significance of change. | Baseline data established at recruitment, followed by weekly data collection of scores from spelling and math for twelve weeks, and again once at three-months post intervention | 
| Vestibular Attributes | Vestibular Profile - Pediatric (VP-P) will be completed at recruitment. The most salient attributes will be monitored weekly throughout the intervention. | up to twelve weeks | 
| Time on Task / Attention | Time on Task measures reflecting active participation and attention during instruction | up to twelve weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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children, vestibular, occupational therapy, educational outcomes