Cerebral Palsy
Conditions
Interventions
Pre experiment design with repeated measures over time
Sample size of 25 children with cerebral palsy received 40 sessions of Hippotherapy in all. Each session will have 30 minutes of effective hippotherapy exercises, with a frequency of once a week. The
by the Pediatric Balance Scale (PBS), Ability to Walk by the 1MTW test, Modified Mobility Test (mTUG), Modified Ashworth Scale (MAS), Pediatric Reach Test (RPT), before the start of sessions, every 8
A16
A24
A32
POST), and after the 40 sessions. Three (B1
B2 and B3) collections will also be made throughout the equine therapy sessions (B1: pre
B2: in the 20th session and B3: in the 40th session. The sample will come from the waiting lists of Equine Therapy Centers in the Federal District , from Assistance Projects in Neuropediatrics at Univ
Sponsors
Universidade de Brasília
Universidade de Brasília
Eligibility
Age
4 Years to 14 Years
Inclusion criteria
Inclusion criteria: Having a medical diagnosis of Cerebral Palsy with an indication for the practice of hippotherapy through an appropriate assessment. Have from 2 to 14 years old. Possess cognitive ability to respond satisfactorily to the commands requested so that they are able to participate in data collection. Remain in the bipedal orthostatic position without using shoes or orthotics for 20 seconds. Have independent gait without and with the use of devices due to the data collection procedure. Have hip abduction of at least 20 degrees to remain seated on the horse. Children could undergo conventional physical therapy in addition to Riding Therapy.
Exclusion criteria
Exclusion criteria: Do not meet the requirements of the inclusion criteria. Have undergone a surgical procedure in the last 12 months or are planning a surgery for the research period. Have performed neuromuscular chemical block for less than 6 months or are planning to perform it during the research period. Have uncorrected visual or hearing deficits. Having uncontrolled seizures, hip dislocation, excessive contracture of adductors and severe osteoporosis or any other reason that prevents you from riding a horse, such as excessive fear. If they do not have at least 75% attendance at hippotherapy sessions.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Expected Outcome 1. Improvement of postural balance standing and seated measured by the force platform, by decreasing the amplitude of the anteroposterior displacement; amplitude of mediolateral displacement; displacement speed and total length of the center of pressure path, over a year of hippotherapy. | — |
Secondary
| Measure | Time frame |
|---|---|
| Expected Outcome 2. Improved ability to walk assessed by the One Minute Test (1MWT) by increasing speed and distance covered, over a year of hippotherapy. ;Expected Outcome 3. Improved functional mobility assessed using the Modified Mobility Test (mTUG), by decreasing the time in seconds, over a year of hippotherapy. ;Expected Outcome 4. Improvement in Functional Balance as measured by the Pediatric Balance Scale (PBS), through the total increase in the total score, over a year of hippotherapy. ;Expected Outcome 5. Improvement of dynamic posture evaluated through the Force Platform with the Pediatric Reach Test (RPT), through the greater amplitude of displacement of the center of pressure in the anteroposterior direction, mediolateral and the distance in cm, over a period of time. year of hippotherapy.;Expected outcome 5. Improvement in spasticity, measured by the modified Ashworth scale (MAS), through the decrease in the score, pre and after one year of hippotherapy. | — |
Countries
Brazil
Contacts
Public ContactNatiéle Meincke
Universidade de Brasília
Outcome results
None listed