Effect of therapeutic horseback riding on posture in children with cerebral palsy.
Abstract: The purpose of this study was to measure postural changes in children with spastic cerebral palsy after participation in a therapeutic horseback riding program. Eleven children with moderate to severe spastic cerebral palsy, aged 2 years 4 months to 9 years 6 months, were selected for this study and underwent postural assessments according to a repeated-measures design. Assessment of posture was performed by a panel of three pediatric physical therapists, using a postural assessment scale designed by the author. A composite score for each test interval was calculated for each child, and a median score was calculated for the entire group at each test interval. Data were analyzed using a Friedman test, assuming an alpha level of .05. A statistically significant difference was found between the three test intervals with significant improvement occurring during the period of therapeutic riding. Clinical improvements were also noted in muscle tone and balance as evidenced by improved functional skills. These results constitute the first objective measure supporting the efficacy of therapeutic horseback riding on posture in children with cerebral palsy.
Publication Date: 1988-10-01 PubMed ID: 3174832
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- Journal Article
- Research Support
- Non-U.S. Gov't
Summary
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This research aimed to observe the impact of therapeutic horseback riding on the posture of children suffering from spastic cerebral palsy. The results suggest a significant improvement in the posture, muscle tone, and balance of these children after participating in therapeutic horseback riding.
Study Description and Methodology
- The study was designed to evaluate posture changes in children suffering from moderate to severe spastic cerebral palsy after they participate in a therapeutic horseback riding program.
- The participants were eleven children aged between 2 years 4 months and 9 years 6 months.
- A postural assessment was performed according to a repeated-measures design, which is a research design that involves multiple measures of the same variable taken on the same subjects.
- Three pediatric physical therapists performed the assessment of posture. They used a postural assessment scale authored by the researcher of this study.
Data Collection and Analysis
- The researchers calculated a composite score for each child at each test interval. They achieved this by taking into account various parameters of the postural assessment scale.
- They also calculated a median score for the entire group at each test interval.
- The collected data was analyzed using the Friedman test (a non-parametric statistical test) with an alpha level set at .05.
Results and Conclusion
- The researchers found a statistically significant difference between the three test intervals leading to their conclusion that significant improvement occurred during the period of therapeutic horseback riding.
- Besides improvements in posture, clinical improvements in muscle tone and balance were also noted. This was evident from the enhanced functional abilities of the participating children.
- This study hence provided the initial objective measure demonstrating the efficacy of therapeutic horseback riding to improve posture in children affected by cerebral palsy.
Cite This Article
APA
Bertoti DB.
(1988).
Effect of therapeutic horseback riding on posture in children with cerebral palsy.
Phys Ther, 68(10), 1505-1512.
Publication
Researcher Affiliations
- Community Physical Therapy Associates, Birdsboro, PA 19508.
MeSH Terms
- Animals
- Cerebral Palsy / rehabilitation
- Child
- Child, Preschool
- Female
- Horses
- Humans
- Male
- Physical Therapy Modalities / methods
- Posture
Citations
This article has been cited 26 times.- Stergiou AN, Mattila-Rautiainen S, Varvarousis DN, Tzoufi M, Plyta P, Beris A, Ploumis A. The efficacy of Equine Assisted Therapy intervention in gross motor function, performance, and spasticity in children with Cerebral Palsy. Front Vet Sci 2023;10:1203481.
- Lightsey P, Lee Y, Krenek N, Hur P. Physical therapy treatments incorporating equine movement: a pilot study exploring interactions between children with cerebral palsy and the horse. J Neuroeng Rehabil 2021 Sep 6;18(1):132.
- Matusiak-Wieczorek E, Dziankowska-Zaborszczyk E, Synder M, Borowski A. The Influence of Hippotherapy on the Body Posture in a Sitting Position among Children with Cerebral Palsy. Int J Environ Res Public Health 2020 Sep 19;17(18).
- Guindos-Sanchez L, Lucena-Anton D, Moral-Munoz JA, Salazar A, Carmona-Barrientos I. The Effectiveness of Hippotherapy to Recover Gross Motor Function in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis. Children (Basel) 2020 Aug 19;7(9).
- Rigby BR, Davis RW, Bittner MD, Harwell RW, Leek EJ, Johnson GA, Nichols DL. Changes in Motor Skill Proficiency After Equine-Assisted Activities and Brain-Building Tasks in Youth With Neurodevelopmental Disorders. Front Vet Sci 2020;7:22.
- Lovrić R, Farčić N, Mikšić Š, Gvozdanović Debeljak A. Parental Perception of Changes in Basic Life Needs of Children with Disabilities after Six Months of Therapeutic Horseback Riding: A Qualitative Study. Int J Environ Res Public Health 2020 Feb 13;17(4).
