Effects of Kinetic Sand on Functional Reach and Eye-Hand Coordination in Children With Autism

May 5, 2026 updated by: Riphah International University
A quasi-experimental pre-post study will be conducted at pediatric therapy clinics and special education centers, involving 17 children aged 6-12 years diagnosed with mild to moderate ASD, selected through convenient sampling. The intervention will consist of kinetic sand play for 30 minutes, three times per week, over six weeks, including activities such as molding objects, searching for hidden items, and free play to enhance creativity, grip strength, and coordination. Eye-hand coordination and functional reach will be assessed using the Purdue Pegboard Test (PPT) and the Functional Reach Test. Data will be analyzed using SPSS Version 26 with paired t-tests or appropriate non-parametric methods. Ethical approval will be obtained from the Research Ethical Committee of Riphah International University, Lahore.

Study Overview

Status

Recruiting

Intervention / Treatment

Detailed Description

Children with autism often experience deficits in fine motor skills, sensory processing, and motor coordination, which can significantly impede their ability to perform functional tasks such as reaching and manipulating objects. Kinetic sand, with its unique moldable and tactile properties, offers a multisensory experience that encourages repetitive hand movements, proprioceptive input, and tactile engagement.

These characteristics make it an ideal medium to potentially improve functional reach and eye-hand coordination. The intervention is designed to provide calming sensory input that may reduce tactile defensiveness and anxiety, thereby facilitating greater focus and motor control. The purpose of this study is to evaluate the therapeutic efficacy of kinetic sand as a sensory-motor intervention for children with Autism Spectrum Disorder (ASD). A quasi-experimental study that follows a single group before and after ten months will occur at various pediatric therapy clinics and special education centers. Seventeen children between 6 and 12 years old, diagnosed with mild to moderate ASD, will be invited using non-probability convenient sampling, after allowing for the effect of potential dropouts. The intervention will last six weeks and consists of playing with kinetic sand for 30 minutes, three times every week. Activities will require molding objects, looking for hidden items, and simply playing freely to help children get creative, improve their grips, and learn coordination. The Purdue Pegboard Test (PPT) and Functional Reach test will be used to study changes in hand-eye coordination and in reaching tasks. Scores will be analyzed by SPSS Version 26, either with paired t- tests or with non-parametric methods based on what is suitable. The conclusions might assist therapists in applying sensory-motor therapy to children with autism in Pakistan. The synopsis will be presented to the Research Ethical Committee of Riphah International University, Lahore, for ethical approval to conduct this study.

Study Type

Interventional

Enrollment (Estimated)

17

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

    • Punjab Province
      • Lahore, Punjab Province, Pakistan, 5400

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Child

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • According to DSM-5 criteria, characterized by persistent deficits in social communication and interaction
  • Restricted, repetitive patterns of behavior or interests
  • Children demonstrating measurable impairments in functional reach and eye-hand coordination
  • Able to follow instructions

Exclusion Criteria:

  • Children with severe intellectual disability, cerebral palsy, epilepsy or other neurological conditions that significantly impair motor function
  • Children currently receiving other intensive occupational or physical therapy targeting functional reach or eye-hand coordination
  • Presence of musculoskeletal deformities, severe visual impairments, or other medical conditions independently affecting motor skills or coordination

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Other
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: Kinetic sand play
After obtaining consent, the patient was introduced to a rehabilitation protocol combining traditional physiotherapy for the wrist and hand with kinetic sand therapy. The program included range of motion exercises, grip strengthening, and kinetic sand activities, performed for 40 minutes per session, 6 days per week, over 7 weeks. This comprehensive approach aimed to reduce pain and swelling while improving hand function, strength, and coordination.
After obtaining consent, the patient was introduced to a rehabilitation protocol combining traditional physiotherapy for the wrist and hand with kinetic sand therapy. The program included range of motion exercises, grip strengthening, and kinetic sand activities, performed for 40 minutes per session, 6 days per week, over 7 weeks. This comprehensive approach aimed to reduce pain and swelling while improving hand function, strength, and coordination.

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Functional Reach
Time Frame: 7 weeks
To assess functional reach before and after the intervention, the Functional Reach Test will be used to evaluate improvements in balance and reaching ability. This method allows measurement of the maximum distance a child can reach forward beyond arm's length while maintaining a stable standing position. Changes in reach distance will indicate improvements in postural control, stability, and functional mobility, reflecting the effectiveness of the intervention.
7 weeks
Eye-Hand Coordination
Time Frame: 7 weeks
To assess eye-hand coordination before and after the intervention, the Purdue Pegboard Test will be used to evaluate improvements in fine motor skills and coordination. This method allows measurement of hand dexterity, speed, and accuracy by recording the number of pins placed within a specific time. Changes in scores will indicate improvements in coordination between visual input and hand movements, reflecting the effectiveness of the intervention.
7 weeks

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Investigators

  • Principal Investigator: Huma Mumtaz, MS-PT, Riphah International University

Publications and helpful links

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

October 28, 2025

Primary Completion (Estimated)

May 5, 2026

Study Completion (Estimated)

June 15, 2026

Study Registration Dates

First Submitted

May 5, 2026

First Submitted That Met QC Criteria

May 5, 2026

First Posted (Actual)

May 11, 2026

Study Record Updates

Last Update Posted (Actual)

May 11, 2026

Last Update Submitted That Met QC Criteria

May 5, 2026

Last Verified

May 1, 2026

More Information

Terms related to this study

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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