<?xml version="1.0" encoding="utf-8"?>
<!DOCTYPE trials [
<!ELEMENT trials (trial+)>

<!ELEMENT trial (main,contacts,countries,criteria,health_condition_code,health_condition_keyword,intervention_code,
          intervention_keyword,primary_outcome,secondary_outcome,secondary_sponsor,secondary_ids,source_support,ethics_reviews)>

<!ELEMENT main (trial_id,utrn?,reg_name,date_registration,primary_sponsor,public_title,acronym?,scientific_title,scientific_acronym?,
          date_enrolment,type_enrolment,target_size,recruitment_status,url?,study_type,study_design,phase,hc_freetext?,i_freetext?,results_actual_enrolment,results_date_completed,results_url_link,results_summary,           results_date_posted,results_date_first_publication,results_baseline_char,results_participant_flow,results_adverse_events,results_outcome_measures,results_url_protocol,results_IPD_plan, results_IPD_description)>
<!ELEMENT trial_id (#PCDATA)>
<!ELEMENT utrn (#PCDATA)>
<!ELEMENT reg_name (#PCDATA)>
<!ELEMENT date_registration (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT primary_sponsor (#PCDATA)>
<!ELEMENT public_title (#PCDATA)>
<!ELEMENT acronym (#PCDATA)>
<!ELEMENT scientific_title (#PCDATA)>
<!ELEMENT scientific_acronym (#PCDATA)>
<!ELEMENT date_enrolment (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT type_enrolment (#PCDATA)>
<!ELEMENT target_size (#PCDATA)>
<!ELEMENT recruitment_status (#PCDATA)><!-- Pending,Recruiting,Suspended,Complete,Other -->
<!ELEMENT url (#PCDATA)>
<!ELEMENT study_type (#PCDATA)><!-- interventional,observational -->
<!ELEMENT study_design (#PCDATA)>
<!ELEMENT phase (#PCDATA)>
<!ELEMENT hc_freetext (#PCDATA)>
<!ELEMENT i_freetext (#PCDATA)>
<!ELEMENT results_actual_enrolment (#PCDATA)>
<!ELEMENT results_date_completed (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_url_link (#PCDATA)>
<!ELEMENT results_summary (#PCDATA)>
<!ELEMENT results_date_posted (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_date_first_publication (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT results_baseline_char (#PCDATA)>
<!ELEMENT results_participant_flow (#PCDATA)>
<!ELEMENT results_adverse_events (#PCDATA)>
<!ELEMENT results_outcome_measures (#PCDATA)>
<!ELEMENT results_url_protocol (#PCDATA)>
<!ELEMENT results_IPD_plan (#PCDATA)>
<!ELEMENT results_IPD_description (#PCDATA)>


<!ELEMENT contacts (contact+)>
<!ELEMENT contact (type,firstname,middlename,lastname,address,city,country1,zip,telephone,email,affiliation)>
<!ELEMENT type (#PCDATA)><!-- Public,Scientific -->
<!ELEMENT firstname (#PCDATA)>
<!ELEMENT middlename (#PCDATA)>
<!ELEMENT lastname (#PCDATA)>
<!ELEMENT address (#PCDATA)>
<!ELEMENT city (#PCDATA)>
<!ELEMENT country1 (#PCDATA)>
<!ELEMENT zip (#PCDATA)>
<!ELEMENT telephone (#PCDATA)>
<!ELEMENT email (#PCDATA)>
<!ELEMENT affiliation (#PCDATA)>

<!ELEMENT countries (country2+)>
<!ELEMENT country2 (#PCDATA)>

<!ELEMENT criteria (inclusion_criteria,agemin,agemax,gender,exclusion_criteria)>
<!ELEMENT inclusion_criteria (#PCDATA)>
<!ELEMENT agemin (#PCDATA)>
<!ELEMENT agemax (#PCDATA)>
<!ELEMENT gender (#PCDATA)>
<!ELEMENT exclusion_criteria (#PCDATA)>

