[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100584308":3},{"organization":4,"armGroups":7,"interventions":20,"overallOfficials":24,"centralContacts":24,"locations":29,"responsibleParty":51,"collaborators":53,"id":57,"slug":58,"hasResults":59,"nctId":60,"briefTitle":61,"officialTitle":61,"acronym":24,"eligibilityCriteria":62,"healthyVolunteers":59,"sex":63,"minAge":64,"maxAge":65,"enrollmentInfo":66,"targetDuration":24,"studyType":69,"phases":70,"briefSummary":72,"conditions":73,"keywords":75,"overallStatus":31,"whyStopped":24,"lastUpdateSubmitDate":84,"lastUpdatePostDateStruct":85,"startDateStruct":88,"completionDateStruct":90,"leadSponsor":92,"locationsCount":93},{"fullName":5,"class":6},"University of Montana","OTHER",[8,14],{"label":9,"type":10,"description":11,"interventionNames":12},"Play-Based Physical Therapy","ACTIVE_COMPARATOR","Participants in the control group will receive 8 weeks of standard play-based PT, 2 x 1-hour sessions per week, for a total of 16 hours. The sessions will be implemented by a licensed PT.",[13],"Other: Standard Play-Based Physical Therapy",{"label":15,"type":16,"description":17,"interventionNames":18},"Physical Therapy Using Hippotherapy and the Equine Environment","EXPERIMENTAL","Participants in the intervention group will receive 8 weeks of PT using hippotherapy and the equine environment, 2 x 1-hour sessions per week (16 hours total). Treatment will be provided by a licensed PT with the recommended training to incorporate hippotherapy and the equine environment into treatment (American Hippotherapy Association (AHA) Inc. Hippotherapy Treatment Principles Part I and II). Each therapist will work with an equine professional with PATH Intl. Therapeutic Riding Instructor Certification, to ensure that therapists adhere to industry standards for safety and handling of the equines.",[19],"Other: Physical Therapy Using Hippotherapy and the Equine Environment",[21,25],{"type":6,"name":15,"description":22,"armGroupLabels":23,"otherNames":24},"Subjects will be mounted on a horse for 15-30 minutes. Therapeutic activities will include movements like reaching, throwing, and bilateral coordination tasks in addition to assuming various positions on the horse during equine movement, per the tolerance of individual participants. Remaining treatment time will involve participation-based functional motor activities in the equine environment, such as feeding and grooming horses.\n\nTreatment will include the following active ingredients:\n\n1. Encourage use of both upper extremities during therapeutic activities.\n2. Design therapeutic activities with equines to guide practice of functional motor skills.\n3. Design therapeutic activities with the equines to practice participation (ie. activities involved in life situations).\n4. Utilize the presence of the equines to optimize patient mood and engagement in the therapeutic activities. (Design activities around patient strengths and preferences; use the equines as positive reinforcement)",[15],null,{"type":6,"name":26,"description":27,"armGroupLabels":28,"otherNames":24},"Standard Play-Based Physical Therapy","The treatment will focus on encouragement of functional play activities, such as reaching, throwing, and catching games. Treatment will incorporate the following active ingredients:\n\n1. Encourage use of both upper extremities during therapeutic activities.\n2. Design therapeutic activities using play and games to guide practice of functional motor skills.\n3. Design therapeutic activities with play and games to practice participation (ie. activities involved in life situations).\n4. Utilize play and games to optimize patient mood and engagement in the therapeutic activities. (Design activities around patient strengths and preferences; use play and games as positive reinforcement)",[9],[30],{"facility":5,"status":31,"city":32,"state":33,"zip":34,"country":35,"countryCode":36,"cosmosGeoPoint":37,"geoPoint":42,"contacts":43},"RECRUITING","Missoula","Montana","59812","United States","US",{"type":38,"coordinates":39},"Point",[40,41],-113.994,46.87215,{"lat":41,"lon":40},[44,49],{"name":45,"role":46,"phone":47,"phoneExt":24,"email":48},"Julia E Mazzarella, DPT, PhD","CONTACT","406-243-4684","julia.mazzarella@umt.edu",{"name":45,"role":50,"phone":24,"phoneExt":24,"email":24},"PRINCIPAL_INVESTIGATOR",{"type":52,"investigatorFullName":24,"investigatorTitle":24,"investigatorAffiliation":24,"oldNameTitle":24,"oldOrganization":24},"SPONSOR",[54],{"name":55,"class":56},"National Institute of General Medical Sciences (NIGMS)","NIH","100584308","physical-therapy-for-montana-children-with-nmd-using-hippotherapy-and-the-equine-environment-100584308",false,"NCT06887647","Physical Therapy for Montana Children With NMD Using Hippotherapy and the Equine Environment","Inclusion Criteria:\n\n* 1\\) 6-17 years old; 2) Diagnosed NMD with upper extremity impairment; 3) Able to follow simple verbal instructions in English; 4) Able to tolerate sitting on a horse continuously for 30 minutes; and 5) Meet Professional Association of Therapeutic Horsemanship International (PATH Intl.) standards for participating in mounted activities.\n\nExclusion Criteria:\n\n* 1\\) Fear of or aversion to horses; 2) Weight over 200lbs (to protect safety and wellbeing of therapists and equines) 3) Participation in a horseback-riding program in the past 3 months; 4) Lacking independent head control; and 5) Caregivers unable to speak and read English.","ALL","6 Years","17 Years",{"count":67,"type":68},24,"ESTIMATED","INTERVENTIONAL",[71],"NA","The goal of this pilot clinical trial is to determine if physical therapy incorporating horses can improve the motor skills of the arms in children 6-17 years old with neuromotor disorders (such as cerebral palsy, spinal muscular atrophy, or spina bifida) compared to standard play-based physical therapy. The main questions it aims to answer are:\n\n1. Is the study protocol feasible and acceptable for participants, that investigators could apply them to a larger trial?\n2. Do participants make improvements toward their goals for motor function, arm use, and participation in life situations following treatment, and is it different between the experimental and comparative intervention groups?\n3. What are the physiological, behavioral, and emotional responses of children receiving physical therapy incorporating horses, versus those receiving standard physical therapy?\n\nResearchers will compare the experimental group who receive physical therapy incorporating horses to the comparative intervention group who receive standard play-based physical therapy to see if there is a difference in outcomes.\n\nParticipants will complete a pre- and post-intervention assessment of their motor function and participation in life situations. Participants will receive physical therapy twice a week for 8 weeks for the intervention. In both groups, physiological, behavioral, and emotional responses to the interventions will be measured in 4 total sessions, 1 each at weeks 2, 4, 6, and 8.",[74],"Neuromotor Impairments",[76,77,78,79,80,81,82,83],"physical therapy","hippotherapy","pediatric","motor function","participation","upper extremity function","equine environment","neurmotor disorder","2026-05-11",{"date":86,"type":87},"2026-05-14","ACTUAL",{"date":89,"type":87},"2025-08-20",{"date":91,"type":68},"2027-04-30",{"name":5,"class":6},1]