Effects of Horseback Riding on the Postural Control of Autistic Children: A Multiple Baseline Across-subjects Design.
- Journal Article
Summary
This research investigates how a horseback-riding program might improve postural control in autistic children. The results point to potential benefits from this type of intervention.
Objective and Methodology
The researchers aimed to examine the impact of a horseback-riding programme on the postural control of children diagnosed with Autism Spectrum Disorder (ASD). The study follows a multiple baseline across-subjects design, a common method in behavioral research. It creates a different starting point for each participant but measures the same variables, providing control for variables that might skew the results.
- The participants included 9 children between the ages of 9 and 12.
- The entire program spanned over nine months.
- The participants followed a specially designed horseback-riding program that took place twice a week and each session lasting for 45 minutes, for at least three months.
Evaluation Process
To determine the effectiveness of the programme, average velocity of the centre of pressure displacement was measured using a posturographic platform. This specific method quantifies balance performances, making it a suitable tool for assessing postural control.
Findings
The findings from this research suggest that the horseback-riding intervention had a positive impact on the postural control of the ASD children. Postural control is crucial because it plays a foundational role in all motor skills. Improved postural control could, in turn, enhance other life skills and the overall quality of life for children with ASD.
Implications
This research shows a novel approach to assisting autistic children improve their postural control. The horseback-riding program provides a unique and possibly enjoyable way to help these children enhance their physical control and stability. Future research can look into other aspects of the effects of horseback riding, such as psychological or emotional effects, on children with ASD.
Cite This Article
Publication
Researcher Affiliations
- Universidad Cardenal Herrera, CEU, Castellón, C. Grecia, 31, Castellón de la Plana, 12006, España.
- Universidad Jaume I. Castellón, Av. Vicent Sos Baynat, s/n, Castellón de la Plana, 12071, España. ruizma@uji.es.
- Universidad de Extremadura. Badajoz, Av. de Elvas, s/n, Badajoz, 06006, España.
References
- Aartolahti E, Häkkinen A, Lönnroos E, Kautiainen H, Sulkava R, Hartikainen S. Relationship between functional vision and balance and mobility performance in community-dwelling older adults. Aging Clinical and Experimental Research 25(5), 545–552 (2013).
- Adolph K E, Franchak J M. The development of motor behavior. Wiley Interdisciplinary Reviews: Cognitive Science 8(1–2), e1430 (2017).
- Akyol B, Pektas S. The effects of Gymnastics Training combined with music in children with Autism Spectrum Disorder and Down Syndrome. International Education Studies 11(11), 45–51 (2018).
- Allen G, Courchesne E. Differential effects of developmental cerebellar abnormality on cognitive and motor functions in the cerebellum: An fMRI study of autism. American Journal of Psychiatry 160(2), 262–273 (2003).
- American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders Fifth Edition. DSM-5 (2013. ed.). .
- Ayres A. La integración sensorial en Los niños: Desafíos sensoriales ocultos (25 ed.). .
- Bass M M, Duchowny C A, Llabre M M. The effect of therapeutic horseback riding on social functioning in children with autism. Journal of Autism and Developmental Disorders 39(9), 1261–1267 (2009).
- Bronson C, Brewerton K, Ong J, Palanca C, Sullivan S J. Does hippotherapy improve balance in persons with multiple sclerosis: A systematic review. European Journal of Physical and Rehabilitation Medicine 46, 347–353 (2010).
- Bronstein A M. A conceptual model of the visual control of posture. Progress in Brain Research Vol. 248, pp. 285–302 (2019).
- Caeyenberghs K, Taymans T, Wilson P H, Vanderstraeten G, Hosseini H, van Waelvelde H. Neural signature of developmental coordination disorder in the structural connectome Independent of comorbid autism. Developmental Science 19(4), 599–612 (2016).
- Campbell J, Garrett S. Therapeutic riding as a treatment modality for clients with a sensory integrative dysfunction. Riding Tall 6, 5–6 (1996).
