The Effect of Hippotherapy Applied on Different Seating Surfaces in Children With Special Needs

NCT05993598 | Completed

• 1 other identifier: BURAKEMİRHAN
• Study Type: interventional
• Target: 30
• Locations: 1 country
• Sites: 1

Brief Summary

The effect of hippotherapy, which will be applied to children with special needs in a single session, on sitting balance and walking speed under the supervision of a physiotherapist was investigated. 30 randomly selected children with special needs between the ages of 3-18 who were referred to the Gebze Equestrian Training Center were included in the study. The children were randomly divided into 3 groups: 10 in the saddle, 10 naked (direct contact with the horse), and 10 in the hippotherapy group, in which a cloth of different texture was placed on the horse. Each group did a 30-minute hippotherapy session in the manege area. Before the application, the sitting balance of the children was evaluated by playing the Nintendo Wii Balance Platform and the Basic Balance Game. In addition, 10 m walking test was applied for walking speed. These assessments were repeated after the 30-minute session. It was checked whether the application had an effect on balance and walking speed. Comparisons between the groups were made and it was examined which application was more effective on balance and walking speed.

Conditions

Special Needs Children

Keywords

hippotherapy; sitting balance; child with special needs; walking speed

Outcome Measures

Primary Outcomes (1)

• BeCure Balance Evaluation System

  BeCure Balance Assessment System protocol; It was planned to determine the amount of change in the center of gravity in the x and y axes and the position of the body center of gravity during balancing by sitting on the board for 30 seconds with eyes open, with images.

  11 weeks

Secondary Outcomes (2)

• Ten(10) Meter Walking Test(sec)

  11 weeks

• Gross Motor Function Classification System (GMFCS)

  11 weeks

Study Arms (3)

Group 1 (Saddled)

EXPERIMENTAL

Each group did a 30-minute hippotherapy session in the manege area. Before the application, the sitting balance of the children was evaluated by playing the Nintendo Wii Balance Platform and the Basic Balance Game. In addition, 10 m walking test was applied for walking speed. These assessments were repeated after the 30-minute session.

Other: hippotherapy

Group 2 (Saddleless, direct contact with horse)

EXPERIMENTAL

Each group did a 30-minute hippotherapy session in the manege area. Before the application, the sitting balance of the children was evaluated by playing the Nintendo Wii Balance Platform and the Basic Balance Game. In addition, 10 m walking test was applied for walking speed. These assessments were repeated after the 30-minute session.

Other: hippotherapy

Group 3 (Different tissue to be put on the saddle)

EXPERIMENTAL

Bubbled nylon (pat-to-pat) was used as a different texture. Each group did a 30-minute hippotherapy session in the manege area. Before the application, the sitting balance of the children was evaluated by playing the Nintendo Wii Balance Platform and the Basic Balance Game. In addition, 10 m walking test was applied for walking speed. These assessments were repeated after the 30-minute session.

Other: hippotherapy

Interventions

hippotherapy OTHER

Evaluation parameters were applied to 30 children with special needs at the beginning of the session. After the evaluation, each group was given a 30-minute hippotherapy session in the manege area. During the practice, the child simply sat on the horse. The horse was asked to maintain its balance by adapting to the oscillations it creates while walking on the sand. Immediately after the 30-minute application, the initial evaluations were made again. As a result, it was investigated whether hippotherapy applied on different sitting surfaces in children with special needs had an effect on sitting balance and walking speed.

Group 1 (Saddled); Group 2 (Saddleless, direct contact with horse); Group 3 (Different tissue to be put on the saddle)

Eligibility Criteria

• Age: 3 Years - 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Having a child with special needs between the ages of 3-18,
• Children with a diagnosis of Cerebral Palsy (CP) have a level of 1 and 2 according to the Gross Motor Function Classification System,
• Ability to understand simple commands,
• Ability to sit unaided for at least 10 seconds,

You may not qualify if:

• Presence of clinical conditions that may pose an obstacle
• Lack of cooperation
• Presence in another study performed at the same time as the study
• Lack of family approval.

Sponsors & Collaborators

• Istanbul Medipol University Hospital: lead

Study Sites (1)

Gebze Municipality Equestrian Training Center

Kocaeli, Gebze, 41400, Turkey (Türkiye)

Location

MeSH Terms

Interventions

Equine-Assisted Therapy

Intervention Hierarchy (Ancestors)

Animal Assisted Therapy; Rehabilitation; Aftercare; Continuity of Patient Care; Patient Care; Therapeutics; Physical Therapy Modalities; Psychotherapy; Behavioral Disciplines and Activities

Study Officials

• Ebru SEVER, Lecturer

  Department of Physiotherapy & Rehabilitation

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: PARTICIPANT
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD, PT

Study Record Dates

• First Submitted: July 31, 2023
• First Posted: August 15, 2023
• Study Start: January 17, 2023
• Primary Completion: February 17, 2023
• Study Completion: May 10, 2023
• Last Updated: August 15, 2023

Record last verified: 2023-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)