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NCT Number: NCT07029425

Effectiveness of Manual Therapy in the Treatment of Attention Deficit Hyperactivity Disorder

The main objective is to determine whether Manual Therapy (MT), in addition to conventional treatment, is more effective in improving ADHD symptoms than the application of conventional treatment alone.

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Key information

Age range

6 year–12 year

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Grupo de Investigación Área de Fisioterapia CTS 305 - Universidad de Sevilla, Sevilla, Spain 41009

Alcalá de Henares, Madrid, 28804, Spain

Location contact

Jose-Jesus Jimenez-Rejano, PhD

SUB_INVESTIGATOR

Paloma Felipe-Ballesteros, PT

CONTACT

[email protected]

+34672783021

Paloma Felipe-Ballesteros, PT

PRINCIPAL_INVESTIGATOR

About this study

Background ADHD is a disorder that affects attention, behavior control, and emotions in children. Although medication and behavioral therapy can help, not all children respond well or may experience side effects, which leads to the search for alternative options. This disorder affects the daily lives of both the child and their family, and in adulthood, it can cause emotional, social, and work-related problems. Treatment usually includes medication, cognitive-behavioral therapy, parent training, and techniques such as mindfulness. A newer option is manual therapy (MT), which uses massage and craniosacral therapy to support the nervous system and improve emotional and behavioral regulation. Although some studies have shown promising results, more research is needed to confirm its effectiveness.

Materials and Methods: A randomized clinical trial will be conducted. The minimum sample size required for statistical significance is 60 subjects, divided into two groups with 30 participants each. The primary variable will be hyperactivity and attention deficit, assessed using the Conners Parent Rating Scale and the Conners Teacher Rating Scale. The secondary variable will be mood, measured using a facial expression scale.

Objetives To determine whether the addition of manual therapy to conventional treatment is more effective in improving ADHD symptoms than conventional treatment alone.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • Confirmed ADHD diagnosis according to DSM-5 criteria.
  • Children and adolescents aged 6 to 12 years.
  • Availability to attend all Manual Therapy (MT) sessions.
  • Informed consent signed by legal guardians.

Exclusion criteria

  • Severe concomitant psychiatric or neurological disorders (e.g., epilepsy, severe autism spectrum disorder, schizophrenia).
  • Medical conditions that contraindicate MT (e.g., fractures, severe scoliosis, connective tissue diseases).
  • Recent use of or changes in ADHD medication within the past 4 weeks.
  • Simultaneous participation in other interventional studies.

Treatment and study plan

Procedure: craniosacral therapy techniques.

Procedure

Participants in the experimental group will receive Manual Therapy (MT) designed for this study, which will include craniosacral therapy techniques. The sessions will last 40 minutes and will be conducted twice a week for the first 4 weeks, followed by once a week for the final 4 weeks.

Placebo Group

Procedure

The placebo group will receive a dummy treatment with a duration of 40min, twice a week for the firt 4 week, follwed by once a week for the final 4 week.

Primary outcomes

  1. Symptoms of ADHD (Parents Rating Scale)

    Time frame: At the star of the study (at basilne, 0 week), After the 2nd session (at the end of the first week), after 12th session (at the end of the eight week) and 4 months from the last session (24th week).

    Conners Parents Rating Scale. 48 items 0 = Never, 1 = Sometimes, 2 = Often, and 3 = Very Often. Scores 0-144. Scores greater than or equal to 59 = normal range, Scores 60-64 = mildly elevated symptom severity, Scores 65-69 = moderately elevated severity Scores > 70 = presence of highly elevated severity.

  2. Symptoms of ADHD (Teacher Rating Scale)

    Time frame: At the star of the study (at basilne, 0 week), After the 2nd session (at the end of the first week), after 12th session (at the end of the eight week) and 4 months from the last session (24th week).

    Conners Teacher Rating Scale. 28 items. 0 = Never, 1 = Sometimes, 2 = Often, and 3 = Very Often. Scores 0-84. Scores greater than or equal to 59 = normal range, Scores 60-64 = mildly elevated symptom severity, Scores 65-69 = moderately elevated severity Scores > 70 = presence of highly elevated severity.

Secondary outcomes

  1. Mood

    Time frame: At the star of the study (at basilne, 0 week), After the 2nd session (at the end of the first week), after 12th session (at the end of the eight week) and 4 months from the last session (24th week).

    Facial Expression Scale. It represents expressions from sadness (scored with 1) to happiness (scored with 4).

Study contacts

Contact information is provided by the study sponsor or research team.

Paloma Felipe-Ballesteros, PT

CONTACT

[email protected]

+34 672783021

Paloma Felipe-Ballesteros, PT

CONTACT

[email protected]

+34672783021

Sponsors and collaborators

Lead sponsor

JJ JIMENEZ-REJANO

Other

Registry information

Acronym: MT-ADHD

Important dates

Study start
2025
Primary completion
2026
Study completion
2026
First posted
Jun 19, 2025
Registry last updated
Jun 27, 2025

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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