- Žalienė L, Mockevičienė D, Kreivinienė B, Razbadauskas A, Kleiva Ž, Kirkutis A. Short-Term and Long-Term Effects of Riding for Children with Cerebral Palsy Gross Motor Functions. Biomed Res Int 2018;2018:4190249.
- Weissman-Miller D, Miller RJ, Shotwell MP. Translational Research for Occupational Therapy: Using SPRE in Hippotherapy for Children with Developmental Disabilities. Occup Ther Int 2017;2017:2305402.
- Boyd L, le Roux M. 'When he's up there he's just happy and content': Parents' perceptions of therapeutic horseback riding. Afr J Disabil 2017;6:307.
- Lee J, Yun CK. Effects of hippotherapy on the thickness of deep abdominal muscles and activity of daily living in children with intellectual disabilities. J Phys Ther Sci 2017 Apr;29(4):779-782.
- Cha HG, Lee BJ, Lee WH. The effects of horse riding simulation exercise with blindfolding on healthy subjects' balance and gait. J Phys Ther Sci 2016 Nov;28(11):3165-3167.
- Moraes AG, Copetti F, Angelo VR, Chiavoloni LL, David AC. The effects of hippotherapy on postural balance and functional ability in children with cerebral palsy. J Phys Ther Sci 2016 Aug;28(8):2220-6.
- Park J, Lee S, Lee D. The effects of horseback riding simulator exercises on the muscle activity of the lower extremities according to changes in arm posture. J Phys Ther Sci 2015 Sep;27(9):2731-2.
- Rhee MH, Kim LJ. Muscle tone changes in the lower limbs of stroke patients induced by trunk stabilization exercises. J Phys Ther Sci 2015 Aug;27(8):2663-4.
- Kim KH, Kim SG, Hwangbo G. The effects of horse-riding simulator exercise and Kendall exercise on the forward head posture. J Phys Ther Sci 2015 Apr;27(4):1125-7.
- Temcharoensuk P, Lekskulchai R, Akamanon C, Ritruechai P, Sutcharitpongsa S. Effect of horseback riding versus a dynamic and static horse riding simulator on sitting ability of children with cerebral palsy: a randomized controlled trial. J Phys Ther Sci 2015 Jan;27(1):273-7.
- Park ES, Rha DW, Shin JS, Kim S, Jung S. Effects of hippotherapy on gross motor function and functional performance of children with cerebral palsy. Yonsei Med J 2014 Nov;55(6):1736-42.
- Matsuura A, Ohta E, Ueda K, Nakatsuji H, Kondo S. Influence of equine conformation on rider oscillation and evaluation of horses for therapeutic riding. J Equine Sci 2008;19(1):9-18.
- Koga K, Iwasaki Y. Psychological and physiological effect in humans of touching plant foliage - using the semantic differential method and cerebral activity as indicators. J Physiol Anthropol 2013 Apr 15;32(1):7.
- Han JY, Kim JM, Kim SK, Chung JS, Lee HC, Lim JK, Lee J, Park KY. Therapeutic effects of mechanical horseback riding on gait and balance ability in stroke patients. Ann Rehabil Med 2012 Dec;36(6):762-9.
- Sunwoo H, Chang WH, Kwon JY, Kim TW, Lee JY, Kim YH. Hippotherapy in adult patients with chronic brain disorders: a pilot study. Ann Rehabil Med 2012 Dec;36(6):756-61.
- Herrero P, Asensio A, García E, Marco A, Oliván B, Ibarz A, Gómez-Trullén EM, Casas R. Study of the therapeutic effects of an advanced hippotherapy simulator in children with cerebral palsy: a randomised controlled trial. BMC Musculoskelet Disord 2010 Apr 16;11:71.
- Yan S, Park SH, Dee W, Keefer R, Rojas AM, Rymer WZ, Wu M. Motor adaptation to continuous lateral trunk support force during walking improves trunk postural control and walking in children with cerebral palsy: A pilot study. Hum Mov Sci 2024 Oct;97:103258.
- Wu M, Kim J, Gaebler-Spira D. Improving trunk posture control in children with CP through a cable-driven robotic hippotherapy: A randomized controlled feasibility study. Gait Posture 2024 Sep;113:209-214.
- Seery R, Wells D. An Exploratory Study into the Backgrounds and Perspectives of Equine-Assisted Service Practitioners. Animals (Basel) 2024 Jan 22;14(2).
- Yan S, Park SH, Dee W, Keefer R, Rojas AM, Rymer WZ, Wu M. Trunk postural reactions to the force perturbation intensity and frequency during sitting astride in children with cerebral palsy. Exp Brain Res 2024 Jan;242(1):275-293.
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