- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05002504
Craniosacral Therapy Children's, Balance-Coordination (CS-CHILDREN)
Craniosacral Therapy as a Neurodevelopmental Correction for the Improvement of Children's Balance and Coordination.
Study Overview
Status
Conditions
Detailed Description
Design:
A longitudinal-experimental study was carried out with a child population of 86 children aged 6 to 8 years old without excluding sex in a school group in Cordoba (Spain).
Participants:
Eighty-six apparently healthy children between 6 and 8 years of age were treated as prevention in balance and coordination motor skills at the Gema León physiotherapy clinic in Córdoba (Spain). The children were divided into three groups: 25 patients in the placebo group (group 1), 30 patients in the craniosacral therapy group (group 2) and 31 patients in the balance and coordination therapy group (group 3).
Primary outcome: A series of questions were asked to the children's parents in a virtual questionnaire on physical characteristics, previous health assessments and observations of their balance and coordination in front of their children. On the other hand, the school teachers examined neurobehavioral aspects of the students using the "Battelle Developmental Inventory" (BDI), which evaluates five areas of development (personal/social, adaptive, motor, communicative and cognitive) between 2 and 8 years of age. The results are assigned in age-adjusted percentages, classified as: low (0-49%), normal (50-79%) and high (80-100%). Low and high values are considered impairments in one or more of the areas evaluated.
Secondary outcome: Seven treatment sessions were carried out with the balance and coordination therapeutic exercise techniques (group 3) most frequently used for the treatment of these pathologies; seven sessions of craniosacral therapy (group 2) as corrective and preventive in possible alterations during infant neurodevelopment and finally seven sessions simulating craniosacral therapy on a placebo group (group 1) as a control of the treatments used.
The effectiveness values of the therapies were expressed as percentages of satisfaction with the classifications of 25 to 28% (apparent changes < to half of the sample in each therapy group), 51 to 56% (apparent changes in half of the sample in each therapy group) and 100% (apparent changes > to half of the sample in each therapy group). From the above, the absolute values of the sample in each therapy group are set as follows.
Data analysis:
The variables were expressed as mean, absolute and relative frequency. The chi-square test was used to analyze the differences between age ranges, balance and coordination problems versus physical therapy sessions performed, as well as the association between values of the Battelle scale of child neurodevelopment before and after the treatments. A confidence level of 95% was established, considering as statistically significant a value of p a value of p<0.05 was considered statistically significant.
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Andalucía
-
Córdoba, Andalucía, Spain, 14011
- Gema León Physiotherapy and Rehabilitation Clinic
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- healthy children
- aged 6 to 8 years old
- school group
Exclusion Criteria:
- unhealthy children
- ages outside the 6-8 age range
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Prevention
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Patients receiving craniosacral therapy
30 children without previous pathology receiving craniosacral therapy
|
A series of questions were asked to the children's parents in a virtual questionnaire on physical characteristics, previous health assessments and observations of their balance and coordination in front of their children
Other Names:
the school teachers examined neurobehavioral aspects of the students using the "Battelle Developmental Inventory" (BDI), which evaluates five areas of development (personal/social, adaptive, motor, communicative and cognitive) between 2 and 8 years of age.
The results are assigned in age-adjusted percentages, classified as: low (0-49%), normal (50-79%) and high (80-100%).
Low and high values are considered impairments in one or more of the areas evaluated.
Evaluation of the Battelle scale was carried out before and after the therapy sessions.
Other Names:
Seven treatment sessions were carried out with the balance and coordination therapeutic exercise techniques (group 3) most frequently used for the treatment of these pathologies; seven sessions of craniosacral therapy (group 2) as corrective and preventive in possible alterations during infant neurodevelopment and finally seven sessions simulating craniosacral therapy on a placebo group (group 1) as a control of the treatments used.
|
Active Comparator: Patients receiving balance and coordination therapy
31 patients without previous pathology receiving balance and coordination therapy
|
A series of questions were asked to the children's parents in a virtual questionnaire on physical characteristics, previous health assessments and observations of their balance and coordination in front of their children
Other Names:
the school teachers examined neurobehavioral aspects of the students using the "Battelle Developmental Inventory" (BDI), which evaluates five areas of development (personal/social, adaptive, motor, communicative and cognitive) between 2 and 8 years of age.
The results are assigned in age-adjusted percentages, classified as: low (0-49%), normal (50-79%) and high (80-100%).
Low and high values are considered impairments in one or more of the areas evaluated.
Evaluation of the Battelle scale was carried out before and after the therapy sessions.
Other Names:
Seven treatment sessions were carried out with the balance and coordination therapeutic exercise techniques (group 3) most frequently used for the treatment of these pathologies; seven sessions of craniosacral therapy (group 2) as corrective and preventive in possible alterations during infant neurodevelopment and finally seven sessions simulating craniosacral therapy on a placebo group (group 1) as a control of the treatments used.
|
Placebo Comparator: Patients receiving placebo
25 patients without previous pathology receiving placebo
|
A series of questions were asked to the children's parents in a virtual questionnaire on physical characteristics, previous health assessments and observations of their balance and coordination in front of their children
Other Names:
the school teachers examined neurobehavioral aspects of the students using the "Battelle Developmental Inventory" (BDI), which evaluates five areas of development (personal/social, adaptive, motor, communicative and cognitive) between 2 and 8 years of age.
The results are assigned in age-adjusted percentages, classified as: low (0-49%), normal (50-79%) and high (80-100%).
