Physiological and Psychological Effects of Parental Traditional Thai Massage on Children with Autism: A Protocol for a Randomized Controlled Trial

Abstract

Introduction Although many autistic children receive massage as a complementary therapy, it is not included in evidence-based practices for autism since evidence of its efficacy is lacking. Further, prior studies have failed to identify objective indicators of core symptoms or elucidate their mechanisms. We developed a parent-delivered traditional Thai massage (TTM) on children intervention with autism, aim is to access the physiological (gait and heart rate variability) and psychological effects of intervention. Methods and analysis A two-armed, parallel randomized controlled trial study will recruit forty-eight children with autism from the XX Special Education School at the beginning of Febuary2022. They will be randomly assigned to either a parental TTM or control group with a ratio of 1:1. Individuals in the parental TTM group will receive 16 parent-delivered TTM sessions over 8 weeks. The outcome will be assessed on admission, after 8 weeks, and as well as at 2-month follow-up, including the Autism Treatment Evaluation Checklist score, heart rate variability, gait, and parenting stress index. Ethics and dissemination Ethical approved by the Khon Kaen University Ethics Committee for Human Research (XXXX). Result will be published in a peer-reviewed journal and give presentations in domestic and international academic conferences to further promote communication. Trial registration number: XXXXXX

A Literature Review on Complementary Therapies in Autism Children: A Nursing Science Philosophy

“…Research that has been carried out by researchers (Tabeshian et al, 2021) Complementary therapy carried out by researchers (Andreas et al, 2021) namely massage therapy (massage) has been proven to prevent autism problems in children based on the Modified Checklist for Autism in Toddler (M-Chat). Massage is often used as a Complementary therapy in the treatment of children with autism, as many as 11%-16% of people with autism undergo massage therapy (Ruan et al, 2021) . To achieve maximum results, it takes 21-40 days to perform massage therapy on children at risk of autism until they become normal based on the M-Chat score.…”