Effects of Hippotherapy on Functionality in Children With Cerebral Palsy

NCT06550258 | Recruiting

• 1 other identifier: 61351342/2019-399
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this clinical review is to investigate the effect of hippotherapy in improving upper limb functionality in children with cerebral palsy. The main question it aims to answer is The questions are as follows:

1. 1.Does hippotherapy improve gross motor function of the upper extremity in children with cerebral palsy?
2. 2.Is the development of trunk control in children with cerebral palsy who receive hippotherapy different from the development of trunk control in children who receive conventional physiotherapy?

Conditions

Cerebral Palsy

Keywords

hippotherapy; physiotherapy; cerebral palsy

Outcome Measures

Primary Outcomes (2)

• Box and block test

  This test evaluates manual dexterity. The person being tested is asked to move blocks from one compartment to the other compartment as fast as they can within 60 seconds. The test is started with the dominant hand and the test is repeated with both hands. In addition, a 15-second trial period is given for both hands. The blocks are held in the compartment on the side of the hand to be tested, and the test is started by positioning the box in the midline of the person being tested. When the time is up, the blocks carried are counted and the result is recorded.

  8 weeks

• Trunk Control Measurement Scale

  The Trunk Control Measurement Scale includes 15 items that measure the two main components of trunk control, static and dynamic sitting balance. The Static Sitting Balance Scale (items 1-5) evaluates the ability to maintain stable trunk posture during movements of the upper and lower extremities. The Dynamic Sitting Balance Scale (items 6-15) is divided into two subscales: the selective movement control scale and the dynamic reach scale. The total score ranges from 0-58. A high score indicates good performance.

  8 weeks

Secondary Outcomes (3)

• ABILHAND-Kids

  8 weeks

• Moberg pickup test

  8 weeks

• Gross Motor Function Measure

  8 weeks

Study Arms (2)

Hippotherapy group

EXPERIMENTAL

Hippotherapy was applied with a physiotherapist for 2 months.

Other: Equine-assisted therapy

Control group

ACTIVE COMPARATOR

Classical physiotherapy was applied with the help of a physiotherapist for 2 months.

Other: Traditional Pediatric Physiotherapy

Interventions

Equine-assisted therapy OTHER

Hippotherapy is a therapeutic intervention applied by physiotherapists that aims to improve impaired body functions. Hippotherapy is a therapy in which the rider receives stimuli from the horse that stimulate the sensory, neuromotor and cognitive systems during riding and exercise on the back of a horse. Hippotherapy is effective on posture control, balance, gross motor functions and functional performance in children with cerebral palsy.

Hippotherapy group

Traditional Pediatric Physiotherapy OTHER

In traditional pediatric physiotherapy, cushions of appropriate hardness were used for proprioceptive input. Stools of different heights were used for sitting, squatting, standing up by holding on and standing, Bobath balls and balance boards were used for balance reactions. Triangular and roll cushions of different hardness were used for weight transfer. Surfaces with different patterns were used for sensory input. The child's wishes and interests were taken into consideration in the selection of materials. The treatment was planned according to the activities that were difficult in daily life and the aim was to transfer the knowledge learned to daily life.

Control group

Eligibility Criteria

• Age: 4 Years - 16 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may qualify if:

• Having been diagnosed with SP
• Being between the ages of 4-16
• Being at GMFCS (Gross Motor Function Classification System) level 1,2 or 3
• Being at MACS (The Manual Ability Classification System) level 1,2,3 or 4
• Having a stable clinical condition
• Having the cognitive level to follow the instructions in the test and treatment protocol

You may not qualify if:

• Families who do not sign the consent form
• Presence of active seizures
• Presence of developmental hip dysplasia
• Presence of allergy to horses
• Having undergone surgical intervention or Botulinum Toxin A (BTX-A) application in the last 6 months

Sponsors & Collaborators

• Uskudar University: lead

Study Sites (1)

Uskudar University

Istanbul, Ümraniye, 34768, Turkey (Türkiye)

RECRUITING

Related Publications (3)

• Champagne D, Corriveau H, Dugas C. Effect of Hippotherapy on Motor Proficiency and Function in Children with Cerebral Palsy Who Walk. Phys Occup Ther Pediatr. 2017 Feb;37(1):51-63. doi: 10.3109/01942638.2015.1129386. Epub 2016 Mar 1.

  PMID: 26930110 BACKGROUND

• Park ES, Rha DW, Shin JS, Kim S, Jung S. Effects of hippotherapy on gross motor function and functional performance of children with cerebral palsy. Yonsei Med J. 2014 Nov;55(6):1736-42. doi: 10.3349/ymj.2014.55.6.1736.

  PMID: 25323914 BACKGROUND

• Kwon JY, Chang HJ, Yi SH, Lee JY, Shin HY, Kim YH. Effect of hippotherapy on gross motor function in children with cerebral palsy: a randomized controlled trial. J Altern Complement Med. 2015 Jan;21(1):15-21. doi: 10.1089/acm.2014.0021. Epub 2014 Dec 31.

  PMID: 25551626 BACKGROUND

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

Central Study Contacts

Tuba Kolaylı, Mac.

CONTACT

(216) 400 22 22; tuba.kolayli@uskudar.edu.tr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: SINGLE
• Who Masked: CARE PROVIDER
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Lecturer

Model Details: Before - after trial

Study Record Dates

• First Submitted: August 5, 2024
• First Posted: August 13, 2024
• Study Start: August 1, 2024
• Primary Completion: September 1, 2024
• Study Completion: October 1, 2024
• Last Updated: August 13, 2024

Record last verified: 2024-08

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)