Effects of Hippotherapy on Functionality in Children With Cerebral Palsy

Официальное название

Effects of Hippotherapy on Upper Extremity Functionality and Trunk Control in Children With Cerebral Palsy

Обзор

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. Does hippotherapy improve gross motor function of the upper extremity in children with cerebral palsy? 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? Participants will: Hippotherapy and routine physiotherapy in 2 different groups for 2 They will carry out the necessary evaluations before the implementation and at the end of 2 months.

Подробное описание

Cerebral palsy (CP) is a permanent developmental disorder that occurs as a result of a lesion in the developing baby's brain. Due to the symptoms seen in CP, the individual's participation in daily living activities (ADL) is restricted and functional mobility is affected. Hippotherapy is preferred in children with CP because it includes fun activities and is effective in terms of the child's participation and motivation. The aim of this study is to examine the effect of hippotherapy on upper extremity function. In this study planned as a multicenter study, children with CP are divided into 2 groups as the study and control groups. After a 2-month application, children with CP will be evaluated in terms of upper extremity functionality and postural control. The "Statistical Package for Social Sciences (SPSS) Statistics 23.0 (SPSS Inc, Chicago, USA) program will be used in the analysis of the study data. The change in numerical variables over time in the treatment and control groups and the group-time interaction will be examined with "two-way repeated measures variance analysis". The "Chi-Square Test" will be used to examine the relationship between categorical variables. The relationship between numerical variables will be examined with the "Spearman rho correlation coefficient". The probability of error will be accepted as (p\<0.05).

Вмешательства

• Другое Equine-assisted therapy
  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.
• Другое Traditional Pediatric Physiotherapy
  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

Первичные конечные точки

• Box and block test [Срок оценки: 8 weeks]
• Trunk Control Measurement Scale [Срок оценки: 8 weeks]

Вторичные конечные точки (3)

• ABILHAND-Kids [Срок оценки: 8 weeks]
• Moberg pickup test [Срок оценки: 8 weeks]
• Gross Motor Function Measure [Срок оценки: 8 weeks]

Критерии участия

Критерии включения

• 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

Критерии исключения

• 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

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Нерандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

Turkey (Türkiye) · 1 центр

• Uskudar University — Istanbul

Публикации

• 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
• 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
• 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

Идентификаторы

NCT: NCT06550258 · 61351342/2019-399

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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