None listed
Conditions
Brief summary
Cerebral Palsy (CP) in a diplegia features type imposes a series of commitments including abnormal gait, which makes the acquisition of a gross motor activity less elaborate. A variety of techniques have been used for the treatment and improvement of motor performance of children with CP. Among them the stationary cycling and Hippotherapy, according to some literature promotes a better performance in the assessment of gross motor function, as measured according to the GMFM88 protocol (Gross Motor Function Measure). Considering that the mentioned benefits cited arose from studies using independent techniques, the purpose associated with this research was to verify their effectiveness in a combined application on three children with spastic diplegia, aged between 5 and 10 years. All classified in levels 1 and 2 of the GMFCS. The results from the statistical parameters of the GMFM test revealed an improvement in the scores of items for all subjects, being significant for the individual who was trained in conjunction compared to those who made the practice of hippotherapy and stationary cycling, respectively. In percentage terms the improvement in the total of the two dimensions studied by the GMFM were 19%, 8% and 4% for the individual treatment associated hippotherapy and stationary cycling, in that order. For the two other instruments also used goniometry to assess passive range of motion of lower limb and Ashworth scale quantifying the degree of spasticity of the lower limb muscles showed positive gains for all participants. Likely that these gains reflected upon the improvement observed in gross motor skills.
Interventions
Hippotherapy practice, (kind of therapy that uses the horse's movement to improve the motor control and to provide carefully graded sensory input) 10 times, once a week for a total of 10 weeks, during 30 minutes
Stationary cycling 10 times, once a week for a total of 10 weeks, during 10 minutes
Sponsors
Ana Cecilia Del Duca Frazao
Study design
Allocation
Non-randomised trial
Intervention model
Factorial
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
Male
Age
5 Years to 10 Years
Healthy volunteers
No
Inclusion criteria
Cerebral palsy diagnosis, diplegia type, capacity to understand simple commands, can walk with or without assistance, classified in Gross Motor Function Classification System (GMFCS) I or II.
Exclusion criteria
No orthopaedic surgery, no botox, cannot understand simple commands
Outcome results
None listed