Clinical trial NCT06576206: Effects of Bin Therapy on Finger Gnosia And Fine Motor Skill
Official title: Effects of Bin Therapy on Finger Gnosia and Fine Motor Skills in Children With Down Syndrome
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Down Syndrome
Keywords: down syndrome
bin therapy
freely box activties
finger gnosia
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2024-08-28
Enrollment: 30
Sex: ALL
Minimum age (years): 5
Maximum age (years): 13
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: it will be randomized control trial in which non probability convenient sampling will be used. Two groups of age 6-12 will be formed in which participants will be randomly divided. Group A will receive conventional physical therapy exercise program including core strengthening, balance and coordination exercise, fine motor activities and group b will receive BIN therapy and finger gnosia
Primary purpose: TREATMENT

Brief summary: Down syndrome is a hereditary disorder resulting from the occurrence of an additional copy of chromosome 21, resulting in discernible variations in cognitive and physical characteristics. Finger gnosis pertains to the capacity to identify and discriminate among individual fingers. Tactile perception and body awareness are both encompassed by this particular component. Finger gnosis encompasses the sensory and cognitive mechanisms that enable an individual to recognize, label, and differentiate between their own fingers and those belonging to others. The therapeutic approach known as BIN Therapy is a non-invasive and pharmacologically unassisted intervention that use electrical stimulation as a means to enhance manual dexterity in individuals afflicted with neurological conditions

Detailed description: It will be a randomized controlled trial. 30 patients fulfilling the inclusion and exclusion criteria will be recruited by non-probability convenience sampling and then randomly divided in two groups using lottery method. Group A will receive will receive conventional physical therapy exercise program including core strengthening, balance and coordination exercise, fine motor skills activities with 2-3 times a week, with 20-50 minutes of each session with each set comprises of 10-12 repetitions of each exercise. And the group B will receive BIN therapy and finger gnosia. Sensory assessment will be assess by Revised Nottingham sensory assessment.

Eligibility criteria: Inclusion Criteria:

* Age range between 5-13 years
* Children with Down syndrome who are able to follow simple instructions.
* Medically stable participants can participate in therapeutic procedures.
* Participants and their families should be able to attend Bin Therapy weekly.

Exclusion Criteria:

* Any other medical conditions or cognitive impairments that could affect their participation in the study.
* History of seizures.
* History of heart problems

Primary outcomes:
measure: Finger Gnosia Assessed by Vernier Caliper
timeFrame: baseline and 8th week
Secondary outcomes:
measure: Nottingham sensory assessment
timeFrame: baseline and 8th weeks
Other outcomes:
Locations:
city: Lahore
country: Pakistan
facility: Riphah International University
state: Punjab
Study officials:
affiliation: Riphah International University
name: Hafsa Yasin, MS
role: PRINCIPAL_INVESTIGATOR
References:
citation: Fischer U, Suggate SP, Stoeger H. Fine motor skills and finger gnosia contribute to preschool children's numerical competencies. Acta Psychol (Amst). 2022 Jun;226:103576. doi: 10.1016/j.actpsy.2022.103576. Epub 2022 Apr 4.