- Casey A F, Quenneville-Himbeault G, Normore A, Davis H, Martell S G. A therapeutic skating intervention for children with Autism Spectrum Disorder. Pediatric Physical Therapy 27(2), 170–177 (2015).
- Cheldavi H, Shakerian S, Boshehri S N S, Zarghami M. The effects of balance training intervention on postural control of children with autism spectrum disorder: Role of sensory information. Research in Autism Spectrum Disorders 8, 8–14 (2014).
- Cohen. Statistical power analysis for the behavioral sciences. .
- Cohen S, Conduit R, Lockley S W, Rajaratnam S M, Cornish K M. The relationship between sleep and behavior in autism spectrum disorder (ASD): A review. Journal of Neurodevelopmental Disorders 6(1) (2014).
- Corbett B A, Muscatello R A, Blain S D. Impact of sensory sensitivity on physiological stress response and novel peer interaction in children with and without Autism Spectrum Disorder. Frontiers in Neuroscience 10 (2016).
- Crespo-Eguílaz N, Narbona-García J. Procedural learning disorder: Neuropsychological characteristics. Revista De Neurología 49(08), 409 (2009).
- Dobell A, Pringle A, Faghy M A, Roscoe C M P. Fundamental Movement skills and Accelerometer-measured physical activity levels during early childhood: A systematic review. Children 7(11), 224 (2020).
- Doumas M, McKenna R, Murphy B. Postural control deficits in Autism Spectrum Disorder: The role of sensory integration. Journal of Autism and Developmental Disorders 46, 853–861 (2016).
- Dziuk M A, Gidley Larson J C, Apostu A, Mahone E M, Denckla M B, Mostofsky S H. Dyspraxia in autism: Association with motor, social, and communication deficits. Dev Med Child Neurol 49, 734–739 (2007).
- Ezell J, Hogan A, Fairchild A, Hills K, Klusek J, Abbeduto L, Roberts J. Prevalence and predictors of anxiety disorders in adolescent and adult males with Autism Spectrum Disorder and Fragile X Syndrome. Journal of Autism and Developmental Disorders 49(3), 1131–1141 (2019).
- Fears N E, Templin T N, Sherrod G M, Bugnariu N L, Patterson R M, Miller H L. Autistic children use less efficient goal-Directed whole body movements compared to Neurotypical Development. Journal of Autism and Developmental Disorders 1–12 (2022).
- Fernándes C R. Influencia da fisioterapia no acompanhamento de crianças portadoras do TEA (Trasntorno do espectro autista). TCC (Graduação).Unifasb, Barreiras (2020).
- Fournier K A, Kimberg C I, Radonovich K J, Tillman M D, Chow J W, Lewis M H, Bodfish J W, Hass C J. Decreased static and dynamic postural control in children with autism spectrum disorders. Gait & Posture 32(1), 6–9 (2010).
- Gabriels R L, Agnew J A, Holt K D, Shoffner A, Zhaoxing P, Ruzzano S, Mesibov G. Pilot study measuring the effects of therapeutic horseback riding on school-age children and adolescents with autism spectrum disorders. Research in Autism Spectrum Disorders 6(2), 578–588 (2012).
- Gagey P M, Weber B. Posturologie: Régulation et dérèglements de la station debout. .
- García-Gómez A, Risco M L, Rubio J C, Guerrero E, García-Peña I M. Effects of a program of adapted therapeutic Horse-Riding in a Group of Autism Spectrum Disorder Children. Electronic Journal of Research in Educational Psychology 12(1), 107–128 (2014).
- Guzmán-Muñoz E, Méndez-Rebolledo G, Villouta-Gutiérrez O, Concha-Cisternas Y, Valdés-Badilla P. Análisis De Los Sistemas sensoriales que contribuyen al control postural en personas con síndrome de Down. Neurología 11(2), 75–80 (2019).
- Hameury L, Delavous P, Teste B, Leroy C, Gaboriau J C, Berthier A. Équithérapie et autisme. Annales Médico-psychologiques Revue Psychiatrique 168(9), 655–659 (2010).
