Efficacy of Hippotherapy Simulator Exercise Program in Stroke Patients

Not Applicable

Completed

• Conditions: Stroke
• Interventions: Other: Hippotherapy Simulator; Other: Conventional Exercise

• Registration Number: NCT04465006
• Lead Sponsor: Marmara University

Brief Summary

The aim of our study is to investigate the effects of hippotherapy simulator exercises in addition to the conventional rehabilitation program on the balance, postural control, mobility, functional capacity, and independence levels of stroke patients.

Detailed Description

Twenty-six 18- 65 years of patients with stroke were included in the study. Patients were divided into two groups as hippotherapy simulator group (HSG) (n = 13) and conventional exercise group (CEG) (n = 13). Patients were evaluated with Berg Balance Scale (BBS) for balance, Postural Assessment Scale for Stroke (PASS) for postural control, Rivermead Mobility Index (RMI), and Time Up- Go Test (TUG) for mobility, 2min. Walking Test (2mWT) for functional capacity and Barthel Index (BI) for the level of independence respectively before and after treatment.

Study Timeline

• Study Start: 2018-12-01
• Primary Completion: 2019-04-01
• Study Completion: 2019-05-30
• Status Verified: 2020-07
• Study First Submitted: 2020-07-02
• Study First Submitted QC: 2020-07-08
• Last Update Submitted: 2020-07-08
• Study First Posted: 2020-07-09
• Last Update Posted: 2020-07-09

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 26

Inclusion Criteria

• Getting a diagnosis of stroke by a specialist physician,
• Being between the ages of 18-65,
• Having a stroke history of 3- 36 months,
• To be able to sit without support while both soles are in contact with the floor,
• To be able to walk independently with or without using a walking aid,
• To be able to understand and follow audio and visual warnings,
• Scoring 24 points or more from the Mini-Mental State Exam.

Exclusion Criteria

• Multiple stroke stories,
• Hemorrhagic type stroke history,
• Those with a history of falling in the past 1 year,
• Those with a history of epilepsy,
• Uncontrolled history of Hypertension and Diabetes

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Hippotherapy Simulator Group	Hippotherapy Simulator	Getting a diagnosis of stroke by a specialist physician, Being between the ages of 18-65, Having a stroke history of 3- 36 months, To be able to sit without support while both soles are in contact with the floor, To be able to walk independently with or without using walking aid, To be able to understand and follow audio and visual warnings, Scoring 24 points or more from the Mini Mental State Exam.
Conventional Exercise Group	Conventional Exercise	Getting a diagnosis of stroke by a specialist physician, Being between the ages of 18-65, Having a stroke history of 3- 36 months, To be able to sit without support while both soles are in contact with the floor, To be able to walk independently with or without using walking aid, To be able to understand and follow audio and visual warnings, Scoring 24 points or more from the Mini Mental State Exam.

Primary Outcome Measures

Name	Time	Method
Rivermead Mobility Index	Day 0 - Day 45	The Rivermead Mobility Index assesses functional mobility in gait, balance and transfers after stroke.
Timed Up and Go Test	Day 0 - Day 45	The Timed Up and Go (TUG) test is a performance-based measure of functional mobility that was initially developed to identify mobility and balance impairments in older adults.
2 Minute Walk Test	Day 0 - Day 45	2 Minute Walk Test (2MWT) is a measure of self-paced walking ability and functional capacity.
Berg Balance Scale	Day 0 - Day 45	The Berg balance scale is used to objectively determine a patient's ability (or inability) to safely balance during a series of predetermined tasks. It is a 14 item list with each item consisting of a five-point ordinal scale ranging from 0 to 4, with 0 indicating the lowest level of function and 4 the highest level of function and takes approximately 20 minutes to complete.
Postural Assessment Scale for Stroke	Day 0 - Day 45	It measures the ability of an individual with stroke to maintain stable postures and equilibrium during positional changes. It consists of a 4-point scale where the items are scored from 0 to 3, and the total scoring ranges from 0 to 36
Barthel Index	Day 0 - Day 45	The Barthel Scale/Index (BI) is an ordinal scale used to measure performance in activities of daily living (ADL).

Trial Locations

Locations (1)

Private Ersoy Hospital; 🇹🇷 Sultanbeyli, Istanbul, Turkey