Does Hippotherapy Have an Effect on Mobility, Gait, Balance and Perceived Health-related Quality of Life in Persons With Parkinson's Disease?
HIHA
1 other identifier
interventional
30
1 country
1
Brief Summary
The goal of this pilot randomized controlled trial is to investigate the effects of hippotherapy (horse assisted therapy) (intervention group) compared to usual care (control group) on mobility, gait, balance and perceived health-related quality of life in persons with Parkinson's disease. The main objectives of this study are:
- The primary objective is to investigate the effects of hippotherapy on mobility of pwPD, walking speed and the ability to perform daily movements.
- The secondary objective is to investigate the effects of hippotherapy on (a) balance, (b) self-perceived physical and mental health and (c) specific gait parameters.
- Furthermore this study, aims to gather critical information that will inform about the design and implementation of a larger, more definitive randomized controlled trial. In addition to the three-week, multidisciplinary rehabilitation program the intervention group will receive hippotherapy (20 minutes) three times a week (7 sessions in total) and the control group will receive additional physiotherapy sessions (30 minutes) two times a week.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P25-P50 for not_applicable parkinson-disease
Started Jan 2025
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2025
CompletedFirst Submitted
Initial submission to the registry
August 31, 2026
CompletedFirst Posted
Study publicly available on registry
September 3, 2026
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 1, 2027
ExpectedStudy Completion
Last participant's last visit for all outcomes
January 1, 2027
September 17, 2026
August 1, 2026
2 years
August 31, 2026
September 14, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Functional mobility.
Functional mobility will be measured with the expanded Timed Up and Go test. The eTUG is a modification of the traditional Timed Up and Go test, whereby the distance is increased from 6 to 10m. This has enabled a more accurate gait assessment in pwPD. Multiple time points are assessed: * The time the person takes to get from a sitting to standing position. * The time the person takes to walk the first two meters (gait initiation) * The time the person takes to walk the remaining (gait 1) * The time the person takes to turn (turning) * The time the person takes to (gait 2) * The time the person takes to slow down, turn and sit down again The more time someone takes to perform the test, the more the mobility is impaired.
From enrollment to the end of treatment at 3 weeks
Secondary Outcomes (3)
Balance
From enrollment to the end of treatment at 3 weeks
Health related quality of life
From enrollment to the end of treatment at 3 weeks
Walking capacity
From enrollment to the end of treatment at 3 weeks
Other Outcomes (3)
Recruitment rates
through study completion, approximately 2 years.
Adherence
From enrollment to the end of treatment at 3 weeks
Adverse effects.
From enrollment to the end of treatment at 3 weeks
Study Arms (2)
Hippotherapy
EXPERIMENTALIn addition to the three-week, multidisciplinary rehabilitation program the intervention group will receive hippotherapy three times a week (7 sessions in total). The hippotherapy sessions last 20 minutes each and aim at trunk rotation (in the transverse and frontal plane), rhythm and trunk stability. They will receive this in addition to the usual three-week rehabilitation program. This program includes 30 minutes of physical therapy daily plus two additional physiotherapy sessions of 30 minutes, 30 minutes of occupational therapy 3x/week, strength training 3x/week, 45 minutes of balance training 2x/week and, as required, other therapies such as nutritional advice, speech therapy and/or creative therapy to meet the individual needs of people with Parkinson's.
Usual care
ACTIVE COMPARATORThe comparison group will perform the three-week rehabilitation program, without hippotherapy. This program includes 30 minutes of physical therapy daily plus two additional physiotherapy sessions of 30 minutes, 30 minutes of occupational therapy 3x/week, strength training 3x/week, 45 minutes of balance training 2x/week and, as required, other therapies such as nutritional advice, speech therapy and/or creative therapy to meet the individual needs of people with Parkinson's.
Interventions
Hippotherapy is a form of physical therapy that utilizes the natural gait and movement of a horse to provide motor and sensory input. The hippotherapy sessions last 20 minutes each and aim at trunk rotation (in the transverse and frontal plane), rhythm and trunk stability.
Physiotherapy sessions take 30 minutes and focus on core stability and exercises with large motor tasks
Eligibility Criteria
You may qualify if:
- Confirmed diagnosis of Parkinson's diagnosis
- Age \> 18 Years;
- Hoehn \& Yahr stage ≤ 4;
- Category 3 in the Functional Ambulation Categories
- Climbing stairs is possible (with support).
You may not qualify if:
- Severe cognitive impairment, defined by a score below 26 on the Montreal Cognitive Assessment (MoCa)
- Body weight \> 90kg;
- Horse hair allergy;
- Other acute and subacute cardiovascular, respiratory, musculoskeletal or neurological disorders that constitute a contraindication to hippotherapy (i.e. a recent fracture);
- Pregnancy.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Klinik Valenslead
- Schweizer Gruppe für Hippotherapie-Kcollaborator
Study Sites (1)
Rehabilitation Centre Valens
Valens, Canton of St. Gallen, 7317, Switzerland
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Central Study Contacts
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- DOUBLE
- Who Masked
- INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Dr Jens Bansi, PhD
Study Record Dates
First Submitted
August 31, 2026
First Posted
September 3, 2026
Study Start
January 1, 2025
Primary Completion (Estimated)
January 1, 2027
Study Completion (Estimated)
January 1, 2027
Last Updated
September 17, 2026
Record last verified: 2026-08