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The Effect of Hippotherapy Applied on Different Seating Surfaces in Children With Special Needs

Not Applicable
Completed
Conditions
Special Needs Children
Interventions
Other: hippotherapy
Registration Number
NCT05993598
Lead Sponsor
Istanbul Medipol University Hospital
Brief Summary

The effect of hippotherapy, which will be applied to children with special needs in a single session, on sitting balance and walking speed under the supervision of a physiotherapist was investigated. 30 randomly selected children with special needs between the ages of 3-18 who were referred to the Gebze Equestrian Training Center were included in the study. The children were randomly divided into 3 groups: 10 in the saddle, 10 naked (direct contact with the horse), and 10 in the hippotherapy group, in which a cloth of different texture was placed on the horse. Each group did a 30-minute hippotherapy session in the manege area. Before the application, the sitting balance of the children was evaluated by playing the Nintendo Wii Balance Platform and the Basic Balance Game. In addition, 10 m walking test was applied for walking speed. These assessments were repeated after the 30-minute session. It was checked whether the application had an effect on balance and walking speed. Comparisons between the groups were made and it was examined which application was more effective on balance and walking speed.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
30
Inclusion Criteria
  • Having a child with special needs between the ages of 3-18,
  • Children with a diagnosis of Cerebral Palsy (CP) have a level of 1 and 2 according to the Gross Motor Function Classification System,
  • Ability to understand simple commands,
  • Ability to sit unaided for at least 10 seconds,
Exclusion Criteria
  • Presence of clinical conditions that may pose an obstacle
  • Lack of cooperation
  • Presence in another study performed at the same time as the study
  • Lack of family approval.

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Group 1 (Saddled)hippotherapyEach group did a 30-minute hippotherapy session in the manege area. Before the application, the sitting balance of the children was evaluated by playing the Nintendo Wii Balance Platform and the Basic Balance Game. In addition, 10 m walking test was applied for walking speed. These assessments were repeated after the 30-minute session.
Group 2 (Saddleless, direct contact with horse)hippotherapyEach group did a 30-minute hippotherapy session in the manege area. Before the application, the sitting balance of the children was evaluated by playing the Nintendo Wii Balance Platform and the Basic Balance Game. In addition, 10 m walking test was applied for walking speed. These assessments were repeated after the 30-minute session.
Group 3 (Different tissue to be put on the saddle)hippotherapyBubbled nylon (pat-to-pat) was used as a different texture. Each group did a 30-minute hippotherapy session in the manege area. Before the application, the sitting balance of the children was evaluated by playing the Nintendo Wii Balance Platform and the Basic Balance Game. In addition, 10 m walking test was applied for walking speed. These assessments were repeated after the 30-minute session.
Primary Outcome Measures
NameTimeMethod
BeCure Balance Evaluation System11 weeks

BeCure Balance Assessment System protocol; It was planned to determine the amount of change in the center of gravity in the x and y axes and the position of the body center of gravity during balancing by sitting on the board for 30 seconds with eyes open, with images.

Secondary Outcome Measures
NameTimeMethod
Gross Motor Function Classification System (GMFCS)11 weeks

It was used to evaluate the motor functions of participants with a diagnosis of cerebral palsy. It is a standardized method that classifies motor function differences in sitting and walking at 5 levels. If we examine the 5 levels; Level I walks without restrictions; Level II walks with restrictions; Level III walks using hand-held mobility devices; Level IV, independent self-mobility is limited and may use a motorized mobility vehicle; Level V is transported in a manual wheelchair.

Ten(10) Meter Walking Test(sec)11 weeks

In this test, the person is asked to walk at their own normal pace in a pre-measured 10 meter area (if using walking aid, it will be done with it). The time starts when the person's foot is on the starting line and ends when they cross the finish line. Two measurements are made and the best value is recorded in meters per second (m/s).

Trial Locations

Locations (1)

Gebze Municipality Equestrian Training Center

🇹🇷

Kocaeli, Gebze, Turkey

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