Multi-Component Training Versus Motor Learning Techniques in Adults With ADHD (MCT-MLT)
Comparative Effects of Multi-Component Training and Motor Learning Techniques on Attention, Cognitive Performance, and Motor Coordination in Adults With Attention Deficit Hyperactivity Disorder
This randomized clinical trial aims to compare the effects of multi-component training and motor learning techniques on attention, cognitive performance, and motor coordination in adults with Attention Deficit Hyperactivity Disorder (ADHD). ADHD in adults is associated with impairments in executive function, attention regulation, and motor coordination, which significantly impact daily functioning and quality of life. While pharmacological and behavioral therapies are commonly used, non-pharmacological interventions such as structured exercise and motor learning approaches have shown potential benefits.
A total of 44 participants aged 18-30 years with clinically diagnosed ADHD will be recruited and randomly allocated into two groups. Group A will receive multi-component training including aerobic, resistance, balance, and flexibility exercises, while Group B will receive motor learning techniques focusing on task-oriented and cognitive-motor dual-task training. Both interventions will be administered three times per week for eight weeks.
Outcome measures will include standardized tools assessing attention, executive function, and cognitive performance, including ADHD rating scales and cognitive assessments. Data will be analyzed pre- and post-intervention to determine within-group and between-group differences. This study aims to identify effective, non-pharmacological rehabilitation strategies for improving cognitive and motor outcomes in adults with ADHD.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Background and Rationale
Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder characterized by inattention, hyperactivity, and impulsivity, persisting into adulthood in a significant proportion of individuals. Adults with ADHD commonly experience deficits in executive function, attention, working memory, and motor coordination, leading to reduced occupational performance, impaired social relationships, and decreased quality of life.
Although pharmacological treatments such as stimulant medications are widely used, they may not be suitable for all individuals due to side effects, contraindications, or limited long-term effectiveness. Therefore, there is increasing interest in non-pharmacological interventions such as structured physical exercise and motor learning techniques, which may enhance neuroplasticity and improve cognitive and motor outcomes.
Multi-component training integrates aerobic, resistance, balance, and flexibility exercises and has been associated with improvements in executive function, attention, and emotional regulation. Motor learning techniques focus on task-oriented training, repetition, feedback, and cognitive-motor integration to improve coordination and functional performance. However, limited research has directly compared these two approaches in adults with ADHD.
Objective
To compare the effects of multi-component training and motor learning techniques on attention, cognitive performance, and motor coordination in adults with ADHD.
Study Design
This study will be a single-blind, randomized clinical trial.
Participants
A total of 44 participants aged 18-30 years with clinically diagnosed ADHD will be recruited using non-probability convenience sampling. Participants must meet inclusion criteria including confirmed ADHD diagnosis and ability to participate in moderate physical activity.
Randomization and Blinding
Participants will be randomly assigned to one of two groups using a computer-generated randomization method. Allocation will be concealed using sealed opaque envelopes. The outcome assessor will remain blinded to group allocation.
Interventions
Group A: Multi-Component Training
Participants will undergo a structured exercise program including:
Aerobic training (moderate intensity) Resistance training using light weights or bands Balance and flexibility exercises Sessions will be conducted three times per week for 8 weeks.
Group B: Motor Learning Techniques
Participants will receive:
Task-oriented motor training Cognitive-motor dual-task activities Feedback-based motor learning strategies Sessions will be conducted three times per week for 8 weeks. Outcome Measures
Primary and secondary outcomes will be assessed at baseline and post-intervention using standardized tools:
Adult ADHD Self-Report Scale (ASRS) Montreal Cognitive Assessment (MoCA) Conners' Adult ADHD Rating Scales (CAARS) Stroop Color and Word Test Trail Making Test (Parts A and B) Digit Span Test Behavior Rating Inventory of Executive Function (BRIEF-A) Data Analysis
Data will be analyzed using SPSS version 27. Descriptive statistics will summarize participant characteristics. Normality will be assessed using the Shapiro-Wilk test.
