Clinical Trials Logo

Clinical Trial Summary

This study showed that the addition of hippotherapy to Schroth exercises is more effective in improving postural asymmetry and balance ability in adolescents with idiopathic scoliosis compared to Schroth exercises alone. Therefore, this combination should be considered during designing a rehabilitation program for AIS


Clinical Trial Description

The hippotherapy program started with a physical therapy assessment to develop specific corrective movements to be practiced while riding the horse based on the direction of the spinal curvature. Interventions were performed by a licensed physical therapist experienced with hippotherapy at two local therapeutic riding centers. The participants received 15 sessions split into two phases over 10 weeks. In the first phase, during the first 5 weeks, they performed 30 minutes of walking and sitting trot training without a stirrup iron once a week. The frequency was then raised to twice a week for the rest of the treatment program. Before the start of the intervention, two familiarization sessions were given to clarify safety guidelines, riding mistakes, and create a riding rapport with the horse. The individuals wore protective helmets during each hippotherapy session and mounted on a moving horse on walk and/or trot performing different positions, namely forward astride, side sitting, backward astride, sometimes with transitions between positions and often while the horse was moving. To restore normal alignment of the spine, participants were also asked to ride without holding on with their hands to perform self-correction movements. Examples of these movements include raising both arms high to decrease the degree of thoracic kyphosis, bending the upper trunk towards the convex side of the curve, raising the arm on the concave side with scapular adduction to level both shoulders. To correct pelvic obliquity, a small pad was put under the hip on the side of the lumbar convexity. Under the instructions of the physical therapist, a leader pulled the horse reins in front to control the horse gait, gait velocity, and orient the horse in different directions . All these movements activate the patient's neuromuscular and sensory reactions. Both groups performed Schroth exercises that are patient-specific asymmetric exercises with rotational breathing methods used for three-dimensional correction. For the first 2 weeks, there were five 1-h long individual sessions during which the participants were trained in their home exercise program. This was followed by 1-h weekly visits and paired with their daily home exercises. These exercises aimed to provide and promote enhanced postural control by using asymmetrical standing postural exercises specifically designed to restore body balance and mobility. During ground exercises, aid pads were used to build pressure for costal protrusions and/or trunk asymmetry correction. Postural correction was facilitated by rotational breathing exercises focusing on the concave side of the thorax. During the therapy sessions, postural correction principles of the Schroth process, axial elongation, deflection, de-rotation, facilitation, stabilization, were used. ;


Study Design


Related Conditions & MeSH terms


NCT number NCT04885023
Study type Interventional
Source Batterjee Medical College
Contact
Status Completed
Phase N/A
Start date February 20, 2020
Completion date March 7, 2021

See also
  Status Clinical Trial Phase
Completed NCT01795495 - Methadone vs Magnesium in Spinal Fusion Phase 2
Recruiting NCT04539522 - Efficacy of a Three-dimensionally Corrective Exercise Therapy for Scoliosis N/A
Recruiting NCT05128279 - Adolescent and Young Adulte Scoliosis
Withdrawn NCT04633031 - The Effect of Bracing on Sagittal Balance in Scoliosis
Recruiting NCT03978273 - Effects of Real-Time Feedback Assisted Self-Correction on the Posture of Scoliotic Patients N/A
Recruiting NCT06161038 - Precision Medicine for Nociception, Sngception and Proprioception. N/A
Not yet recruiting NCT06055140 - Evaluation of Thoracolumbar Fascia and Relationship With Low Back Pain in Individuals With Idiopathic Scoliosis
Active, not recruiting NCT05001568 - Validation of a New Optimized Nighttime Providence Brace for Personalized Treatment of Adolescent Idiopathic Scoliosis N/A
Terminated NCT03663088 - Effect of Global Postural Re-education in Idiopathic Scoliosis N/A
Recruiting NCT05575596 - Influence of Social Deprivation and Remoteness on Quality of Life in Adolescent's Surgical Scoliosis
Completed NCT04714632 - Function of Inner Ear Such as Balance and Perception of Verticality in Children With Idiopathic Scoliosis
Not yet recruiting NCT05347056 - The Effect of Vertebral Body Tethering on Lumbar Paraspinal Muscle Cross-Section Area in Adolescent Idiopathic Scoliosis
Completed NCT05333796 - The Effect of Back Muscles Activation on Idiopathic Scoliosis Using Surface Electromyography N/A
Completed NCT03190668 - Skeletal Muscle and Adipose Tissue Study Phase 4
Completed NCT03209752 - Prediction of 3D Effect of Brace in Idiopathic Scoliosis Treatment Using EOS Imaging System and "Anatomic Transfer".
Active, not recruiting NCT02651324 - Efficacy of Ketamine for Improvement in Postoperative Pain Control After Spinal Fusion for Idiopathic Scoliosis Phase 4
Completed NCT01019109 - Scoliosis Surgery Using the PASS® LP System
Not yet recruiting NCT06407843 - Effects of Schroth Method in Idiopathic Scoliosis N/A
Not yet recruiting NCT06298812 - REFLECT Scoliosis System Post Approval Study N/A
Recruiting NCT06331143 - Analgesic Efficacy of Mid-Transverse Process to Pleura (MTP) Block and Intrathecal Morphine in Idiopathic Scoliosis Patients Undergoing Posterior Spinal Fusion N/A