Hippotherapy Versus Swiss Ball Training to Improve Trunk Control and Balance on Spastic Daiplegic Cerebral Palsy

NCT06047756 — Not applicable, Completed, 52 participants, Riphah International University

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Effects of Hippotherapy Versus Swiss Ball Training to Improve Trunk Control and Balance on Spastic Daiplegic Child

Registry	NCT06047756
Status	Completed
Phase	Not applicable
Study type	Interventional; randomized, parallel, masking: double, treatment
Enrollment	52 (Actual)
Sponsor	Riphah International University (Other)
Conditions	Cerebral Palsy Spastic Diplegia
Interventions	Hippotherapy, Swiss Ball therapy (Other)
Dates	start 2023-03-01, primary completion 2024-01-01, completion 2024-01-01, first posted 2023-09-21, last updated 2025-11-21
Locations	1 site in Pakistan

-Summary

To compare effect in both intervention

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+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

+Arms and interventions

Arm	Type	Interventions	Description
Hippotherapy	Experimental	Other: Hippotherapy	Patients suffering with diplegic therapy will perform their exercise protocols on a stationary horse.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 direction to encourage active postural control, trunk strength, balance and trunk/pelvic dissociation.30 minutes to 1 hour with a frequency ranging from 4 sessions per week and the total duration of horseback riding 6 weeks.
Swiss Ball therapy	Active comparator	Other: Swiss Ball therapy	Children of second group will receive swiss ball therapy. 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

Hippotherapy (Other): Patient will perform different movement of the trunk while sitting on a horse.
Swiss Ball therapy (Other): Patient will perform movements of trunk on swiss ball

+Outcome measures

Primary outcomes

Gross Motor Functional Scale [6weeks]: Changes from baseline The Gross Motor Function Measure (GMFM) is an observational clinical tool designed to evaluate change in gross motor function in children with cerebral palsy.Greater score means higher functional level
Trunk Control Measurement Scale [6 weeks]: Changes from Baseline The TCMS scale assesses seated trunk control in three dimensions. The maximum score is 58 points where 20 points correspond to static balance, 28 to selective movement control, and 10 to the ability to perform dynamic reaching
Pediatric Balance Scale [6 weeks]: Changes from Baseline Pediatric Balance Scale is a modified version of the Berg Balance Scale that is used to assess functional balance skills in school-aged children. The scale consists of 14 items that are scored from 0 points (lowest function) to 4 points (highest function) with a maximum score of 56 points

+Eligibility

Sex: All, ages: 4 Years to 12 Years

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)

+Locations (1)

Facility	City	Country	Status
Helping hand for relief and development	Dīr, Khyberpakhtunkhuwa	Pakistan

+Investigators

Ayesha Bashir, MSNMPT, Principal investigator, Riphah international University Islamabad