Effects of Hippotherapy on Functionality in Children With Cerebral Palsy
- Conditions
- Cerebral Palsy
- Interventions
- Other: Equine-assisted therapyOther: Traditional Pediatric Physiotherapy
- Registration Number
- NCT06550258
- Lead Sponsor
- Uskudar University
- Brief Summary
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.
- Detailed Description
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).
Recruitment & Eligibility
- Status
- RECRUITING
- Sex
- All
- Target Recruitment
- 40
- 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
- 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
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Hippotherapy group Equine-assisted therapy Hippotherapy was applied with a physiotherapist for 2 months. Control group Traditional Pediatric Physiotherapy Classical physiotherapy was applied with the help of a physiotherapist for 2 months.
- Primary Outcome Measures
Name Time Method Trunk Control Measurement Scale 8 weeks The Trunk Control Measurement Scale includes 15 items that measure the two main components of trunk control, static and dynamic sitting balance. The Static Sitting Balance Scale (items 1-5) evaluates the ability to maintain stable trunk posture during movements of the upper and lower extremities. The Dynamic Sitting Balance Scale (items 6-15) is divided into two subscales: the selective movement control scale and the dynamic reach scale. The total score ranges from 0-58. A high score indicates good performance.
Box and block test 8 weeks This test evaluates manual dexterity. The person being tested is asked to move blocks from one compartment to the other compartment as fast as they can within 60 seconds. The test is started with the dominant hand and the test is repeated with both hands. In addition, a 15-second trial period is given for both hands. The blocks are held in the compartment on the side of the hand to be tested, and the test is started by positioning the box in the midline of the person being tested. When the time is up, the blocks carried are counted and the result is recorded.
- Secondary Outcome Measures
Name Time Method ABILHAND-Kids 8 weeks It is used to measure hand functions in children with CP. It aims to measure the use of the upper extremity in children's daily activities in 21 items (It is examined in 3 columns as cannot be done, difficult, easy. It mostly evaluates the function of both hands together. The scale is generally applied by asking the families, if the child is older, he/she can be included in the application. There should be no assistive device or human support while evaluating the functional ability.
Moberg pickup test 8 weeks In a performance-based (timed) manual dexterity test, the patient is asked to fill certain items into a box. The test is started with the dominant hand, then with the non-dominant hand and with eyes closed. The test is repeated 3 times and the best time on the stopwatch is noted.
Gross Motor Function Measure 8 weeks GMFM-88 is a scale developed for children with CP to show changes in gross motor functions. It is divided into 5 main sections as lying-rolling, sitting, crawling-kneeling, standing, walking-running-jumping. The values are divided into 4 categories as -Cannot initiate the activity ''0'', -Initiates independently ''1'', -Partially completes ''2'', -Completes independently ''3''. The total score is calculated as a percentage, as the percentage values increase, motor functions increase.
Trial Locations
- Locations (1)
Uskudar University
🇹🇷İstanbul, Ümraniye, Turkey