<!ELEMENT health_condition_code (hc_code+)>
<!ELEMENT hc_code (#PCDATA)>

<!ELEMENT health_condition_keyword (hc_keyword+)>
<!ELEMENT hc_keyword (#PCDATA)>

<!ELEMENT intervention_code (i_code+)>
<!ELEMENT i_code (#PCDATA)>

<!ELEMENT intervention_keyword (i_keyword+)>
<!ELEMENT i_keyword (#PCDATA)>

<!ELEMENT primary_outcome (prim_outcome+)>
<!ELEMENT prim_outcome (#PCDATA)>

<!ELEMENT secondary_outcome (sec_outcome+)>
<!ELEMENT sec_outcome (#PCDATA)>

<!ELEMENT secondary_sponsor (sponsor_name+)>
<!ELEMENT sponsor_name (#PCDATA)>

<!ELEMENT secondary_ids (secondary_id+)>
<!ELEMENT secondary_id (sec_id,issuing_authority)>
<!ELEMENT sec_id (#PCDATA)>
<!ELEMENT issuing_authority (#PCDATA)>

<!ELEMENT source_support (source_name+)>
<!ELEMENT source_name (#PCDATA)>

<!ELEMENT ethics_reviews (ethics_review+)>
<!ELEMENT ethics_review (status,approval_date,contact_name,contact_address,contact_phone,contact_email)>
<!ELEMENT status (#PCDATA)><!-- Not approved,Approved,NA -->
<!ELEMENT approval_date (#PCDATA)><!-- dd/mm/yyyy -->
<!ELEMENT contact_name (#PCDATA)>
<!ELEMENT contact_address (#PCDATA)>
<!ELEMENT contact_phone (#PCDATA)>
<!ELEMENT contact_email (#PCDATA)>
]>
<trials>
  <trial>
    <main>
      <trial_id>IRCT20240307061203N1</trial_id>
      <utrn></utrn>
      <reg_name>IRCT</reg_name>
      <date_registration>2024-03-24</date_registration>
      <primary_sponsor>The University of Faisalabad</primary_sponsor>
      <public_title>virtual reality on trunk control with developmental delays</public_title>
      <acronym></acronym>
      <scientific_title>Effect of virtual reality on trunk control in children with developmental delays</scientific_title>
      <scientific_acronym></scientific_acronym>
      <date_enrolment>2024-02-17</date_enrolment>
      <type_enrolment>anticipated</type_enrolment>
      <target_size>22</target_size>
      <recruitment_status>Complete</recruitment_status>
      <url>https://irct.ir/trial/76080</url>
      <study_type>interventional</study_type>
      <study_design>Randomization: Randomized, Blinding: Single blinded, Placebo: Not used, Assignment: Parallel, Purpose: Treatment, Other design features: developmental delays, trunk control measurement scale, Randomization description: The randomization will be done with the help of lottery method. Lottery generated numbers will be drawn from the computer by the help of sample size. Different numbers will enter in the poll of group, Blinding description: single blinded: outcome assessors are typically kept unaware of which participants received the experimental treatment and which received the control or comparative intervention. This blinding helps to prevent conscious or unconscious biases that could influence the assessment of study outcomes.</study_design>
      <phase>2-3</phase>
      <hc_freetext>Delayed developmental milestone.</hc_freetext>
      <i_freetext>Intervention 1: Active Control group: this group will receive handling and facilitation principle of neurodevelopmental treatment approach will be utilize to encourage trunk weight bearing, uprightness and elongation. This intervention will be in three stages. In the initial stage, to stimulate flexors and extensors muscles dynamic co-activation and to maintain trunk upright without tilting body in sagital plane children will be asked to play with toys infront of them. In the second stage children will be asked to play with toys. Subsequently, toys will be placed at the child’s side to prompt weight shift, facilitating dynamic co-activation of trunk muscles and elongation of the weight-bearing side. In the third stage, elongation of the weight-bearing side will be continued by placing a toy at approximately 45 degree to induce trunk rotation in horizontal plane. Trunk rotation will be fostering on weight bearing side in this phase. Intervention 2: intervention group: Patient in this group will receive handling and facilitation principle of neurodevelopment treatment approach will be utilize to encourage trunk weight bearing, uprightness and elongation. along with immersive virtual reality treatment protocol. It will involves 24 sessions in alternating three days a week for 8 weeks. this session will last for 30 minutes, starting  with 15 minute of neurodevelopmental treatment followed by 15 minutes of playing immersive VR games with 1 minute rest interval. The first game involves participants features a bird’s flight (bird’s back), task is to collect  to collect golden coins with dynamic adaptation for head and trunk movements. The second game representing planetary exploration (solar system) with head-trunk rotations, and third game entails climbing a elevator ride fouces on sitting posture, elongation and weight transfer, promoting hand and body movement.</i_freetext>
      <results_actual_enrolment></results_actual_enrolment>
      <results_date_completed></results_date_completed>
      <results_url_link></results_url_link>
      <results_summary></results_summary>
      <results_date_posted></results_date_posted>
      <results_date_first_publication></results_date_first_publication>
      <results_baseline_char></results_baseline_char>
      <results_participant_flow></results_participant_flow>
      <results_adverse_events></results_adverse_events>
      <results_outcome_measures></results_outcome_measures>
      <results_url_protocol></results_url_protocol>
      <results_IPD_plan>Yes - There is a plan to make this available</results_IPD_plan>
      <results_IPD_description>What will be shared:
Effect of virtual reality on trunk control in children with developmental delays

