Efficacy of Hippotherapy Simulator Exercise Program in Stroke Patients
Study Details
Study Description
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.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
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.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Hippotherapy Simulator Group 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 walking aid, To be able to understand and follow audio and visual warnings, Scoring 24 points or more from the Mini Mental State Exam. |
Other: Hippotherapy Simulator
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.
|
| Experimental: Conventional Exercise Group 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 walking aid, To be able to understand and follow audio and visual warnings, Scoring 24 points or more from the Mini Mental State Exam. |
Other: Conventional 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.
|
Outcome Measures
Primary Outcome Measures
- 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.
- 2 Minute Walk Test [Day 0 - Day 45]
2 Minute Walk Test (2MWT) is a measure of self-paced walking ability and functional capacity.
- 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).
Eligibility Criteria
Criteria
Inclusion Criteria:
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Getting a diagnosis of stroke by a specialist physician,
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Being between the ages of 18-65,
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Having a stroke history of 3- 36 months,
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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,
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Scoring 24 points or more from the Mini-Mental State Exam.
Exclusion Criteria:
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Multiple stroke stories,
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Hemorrhagic type stroke history,
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Those with a history of falling in the past 1 year,
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Those with a history of epilepsy,
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Uncontrolled history of Hypertension and Diabetes
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Private Ersoy Hospital | Sultanbeyli | Istanbul | Turkey | 34920 |
Sponsors and Collaborators
- Marmara University
Investigators
- Study Chair: Zubeyir Sarı, Assoc Prof, Department of Physiotherapy and Rehabilitation - Marmara University
- Principal Investigator: Sergen Ozturk, PT, Department of Physiotherapy and Rehabilitation - Marmara University
Study Documents (Full-Text)
None provided.More Information
Publications
- Huang CY, Lin GH, Huang YJ, Song CY, Lee YC, How MJ, Chen YM, Hsueh IP, Chen MH, Hsieh CL. Improving the utility of the Brunnstrom recovery stages in patients with stroke: Validation and quantification. Medicine (Baltimore). 2016 Aug;95(31):e4508. doi: 10.1097/MD.0000000000004508.
- Johnson W, Onuma O, Owolabi M, Sachdev S. Stroke: a global response is needed. Bull World Health Organ. 2016 Sep 1;94(9):634-634A.
- Nedeltchev K, der Maur TA, Georgiadis D, Arnold M, Caso V, Mattle HP, Schroth G, Remonda L, Sturzenegger M, Fischer U, Baumgartner RW. Ischaemic stroke in young adults: predictors of outcome and recurrence. J Neurol Neurosurg Psychiatry. 2005 Feb;76(2):191-5.
- 09.2018.425