The goal of this semi-experimental study is to investigate whether bilateral (limbs of both sides of the body, such as left and right hands) perceptual-motor (PM) exercises and unilateral (limb of only one side of the body, such as only the left hand) PM exercises affect manual dexterity and visuospatial memory in children with nonverbal learning disorder (NVLD). Each type of perceptual-motor exercise (bilateral vs. unilateral) is delivered in two different ways. Within each method, free-play and non-interventional activities are scheduled at different times (e.g., at the beginning vs. the end of the intervention phase). The main questions this study aims to address are: 1. Which type of perceptual-motor (PM) exercise-bilateral or unilateral-is more effective in improving manual dexterity of left and right hands and visuospatial memory in children with nonverbal learning disorder (NVLD)? 2. Which training sequence in unilateral and bilateral groups-free-play and self-oriented activities followed by interventional exercises, or interventional exercises followed by free-play activities-has a greater impact on right and left hands manual dexterity and visuospatial memory scores in children with NVLD?
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
BASIC_SCIENCE
Masking
SINGLE
Enrollment
20
The first 18 sessions (3 days per week) students took the unilateral (PM) exercise interventional training program, where they used only their left hand for participating in interventional training program. The second phase started after 18 sessions interventional exercises, with 6sessions (one session per week) of non-interventional , free-play, and self oriented activates.
The first phase is 6sessions ( one session per week) of free-play and non-interventional activates followed by 18 sessions (three sessions per week) of interventional unilateral training program, where students have to use only their left hand for doing the assignments of protocol.
The first 18 sessions (three sessions per week) students took the bilateral (PM) exercise interventional training program, where they used their both hands for participating in interventional training exercises. The second phase started after 18 sessions interventional exercises, with 6sessions (one session per week) of non-interventional , free-play, and self oriented activates.
The first phase is 6sessions (one session per week) of free-play and non-interventional activates followed by 18 sessions (three sessions per week) of interventional bilateral training program, where students have to use their both hands for doing the assignments of protocol.
Valiasr Girls' Primary School
Isfahan, Isfahan, Iran
Right-hand Manual Dexterity
Pre-test scores are obtained using the Box and Blocks Test (BBT) to assess right hand manual dexterity scores before the start of the experiment. After 24 sessions, when participants have completed both the interventional and non-interventional training programs in each group (e.g., unilateral and bilateral training groups), the Box and Blocks Test (BBT) is administered again to evaluate improvements in manual dexterity scores. Comparisons of pre-test and post-test scores within each subgroup are used to assess the effects of treatment type (unilateral vs. bilateral) and treatment order (interventional exercises in the first phase vs. non-interventional activities in the first phase) on right hand manual dexterity. Scores range from 0 upward, with higher scores reflecting a greater number of blocks successfully transferred within the allotted test time using the right hand.
Time frame: From enrollment to the end of treatment in each group at 12 weeks
Left-hand Manual Dexterity
Pre-test scores are obtained using the Box and Blocks Test (BBT) to assess left hand manual dexterity scores before the start of the experiment. After 24 sessions, when participants have completed both the interventional and non-interventional training programs in each group (e.g., unilateral and bilateral training groups), the BBT is administered again to evaluate improvements in manual dexterity scores. Comparisons of pre-test and post-test scores within each subgroup are used to assess the effects of treatment type (unilateral vs. bilateral) and treatment order (interventional exercises in the first phase vs. non-interventional activities in the first phase) on left hand manual dexterity. Scores range from 0 upward, with higher scores reflecting a greater number of blocks successfully transferred within the test time slot using the left hand.
Time frame: From enrollment to the end of treatment at 12 weeks.
Visuospatial memory
Pre-test scores are obtained using the Chorsi Block Test (CBT) to assess visuospatial memory before the start of the experiment. After 24 sessions, when participants have completed both the interventional and non-interventional training programs in each group (e.g., unilateral and bilateral training groups), the CBT is administered again to evaluate progress in visuospatial memory. The comparison of pre-test and post-test scores within each subgroup allows assessment based on treatment type (unilateral vs. bilateral) and treatment order (interventional exercises in the first phase vs. non-interventional activities in the first phase) on visual spatial memory in NVLD children. Scores range from 0 upward, with higher scores reflecting a stronger ability to remember spatial locations and sequences of blocks presented during the test.
Time frame: From enrollment to the end of treatment at 12weeks
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.