Effects of Horse Riding Simulator With or Without Visual Feedback on Balance and Postural Control

Not Applicable

Completed

Interventions: Other: HORSE RIDING SIMULATOR WITHOUT VISUAL FEEDBACK
Other: HORSE RIDING SIMULATOR WITH VISUAL FEEDBACK

Brief Summary: Spastic cerebral palsy is a neurological condition that causes muscle spasticity and motor impairments, greatly impacting a child's ability to maintain balance and control their posture. The horse riding simulator (HRS), inspired by hippo therapy, has emerged as a potential therapeutic intervention for enhancing motor function in individuals with cerebral palsy. This study explored the additional effects of mirror visual feedback when used in conjunction with the HRS. Strategically placed mirrors allow participants to observe their own body movements and positions in real-time. The simulator's rhythmic, multidimensional movements deliver sensory input and challenge the motor system, promoting postural adjustments and improved balance. Furthermore, the integration of mirror visual feedback appears to enhance the therapeutic benefits. Real-time visual information enables children to actively observe and correct their body positioning, leading to improved body awareness and more efficient motor responses.

Detailed Description: Cerebral palsy (CP), one of the most common physical disabilities in childhood, is a disorder of movement and posture caused by non-progressive lesions in the developing brain. Children with CP, to varying degrees, have muscle weakness, tone abnormality, and motor-control impairment, causing abnormal posture and poor balance control.In high-income countries, the current birth prevalence of cerebral palsy has decreased to 1.6 per 1000 live births. However, in low- and middle-income countries, the birth prevalence is significantly higher. Children diagnosed with CP exhibit a range of muscle weakness, tone abnormalities, and impaired motor control. These factors contribute to abnormal posture and compromised control over balance

Recruitment & Eligibility

Inclusion Criteria

Spastic cerebral palsy with level I and II according to Gross Motor Function Classification System (GMFCS)
Age between 8 and 12 years
Ability to sit and stand independently
Both genders are included (female and male)

Exclusion Criteria

Having received an injection of botulinum toxin within 3 months
Having undergone orthopedic surgery or selective dorsal rhizotomy in the previous 1 year
Having undergone HRS training within 6 months;
Having severe pain, joint dislocation, contracture, or spinal deformity
Having experienced uncontrolled epileptic seizure
Having poor visual or hearing acuity.

Arm && Interventions

Group	Intervention	Description
Group B	HORSE RIDING SIMULATOR WITHOUT VISUAL FEEDBACK	horse riding simulator sessions without mirror visual feedback
Group A	HORSE RIDING SIMULATOR WITH VISUAL FEEDBACK	horse riding simulator sessions with mirror visual feedback

Primary Outcome Measures

Name	Time	Method
Pediatric balance scale	8 weeks	The Pediatric Balance Scale is assessment tool specifically designed to evaluate balance in children. It has been extensively used in clinical and research settings to assess balance impairments and monitor progress over time.
Posture and postural ability scale	8 weeks	Posture and Postural Ability Scale is an assessment tool that allows for posture and postural ability to be assessed independently

Secondary Outcome Measures

Name	Time	Method

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