The Benefit of Hippotherapy in the Therapeutic Management of Stroke Patients in Sequel Phase
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 50
- 试验地点
- 2
- 主要终点
- The stroke specific quality of life (SS-QOL)
研究概览
简要总结
This study aims to explore the interest of hippotherapy in the management of patients with stroke in the sequelae phase by evaluating the psychological and physical well-being. It is a controlled and randomized prospective longitudinal study.
Hippotherapy is a rehabilitation method entrusted to a paramedical or medical profession that uses the horse in its treatment program in addition to conventional medical care.
Hippotherapy has benefits at the psychomotor and motor level. The method is based on the use of the horse's characteristic movements when walking to provide sensory information and to induce motor adjustment responses mainly at the level of the pelvis and the trunk of the rider in order to work on balance, postural control, muscle tone and joint mobility of the patient sitting on his back. In particular for people with paresis or plegia sequelae, it contributes to rehabilitation programs. In addition, by inducing a helical movement of the pelvis, the horse's walk reproduces in the the disabled rider a pattern of trunk reactions very similar to that of the normal human walking pattern. This pattern can be integrated as a normal sensorimotor reaction and help the patient to improve his sitting balance and his coordination.
Hippotherapy is also interesting because getting out of the traditional rehabilitation framework and being in contact with an imposing animal has positive repercussions on the psyche and therefore on functional recovery.
All patients will undergo an assessment that will focus on their physical and psychological well-being at the beginning and end of the study as well as during a follow-up at 2 weeks, one month and 3 months.
Patients assigned to the experimental group (EG) will receive, in addition to their physical therapy, a weekly hippotherapy session of 30 minutes. The follow-up will take place during 3 months for a total of 12 sessions. The EG will also be monitored in the short term (before and after each session) for well-being and fatigue.
Quality of life will be explored using the SF-36 questionnaire and the SS-QOL scale. Self-esteem will be measured using the Rosenberg scale. Patients' physical abilities will be assessed with functional tests, standing balance measurements on a strength platform and the ABC-S self-evaluation scale.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •patients who have suffered a stroke and who are in a sequelae phase (after hospitalization or discharge from the rehabilitation center)
- •patients who have sufficient trunk balance to hold on to the horse
- •patients who have the consent of their doctor
- •patients who indicated their agreement to participate in the study by signing the consent form
排除标准
- •pressure sore at the seat level
- •other lesion or neurological history
- •severe cognitive deficits affecting the understanding
- •do not understand French language
- •allergy to horses
- •weigh more than 100 kg
- •acute pain syndrome
- •patient has benefited from hippotherapy sessions during the last 6 months
结局指标
主要结局
The stroke specific quality of life (SS-QOL)
时间窗: 12 weeks
The SS-QOL, which is a disease-specific quality of life measure, consists of 49 items encompassing 12 domains, which include the social role (five questions), mobility (six questions), energy (three questions), language (five questions), self-care (five questions), mood (five questions), personality (three questions), thinking (three questions), upper extremity function (five questions), family role (three questions), vision (three questions), and work/productivity (three questions). Each item is ranked on a five-point Likert scale in which level one means completely agreed while level five means completely disagree. The summary score of this scale is an un-weighted average of the 12 domains. The total score ranges from 49 to 245, with higher scores indicating a better QOL. Scale
36-Item Short Form Survey Instrument (SF-36)
时间窗: 12 weeks
The Short Form 36 Health Survey Questionnaire (SF-36) is used to indicate the health status of particular populations, to help with service planning and to measure the impact of clinical and social interventions. It is composed of 8 domains assessing quality of life which enable to obtain two composite scores. Higher scores correspond to a higher quality of life.
次要结局
- Well-being and fatigue(12 weeks)
- Strength platform(12 weeks)
- Rosenberg self-esteem scale(12 weeks)
- Timed up & go(12 weeks)
- Timed chair stand test(12 weeks)
- The Tinetti test(12 weeks)
- The Activities-Specific Balance Confidence Scale (ABC Scale)(12 weeks)
研究者
Helena Cassol
Principal Investigator
Centre Hospitalier Universitaire de Liege