Low and high values are considered impairments in one or more of the areas evaluated.
Evaluation of the Battelle scale was carried out before and after the therapy sessions.
Other Names:
Seven treatment sessions were carried out with the balance and coordination therapeutic exercise techniques (group 3) most frequently used for the treatment of these pathologies; seven sessions of craniosacral therapy (group 2) as corrective and preventive in possible alterations during infant neurodevelopment and finally seven sessions simulating craniosacral therapy on a placebo group (group 1) as a control of the treatments used.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
"Series of questions to the children's parents"
Time Frame: two weeks
|
A series of questions were asked to the children's parents in a virtual questionnaire on physical characteristics, previous health assessments and observations of their balance and coordination in front of their children
|
two weeks
|
"Battelle Developmental Inventory" (BDI)
Time Frame: two weeks
|
On the other hand, the school teachers examined neurobehavioral aspects of the students using the "Battelle Developmental Inventory" (BDI), which evaluates five areas of development (personal/social, adaptive, motor, communicative and cognitive) between 2 and 8 years of age.
The results are assigned in age-adjusted percentages, classified as: low (0-49%), normal (50-79%) and high (80-100%).
Low and high values are considered impairments in one or more of the areas evaluated
|
two weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
"Number of participants in each therapy group"
Time Frame: Seven weeks
|
86 children were treated under stipulated physiotherapy techniques without excluding sex or age and divided into three groups: placebo group (n = 25), craniosacral therapy group (n = 30) and balance and coordination therapy group (n = 31).
Each of the groups received the same number of therapeutic sessions (n = 7) spread over an equal period of time (one weekly session).
|
Seven weeks
|
"The effectiveness values of the therapies for each group"
Time Frame: seven weeks
|
The effectiveness values of the therapies were expressed as percentages of satisfaction with the classifications of 25 to 28% (apparent changes < to half of the sample in each therapy group), 51 to 56% (apparent changes in half of the sample in each therapy group) and 100% (apparent changes > to half of the sample in each therapy group).
|
seven weeks
|
"Pre-treatment Battelle Scale"
Time Frame: two weeks
|
The pre-treatment assessments with the Battelle scale performed by the teachers evidenced the value of participants in all percentage ranges (low, normal and high), showing unevenness or alterations in primary explorations or assessments such as balance on two feet with eyes open and closed, on one foot with eyes open and closed (in neutral pelvis position), assessment of coordination in fast and slow movements and assessment of the coordination of the weaker side within their motor skills
|
two weeks
|
"Post-treatment Battelle Scale"
Time Frame: two weeks
|
The evaluation by the teachers with the Battelle scale after the treatment shows statistically significant values in the participants of the craniosacral therapy group (n=30), improving the parameters that they evaluate with respect to neurodevelopment, with 0% being in the low values (0-50) and 93% in normal values (50-80), rectifying the possible corrections made by means of this therapy
|
two weeks
|
"percentages of satisfaction from 1st to the 7th therapy sessions"
Time Frame: seven weeks
|
Significance values are observed for craniosacral therapy participants (n=30) showing apparent changes in gradual increases in the categories of 25-28% satisfaction from the 2nd session (n=20), moving to 51-56% satisfaction in the 3rd session (n=18) and swinging in gradual increases towards 100% satisfaction by the 5th session (n=15), showing that craniosacral therapy regulates small weaknesses or alterations previously observed during the balance and coordination exploration. During the sixth treatment session, craniosacral therapy shows higher percentages of apparent changes that position it with better satisfaction compared to balance and coordination therapy. The last treatment session presented a greater percentage advantage in the craniosacral therapy in relation to the balance and coordination therapy, ratifying the values previously exposed. |
seven weeks
|
Collaborators and Investigators
Sponsor
Investigators
- Study Chair: Irene Cantarero Carmona, Universidad de Córdoba
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
- ART-GLB-CS-EQUILIB-COORD
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
IPD Plan Description
Study Data/Documents
-
Clinical Study Report
Information comments: Shapiro F, Forriol F. El cartílago de crecimiento: biología y biomecánica del desarrollo. Rev Ortop y Traumatol [Internet]. 2005;49(1):55-67.
-
Clinical Study Report
Information comments: Vázquez M, Rodríguez A, Arroyo A, Benjumea A. Desalineaciones de los miembros inferiores en niños con síndrome de Down. Fisioterapia [Internet]. 2012;34(4):140-5.
-
Clinical Study Report
Information comments: Gatti C, Montero S. Effectiveness of treadmill training on gait development in children with Down syndrome: A systematic review. Fisioterapia [Internet]. 2019;41(1):37-47
-
Clinical Study Report
Information comments: Taboada J, Díaz L, Hernández M. Restauración del patrón biomecánico de la marcha en niños cubanos. Rev Cuba Investig Biomédicas [Internet]. 2019;38(2):86-103
-
Clinical Study Report
Information comments: Millar P, Navarro J, Martella D, Gallardo C. Prevalencia de alteraciones del neurodesarrollo motriz en niños prematuros sin diagnóstico de parálisis cerebral. Fisioterapia [Internet]. 2018;40(6):305-11.
-
Clinical Study Report
Information comments: Darmana R, Cahuzac J. Trastornos estáticos de los miembros inferiores y sus consecuencias sobre la marcha del niño. Trastornos rotacionales. EMC - Podol [Internet]. 2014;16(3):1-10.
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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