Effectiveness of the Hippotherapy Simulator in Children and Adolescents with Cystic Fibrosis

Istanbul University - Cerrahpasa

Status: Completed

Conditions: Cystic Fibrosis in Children

Treatments: Other: Respiratory Physiotherapy; Other: Exercise with hippotherapy simulator

Study type: Interventional

Funder types: Other

Identifiers

NCT05027503

IUCbcinar01

Details and patient eligibility

About

Cystic fibrosis (CF) is a genetic disease that affects many organs and systems, especially respiratory system problems due to lung damage. Patients often have difficulty in removing the sticky and viscous secretion that accumulates in the respiratory tract, and the risk of mortality increases with the development of respiratory failure. In patients with CF, exercise capacity, peripheral muscle strength, core endurance, flexibility, postural stability, physical activity level, and quality of life also decrease secondarily. Recently published guidelines recommend respiratory physiotherapy for coping with CF-related symptoms and recommend referral of patients to physical activity and exercise.

Hippotherapy simulator is a mechanical exercise tool that imitates the walking movement of a real horse and is used to increase physical fitness parameters.

This study aims to show the effects of exercises performed with a hippotherapy simulator in addition to respiratory physiotherapy on physical fitness, sputum production, physical activity and quality of life of children with CF.

Enrollment: 32 patients

Sex: All

Ages: 8 to 14 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Be in the 8-14 age range
• To be diagnosed with cystic fibrosis according to the American Cystic Fibrosis Association consensus report criteria
• Having mild (FEV1 ≥ 70% predictive) lung disease according to the disease severity classification in the annual report of the American Cystic Fibrosis Society
• To be able to produce phlegm

Exclusion criteria

• Contracture or deformity,
• History of diagnosed orthopedic problems affecting mobility or musculoskeletal surgery
• History of previous lung or liver transplant
• Have diagnosed vision, hearing, vestibular or neurological problems that may affect balance,
• History of hospitalization in the last 1 month
• Patients who have participated in any exercise training program in the last 6 months

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

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32 participants in 2 patient groups

Control Group

Active Comparator group

Description:

Home-based respiratory physiotherapy will be applied twice a day and every day of the week for 8 weeks

Treatment:

Other: Respiratory Physiotherapy

Training Group

Experimental group

Description:

In addition to home-based respiratory physiotherapy, 30 min exercises with the hippotherapy simulator will be done.

Treatment:

Other: Exercise with hippotherapy simulator

Other: Respiratory Physiotherapy