Investigation of the Effect of Hippotherapy Simulator in Children With Spastic Diplegia and Cerebral Palsy

Uskudar University

Status: Completed

Conditions: Balance; Distorted; Walking, Difficulty; Cerebral Palsy

Treatments: Other: traditional physiotherapy; Other: hippotherapy-assisted physiotherapy

Study type: Interventional

Funder types: Other

Identifiers

NCT06003868

Uskudar72

Details and patient eligibility

About

The aim of the study is to examine the effect of hippotherapy simulator on trunk control, balance and gait in children with spastic diplegia cerebral palsy and its relationship with quality of life.

Full description

Patients diagnosed with spastic diplegia cerebral palsy in the study; It will be classified according to Gross Motor Function Classification System (KMFSS). The Trunk Control Measurement Scale will be used to assess trunk control. Pediatric Berg Balance Scale will be used to assess balance. The 1 Minute Walk Test and the Timed Get Up and Go test will be used to assess walking. The WEEFIM scale will be used to assess quality of life. The study sample will be divided into two groups. The first group will receive 45 minutes of conventional physical therapy. In addition to 45 minutes of physical therapy, the other group will receive 15 minutes of hippotherapy simulator. The results will be compared at the beginning and end of the study.

Then, individuals will be divided into two groups with a simple randomized method. Traditional physical therapy will be applied to the control group for 45 minutes, 2 days a week, for 8 weeks. In addition to traditional physical therapy, 15 minutes of therapy training with a hippotherapy device will be applied to the experimental group. Evaluation tests will be repeated at the beginning and end of the study. Pre- and post-intervention data were statistically analyzed and compared.

Enrollment: 40 patients

Sex: All

Ages: 4 to 16 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Diplegic Cerebral Palsy between the ages of 4 and 16
• Levels 1,2 and 3 according to KMFSS
• Have not had botox or surgery in the last 6 months
• Able to perceive simple commands
• Patients who can sit in the hippotherapy simulator will be included.

Exclusion criteria

• With hip dislocation
• Those with hearing or visual disabilities
• Those who do not want to be involved in the study
• Adductor spasticity is stage 3 and above according to the ashworth spasticity scale.
• With upper extremity amputation

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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40 participants in 2 patient groups

control group

Active Comparator group

Description:

Physiotherapy will be applied for 8 weeks, 2 days a week, as one session per day (45 minutes).

Treatment:

Other: traditional physiotherapy

hippotherapy group

Experimental group

Description:

Physiotherapy will be applied for 8 weeks, 2 days a week, one session a day (45 minutes). In addition, the patients will be placed on the simulator and the starting position will be taught. your simulator They will be warned before and during the application to maintain the starting position throughout their movements. pattern and will be run in the 1st stage of the 3-stage speed level.

Treatment:

Other: hippotherapy-assisted physiotherapy

Other: traditional physiotherapy