On the one hand, it helps to understand the motor development of preschool children, so as to provide early intervention means for the prevention of motor retardation and promote the healthy development of preschool children, and on the other hand, different motor intervention strategies are formulated according to the developmental characteristics of children with different core symptoms. It is of great academic value to verify the effectiveness of the program through empirical research on exercise intervention and promote the improvement of motor and cognitive development of children with neurodevelopmental disorders.
Study Type
INTERVENTIONAL
Allocation
NON_RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
NONE
Enrollment
100
This intervention combines traditional rehabilitation techniques (e.g., occupational therapy and physical therapy focusing on fine and gross motor skills) with a structured, age-appropriate characteristic exercise program. The program includes dynamic balance training, sensory-motor integration activities, rhythmic movement games, and core stability exercises. * Frequency: 3 sessions per week * Duration: 45 minutes per session * Total Intervention Period: 12 weeks * Distinguishing Feature: The inclusion of customized play-based movement training and sensory-motor games designed specifically to support neurodevelopmental improvement in young children with motor delays.
Participants will receive conventional rehabilitation therapy, including basic motor skill exercises, postural control training, and therapist-led occupational therapy sessions aimed at improving daily motor function. * Frequency: 3 sessions per week * Duration: 45 minutes per session * Total Intervention Period: 12 weeks * Distinguishing Feature: This group receives only traditional rehabilitation techniques without any additional structured or characteristic physical activity component.
China Institute of Sport Science
Beijing, China
Change in Gross Motor Development
Assessed using the Test of Gross Motor Development-3 (TGMD-3), which evaluates locomotor and object control skills.The scoring ranges from the lowest score of 0 to the highest score of 104 points, and the higher the score, the better the level of motor development.
Time frame: Baseline, Week 6 (midpoint), and Week 12 (post-intervention)
Change in Motor Coordination
Evaluated with the Movement Assessment Battery for Children-Second Edition (MABC-2), which measures manual dexterity, aiming and catching, and balance skills.
Time frame: Baseline, Week 6, and Week 12
Change in Health-Related Physical Fitness
Standing long jump (centimeters)
Time frame: Baseline, Week 6, and Week 12
Change in Health-Related Physical Fitness
Continuous two-foot jump (times)
Time frame: Baseline, Week 6, and Week 12
Change in Health-Related Physical Fitness
10m shuttle run (seconds)
Time frame: Baseline, Week 6, and Week 12
Change in Health-Related Physical Fitness
Balance Beam Walk
Time frame: Baseline, Week 6, and Week 12
Change in Gross Motor Development
Assessed using the Test of Gross Motor Development-3 (TGMD-3), which evaluates locomotor and object control skills.
Time frame: Baseline, Week 6 (midpoint), and Week 12 (post-intervention)
Change in gait velocity (single task condition)
In single-task conditions, gait speed is measured using a plantar pressure system and reported in meters per second (m/s).
Time frame: Baseline and Week 12
Change in step size (single-task condition)
In single-task conditions, step lengths were measured using a plantar pressure system and reported in centimeters (cm).
Time frame: Baseline and Week 12
Change in Gait Parameters and Dual-Task Cost
Gait parameters under single-task condition (e.g., gait speed, step length) measured in meters/second and centimeters using a plantar pressure system.
Time frame: Baseline and Week 12
Change in Working Memory
Description: Performance on a standardized computer-based working memory task.
Time frame: Baseline and Week 12
Change in SDNN
Standard deviation of normal-to-normal intervals (SDNN) collected from ECG to assess overall heart rate variability.
Time frame: Baseline and Week 12
Change in Gut Microbiota Composition and Inflammatory Markers(Changes in gut microbiota diversity)
Diversity of gut microbiota will be analyzed by stool samples (e.g., Alpha diversity index).
Time frame: Baseline and Week 12
Change in Gut Microbiota Composition and Inflammatory Markers(Changes in the level of the inflammatory marker IL-6)
Blood samples will be analyzed for levels of the inflammatory marker interleukin-6 (IL-6), usually in picograms per milliliter (pg/mL).
Time frame: Baseline and Week 12
Change in Gut Microbiota Composition and Inflammatory Markers(Changes in TNF-α Levels, a Marker of Inflammation)
Blood samples will be analyzed for levels of the inflammatory marker tumor necrosis factor-α (TNF-α), usually in picograms per milliliter (pg/mL).
Time frame: Baseline and Week 12
Change in Gait Parameters and Dual-Task Cost(Changes in gait speed)
Gait speed is measured using a plantar pressure system and reported in meters per second (m/s) in a dual-task condition where cognitive tasks are performed.
Time frame: Baseline and Week 12
Change in Gait Parameters and Dual-Task Cost(Changes in stride length)
Under the conditions of a dual-task situation involving cognitive tasks, measure the step length using a plantar pressure system, and report the result in centimeters (cm).
Time frame: Baseline and Week 12
Change in Gait Parameters and Dual-Task Cost
Dual-task cost (percent) calculated as the relative difference between single-task and dual-task gait performance.
Time frame: Baseline and Week 12
Change in Inhibitory Control
Performance on a standardized computer-based inhibitory control task.
Time frame: Baseline and Week 12
Change in Cognitive Flexibility
Performance on a standardized computer-based cognitive flexibility task.
Time frame: Baseline and Week 12
Change in RMSSD
Root mean square of successive differences (RMSSD) collected from ECG to assess parasympathetic activity.
Time frame: Baseline and Week 12
Change in LF/HF Ratio
Low-frequency to high-frequency power ratio (LF/HF) derived from ECG spectral analysis to evaluate autonomic balance.
Time frame: Baseline and Week 12
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