Effect of Hippotherapy and Schroth Exercise on Pulmonary Function and Aerobic Capacity in Idiopathic Scoliosis

Overview

BACKGROUND: Idiopathic scoliosis has been identified as a common spinal malalignment that negatively impacts the respiratory system and physical conditioning in adolescents. Hippotherapy is an equestrian intervention that optimizes physical performance and mobility in a bunch of contexts; however, its influence on pulmonary function remains unclear. AIM: This research aimed to analyze the impact of ten weeks of hippotherapy combined with Schroth exercises on ventilatory function and aerobic capacity in AIS. DESIGN: Randomized Controlled Trial SETTING: Outpatients attend a single center that includes a rehabilitation room and recreational riding center. POPULATION: Forty-five patients were arbitrarily recruited to the experimental (N= 22) and control group (N=23). METHODS: Patients in the experimental group received 30 minutes of walking and sitting trot training, 15 sessions split into 2 phases over ten weeks. The two groups attended a 60-minute session of Schroth's intervention, 3 times/ week for 10 weeks. Two-way ANOVA for between-group comparisons and independent t-test for within-group comparisons were used in the statistical analysis.

Full Title of Study: “Efficacy of Hippotherapy Combined With Schroth Exercises on Pulmonary Function and Aerobic Capacity in Adolescents With Idiopathic Scoliosis: A Randomized Controlled Trial”

Study Type

  • Study Type: Interventional
  • Study Design
    • Allocation: Randomized
    • Intervention Model: Parallel Assignment
    • Primary Purpose: Treatment
    • Masking: None (Open Label)
  • Study Primary Completion Date: December 18, 2020

Detailed Description

A total of 45 patients (13 males and 32 females) participated in the current study. The participants were assigned to one of two groups in a random manner: an experimental group who received hippotherapy combined with Schroth Exercise and the control group who received only schorth exercise. (FVC, FEV1, FEV1/FVC, MVV, and 6MWT) were measured before and after 10 weeks intervention

Interventions

  • Other: hippotherapy and schroth exercise
    • pulmonary function and aerobic capacity were measured in patients with mild idiopathic scoliosis before and after 10-week hippotherapy intervention combined with Schroth exercise
  • Other: schroth exercise
    • pulmonary function and aerobic capacity were measured in patients with mild idiopathic scoliosis before and after 10-week of Schroth exercise

Arms, Groups and Cohorts

  • Experimental: study
    • received hippotherapy combined with Schroth Exercise hippotherapy session for 30 minutes of walking and sitting trot training, 15 sessions split into 2 phases over ten weeks in addition to 60-minute session Schroth’s intervention, 3 times/ week for 10 weeks
  • Active Comparator: Control
    • received Schroth’s intervention for a 60-minute session, 3 times/ week for 10 weeks

Clinical Trial Outcome Measures

Primary Measures

  • pulmonary function
    • Time Frame: ten weeks
    • FVC,FEV1,MVV,FEV1/FVC
  • aerobic capacity
    • Time Frame: ten weeks
    • 6MWT

Participating in This Clinical Trial

Inclusion Criteria

  • all types of curves, – curves between 10 and 20 degrees (29), – Risser grade 0 to 5 – the availability to be engaged in once a week visit Exclusion Criteria:

Adolescents with:

  • obstructive pulmonary diseases – associated neuromuscular diseases – recent infectious episodes in the previous two months – history of cardiovascular or psychological disorders – any significant history of riding horses

Gender Eligibility: All

Minimum Age: 12 Years

Maximum Age: 18 Years

Are Healthy Volunteers Accepted: No

Investigator Details

  • Lead Sponsor
    • Batterjee Medical College
  • Collaborator
    • Taif University
  • Provider of Information About this Clinical Study
    • Principal Investigator: Mohamed A. Abdel Ghafar, associate Professor – Batterjee Medical College
  • Overall Official(s)
    • Mohamed M. Abdel Ghafar, Ph.D, Principal Investigator, Batterjee Medical College

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