When:
15 days after publication

To whom:
google scholar

Conditions:
Access to the data will be facilitated through a specified mechanism, such as a secure online portal or data sharing platform. Requests for access will be reviewed by a designated committee or entity responsible for ensuring that they meet the established criteria and comply with relevant regulations and guidelines. Additional supporting information and documents may be provided to assist requesters

Where to obtain:
The University of Faisalabad 38000 https://tuf.edu.pk/ 00924187509715

How to obtain:
To receive the documents or data files, the process typically involves the following steps: 1. Request Initiation: The applicant submits a formal request specifying the documents or data files they need. 2. Verification and Authorization: The organization verifies the request and ensures that the applicant is authorized to access the requested documents or data files. This may involve confirming the identity of the requester and checking their permissions. 3. Processing Time: The processing time varies depending on the complexity of the request, the volume of documents or data files, and any legal or regulatory requirements. It could range from a few hours to several weeks. 4. Document Retrieval or Data Extraction: Once the request is approved, the organization retrieves the documents from their archives or extracts the requested data from their databases. 5. Quality Assurance: Before releasing the documents or data files to the applicant, the organization may conduct quality checks to ensure accuracy and completeness. 6. Delivery: The documents or data files are delivered to the applicant through a secure channel, such as encrypted email, secure file transfer protocols, or a secure online portal. 7. Confirmation of Receipt: The applicant acknowledges receipt of the documents or data files, confirming that they have received the information they requested.