- Hariri R, Nakhostin-Ansari A, Mohammadi F, Memari A H, Oskouie I M, Haghparast A. An Overview of the Available Intervention Strategies for Postural Balance Control in Individuals with Autism Spectrum Disorder. Autism Research and Treatment 2022.
- Harrington M, Velicer W F. Comparing visual and statistical analysis in single-case studies using published studies. Multivariate Behavioral Research 50(2), 162–183 (2015).
- Hedges L V, Pustejovsky J E, Shadish W R. A standardized mean difference effect size for multiple baseline designs across individuals. Research Synthesis Methods 4(4), 324–341 (2013).
- Hilton C L, Cumpata K, Klohr C, Gaetke S, Artner A, Johnson H, Dobbs S. Effects of exergaming on executive function and motor skills in Children with Autism Spectrum disorder: A pilot study. American Journal of Occupational Therapy 68(1), 57–65 (2014).
- Hsu Y S, Kuan C C, Young Y H. Assessing the development of balance function in children using stabilometry. International Journal of Pediatric Otorhinolaryngology 73(5), 737–740 (2009).
- Hyman S L, Levy S E, Myers S M, Council on Children with Disabilities, Section on Developmental and Behavioral Pediatrics. Identification, evaluation, and management of children with Autism Spectrum Disorder. Pediatrics 145(1), e20193447 (2020).
- Jansiewicz E M, Goldberg M C, Newschaffer C J, Denckla M B, Landa R, Mostofsky S H. Motor signs distinguish children with high functioning autism and Asperger’s syndrome from controls. Journal of Autism and Developmental Disorders 36, 613–621 (2006).
- Jenkins S R, Reed F D D. An experimental analysis of the effects of therapeutic horseback riding on the behavior of children with autism. Research in Autism Spectrum Disorders 7(6), 721–740 (2013).
- Kern J K, Fletcher C L, Garver C R, Mehta J A, Grannemann B D, Knox K R, Richardson T A, Trivedi M H. Prospective trial of equine-assisted activities in autism spectrum disorder. Alternative Therapies in Health and Medicine 17(3), 14–20 (2011).
- Kohen-Raz R, Volkman F R, Cohen D J. Postural control in children with autism. Journal of Autism and Developmental Disorders 22(3), 419–432 (1992).
- Kratochwill T R, Hitchcock J H, Horner R H, Levin J R, Odom S L, Rindskopf D M, Shadish W R. Single-case intervention Research Design standards. Remedial and Special Education 34(1), 26–38 (2013).
- Lakie M, Loram I D. Manually controlled human balancing using visual, vestibular and proprioceptive senses involves a common, low frequency neural process: Balancing with altered sensory modalities. The Journal of Physiology 577(1), 403–416 (2006).
- Larson J C G, Mostofosky S H. Déficits motores no autismo. In R. Tuchman E I. Rapin (Orgs). Autismo: Abordagem neurobiológica (pp. 249–266) (2009).
- Leanderson J, Eriksson E, Nilsson C, Wykman A. Proprioception in Classical Ballet dancers: A prospective study of the influence of an ankle sprain on Proprioception in the Ankle Joint. The American Journal of Sports Medicine 24(3), 370–374 (1996).
- Li Y, Liu T, Venuti C E. Development of postural stability in children with autism spectrum disorder: A cross-sectional study. International Biomechanics 8(1), 54–62 (2021).
- Licari M K, Alvares G A, Varcin K, Evans K L, Cleary D, Reid S L, Glasson E J, Bebbington K, Reynolds J E, Wray J, Whitehouse A J O. Prevalence of Motor difficulties in Autism Spectrum Disorder: Analysis of a Population-based cohort. Autism Research 13(2), 298–306 (2020).
- Lim Y H, Partridge K, Girdler S, Morris S L. Standing Postural Control in individuals with Autism Spectrum Disorder: Systematic review and Meta-analysis. Journal of Autism and Developmental Disorders 47(7), 2238–2253 (2017).
