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.
Studienübersicht
Status
Status
Bedingungen
Bedingungen
Intervention / Behandlung
Intervention / Behandlung
Detaillierte Beschreibung
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.
Studientyp
Studientyp
Einschreibung (Geschätzt)
Einschreibung
Phase
Phase
- Unzutreffend
Kontakte und Standorte
Studienkontakt
Studienkontakt
- Name: Ambreen iqbal
- Telefonnummer: +92 322 7616154
- E-Mail: iqbalambreen8@gmail.com
Studieren Sie die Kontaktsicherung
- Name: Wajeeha Zia
- Telefonnummer: +92 323 450078
- E-Mail: wajeeha.zia@riphah.edu.pk
Studienorte
-
-
Punjab Province
-
Lahore, Punjab Province, Pakistan, 54000
- Shalamar Hospital and Ali Hospital
-
Kontakt:
- Ambreen iqbal, phd*
- Telefonnummer: 03227616154
- E-Mail: iqbalambreen8@gmail.com
-
Kontakt:
- wajeeha zia, phd*
- Telefonnummer: +923227616154
- E-Mail: iqbalambreen8@gmail.com
-
-
Teilnahmekriterien
Zulassungskriterien
Zulassungskriterien
Studienberechtigtes Alter
Akzeptiert gesunde Freiwillige
Studienberechtigte Geschlechter
Beschreibung
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.
Studienplan
Wie ist die Studie aufgebaut?
Designdetails
- Hauptzweck: Behandlung
- Zuteilung: Zufällig
- Interventionsmodell: Parallele Zuordnung
- Maskierung: Single
Anzahl der Arme
Waffen und Interventionen
Teilnehmergruppe / ArmTeilnehmergruppe / Arm |
Intervention / BehandlungIntervention / Behandlung |
|---|---|
|
Experimental: 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.
Andere Namen:
|
|
Aktiver 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.
Andere Namen:
|
Was misst die Studie?
Primäre Ergebnismessungen
Primäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Conners' Adult ADHD Rating Scale
Zeitfenster: 8 weeks of treatment (Pre & Post)
|
Adult ADHD symptom severity will be assessed using the Conners' Adult ADHD Rating Scales (CAARS). |
8 weeks of treatment (Pre & Post)
|
Sekundäre Ergebnismessungen
Sekundäre Ergebnismessungen
Ergebnis Maßnahme |
Maßnahmenbeschreibung |
Zeitfenster |
|---|---|---|
|
Purdue Pegboard Test
Zeitfenster: 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
|
|
Trial Making Test
Zeitfenster: 8 weeks of intervention (Pre & Post)
|
Performance was assessed by noting the overall completion time for each segment in seconds |
8 weeks of intervention (Pre & Post)
|
Mitarbeiter und Ermittler
Sponsor
Sponsor
Ermittler
Ermittler
- Hauptermittler: Wajeeha zia, Riphah International University Role
Studienaufzeichnungsdaten
Haupttermine studieren
Studienbeginn (Geschätzt)
Studienbeginn
Primärer Abschluss (Geschätzt)
Primärer Abschluss
Studienabschluss (Geschätzt)
Studienabschluss
Studienanmeldedaten
Zuerst eingereicht
Zuerst eingereicht
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst eingereicht, das die QC-Kriterien erfüllt hat
Zuerst gepostet (Tatsächlich)
Zuerst gepostet
Studienaufzeichnungsaktualisierungen
Letztes Update gepostet (Tatsächlich)
Letztes Update gepostet
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Letztes eingereichtes Update, das die QC-Kriterien erfüllt
Zuletzt verifiziert
Zuletzt verifiziert
Mehr Informationen
Begriffe im Zusammenhang mit dieser Studie
Schlüsselwörter
Zusätzliche relevante MeSH-Bedingungen
Andere Studien-ID-Nummern
Andere Studien-ID-Nummern
- AIMEN-ABBAS
Plan für individuelle Teilnehmerdaten (IPD)
Planen Sie, individuelle Teilnehmerdaten (IPD) zu teilen?
Arzneimittel- und Geräteinformationen, Studienunterlagen
Studiert ein von der US-amerikanischen FDA reguliertes Arzneimittelprodukt
Studiert ein von der US-amerikanischen FDA reguliertes Geräteprodukt
Diese Informationen wurden ohne Änderungen direkt von der Website clinicaltrials.gov abgerufen. Wenn Sie Ihre Studiendaten ändern, entfernen oder aktualisieren möchten, wenden Sie sich bitte an register@clinicaltrials.gov. Sobald eine Änderung auf clinicaltrials.gov implementiert wird, wird diese automatisch auch auf unserer Website aktualisiert .