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Trial registered on ANZCTR
Registration number
ACTRN12616001448437
Ethics application status
Approved
Date submitted
23/03/2016
Date registered
17/10/2016
Date last updated
12/02/2021
Date data sharing statement initially provided
12/02/2021
Type of registration
Retrospectively registered
Titles & IDs
Public title
Efficacy of a single chiropractic session on the control of eye movement in children with Attention Deficit Hyperactivity Disorder
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Scientific title
Chiropractic intervention and the control of eye movement in children with attention deficit hyperactivity disorder: A pilot study.
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Secondary ID [1]
288829
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Nil
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Universal Trial Number (UTN)
U1111-1181-1786
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Trial acronym
ADHDCHIRO
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
ADHD - Attention Deficit Hyperactivity Disorder
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Oculomotor function
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Condition category
Condition code
Neurological
298275
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0
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Other neurological disorders
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Mental Health
298536
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0
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Other mental health disorders
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Eye
298537
298537
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0
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Diseases / disorders of the eye
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Participant intervention: Participants will receive two assessment sessions. Depending on which group (intervention or active control) they will receive one of the two following sessions. They will have a one-week washout period, and then return for the remaining session
Intervention session: Participants will receive a chiropractic assessment and spinal manipulation where deemed appropriate. Assessment includes; orthopedic testing, neurological testing, manual palpation of the spine and range of motion of the spine. The spinal manipulation involves a high speed, very low amplitude manual force to be applied to a specific spinal joint. Specific spinal joints are manipulated on the basis of aberrant findings from the assessment
Active control session: where the body is moved through various positions to provide motion and vestibular input, but no chiropractic manipulation/adjustment input
Attending Chiropractor: Registered chiropractor with at least 10yrs experience and postgraduate training in pediatrics.
Session duration: approximately 60minutes
Strategies for adherence: The study will be discussed at the weekly meeting of the executive team at the Centre for Chiropractic Research. Any issue with adherence will be discussed at, or between, these meetings so appropriate action can be taken. If action needs to be taken the co-investigator with attempt to contact the participant/guardian by their preferred contact modality.
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Intervention code [1]
294284
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Treatment: Other
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Comparator / control treatment
Children will undergo a series of passive and active movements of the head, spine, and body carried out by the same chiropractor that assesses the experimental intervention group. This control intervention involves the participants being moved into the manipulation setup positions but without delivering an adjustment/manipulation thrust into any spinal joints. No spinal manipulation will be performed during any control. This control intervention is not intended to act as a sham manipulation but to act as a physiological control for possible changes occurring due to the cutaneous, muscular or vestibular input that will occur with the passive and active movements involved in preparing a participant for a manipulation.
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Control group
Active
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Outcomes
Primary outcome [1]
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Composite oculomotor data (target acquisition, number and length of fixations, number of forward and reverse saccades). assessed during a computer-based reading task by a Tobii computerised eye-tracking device.
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Assessment method [1]
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Timepoint [1]
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Session 1: Baseline and immediately post either chiropractic session or active control for control-group.
Then; 1-week wash-out period
Session 2: Baseline and immediately post either chiropractic session or active control for control-group.
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Secondary outcome [1]
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Total time to completion of reading task, assessed during a computer-based reading task by a Tobii computerised eye-tracking device.
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Assessment method [1]
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Timepoint [1]
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Session 1: Baseline and immediately post either chiropractic session or active control for control-group.
Then; 1-week wash-out period
Session 2: Baseline and immediately post either chiropractic session or active control for control-group.
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Eligibility
Key inclusion criteria
Children ages 8-15 with ADHD
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Minimum age
8
Years
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Maximum age
15
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Major visual disabilities that prevent reading.
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Computer generated block randomization sequence by the online QMinim program. Allocation will be concealed by sealed opaque envelopes .
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Computer generated block randomization sequence by the online QMinim program
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people assessing the outcomes
The people analysing the results/data
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Intervention assignment
Crossover
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
A multifactorial repeated measure ANOVA will also be used to assess for within subject differences.
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
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Actual
14/10/2016
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Date of last participant enrolment
Anticipated
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Actual
5/01/2017
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Date of last data collection
Anticipated
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Actual
5/01/2017
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Sample size
Target
30
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Accrual to date
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Final
30
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Recruitment outside Australia
Country [1]
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New Zealand
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State/province [1]
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Auckland
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Auckland University of Technology
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Address [1]
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55 Wellesley St E, Auckland 1010
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Country [1]
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New Zealand
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Primary sponsor type
Other Collaborative groups
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Name
New Zealand College of Chiropractic
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Address
6 Harrison Road
Mt Wellington
Auckland 1071
New Zealand
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Country
New Zealand
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
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Country [1]
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Health and Disability Ethics Committee
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Ethics committee address [1]
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Ministry of Health Ethics Department Freyberg Building Reception – Ground Floor 20 Aitken Street Wellington 6011
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Ethics committee country [1]
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New Zealand
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Date submitted for ethics approval [1]
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28/03/2016
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Approval date [1]
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02/08/2016
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Ethics approval number [1]
294679
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Summary
Brief summary
Efficacy of a single chiropractic session on the control of eye movement in children aged 8-15 years with Attention Deficit Hyperactivity Disorder (ADHD). This study seeks to investigate whether a single session of chiropractic can alter eye-tracking ability in children with ADHD. Children with ADHD have poor eye-tracking ability (they can't move their eyes smoothly and easily), resulting in difficulties with reading tasks. This may be associated with their poorer educational, vocational and quality of life gains. We hypothesise that a single session of chiropractic spinal manipulation will improve eye-tracking ability in children with ADHD. We intend to assess eye tracking before and after a chiropractic session or control (no chiropractic intervention) using a computerised eye tracking system while children are performing a simple reading task. This study will use a cross-over design, which means participants will have one session of having their eyes tested before and after a chiropractic session, will wait a week, then have another session where they have their eyes tested before and after a control (just movements, no chiropractic) session.
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Trial website
None
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Trial related presentations / publications
None
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Public notes
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Contacts
Principal investigator
Name
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Dr Kelly Jones
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Address
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Auckland University of Technology
Faculty of Health & Environmental Sciences
National Institute for Stroke and Applied Neurosciences
Private Bag 92006
Auckland 1142
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Country
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New Zealand
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Phone
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+64 7 838 4257
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Alice Cade
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Address
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New Zealand College of Chiropractic
6 Harrison Road
Mt Wellington
Auckland
1071
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Country
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New Zealand
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Phone
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+6495266789
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Alice Cade
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Address
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New Zealand College of Chiropractic
6 Harrison Road
Mt Wellington
Auckland
1071
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Country
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New Zealand
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Phone
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+6495266789
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Fax
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Email
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
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What supporting documents are/will be available?
No Supporting Document Provided
Doc. No.
Type
Citation
Link
Email
Other Details
Attachment
10664
Study protocol
https://openrepository.aut.ac.nz/handle/10292/10820
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
The effects of spinal manipulation on oculomotor control in children with attention deficit hyperactivity disorder: A pilot and feasibility study.
2021
https://dx.doi.org/10.3390/brainsci11081047
N.B. These documents automatically identified may not have been verified by the study sponsor.
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