The effect of hippotherapy on postural balance
DOI:
https://doi.org/10.15584/ejcem.2017.1.7Keywords:
cerebral palsy, hippotherapy, balanceAbstract
Introduction. Impaired motor control in children with infantile cerebral palsy (ICP) frequently leads to mobility limitations.
Aim. The aim of the study was to assess the effect of hippotherapy on maintaining postural balance and gait in children with ICP.
Material and methods. A total of thirty children with spastic diplegia, aged 8-13 years, participated in the study. All children took part in a two-week hippotherapy program. The Tinetti and Timed Up and Go (TUG) tests were used to investigate the quality of their postural balance and gait. All tests were performed before and after therapeutic horseback riding.
Results. After the two weeks of therapy, a statistically significant (p<0.05) improvement in balance maintenance and gait performance was observed in all children.
Conclusion. 1. Hippotherapy sessions significantly improved the level of postural balance in children with ICP. 2. Equine-assisted therapy (EAT) positively affected the quality of gait and significantly decreased the risk of accidental falls in children who participated in the rehabilitation program.
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Zadnikar M, Kastrin A. Effects of hippotherapy and therapeutic horseback riding on postural control or balance in children with cerebral palsy: a meta-analysis. Dev Med Child Neurol. 2011;8:684-691.
Whalen CN, Case-Smith J. Therapeutic effects of horseback riding therapy on gross motor function in children with cerebral palsy: a systematic review. Phys Occup Ther Pediatr. 2012;3:229-242.
Debuse D, Gibb C, Chandler C. Effects of hippotherapy on people with cerebral palsy from the users’ perspective: a qualitative study. Physiother Theory Pract. 2009;3:174-192.
Gomulska K, Sadowska L, Krefft A, Gomulska K, Mazur A. Wczesne prognozowanie wystąpienia mózgowego porażenia dziecięcego (mpd) u niemowląt w aspekcie syntetycznej analizy czynników ryzyka. Prz Med Uniw Rzesz Inst Leków. 2006;1:47-58.
Ketelaar M, Vermeer A, Hart H, van Petegem-van Beek E, Helders PJ. Effects of a functional therapy program on motor abilities of children with cerebral palsy. Phys Ther. 2001;9:1534-1545.
Rosenbaum P, Paneth N, Leviton A, et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol. Supplement 2007;109:8-14.
Teichman Engel B. Terapeutyczna jazda konna II. Strategie rehabilitacji. Fundacja Hipoterapia- na rzecz Rehabilitacji Dzieci Niepełnosprawnych. Kraków;2004.
Włodarczyk A, Gasinska M. Principles of Polish hippotherapy. Med Rehabil. 2002;3:73-75.
Herrero P, Asensio A, Garcia E, et al. Study of the therapeutic effects of an advanced hippotherapy simulator in children with cerebral palsy: a randomized controlled trial. BMC Musculoskelet Disord. 2010;11:71-76.
Matyja M, Domagalska M. Podstawy usprawniania neurorozwojowego według Berty i Karela Bobathów. Katowice, AWF;2005.
Garner BA, Rigby BR. Human pelvis motions when walking and when riding a therapeutic horse. Hum Mov Sci. 2015;39:121-37.
Strumińska A. Psychopedagogiczne aspekty hipoterapii dzieci i młodzieży niepełnosprawnych intelektualnie. PWRiL;2007.
Snider L, Korner-Bitensky N, Kammann C, Warner S, Saleh M. Horseback riding as therapy for children with cerebral palsy: is there evidence of its effectiveness? Phys Occup Ther Pediatr. 2007;2:5-23.
Del Rosario-Montejo O, Molina-Rueda F, Muñoz-Lasa S, Alguacil-Diego IM. Effectiveness of equine therapy in children with psychomotor impairment. Neurologia. 2015;7:425-432.
Sawaryn D. Właściwości konia i mechanizm oddziaływania terapeutycznego. Fizjoterapia. 2008;1:104-111.
Drnach M, O'Brien PA, Kreger A. The effects of a 5-week therapeutic horseback riding program on gross motor function in a child with cerebral palsy: a case study. J Altern Complement Med. 2010;9:1003-1006.
Gan SM, Tung LC, Tang YH, Wang CH. Psychometric properties of functional balance assessment in children with cerebral palsy. Neurorehabil Neural Repair. 2008;6:745-753.
Silkwood-Sherer D, Killian C, Long T, Martin K. Hippotherapy- an intervention to habilitate balance deficits in children with movement disorders: clinical trial. Phys Ther. 2012;5:707-717.
Kwon JY, Chang HJ, Lee JY, Ha Y, Lee PK, Kim YH. The effects of hippotherapy on gait parameters of children with spastic bilateral cerebral palsy. Arch Phys Med Rehabil. 2011;5:774-779.
Bertoti DB. Effect of therapeutic horseback riding on posture in children with cerebral palsy. Phys Ther. 1988;10:1505-1512.
Maćków A, Małachowska-Sobieska M, Demczuk-Włodarczyk E, Sidorowska M., Szklarska A., Lipowicz A. Influence of Neurophysiological Hippotherapy on the Transference of the Centre of Gravity Among Children with Cerebral Palsy. Ortop Traumatol Rehabil. 2014;6:581-593.
Manikowska F, Jóźwiak M, Idzior M, Chen PJ, Tarnowski D. The effect of a hippotherapy session on spatiotemporal parameters of gait in children with cerebral palsy - pilot study. Ortop Traumatol Rehabil. 2013;3:253-257.
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