Investigation of the Effect of Hippotherapy Simulator in Children With Spastic Diplegia and Cerebral Palsy
Condition: Cerebral Palsy; Balance; Distorted; Walking, Difficulty
MeSH terms: Paralysis; Cerebral Palsy; Mobility Limitation
Study type: Interventional

Summary: 
      The aim of the study is to examine the effect of hippotherapy simulator on trunk control,
      balance and gait in children with spastic diplegia cerebral palsy and its relationship with
      quality of life.
    

Detailed description: 
      Patients diagnosed with spastic diplegia cerebral palsy in the study; It will be classified
      according to Gross Motor Function Classification System (KMFSS). The Trunk Control
      Measurement Scale will be used to assess trunk control. Pediatric Berg Balance Scale will be
      used to assess balance. The 1 Minute Walk Test and the Timed Get Up and Go test will be used
      to assess walking. The WEEFIM scale will be used to assess quality of life. The study sample
      will be divided into two groups. The first group will receive 45 minutes of conventional
      physical therapy. In addition to 45 minutes of physical therapy, the other group will receive
      15 minutes of hippotherapy simulator. The results will be compared at the beginning and end
      of the study.

      Then, individuals will be divided into two groups with a simple randomized method.
      Traditional physical therapy will be applied to the control group for 45 minutes, 2 days a
      week, for 8 weeks. In addition to traditional physical therapy, 15 minutes of therapy
      training with a hippotherapy device will be applied to the experimental group. Evaluation
      tests will be repeated at the beginning and end of the study. Pre- and post-intervention data
      were statistically analyzed and compared.
    

Intervention name(s): traditional physiotherapy; hippotherapy-assisted physiotherapy
Intervention type(s): Other; Other
Intervention description(s): Stretching for patients with spasticity exercises walking exercises for balance and gait disorders muscle strengthening exercises relaxation exercises; The patients will be placed on the simulator and the starting position will be taught. your simulator before the application and in order to maintain the starting position throughout their movements.
they will be warned during the applications.. Hippotherapy simulator is almost like walking.
pattern and will be run in the 1st stage of the 3-stage speed level.
Allocation: Randomized
Intervention model: Parallel Assignment
Intervention model description: Exercises with Hippotherapy Simulator: This exercise will be applied to the group for 8 weeks, 2 days a week, as a single session (15 minutes) a day. The patients will be placed on the simulator and the starting position will be taught. They will be warned to maintain the starting position throughout the movements of the simulator. The hippotherapy simulator will be operated almost in the gait pattern of the horse and in the 1st stage of the 3-stage speed level. If the patients have unusual complaints such as dizziness, blackout, chest pain and risk of falling during the application. they will be advised to request to stop the application
Masking: Single (Outcomes Assessor)
Primary purpose: Treatment
Keywords: Cerebral palsy; hippotherapy; walking; balance; life quality; diplegia