Hippotherapy Versus Swiss Ball Training to Improve Trunk Control and Balance on Spastic Daiplegic Cerebral Palsy

NCT06047756 | Completed

• 1 other identifier: REC/00123Mehrin Wadood
• Study Type: interventional
• Target: 52
• Locations: 1 country
• Sites: 1

Brief Summary

To compare effect in both intervention

Conditions

Cerebral Palsy Spastic Diplegia

Outcome Measures

Primary Outcomes (3)

• Gross Motor Functional Scale

  Changes from baseline The Gross Motor Function Measure (GMFM) is an observational clinical tool designed to evaluate change in gross motor function in children with cerebral palsy.Greater score means higher functional level

  6weeks

• Trunk Control Measurement Scale

  Changes from Baseline The TCMS scale assesses seated trunk control in three dimensions. The maximum score is 58 points where 20 points correspond to static balance, 28 to selective movement control, and 10 to the ability to perform dynamic reaching

  6 weeks

• Pediatric Balance Scale

  Changes from Baseline Pediatric Balance Scale is a modified version of the Berg Balance Scale that is used to assess functional balance skills in school-aged children. The scale consists of 14 items that are scored from 0 points (lowest function) to 4 points (highest function) with a maximum score of 56 points

  6 weeks

Study Arms (2)

Hippotherapy

EXPERIMENTAL

Patients suffering with diplegic therapy will perform their exercise protocols on a stationary horse.The child is seat astride the horse wearing a helmet and was encouraged to perform various activities designed to emphasize movement in a forward and upward reaching direction to encourage active postural control, trunk strength, balance and trunk/pelvic dissociation.30 minutes to 1 hour with a frequency ranging from 4 sessions per week and the total duration of horseback riding 6 weeks.

Other: Hippotherapy

Swiss Ball therapy

ACTIVE COMPARATOR

Children of second group will receive swiss ball therapy. Position the child to sit on the ball and giving extension rotation and flexion rotation to the child. This will facilitate trunk rotation by which the upper body is towards the weight bearing hip and away from the weight bearing hip.Training program 4 times per weeks with the treatment session of 30 minutes for 6 weeks duration

Other: Swiss Ball therapy

Interventions

Hippotherapy OTHER

Patient will perform different movement of the trunk while sitting on a horse.

Hippotherapy

Swiss Ball therapy OTHER

Patient will perform movements of trunk on swiss ball

Swiss Ball therapy

Eligibility Criteria

• Age: 4 Years - 12 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Age group 4 to 11 years
• Subject diagnosed with CP
• Mild Spastic Diaplegic of the lower limbs according to the modified ashworth scale grade 1 to 1+
• GMFM scale sitting balance score less than 20
• Medically stable and able to understand commands

You may not qualify if:

• Epilepsy, other associated neurological disorders, other type of cerebral palsy,
• Attention deficit hyperactivity disorder and sensory issues(poor visual or hearing acuity)

Sponsors & Collaborators

• Riphah International University: lead

Study Sites (1)

Helping hand for relief and development

Dīr, Khyberpakhtunkhuwa, 25000, Pakistan

Location

MeSH Terms

Conditions

Cerebral Palsy

Interventions

Equine-Assisted Therapy

Condition Hierarchy (Ancestors)

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

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

• Ayesha Bashir, MSNMPT

  Riphah international University Islamabad

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: PARTICIPANT, INVESTIGATOR
• Masking Details: Randomized
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: September 14, 2023
• First Posted: September 21, 2023
• Study Start: March 1, 2023
• Primary Completion: January 1, 2024
• Study Completion: January 1, 2024
• Last Updated: November 21, 2025

Record last verified: 2025-11

Data Sharing

• IPD Sharing: Will not share

Locations

PA (1)