Comments:
</results_IPD_description>
    </main>
    <contacts>
      <contact>
        <type>public</type>
        <firstname>Dr. Zainab Boota</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Faisal Town, West Canal Road, Faisalabad, Punjab</address>
        <city>Faisalabad</city>
        <country1>Pakistan</country1>
        <zip>38000</zip>
        <telephone>0092413357916317</telephone>
        <email>zainboota9698@gmail.com</email>
        <affiliation>The University of Faisalabad</affiliation>
      </contact>
      <contact>
        <type>scientific</type>
        <firstname>Dr. warda jabbar;PT</firstname>
        <middlename></middlename>
        <lastname></lastname>
        <address>Faisal Town, West canal Road Faisalabad, punjab</address>
        <city>Faisalabad</city>
        <country1>Pakistan</country1>
        <zip>38000</zip>
        <telephone>0092 41 313 8650848</telephone>
        <email>Wardah.jabbar5@gmail.com</email>
        <affiliation>The University of faisablabad</affiliation>
      </contact>
    </contacts>
    <countries>
      <country2>Pakistan</country2>
    </countries>
    <criteria>
      <inclusion_criteria>Willing to give consent.
Both gender male/female
Age limit 3-8 years
Able to follow visual and verbal commands
Gross motor function level II-IV
Those with an appropriate cognitive level to understand a VR exercise program</inclusion_criteria>
      <agemin>3 years</agemin>
      <agemax>8 years</agemax>
      <gender>Both</gender>
      <exclusion_criteria>Inability to follow instructions
Other Neurological disorders (polio, epilepsy, seizures, traumatic brain injury)
Malgnanices and Infectious disorders ( encephalitis, meningitis, malignancy, tumors )
Patients having musculoskeletal problems ( fracture, congenital hip dysplesia)
Spastic CP with Ashworth scale 2 +
Any surgery within last 6 months
A diagnosis of Autism or attention deficit disorders
Psychiatric disorder</exclusion_criteria>
    </criteria>
    <health_condition_code>
      <hc_code></hc_code>
    </health_condition_code>
    <health_condition_keyword>
      <hc_keyword></hc_keyword>
    </health_condition_keyword>
    <intervention_code>
      <i_code>Rehabilitation</i_code>
      <i_code>Rehabilitation</i_code>
    </intervention_code>
    <intervention_keyword>
      <i_keyword>Active Control group: this group will receive handling and facilitation principle of neurodevelopmental treatment approach will be utilize to encourage trunk weight bearing, uprightness and elongation. This intervention will be in three stages. In the initial stage, to stimulate flexors and extensors muscles dynamic co-activation and to maintain trunk upright without tilting body in sagital plane children will be asked to play with toys infront of them. In the second stage children will be asked to play with toys. Subsequently, toys will be placed at the child’s side to prompt weight shift, facilitating dynamic co-activation of trunk muscles and elongation of the weight-bearing side. In the third stage, elongation of the weight-bearing side will be continued by placing a toy at approximately 45 degree to induce trunk rotation in horizontal plane. Trunk rotation will be fostering on weight bearing side in this phase.</i_keyword>
      <i_keyword>intervention group: Patient in this group will receive handling and facilitation principle of neurodevelopment treatment approach will be utilize to encourage trunk weight bearing, uprightness and elongation. along with immersive virtual reality treatment protocol. It will involves 24 sessions in alternating three days a week for 8 weeks. this session will last for 30 minutes, starting  with 15 minute of neurodevelopmental treatment followed by 15 minutes of playing immersive VR games with 1 minute rest interval. The first game involves participants features a bird’s flight (bird’s back), task is to collect  to collect golden coins with dynamic adaptation for head and trunk movements. The second game representing planetary exploration (solar system) with head-trunk rotations, and third game entails climbing a elevator ride fouces on sitting posture, elongation and weight transfer, promoting hand and body movement.</i_keyword>
    </intervention_keyword>
    <primary_outcome>
      <prim_outcome>Trunk control. Timepoint: before and after 6 weeks of intervention. Method of measurement: Trunk control Measurement scale.</prim_outcome>
    </primary_outcome>
    <secondary_outcome>
      <sec_outcome></sec_outcome>
    </secondary_outcome>
    <secondary_sponsor>
      <sponsor_name></sponsor_name>
    </secondary_sponsor>
    <secondary_ids>
      <secondary_id>
        <sec_id></sec_id>
        <issuing_authority></issuing_authority>
      </secondary_id>
    </secondary_ids>
    <source_support>
      <source_name>The University of Faisalabad</source_name>
    </source_support>
    <ethics_reviews>
      <ethics_review>
        <status>Approved</status>
        <approval_date>2024-01-05</approval_date>
        <contact_name>Research and Ethics/ technical committe for The University of Faisalabad</contact_name>
        <contact_address>Faisal Town, West Canal Road, Faisalabad, Punjab Faisalabad Punjab Pakistan</contact_address>
        <contact_phone></contact_phone>
        <contact_email></contact_email>
      </ethics_review>
    </ethics_reviews>
  </trial>
</trials>