Within-group comparisons: Paired t-test or Wilcoxon signed-rank test Between-group comparisons: Independent t-test or Mann-Whitney U test Statistical significance set at p < 0.05 Expected Outcome
This study is expected to determine whether multi-component training or motor learning techniques are more effective in improving attention, cognitive performance, and motor coordination in adults with ADHD. Findings may contribute to evidence-based, non-pharmacological rehabilitation strategies for ADHD management.
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Ambreen iqbal
- Telefonnummer: +92 322 7616154
- E-mail: iqbalambreen8@gmail.com
Undersøgelse Kontakt Backup
- Navn: Wajeeha Zia
- Telefonnummer: +92 323 450078
- E-mail: wajeeha.zia@riphah.edu.pk
Studiesteder
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Punjab Province
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Lahore, Punjab Province, Pakistan, 54000
- Shalamar Hospital and Ali Hospital
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Kontakt:
- Ambreen iqbal, phd*
- Telefonnummer: 03227616154
- E-mail: iqbalambreen8@gmail.com
-
Kontakt:
- wajeeha zia, phd*
- Telefonnummer: +923227616154
- E-mail: iqbalambreen8@gmail.com
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Male and female adults aged 18 to 30 years.
- Clinically diagnosed with Attention Deficit Hyperactivity Disorder.
- Adult ADHD Self-Report Scale score indicating ADHD symptoms.
- Montreal Cognitive Assessment score less than 26 out of 30.
- Medically stable and able to participate in moderate physical activity.
- Not currently participating in any other structured cognitive or physical intervention program.
- Able to attend supervised sessions three times per week for 8 weeks.
- Willing to provide written informed consent.
Exclusion Criteria:
- History of systemic or neurological disorders.
- Currently undergoing treatment for ADHD or participating in similar interventions.
- Physical limitations preventing participation in physical activity.
- Severe psychiatric conditions such as schizophrenia or bipolar disorder.
- Uncontrolled cardiovascular conditions or medical contraindications to moderate physical activity.
- Taking medications that significantly alter cognitive or motor performance unless stabilized for at least 3 months.
- History of substance abuse within the past 12 months.
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: Randomiseret
- Interventionel model: Parallel tildeling
- Maskning: Enkelt
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
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Eksperimentel: Multi-Component Training Group
Participants in this group will receive multi-component training including warm-up, aerobic training, resistance training, balance and flexibility exercises, breathing exercises, and cool-down. Sessions will be conducted three times per week for 8 weeks, with each session lasting approximately 30-40 minutes. |
Multi-component training will include warm-up, moderate-intensity aerobic exercise, resistance training using light weights or resistance bands, balance and flexibility exercises, breathing exercises, and cool-down. Sessions will be supervised three times per week for 8 weeks, with each session lasting approximately 30-40 minutes.
Andre navne:
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Aktiv komparator: Motor Learning Techniques Group
Participants in this group will receive motor learning techniques including warm-up, task-oriented training, cognitive-motor dual-task activities, feedback-based learning, and cool-down. Sessions will be conducted three times per week for 8 weeks, with each session lasting approximately 30-40 minutes. |
Motor learning techniques will include warm-up, task-oriented functional motor activities, cognitive-motor dual-task exercises, feedback-based learning, and cool-down. Sessions will be supervised three times per week for 8 weeks, with each session lasting approximately 30-40 minutes.
Andre navne:
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Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Conners' Adult ADHD Rating Scale
Tidsramme: 8 weeks of treatment (Pre & Post)
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Adult ADHD symptom severity will be assessed using the Conners' Adult ADHD Rating Scales (CAARS). |
8 weeks of treatment (Pre & Post)
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Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Purdue Pegboard Test
Tidsramme: Baseline and immediately after completion of the 8-week intervention
|
Dominant-hand motor coordination and manual dexterity will be assessed using the Purdue Pegboard Test. |
Baseline and immediately after completion of the 8-week intervention
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Trial Making Test
Tidsramme: 8 weeks of intervention (Pre & Post)
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Performance was assessed by noting the overall completion time for each segment in seconds |
8 weeks of intervention (Pre & Post)
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Efterforskere
Efterforskere
- Ledende efterforsker: Wajeeha zia, Riphah International University Role
Datoer for undersøgelser
Studer store datoer
Studiestart (Anslået)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Nøgleord
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- AIMEN-ABBAS
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