Effectiveness of the Hippotherapy Simulator in Children and Adolescents with Cystic Fibrosis
- Conditions
- Cystic Fibrosis in Children
- Interventions
- Other: Exercise with hippotherapy simulatorOther: Respiratory Physiotherapy
- Registration Number
- NCT05027503
- Lead Sponsor
- Istanbul University - Cerrahpasa
- Brief Summary
Cystic fibrosis (CF) is a genetic disease that affects many organs and systems, especially respiratory system problems due to lung damage. Patients often have difficulty in removing the sticky and viscous secretion that accumulates in the respiratory tract, and the risk of mortality increases with the development of respiratory failure. In patients with CF, exercise capacity, peripheral muscle strength, core endurance, flexibility, postural stability, physical activity level, and quality of life also decrease secondarily. Recently published guidelines recommend respiratory physiotherapy for coping with CF-related symptoms and recommend referral of patients to physical activity and exercise.
Hippotherapy simulator is a mechanical exercise tool that imitates the walking movement of a real horse and is used to increase physical fitness parameters.
This study aims to show the effects of exercises performed with a hippotherapy simulator in addition to respiratory physiotherapy on physical fitness, sputum production, physical activity and quality of life of children with CF.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 32
- Be in the 8-14 age range
- To be diagnosed with cystic fibrosis according to the American Cystic Fibrosis Association consensus report criteria
- Having mild (FEV1 ≥ 70% predictive) lung disease according to the disease severity classification in the annual report of the American Cystic Fibrosis Society
- To be able to produce phlegm
- Contracture or deformity,
- History of diagnosed orthopedic problems affecting mobility or musculoskeletal surgery
- History of previous lung or liver transplant
- Have diagnosed vision, hearing, vestibular or neurological problems that may affect balance,
- History of hospitalization in the last 1 month
- Patients who have participated in any exercise training program in the last 6 months
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Training Group Exercise with hippotherapy simulator In addition to home-based respiratory physiotherapy, 30 min exercises with the hippotherapy simulator will be done. Training Group Respiratory Physiotherapy In addition to home-based respiratory physiotherapy, 30 min exercises with the hippotherapy simulator will be done. Control Group Respiratory Physiotherapy Home-based respiratory physiotherapy will be applied twice a day and every day of the week for 8 weeks
- Primary Outcome Measures
Name Time Method Forced Vital Capacity (FVC) 8 weeks Pulmonary Function Test
Forced Expiratory Volume in 1 second (FEV1) 8 weeks Pulmonary Function Test
Tiffeneau ratio (FEV1/FVC) 8 weeks Pulmonary Function Test
Peak Expiratory Flow (PEF) 8 weeks Pulmonary Function Test
Distance covered in six minute walk test 8 weeks Functional Capacity
Postural stability test score in Biodex Balance System SD 8 weeks Postural Stability
Limits of stability test score in Biodex Balance System SD 8 weeks Postural Stability
- Secondary Outcome Measures
Name Time Method Biering Sorenson Test 8 weeks Core Muscles Endurance
Lateral Bridge Test 8 weeks Core Muscles Endurance
Trunk Flexion Test 8 weeks Core Muscles Endurance
m. quadriceps strength 8 weeks Peripheral Muscle Strength
Amount of sputum expelled (gr) 8 weeks Sputum amount
Ease of expectoration 8 weeks Subjective assessment that evaluates "how hard the person has during sputum production" with a visual analog scale (0-10 point). A high score means that it is easy to sputum.
Sense of chest congestion 8 weeks Subjective evaluation method questioning "sense of chest congestion" with visual analog scale (0-10 point). A higher score indicates greater sense of chest congestion.
Sit and reach test 8 weeks Flexibility
Physical Activity Questionnaire for Children (PAQ-C) 8 weeks Physical Activity Level. As a result of the 9-item questionnaire, 1 means lowest and 5 means highest physical activity level.
Cystic Fibrosis Questionnaire Revised (CFQ-R) 8 weeks Quality of Life Assessment. In this questionnaire, which consists of 35 questions, the total score is 100, and a higher score indicates a better quality of life.
Trial Locations
- Locations (1)
Bezmialem Vakif University
🇹🇷Istanbul, Turkey