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Trial registered on ANZCTR
Registration number
ACTRN12609000810213
Ethics application status
Approved
Date submitted
15/09/2009
Date registered
17/09/2009
Date last updated
17/09/2009
Type of registration
Retrospectively registered
Titles & IDs
Public title
Hippotherapy and cycling in children with cerebral palsy
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Scientific title
The hippotherapy associated with stationary cycling: effectiveness in gross motor function in cerebral palsied children
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Secondary ID [1]
1099
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Nil
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Universal Trial Number (UTN)
U1111-1111-8341
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Cerebral Palsy
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Condition category
Condition code
Neurological
240018
240018
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0
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Other neurological disorders
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Physical Medicine / Rehabilitation
240019
240019
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0
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Physiotherapy
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Hippotherapy practice, (kind of therapy that uses the horse's movement to improve the motor control and to provide carefully graded sensory input) 10 times, once a week for a total of 10 weeks, during 30 minutes
Stationary cycling 10 times, once a week for a total of 10 weeks, during 10 minutes
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Intervention code [1]
241277
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Rehabilitation
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Comparator / control treatment
Active control, one child practiced hippotherapy (10 times, once a week for a total of 10 weeks, during 30 minutes), another one practiced stationary cycling (10 times, once a week for a total of 10 weeks, during 10 minutes), and the third practice both hippotherapy and stationary cycling, with the same parameters for frequency, duration and time.
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Control group
Active
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Outcomes
Primary outcome [1]
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GMFM (Gross Motor Function Measure) in D and E dimensions
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Assessment method [1]
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Timepoint [1]
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at baseline and at 10 weeks after commencement of the intervention
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Secondary outcome [1]
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Optimal passive angle of lower limb joints measured by goniometry.
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Assessment method [1]
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Timepoint [1]
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at baseline and at 10 weeks after commencement of the intervention
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Secondary outcome [2]
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Spasticity for iliopsoas muscle, quadriceps muscle, adductors muscle,gastrocnemius muscle and soleus muscle, measured by Ashworth scale
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Assessment method [2]
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Timepoint [2]
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at baseline and at 10 weeks after commencement of the intervention
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Eligibility
Key inclusion criteria
Cerebral palsy diagnosis, diplegia type, capacity to understand simple commands, can walk with or without assistance, classified in Gross Motor Function Classification System (GMFCS) I or II.
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Minimum age
5
Years
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Maximum age
10
Years
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Sex
Males
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Can healthy volunteers participate?
No
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Key exclusion criteria
No orthopaedic surgery, no botox, cannot understand simple commands
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Factorial
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
9/03/2009
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
3
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
2141
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Brazil
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State/province [1]
2141
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Rio de Janeiro
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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Castelo Branco University
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Address [1]
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Av. de Santa Cruz, 1631 - Realengo, Rio de Janeiro - RJ, 21710-255
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Country [1]
243739
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Brazil
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Primary sponsor type
Individual
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Name
Ana Cecilia Del Duca Frazao
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Address
Av. Pasteur 493, apt 04, Urca - Rio de Janeiro / CEP 22290240
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Country
Brazil
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Secondary sponsor category [1]
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Other Collaborative groups
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Name [1]
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Center of Hippotherapy and Reabilitation in Military Village (CERVIM)
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Address [1]
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Avenida Brasil, 27.195, Vila Militar, Deodoro - Rio de Janeiro- RJ / CEP 21615333
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Country [1]
237100
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Brazil
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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Ethics committee in Research of Castelo Branco University
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Ethics committee address [1]
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Av. de Santa Cruz, 1631 - Realengo, Rio de Janeiro - RJ, CEP 21710-255O
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Ethics committee country [1]
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Brazil
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Date submitted for ethics approval [1]
243863
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Approval date [1]
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26/03/2009
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Ethics approval number [1]
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0031/2009
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Summary
Brief summary
Cerebral Palsy (CP) in a diplegia features type imposes a series of commitments including abnormal gait, which makes the acquisition of a gross motor activity less elaborate. A variety of techniques have been used for the treatment and improvement of motor performance of children with CP. Among them the stationary cycling and Hippotherapy, according to some literature promotes a better performance in the assessment of gross motor function, as measured according to the GMFM88 protocol (Gross Motor Function Measure). Considering that the mentioned benefits cited arose from studies using independent techniques, the purpose associated with this research was to verify their effectiveness in a combined application on three children with spastic diplegia, aged between 5 and 10 years. All classified in levels 1 and 2 of the GMFCS. The results from the statistical parameters of the GMFM test revealed an improvement in the scores of items for all subjects, being significant for the individual who was trained in conjunction compared to those who made the practice of hippotherapy and stationary cycling, respectively. In percentage terms the improvement in the total of the two dimensions studied by the GMFM were 19%, 8% and 4% for the individual treatment associated hippotherapy and stationary cycling, in that order. For the two other instruments also used goniometry to assess passive range of motion of lower limb and Ashworth scale quantifying the degree of spasticity of the lower limb muscles showed positive gains for all participants. Likely that these gains reflected upon the improvement observed in gross motor skills.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Ana Cecilia Del Duca Frazao
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Address
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Av. Pasteur 493, apt 04, Urca, Rio de Janeiro - RJ CEP: 22290240
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Country
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Brazil
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Phone
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55 21 99730033
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Fax
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55 21 24574791
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Email
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[email protected]
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Contact person for scientific queries
Name
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Ana Cecilia Del Duca Frazao
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Address
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Av. Pasteur 493, apt 04, Urca, Rio de Janeiro - RJ CEP: 22290240
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Country
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Brazil
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Phone
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55 21 99730033
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Fax
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55 21 24574791
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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