- Lourenço C, Esteves D, Nunes C, Liu T. Motor proficiency of children with autism spectrum disorder and typically developing children in Portugal. Journal of Physical Education and Sport 20(3), 1491–1496 (2020).
- Lum J A G, Shandley K, Albein-Urios N, Kirkovski M, Papadopoulos N, Wilson R B, Enticott P G, Rinehart N J. Meta-Analysis Reveals Gait Anomalies in Autism. Autism Research n/a(n/a) (2020).
- MacDonald M, Esposito P, Hauck J, Jeong I, Hornyak J, Argento A, Ulrich D A. Bicycle training for youth with Down syndrome and autism spectrum disorders. Focus on Autism and Other Developmental Disabilities 27(1), 12–21 (2012).
- MacDonald M, Lord C, Ulrich D A. The relationship of Motor skills and Social communicative skills in school-aged children with Autism Spectrum Disorder. Adapted Physical Activity Quarterly 30(3), 271–282 (2013).
- Madra M, Ringel R, Margolis K G. Gastrointestinal issues and Autism Spectrum Disorder. Child and Adolescent Psychiatric Clinics 29(3), 501–513 (2020).
- Maenner M J, Shaw K A, Baio J, EdS1 Washington A, Patrick M, DiRienzo M, Christensen D L, Wiggins L D, Pettygrove S, Andrews J G, Lopez M, Hudson A, Baroud T, Schwenk Y, White T, Rosenberg C R, Lee L C, Harrington R A, Dietz P M. Prevalence of Autism Spectrum Disorder among children aged 8 years—Autism and Developmental Disabilities Monitoring Network, 11 sites, United States, 2016. MMWR Surveillance Summaries 69(4), 1–12 (2020).
- Martin A F, Jassi A, Cullen A E, Broadbent M, Downs J, Krebs G. Co-occurring obsessive-compulsive disorder and autism spectrum disorder in young people: Prevalence, clinical characteristics and outcomes. European Child & Adolescent Psychiatry 29(11), 1603–1611 (2020).
- Maurer R G, Damasio A R. Vestibular dysfunction in autistic children. Developmental Medicine & Child Neurology 21(5), 656–659 (2008).
- Mazurek M O, Petroski G F. Sleep problems in children with autism spectrum disorder: Examining the contributions of sensory over-responsivity and anxiety. Sleep Medicine 16(2), 270–279 (2015).
- Molloy C A, Dietrich K N, Bhattacharya A. Postural Stability in Children with Autism Spectrum Disorder. Journal of Autism and Developmental Disorders 33(6), 643–652 (2003).
- Montes-Castillo M L, Benítez M P, Díaz-Barriga A S, Jasso A V. El balance y las caídas en la tercera edad: Consecuencias, evaluación y tratamiento. Revista Mexicana De Medicina física Y rehabilitación 12(1), 16–20 (2000).
- Morris S L, Foster C J, Parsons R, Falkmer M, Falkmer T, Rosalie S M. Differences in the use of vision and proprioception for postural control in autism spectrum disorder. Neuroscience 307, 273–280 (2015).
- Mosston M, Ashworth S. Teaching Physical Education. First Online Edition. .
- Muñoz Lasa S, Máximo Bocanegra N, Alcaide V, Atín R, Arratibel M A, Donoso V E, Ferriero G. Animal assisted interventions in neurorehabilitation: A review of the most recent literature. Neurología (English Edition) 30(1), 1–7 (2015).
- Muskens J B, Velders F P, Staal W G. Medical comorbidities in children and adolescents with autism spectrum disorders and attention deficit hyperactivity disorders: A systematic review. European Child & Adolescent Psychiatry 26(9), 1093–1103 (2017).
- Najafabadi M G, Sheikh M, Hemayattalab R, Memari A H, Aderyani M R, Hafizi S. The effect of SPARK on social and motor skills of children with autism. Pediatrics & Neonatology 59(5), 481–487 (2018).
