Clinical trial NCT06047756: Hippotherapy Versus Swiss Ball Training to Improve Trunk Control and Balance on Spastic Daiplegic Cerebral Palsy
Official title: Effects of Hippotherapy Versus Swiss Ball Training to Improve Trunk Control and Balance on Spastic Daiplegic Child
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Cerebral Palsy Spastic Diplegia
Lead sponsor: Riphah International University
Sponsor class: OTHER
First posted: 2023-09-21
Enrollment: 64
Sex: ALL
Minimum age (years): 4
Maximum age (years): 12
Standard ages: CHILD
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: TREATMENT

Brief summary: To compare effect in both intervention

Detailed description: In this study we will compare the effects of hippotherapy and swiss ball therapy. Our objectives of the study are To compare the effects of hippotherapy and Swiss ball training, to improve trunk control and balance on spastic diplegic cerebral palsy

Hypothesis:

Alternative hypothesis:

There will be significant difference between the effects of hippotherapy and Swiss ball training to improve trunk control and balance on spastic diplegic cerebral palsy

Null hypothesis:

There will be no significant difference between the effects of hippotherapy and Swiss ball training to improve trunk control and balance on spastic diplegic cerebral palsy. This study will include total 64 participants. Calculated by Open Epitool.64patients will be divided in to 2 groups with equal sample size through sealed envelop method. Group A will receive hippotherapy while group B will receive swiss ball therapy.

Group A Intervention:

The child is seat astride the horse wearing a helmet and was encouraged to perform various activities designed to emphasize movement in a forward and upward reaching and side to side direction to encourage active postural control, trunk strength, balance and trunk/pelvic dissociation.30 minutes with a frequency ranging from 4 sessions per week and the total duration of horseback riding 6 weeks .Position the child to sit on the ball and giving forward, backward and side to side movement to the child. This will facilitate trunk rotation by which the upper body is towards the weight bearing hip and away from the weight bearing hip. Training program 4 times per weeks with the treatment session of 30.

Group B Intervention:

Position the child to sit on the ball and giving extension rotation and flexion rotation to the child. This will facilitate trunk rotation by which the upper body is towards the weight bearing hip and away from the weight bearing hip.Training program 4 times per weeks with the treatment session of 30 minutes for 6 weeks duration minutes for 6 weeks duration.

Trunk Control Will be measured by three outcome measures which include trunk control measurement scale ,gross motor function scale and pediatric balance scale. Intervention will be given for 6 weeks.Assesment will be done on baseline, after 3 and 6 weeks.

Eligibility criteria: Inclusion Criteria:• Children (male and female)

* Age group 4 to 11 years
* Subject diagnosed with CP
* Mild Spastic Diaplegic of the lower limbs according to the modified ashworth scale grade 1 to 1+
* GMFM scale sitting balance score less than 20
* Medically stable and able to understand commands

Exclusion Criteria:• Children with mental retardation,

* Epilepsy, other associated neurological disorders, other type of cerebral palsy,
* Attention deficit hyperactivity disorder and sensory issues(poor visual or hearing acuity)

Primary outcomes:
measure: Gross Motor Functional Scale
timeFrame: 6weeks
measure: Trunk Control Measurement Scale
timeFrame: 6 weeks
measure: Pediatric Balance Scale
timeFrame: 6 weeks
Secondary outcomes:
Other outcomes:
Locations:
city: Dīr
country: Pakistan
facility: Helping hand for relief and development
state: Khyberpakhtunkhuwa
Study officials:
affiliation: Riphah international University Islamabad
name: Ayesha Bashir, MSNMPT
role: PRINCIPAL_INVESTIGATOR
References: