UMIN-CTR Clinical Trial

Unique ID issued by UMIN UMIN000058538
Receipt number R000066937
Scientific Title Efficacy of Brain Gym for Writing and Arithmetic Difficulties in Children with Developmental Disabilities: A Crossover Trial
Date of disclosure of the study information 2025/07/25
Last modified on 2025/07/21 22:07:29

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Basic information

Public title

Efficacy of Brain Gym for Writing and Arithmetic Difficulties in Children with Developmental Disabilities

Acronym

Efficacy of Brain Gym for Writing and Arithmetic Difficulties in Children with Developmental Disabilities

Scientific Title

Efficacy of Brain Gym for Writing and Arithmetic Difficulties in Children with Developmental Disabilities: A Crossover Trial

Scientific Title:Acronym

Efficacy of Brain Gym for Writing and Arithmetic Difficulties in Children with Developmental Disabilities

Region

Japan


Condition

Condition

Developmental Disabilities

Classification by specialty

Psychiatry

Classification by malignancy

Others

Genomic information

NO


Objectives

Narrative objectives1

Children with developmental disabilities, including specific learning disorders and autism spectrum disorders, often experience difficulties in academic skills such as handwriting and arithmetic. Even when schools implement tailored educational strategies, some students remain unable to adapt and subsequently become school-refusing; yet evidence supporting pharmacological or psychotherapeutic interventions is scarce.
Brain Gym, a series of exercises developed within the field of pedagogy to stimulate brain activity, has been proposed as a potentially effective intervention for children with learning difficulties, but empirical research on its efficacy is limited. If Brain Gym proves effective, it could enhance school adjustment and, by extension, improve future social integration and quality of life. This study therefore investigates the efficacy of Brain Gym in alleviating handwriting and arithmetic difficulties in children with developmental disabilities.

Basic objectives2

Efficacy

Basic objectives -Others


Trial characteristics_1


Trial characteristics_2


Developmental phase



Assessment

Primary outcomes

Scores on the "Kanji Writing" and "Arithmetic" Tasks

Key secondary outcomes



Base

Study type

Interventional


Study design

Basic design

Cross-over

Randomization

Randomized

Randomization unit

Individual

Blinding

Open -but assessor(s) are blinded

Control

Active

Stratification


Dynamic allocation


Institution consideration


Blocking


Concealment



Intervention

No. of arms

2

Purpose of intervention

Educational,Counseling,Training

Type of intervention

Behavior,custom

Interventions/Control_1

We requested the participants' elementary school to prepare six task sets tailored to each student's individual learning progress. Each set comprised ten items with a maximum score of ten points, and scoring was performed by the school under blinded conditions.
Participants were randomly assigned to two groups (A and B). A unique random number was generated for each participant in Excel; participants were then sorted in ascending order of these numbers and alternately allocated to groups A and B.
From week 1 through week 6, both groups completed their assigned tasks on Day 1 of each week.
Weeks 1 and 2 constituted Phase I. On Day 1 of week 1, only group A received instruction in the Brain Gym movements (hereafter "the movements") immediately after task completion, and were thereafter encouraged to apply the movements as needed. The five movements taught were PACE, Earth Button, Space Button, Owl, and Calf Pumps. On Day 1 of weeks 2 and 3, group A performed the movements prior to task completion. After the Day 1 session in week 3, group A was instructed to discontinue the movements.
Week 3 served as a washout period. Although U.S. FDA guidelines recommend a washout lasting at least five times the elimination half-life, the half-life for these movements is unknown; accordingly, we provisionally set the washout to one week.
Weeks 4 and 5 constituted Phase II. On Day 1 of week 4, only group B received instruction in the movements immediately after task completion, and were thereafter encouraged to use them as appropriate. On Day 1 of weeks 5 and 6, group B performed the movements prior to task completion. The intervention concluded upon completion of the Day 1 session in week 6.

Interventions/Control_2

Concurrent receipt of conventional inpatient treatment

Interventions/Control_3


Interventions/Control_4


Interventions/Control_5


Interventions/Control_6


Interventions/Control_7


Interventions/Control_8


Interventions/Control_9


Interventions/Control_10



Eligibility

Age-lower limit

9 years-old <=

Age-upper limit

11 years-old >=

Gender

Male and Female

Key inclusion criteria

- As of July 25, 2025, the patient is admitted to the Child Psychiatry Unit of our hospital.
- The patient is in the 4th or 5th grade of elementary school.
- The principal diagnosis is "F8 Disorders of psychological development (ICD-10)".

Key exclusion criteria

- Inability to perform the prescribed exercises as instructed due to a physical disorder
- Presence of severe aggression, irritability, depressed mood, or markedly reduced motivation, rendering adherence to the exercise protocol infeasible
- Situations in which obtaining informed consent from the family is deemed inappropriate (e.g., cases under active intervention by the Child Consultation Center)

Target sample size

10


Research contact person

Name of lead principal investigator

1st name Asuka
Middle name
Last name Sakurai

Organization

National Hospital Organization Tenryu Hospital

Division name

Department of Child and Adolescent Psychiatry

Zip code

434-8511

Address

4201-2 Oro, Hamana Ward, Hamamatsu City, Shizuoka Prefecture 434-8511, Japan

TEL

053-583-3111

Email

asakurai89314@gmail.com


Public contact

Name of contact person

1st name Asuka
Middle name
Last name Sakurai

Organization

National Hospital Organization Tenryu Hospital

Division name

Department of Child and Adolescent Psychiatry

Zip code

434-8511

Address

4201-2 Oro, Hamana Ward, Hamamatsu City, Shizuoka Prefecture 434-8511, Japan

TEL

053-583-3111

Homepage URL


Email

asakurai89314@gmail.com


Sponsor or person

Institute

National Hospital Organization Tenryu Hospital

Institute

Department

Personal name



Funding Source

Organization

None

Organization

Division

Category of Funding Organization

Other

Nationality of Funding Organization



Other related organizations

Co-sponsor


Name of secondary funder(s)



IRB Contact (For public release)

Organization

National Hospital Organization Tenryu Hospital

Address

4201-2 Oro, Hamana Ward, Hamamatsu City, Shizuoka Prefecture 434-8511, Japan

Tel

053-583-3111

Email

asakurai89314@gmail.com


Secondary IDs

Secondary IDs

NO

Study ID_1


Org. issuing International ID_1


Study ID_2


Org. issuing International ID_2


IND to MHLW



Institutions

Institutions



Other administrative information

Date of disclosure of the study information

2025 Year 07 Month 25 Day


Related information

URL releasing protocol


Publication of results

Unpublished


Result

URL related to results and publications


Number of participants that the trial has enrolled


Results


Results date posted


Results Delayed


Results Delay Reason


Date of the first journal publication of results


Baseline Characteristics


Participant flow


Adverse events


Outcome measures


Plan to share IPD


IPD sharing Plan description



Progress

Recruitment status

Enrolling by invitation

Date of protocol fixation

2025 Year 07 Month 18 Day

Date of IRB

2025 Year 07 Month 23 Day

Anticipated trial start date

2025 Year 07 Month 24 Day

Last follow-up date

2025 Year 08 Month 29 Day

Date of closure to data entry


Date trial data considered complete


Date analysis concluded



Other

Other related information



Management information

Registered date

2025 Year 07 Month 21 Day

Last modified on

2025 Year 07 Month 21 Day



Link to view the page

Value
https://center6.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000066937