- Nayate A, Bradshaw J L, Rinehart N J. Autism and Asperger’s disorder: Are they movement disorders involving the cerebellum and/or basal ganglia?. Brain Research Bulletin 67(4), 327–334 (2005).
- Neumeyer A M, Anixt J, Chan J, Perrin J M, Murray D, Coury D L, Bennett A, Farmer J, Parker R A. Identifying associations among Co-occurring Medical conditions in children with Autism Spectrum disorders. Academic Pediatrics 19(3), 300–306 (2019).
- Nuntanee S, Daranee S. Effect of Motorized Elephant-Assisted Therapy Program on Balance Control of Children with Autism Spectrum Disorder. Occupational Therapy International 2019, 1–10.
- Ogawa S, Lee Y A, Yamaguchi Y, Shibata Y, Goto Y. Associations of acute and chronic stress hormones with cognitive functions in autism spectrum disorder. Neuroscience 343, 229–239 (2017).
- Olivier A, Faugloire E, Lejeune L, Biau S, Isableu B. Head Stability and Head-Trunk Coordination in Horseback Riders: The Contribution of Visual Information According to Expertise. Frontiers in Human Neuroscience 11 (2017).
- Paquet A, Olliac B, Bouvard M P, Golse B, Vaivre-Douret L. The Semiology of Motor Disorders in Autism Spectrum Disorders as Highlighted from a Standardized Neuro-Psychomotor Assessment. Frontiers in Psychology 7 (2016).
- Parker R I, Vannest K. An improved effect size for single-case research: Nonoverlap of all pairs. Behavior Therapy 40(4), 357–367 (2009).
- Parker R I, Vannest K J, Davis J L. Effect size in Single-Case Research: A review of nine nonoverlap techniques. Behavior Modification 35(4), 303–322 (2011).
- Parreira R B, Grecco L A C, Oliveira C S. Postural control in blind individuals: A systematic review. Gait & Posture 57, 161–167 (2017).
- Peña O, Cibrian F L, Tentori M. Circus in Motion: A multimodal exergame supporting vestibular therapy for children with autism. Journal on Multimodal User Interfaces .
- Peters B C M, Wood W. Autism and equine-assisted interventions: A systematic mapping review. Journal of Autism and Developmental Disorders 47(10), 3220–3242 (2017).
- Portela-Pino I, Bouzo-Gónzalez S, Pino-Juste M. Evaluation of an equine therapy program in students with autism spectrum disorder. Journal of Human Sport and Exercise 15(4) (2019).
- Pustejovsky J E. scdhlm. A web-based calculator for between-case standardized mean differences (Version 0.3.1) [Web application]. .
- Radonovich K J, Fournier K A, Hass C J. Relationship between postural control and restricted, repetitive behaviors in autism spectrum disorders. Frontiers in Integrative Neuroscience 7 (2013).
- Rydzewska E, Hughes-McCormack L A, Gillberg C, Henderson A, MacIntyre C, Rintoul J, Cooper S A. Prevalence of sensory impairments, physical and intellectual disabilities, and mental health in children and young people with self/proxy-reported autism: Observational study of a whole country population. Autism 23(5), 1201–1209 (2019).
- Sam K L S, Smith A W, Lo S K. Visual cognition and dynamic balance in persons with autism spectrum disorder. International Journal of Social Science and Humanity 7(5), 274–277 (2017).
- Sarabzadeh M, Azari B B, Helalizadeh M. The effect of six weeks of Tai Chi Chuan training on the motor skills of children with Autism Spectrum Disorder. Journal of Bodywork and Movement Therapies 23(2), 284–290 (2019).
- Shams A, Vameghi R, Shamsipour Dehkordi P, Allafan N, Bayati M. The development of postural control among children: Repeatability and normative data for computerized dynamic posturography system. Gait & Posture 78, 40–47 (2020).
- Shavikloo J, Norasteh A. The effect of integrative neuromuscular training on postural control of children with autism spectrum. Neurology and Neurosurgery 1(2) (2018).
