The Effect of Hippotherapy Simulator in Cerebral Palsy

NCT05518370 | Completed

• 1 other identifier: GIBTU-FTR-DGK-1
• Study Type: interventional
• Target: 32
• Locations: 1 country
• Sites: 1

Brief Summary

Hippotherapy simulators imitate the passive movements of the horse, producing simple movements similar to those of the horse. Hippotherapy simulators are intended to improve sitting balance, postural control and trunk balance. The aim of this study was to research the therapeutic effects of hippotherapy simulator on sitting balance, trunk control and upper extremity skills in individuals with Cerebral Palsy (CP).

Conditions

Cerebral Palsy

Keywords

Cerebral palsy; Hippotherapy simulator

Outcome Measures

Primary Outcomes (7)

• Gross Motor Function Classification System (GMFCS)

  Assessing functional level and motor function. Gross motor functions of children with CP are classified in five levels with GMFCS. This is a classification system based on the child's self-initiated movements with emphasis on sitting, displacement and mobility.

  At Baseline

• Manuel ability classification system (MACS)

  This is a classification system based on the grasping and releasing objects in daily life, and how they use their hands while holding objects. It is classify the hand skills of children with CP between the ages of 4-18.Children with CP are classified in five levels with MACS. The higher level indicates worse hand function

  At Baseline

• Change from Baseline Gross Motor Function Measure-88 at 8 weeks

  It is used to show gross motor functions and changes in these functions. It consists of five main sections. Each section can be used by calculating separately within itself. The total score ranges from 0 to 100, with a high score indicating better function.

  Change from Baseline at 8 weeks

• Change from Baseline Trunk Control Measurement Scale at 8 weeks

  This scale consists of two main parts as dynamic and static sitting balance. The scale consists of 15 questions. The scoring of the items is 0, 1, 2 or 3. The total score ranges from 0 to 58, with a high score indicating better trunk control.

  Change from Baseline at 8 weeks

• Change from Baseline Pediatric Evaluation of Disability Inventory at 8 weeks

  The Pediatric Evaluation of Disability Inventory (PEDI) is designed for the functional evaluation of children with special needs. This will be used to evaluate functional ability and performance. 0: can not do, 1: can do in the form of scoring is done. At the end of the evaluation, the points of the related section are collected. Higher score indicates a better level of functional independence.

  Change from Baseline at 8 weeks

• Change from Baseline ABILHAND-Kids at 8 weeks

  Abilhand Kids evaluates manual ability in children with upper extremity disorders. It consists of 21 items and confirmed in CP. The lowest score that can be obtained from the scale is 21 and the highest score is 63. It can be stated that higher scores correspond to more difficulty in activities.

  Change from Baseline at 8 weeks

• Change from Baseline The Jebsen Taylor Hand Function Test at 8 weeks

  The Jebsen Taylor Hand Function Test (JTHFT) will be used to evaluate hand function in daily life. Both hands are tested separately. The time for all activities is recorded with a stopwatch. Higher duration indicates worse hand function.

  Change from Baseline at 8 weeks

Study Arms (2)

Hippotherapy simulator training group

EXPERIMENTAL

Hippotherapy simulator training group will receive a traditional physiotherapy and hippotherapy simulator training, two days a week for a total of 8 weeks (30 minutes traditional physiotherapy session+15 minutes hippotherapy simulator training).

Other: Hippotherapy simulator training; Other: Traditional physiotherapy

Traditional physiotherapy group

ACTIVE COMPARATOR

Traditional physiotherapy group individuals will be given a traditional physiotherapy two days per week for a total of 8 weeks (traditional physiotherapy session will last 45 minutes).

Other: Traditional physiotherapy

Interventions

Hippotherapy simulator training OTHER

Hippotherapy simulator training will be designed for the individual basis.

Hippotherapy simulator training group

Traditional physiotherapy OTHER

Traditional physiotherapy within a specific program

Hippotherapy simulator training group; Traditional physiotherapy group

Eligibility Criteria

• Age: 4 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Diagnosis of Spastic Cerebral Palsy voluntary participation
• Age between 4-18 years,
• GMFCS Level I-II-III
• MACS Level I-II-III
• Have the ability to sit upright with support

You may not qualify if:

• Not voluntary to participate in the research,
• Botox in the last 6 months
• Hip or spine surgeries in the last 6 months

Sponsors & Collaborators

• Gaziantep Islam Science and Technology University: lead

Study Sites (1)

Gaziantep

Gaziantep, 27010, Turkey (Türkiye)

Location

Related Publications (1)

• Gozacan Karabulut D, Numanoglu Akbas A. The effect of horse riding simulator on upper extremity skills, trunk control and functionality in cerebral palsy: a randomized controlled trial. Disabil Rehabil. 2025 Apr;47(7):1725-1732. doi: 10.1080/09638288.2024.2380785. Epub 2024 Jul 18.

  PMID: 39022889 DERIVED

MeSH Terms

Conditions

Cerebral Palsy

Condition Hierarchy (Ancestors)

Brain Damage, Chronic; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases

Study Officials

• Demet GÖZAÇAN KARABULUT

  Gaziantep Islam Science and Technology University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Assistant Professor

Study Record Dates

• First Submitted: August 23, 2022
• First Posted: August 26, 2022
• Study Start: August 26, 2022
• Primary Completion: July 10, 2023
• Study Completion: September 15, 2023
• Last Updated: May 7, 2024

Record last verified: 2024-05

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)