Effect of reflex mediated core stabilization and system-based task-oriented approach on motor function and motor ability in children with developmental delay: protocol for a comparative study

Abstract

Background When a child doesn’t meet the developmental milestones at the same rate as peers their own age, it is considered to be a developmental delay. Its severity can be divided into three categories: minimal (functional age < 33% of chronological age), intermediate (34-66% of chronological age), and severe (functional age > 66% of chronological age), and has several impairments including motor, speech, and learning. In motor impairment, there is a significant delay in fine and gross motor skills, including stiff muscles, loose trunk and limbs, limited movement in the legs and an inability to bear weight on feet and/or legs. To avoid long-term disability, early detection and intervention are essential. This study will aim to identify the effect of a reflex-mediated core stabilization and a system-based task-oriented approach on motor function and motor ability in children with developmental delay. Methods A total of 54 children with developmental delay who meet the eligibility criteria will be chosen for the prospective experimental design trial and will be assigned into two groups. Group A will undergo reflex-mediated core stabilization along with conventional therapy, while Group B will undergo a system-based task-oriented approach along with conventional therapy. The session will extend for 60 minutes each day, six days per week for six weeks. Gross Motor Function Measure version 88 (GMFM-88), Gross Motor Function Classification System (GMFCS) and Manual Ability Classification System (MACS) as outcomes will be assessed at baseline, after two weeks, four weeks, and after completion of the entire treatment protocol. Conclusions The data will be compiled and analyzed to compare the effectiveness of the interventions. Registration Clinical Trials Registry India (CTRI/2023/08/055998, registered on 01/08/23).