Effect of Hippotherapy and Schroth Exercise on Pulmonary Function and Aerobic Capacity in Idiopathic Scoliosis

Study Overview
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Brief Summary
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BACKGROUND: Idiopathic scoliosis has been identified as a common spinal malalignment that negatively impacts the respiratory system and physical conditioning in adolescents. Hippotherapy is an equestrian intervention that optimizes physical performance and mobility in a bunch of contexts; however, its influence on pulmonary function remains unclear. AIM: This research aimed to analyze the impact of ten weeks of hippotherapy combined with Schroth exercises on ventilatory function and aerobic capacity in AIS. DESIGN: Randomized Controlled Trial SETTING: Outpatients attend a single center that includes a rehabilitation room and recreational riding center. POPULATION: Forty-five patients were arbitrarily recruited to the experimental (N= 22) and control group (N=23). METHODS: Patients in the experimental group received 30 minutes of walking and sitting trot training, 15 sessions split into 2 phases over ten weeks. The two groups attended a 60-minute session of Schroth's intervention, 3 times/ week for 10 weeks. Two-way ANOVA for between-group comparisons and independent t-test for within-group comparisons were used in the statistical analysis.

Detailed Description
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A total of 45 patients (13 males and 32 females) participated in the current study. The participants were assigned to one of two groups in a random manner: an experimental group who received hippotherapy combined with Schroth Exercise and the control group who received only schorth exercise. (FVC, FEV1, FEV1/FVC, MVV, and 6MWT) were measured before and after 10 weeks intervention

Official Title
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Efficacy of Hippotherapy Combined With Schroth Exercises on Pulmonary Function and Aerobic Capacity in Adolescents With Idiopathic Scoliosis: A Randomized Controlled Trial

Conditions
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Scoliosis Idiopathic

Intervention / Treatment
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* Other: hippotherapy and schroth exercise
* Other: schroth exercise


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: all types of curves, curves between 10 and 20 degrees (29), Risser grade 0 to 5 the availability to be engaged in once a week visit Exclusion Criteria: Adolescents with: obstructive pulmonary diseases associated neuromuscular diseases recent infectious episodes in the previous two months history of cardiovascular or psychological disorders any significant history of riding horses

Ages Eligible for Study
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Minimum Age: 12 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: A Randomized Controlled Trial
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: hippotherapy combined with Schroth Exercise<br>received hippotherapy combined with Schroth Exercise hippotherapy session for 30 minutes of walking and sitting trot training, 15 sessions split into 2 phases over ten weeks in addition to 60-minute session Schroth's intervention, 3 times/ week for 10 weeks | Other: hippotherapy and schroth exercise<br>* pulmonary function and aerobic capacity were measured in patients with mild idiopathic scoliosis before and after 10-week hippotherapy intervention combined with Schroth exercise<br>|
| Active Comparator: Schroth Exercise<br>received Schroth's intervention for a 60-minute session, 3 times/ week for 10 weeks | Other: schroth exercise<br>* pulmonary function and aerobic capacity were measured in patients with mild idiopathic scoliosis before and after 10-week of Schroth exercise<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| FVC in liters | change in FVC measured Using Spiromaster PC-10 Spirometer | ten weeks | 
| FEV1 in liters | change in FEV1 measured Using Spiromaster PC-10 Spirometer | ten weeks | 
| MVV in liters/min | change in MVV measured Using Spiromaster PC-10 Spirometer | ten weeks | 
| FEV1/FVC in percentage | change in FEV1/FVC measured Using Spiromaster PC-10 Spirometer | ten weeks | 
| aerobic capacity | 6MWT | ten weeks | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Hippotherapy, Pulmonary Function, Idiopathic Scoliosis