Effects of Application of a Motor Programme on Neurological Maduration in Children
ConditionChild Development
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age7-9
SponsorFundació Universitària del Bages
About this trial
The persistence of primitive reflexes in school-age children can affect neuromotor maturation. Some studies link the persistence of primitive reflexes with specific learning difficulties, low academic performance, neurodevelopmental disorders, and behavioral problems. There are studies that suggest introducing intervention programs to help integrate the activity of these reflexes. The objective of this study is to assess the effects of implementing a motor program on the neurologic maturation of second-grade children throughout an academic year in Catalonia.
A prospective experimental longitudinal and randomized pre-post study will be conducted with two groups: Non Intervention group and intervention group, known as the INPP Movement Program Group (with daily application of the motor program), lasting for one academic year (from September '23 to June '24). Currently, a feasibility study will be conducted at a school in Valls, with a sample of 50 children, and data will be collected at the beginning and end of the academic year. The study will analyze primitive reflexes, motor skills related to balance and coordination, oculo-motor skills, and the risk of presenting dyslexia. Once the feasibility study is completed, the same study with appropriate modifications will be carried out in different schools across Catalonia during the academic year 2024 - 2025 (yet to be determined).
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Children enrolled in the second grade of the selected schools
Age between 7 and 9 years
Disqualifiers
Children unable to perform the exercises due to physical and/or cognitive limitations
Those unable to consistently attend the therapy sessions (with an absence rate of more than 80%) or have physical limitations
Children who cannot understand the language and therefore cannot complete the questionnaires and tests to be conducted
Trial design
Design model
Parallel
Treatments tested in this trial
The developmental Exercise Programme of INPP
Other interventionThe INPP school motor program consists of a series of developmental movements based on the normal movements of a child in their first year of life. Exercises must be performed as slow as possible and must be repeated for at least six weeks. Once the children have performed a set of movements, a new set will be presented for practice in a more complex position. The exercises are done on the floor and aid in developing: Proper alignment of the head with the body, trunk stability. Balance and coordination. The ability to use both sides of the body and upper and lower parts independently. Muscle tone in prone and supine position. Hand-eye coordination and visual skills
Treatment groups
200 Participants
are divided into 2 treatment groupsGroup A: INPP Movement Program GroupExperimental treatment 1 intervention
Group B: Non Intervention GroupNo intervention 0 interventions
Trial outcomes
Primary outcomes
1
Reflex status
To assess the neuromotor maturation pre and post application of the INPP school programme in 2nd grade children of different schools in Catalonia and its relation to reflex status using the INPP Test battery for use in schools. The Test battery consists on: Ayres Test for the Asymmetric Tonic Neck Reflex Hoff -Schilder Test for the The Asymmetric Tonic Neck Reflex Ayres Test for the Symmetric Tonic Neck Reflex Erect Test for the Tonic Labyrinth Reflex The assessment is through a 5-point likert scale where 0 means no retention of primitive reflexes and no immaturity and 5 means 100% dysfunction.
Time frame
At the begining and at the end of an academic yearSecondary outcomes
1
Motor skills
To assess the neuromotor maturation pre and post application of the INPP school programme in 2nd grade children of different schools in Catalonia and its relation to motor skills To assess the motor skills it will be used the Movement Battery Assesment for children (MABC Test) internationally used to detect developmental coordination disorders (DCD) The test has three specific dimensions of the child motor skills: Hand dexterity Catching and aiming Balance. The assessment is through a 5-point likert scale where 0 means no disfunction and and 5 means 100% dysfunction.
Time frame
At the begining and at the end of an academic year2
oculomotor functioning
To assess the neuromotor maturation pre and post application of the INPP school programme in 2nd grade children of different schools in Catalonia and its relation to oculomotor functioning To assess the oculomotor functioning it will be used the Developmental Eye Movement Test (DEM). It´s a battery that includes three subtests to assess vertical and horizontal eye movements. The evaluation is through 3 variables to be calculated for each child: horizontal time, vertical time and the ratio between both. These results related to a range of age are compared with the table of the average values (table from 7 to 7 years and 11 months with its categorisation).
Time frame
At the begining and at the end of an academic year3
risk of presenting dyslexia.
To assess the neuromotor maturation pre and post application of the INPP school programme in 2nd grade children of different schools in Catalonia and its relation to the measure of risk of presenting dyslexia. The tool to assess the risk of dyslexia is the Spanish Test Battery called Diagnosis and Early Detection of Dyslexia (PROLEXIA) designed to cover two main purposes: early detection and differential diagnostic testing to assess the risk of dyslexia. The categorisation of prolexia risk ranges from very low risk (0 points) to very high risk (more than 200 points), through low ( 35-55), moderate ( 55-75) and high ( 75-110).
Time frame
At the begining and at the end of an academic yearSponsors and contacts
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Source ClinicalTrials.gov