Hippotherapy to Improve the Balance of Children With Movement Disorders (HPOT)
The purpose of this study is to determine if adding hippotherapy treatment will improve balance for children ages 5-17 who have disabilities such as cerebral palsy and down syndrome. We also want to find out if by improving their balance the children increase their participation in age appropriate activities.
Developmental Coordination Disorder
|Study Design:||Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
|Official Title:||Hippotherapy to Improve Balance Deficits in a Cohort of Children With Movement Disorders: A Pilot Study|
- Pediatric Balance Scale [ Time Frame: 8-9 weeks ] [ Designated as safety issue: No ]The Pediatric Balance Scale (PBS) is a standardized 14 item test of various component activities related to balance. It is a modified child version of the adult Berg Balance Scale. The PBS has high total score test-retest reliability of ICC (3,1) =0.998, as well as good interrater reliability (ICC(3,1) = 0.997).1
- Activities Scale for Kids [ Time Frame: 8-9 weeks ] [ Designated as safety issue: No ]Activities Scale for Kids - Participation (ASKp) is a self-administered 30 item questionaire that measures the impact of children's disability to overall function and participation within relevant environments. It correlates well with parent reports on the Childhood Health Assessment Questionnaire (r=0.81, p<0.000) and clinician observations of children's function (ICC=0.92, p<0.000).
|Study Start Date:||September 2006|
|Study Completion Date:||December 2007|
|Primary Completion Date:||December 2007 (Final data collection date for primary outcome measure)|
Experimental: Treatment group
Children between 5-17 years who have balance deficits related to any movement disorder (preferably neuromuscular)
Children will receive treatment by a licensed physical therapist using hippotherapy as the treatment strategy. This includes sitting on a horse who's movement is controlled by a horse leader, with the PT directing the movements required of the horse, as well as supplying supplemental cues to the participant. Alternative positions (such as sitting backward and sideways) may also be used during the treatment session.
The primary purpose of this study is to determine the effects of hippotherapy on the balance of children with developmental disorders that cause mild to moderate balance problems. The secondary purpose is to determine if the use of hippotherapy also improves perceived functional abilities and thus quality of life as measured by the pediatric balance scale and Activities Scale for Kids (respectively)
|United States, Michigan|
|CHUM Therapeutic Riding Center|
|Dansville, Michigan, United States, 48854|
|Principal Investigator:||Debbie J Silkwood-Sherer, PT, DHS||Central Michigan University|