- Smith J A, Fisher B E. Anticipatory postural adjustments and spatial organization of motor cortex: Evidence of adaptive compensations in healthy older adults. Journal of Neurophysiology 120(6), 2796–2805 (2018).
- Somogyi E, Kapitány E, Kenyeres K, Donauer N, Fagard J, Kónya A. Visual feedback increases postural stability in children with autism spectrum disorder. Research in Autism Spectrum Disorders 29–30, 48–56 (2016).
- Speers R A, Kuo A D, Horak F B. Contributions of altered sensation and feedback responses to changes in coordination of postural control due to aging. Gait & Posture 16(1), 20–30 (2002).
- Stevenson J L, Lindley C E, Murlo N. Retrospectively assessed Early Motor and Current Pragmatic Language skills in autistic and Neurotypical Children. Perceptual and Motor Skills 124(4), 777–794 (2017).
- Stins J F, Emck C. Balance performance in autism: A brief overview. Frontiers in Psychology 9, 901 (2018).
- Travers B G, Bigler E D, Duffield T C, Prigge M D B, Froehlich A L, Lange N, Alexander A L, Lainhart J E. Longitudinal development of manual motor ability in autism spectrum disorder from childhood to mid-adulthood relates to adaptive daily living skills. Developmental Science 20(4), e12401 (2017).
- Travers B G, Mason A, Mrotek L A, Ellertson A, Dean D C, Engel C, Gomez A, Dadalko O I, McLaughlin K. Biofeedback-Based, Videogame Balance Training in Autism. Journal of Autism and Developmental Disorders 48(1), 163–175 (2018).
- Trzmiel T, Purandare B, Michalak M, Zasadzka E, Pawlaczyk M. Equine assisted activities and therapies in children with autism spectrum disorder: A systematic review and a meta-analysis. Complementary Therapies in Medicine 42, 104–113 (2019).
- Tseng S H, Chen H C, Tam K W. Systematic review and meta-analysis of the effect of equine assisted activities and therapies on gross motor outcome in children with cerebral palsy. Disability and Rehabilitation 35(2), 89–99 (2013).
- Valentine J C, Tanner-Smith E E, Pustejovsky J E, Lau T S. Between‐case standardized mean difference effect sizes for single‐case designs: A primer and tutorial using the scdhlm web application. Campbell Systematic Reviews 12(1), 1–31 (2016).
- Valverde-Esteve T, Chiva-Bartoll O, Salvador-García C, Maravé-Vivas M. Effect of a service-learning program on the active lifestyle of children with Autism Spectrum disorder: A pilot study. Sustainability 12(11), 4354 (2020).
- Viguier M. Influence du changement de l’angle d’incidence entre le vecteur gravitationnel terrestre et l’axe sagittal du rachis sur les performances posturales statiques et dynamiques d’un individu [Phd, Université de Toulouse, Université Toulouse III - Paul Sabatier]. .
- Vives-Vilarroig J, Ruiz-Bernardo M P, García-Gómez A. Rubric for evaluating balance on the horse in children with autism. Retos 41, 887–896 (2021).
- Wang Z, Hallac R R, Conroy K C, White S P, Kane A A, Collinsworth A L, Sweeney J A, Mosconi M W. Postural orientation and equilibrium processes associated with increased postural sway in autism spectrum disorder (ASD). Journal of Neurodevelopmental Disorders 8(1), 43 (2016).
- Westcott S L, Lowes L P, Richardson P K. Evaluation of Postural Stability in Children: Current theories and Assessment Tools. Physical Therapy 77(6), 629–645 (1997).
- Winter D A, Patla A E, Frank J S. Assessment of balance control in humans. Medical Progress through Technology 16(1–2), 31–51 (1990).
- Wuang Y P, Huang C L, Tsai H Y. Sensory integration and perceptual-motor profiles in school-aged children with autistic spectrum disorder. Neuropsychiatric Disease and Treatment 16, 1661–1673 (2020).