Clinical trial NCT04465006: Efficacy of Hippotherapy Simulator Exercise Program in Stroke Patients
Official title: Efficacy of Hippotherapy Simulator Exercise Program in Stroke Patients
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Stroke
Keywords: Hippotherapy
Cerebrovasculer disorders
Stroke Rehabilitation
Balance
Exercise
Lead sponsor: Marmara University
Sponsor class: OTHER
First posted: 2020-07-09
Enrollment: 26
Sex: ALL
Minimum age (years): 18
Maximum age (years): 65
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Intervention model description: One group received hippotherapy exercise, while the other group received conventional exercise.
Primary purpose: TREATMENT

Brief summary: The aim of our study is to investigate the effects of hippotherapy simulator exercises in addition to the conventional rehabilitation program on the balance, postural control, mobility, functional capacity, and independence levels of stroke patients.

Detailed description: Twenty-six 18- 65 years of patients with stroke were included in the study. Patients were divided into two groups as hippotherapy simulator group (HSG) (n = 13) and conventional exercise group (CEG) (n = 13). Patients were evaluated with Berg Balance Scale (BBS) for balance, Postural Assessment Scale for Stroke (PASS) for postural control, Rivermead Mobility Index (RMI), and Time Up- Go Test (TUG) for mobility, 2min. Walking Test (2mWT) for functional capacity and Barthel Index (BI) for the level of independence respectively before and after treatment.

Eligibility criteria: Inclusion Criteria:

* Getting a diagnosis of stroke by a specialist physician,
* Being between the ages of 18-65,
* Having a stroke history of 3- 36 months,
* To be able to sit without support while both soles are in contact with the floor,
* To be able to walk independently with or without using a walking aid,
* To be able to understand and follow audio and visual warnings,
* Scoring 24 points or more from the Mini-Mental State Exam.

Exclusion Criteria:

* Multiple stroke stories,
* Hemorrhagic type stroke history,
* Those with a history of falling in the past 1 year,
* Those with a history of epilepsy,
* Uncontrolled history of Hypertension and Diabetes

Primary outcomes:
measure: Berg Balance Scale
timeFrame: Day 0 - Day 45
measure: Postural Assessment Scale for Stroke
timeFrame: Day 0 - Day 45
measure: Rivermead Mobility Index
timeFrame: Day 0 - Day 45
measure: Timed Up and Go Test
timeFrame: Day 0 - Day 45
measure: 2 Minute Walk Test
timeFrame: Day 0 - Day 45
measure: Barthel Index
timeFrame: Day 0 - Day 45
Secondary outcomes:
Other outcomes:
Locations:
city: Sultanbeyli
country: Turkey
facility: Private Ersoy Hospital
state: Istanbul
Study officials:
affiliation: Department of Physiotherapy and Rehabilitation - Marmara University
name: Zubeyir Sarı, Assoc Prof
role: STUDY_CHAIR
affiliation: Department of Physiotherapy and Rehabilitation - Marmara University
name: Sergen Ozturk, PT
role: PRINCIPAL_INVESTIGATOR
References:
citation: Johnson W, Onuma O, Owolabi M, Sachdev S. Stroke: a global response is needed. Bull World Health Organ. 2016 Sep 1;94(9):634-634A. doi: 10.2471/BLT.16.181636. No abstract available.
citation: Nedeltchev K, der Maur TA, Georgiadis D, Arnold M, Caso V, Mattle HP, Schroth G, Remonda L, Sturzenegger M, Fischer U, Baumgartner RW. Ischaemic stroke in young adults: predictors of outcome and recurrence. J Neurol Neurosurg Psychiatry. 2005 Feb;76(2):191-5. doi: 10.1136/jnnp.2004.040543.
citation: Huang CY, Lin GH, Huang YJ, Song CY, Lee YC, How MJ, Chen YM, Hsueh IP, Chen MH, Hsieh CL. Improving the utility of the Brunnstrom recovery stages in patients with stroke: Validation and quantification. Medicine (Baltimore). 2016 Aug;95(31):e4508. doi: 10.1097/MD.0000000000004508.
citation: Kim S, Yuk GC, Gak H. Effects of the horse riding simulator and ball exercises on balance of the elderly. J Phys Ther Sci. 2013 Nov;25(11):1425-8. doi: 10.1589/jpts.25.1425. Epub 2013 Dec 11.
citation: Ciou SH, Hwang YS, Chen CC, Chen SC, Chou SW, Chen YL. Balance training using an interactive game to enhance the use of the affected side after stroke. J Phys Ther Sci. 2015 Dec;27(12):3855-61. doi: 10.1589/jpts.27.3855. Epub 2015 Dec 28.