Stroke
Conditions
Keywords
Hippotherapy, Cerebrovasculer disorders, Stroke Rehabilitation, Balance, Exercise
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.
Interventions
Patients in the hippotherapy simulator group received 30 sessions of treatment for 6 weeks, 5 days a week and 1 hour a day. 45 minutes of Neurodevelopmental treatment exercises and 15 minutes of hippotherapy simulation exercise program were applied to the participants in this group.
OTHERConventional Exercise
Patients in the conventionnal exercise group received 30 sessions of treatment for 6 weeks, 5 days a week and 1 hour a day. 60 minutes of Neurodevelopmental treatment exercises were applied to the participants in this group.
Sponsors
Marmara University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)
Intervention model description
One group received hippotherapy exercise, while the other group received conventional exercise.
Eligibility
Sex/Gender
ALL
Age
18 Years to 65 Years
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 2 Minute Walk Test | Day 0 - Day 45 | 2 Minute Walk Test (2MWT) is a measure of self-paced walking ability and functional capacity. |
| Berg Balance Scale | Day 0 - Day 45 | The Berg balance scale is used to objectively determine a patient's ability (or inability) to safely balance during a series of predetermined tasks. It is a 14 item list with each item consisting of a five-point ordinal scale ranging from 0 to 4, with 0 indicating the lowest level of function and 4 the highest level of function and takes approximately 20 minutes to complete. |
| Postural Assessment Scale for Stroke | Day 0 - Day 45 | It measures the ability of an individual with stroke to maintain stable postures and equilibrium during positional changes. It consists of a 4-point scale where the items are scored from 0 to 3, and the total scoring ranges from 0 to 36 |
| Rivermead Mobility Index | Day 0 - Day 45 | The Rivermead Mobility Index assesses functional mobility in gait, balance and transfers after stroke. |
| Timed Up and Go Test | Day 0 - Day 45 | The Timed Up and Go (TUG) test is a performance-based measure of functional mobility that was initially developed to identify mobility and balance impairments in older adults. |
| Barthel Index | Day 0 - Day 45 | The Barthel Scale/Index (BI) is an ordinal scale used to measure performance in activities of daily living (ADL). |
Countries
Turkey (Türkiye)
Outcome results
None listed