Cerebral Palsy, Motor Activity
Conditions
Keywords
cerebral palsy, horseback riding
Brief summary
The purpose of this study is to develop healing riding algorithm applicable in rural riding centers and to apply this to children with cerebral palsy.
Detailed description
Horseback riding activities in Korea's riding centers have mostly centered on physical rehabilitation for children with special needs, including those with cerebral palsy, mental disabilities, and autism, with the program conducted by certified equine-assisted therapy instructors. However, there is no definite way to assess the ability of children for horseback riding and no standard riding program. Therefore, developing a assessment and program algorithm for healing horseback riding is expected to contribute to providing more activities for children with special needs and also for general people. Children older than 4 years old or adolescent with cerebral palsy who voluntarily want to enroll this study would be enrolled. Participants have 2 times of 30-minute horse riding program for 8 weeks, total 16 times of riding program in a local horse riding center. Sample size assessment: Calculating for 20% of drop out, 16 patients were calculated to apply the assessment and applicable program. Drop out: missing more than 2 lessons of horse-riding Plan for missing data: not included Statistical analysis plan: paired t-test for the outcome measures
Interventions
BEHAVIORALHorseback riding therapy
Apply 30 minutes/session, twice a week for 8 weeks of horseback riding therapy (provided with 1 horse rider, 2 side walkers)
Sponsors
Konkuk University
Samsung Medical Center
The Catholic University of Korea
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
5 Years to 18 Years
Healthy volunteers
No
Inclusion criteria
* Children or adolescent with cerebral palsy * GMFCS level I, II, III * Body weight less than 80 kg
Exclusion criteria
* Medical condition who are not suitable for hippotherapy: severe osteoporosis, mental illness, not controlled seizure disorder etc. * Social condition who are not suitable for hippotherapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change of gross motor function (assessment of GMFM-88) | Before the program starts (up to 2 weeks), After the program ends (up to 2 weeks) | Assessment of GMFM-88 before and after the 16 sessions of horse riding program |
| Change of Berg balance (assessment of pediatric berg balance scale) | Before the program starts (up to 2 weeks), After the program ends (up to 2 weeks) | Assessment of pediatric berg balance scale before and after the 16 sessions of horse riding |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Actigraph (to monitor activity) | During the horse riding therapy/ | wear an Actigraph to monitor activity of children |
| Child Health Questionnaire (CHQ) | Before the program starts (up to 2 weeks), After the program ends (up to 2 weeks) | Caregivers answer the sheets |
| Postural Assessment Scale for Hippotherapy (PASH) | From starting the therapy, every 2 weeks re-evaluated through study completion, in total 4 times | Developed tool for assessment of ability for hippotherapy |
Countries
South Korea
Outcome results
None listed