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Heart rate response to therapeutic riding in children with cerebral palsy: an exploratory study.

Abstract: The study was designed to document the heart rate response to therapeutic riding in children with cerebral palsy having mild-to-severe disability. Methods: Participants consisted of eight youth riders with cerebral palsy, divided into two groups: ambulatory and wheelchair dependent. The riders received continuous digital heart rate monitoring during 10 weekly 20-minute therapeutic horseback riding sessions. Results: The averaged resting, median, and peak heart rate values, as well as the peak percentage heart rate reserve values, were significantly higher in the wheelchair-dependent group. Conclusions: The youth with severe disability (The Gross Motor Function Classification System level IV) who were wheelchair dependent demonstrated higher heart rate values during therapeutic riding than their ambulatory counterparts. In view of these higher heart rate values, further studies are needed to address the role of monitoring heart rate response during therapeutic riding.
Publication Date: 2007-05-17 PubMed ID: 17505294DOI: 10.1097/PEP.0b013e31804a57a8Google Scholar: Lookup
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  • Journal Article

Summary

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The study investigates how therapeutic horseback riding impacts the heart rates of children with cerebral palsy who have varying levels of disability severity.

Methodology

  • The study included eight children with cerebral palsy, categorized as either ambulatory (able to walk with or without support) or wheelchair dependent.
  • Each participant underwent 10 weekly 20-minute sessions of therapeutic horseback riding.
  • The researchers deployed continuous digital heart rate monitoring throughout each session to capture accurate data of heart rate response to the therapy.

Results

  • Findings showed that average heart rates, median and peak heart rates, and peak percentage rates were notably higher in the wheelchair-dependent group compared to the ambulatory group.
  • This implied that the children with severe disability levels, specifically classified as level IV in the Gross Motor Function Classification System, showed higher heart rate values during the therapeutic riding session.

Conclusions and Further Studies

  • The study concludes that children reliant on wheelchairs due to severe cerebral palsy experienced higher heart rate values during therapeutic riding than children with milder forms of cerebral palsy who can walk with or without support.
  • This finding suggests that heart rate could potentially serve as an indicator to measure the intensity and possibly the effectiveness of therapeutic riding in children with severe cerebral palsy.
  • However, before any decisive conclusions can be made, further studies are recommended to explore the importance of monitoring heart rate response during therapeutic riding and its implications in therapeutic outcomes.

Cite This Article

APA
Dirienzo LN, Dirienzo LT, Baceski DA. (2007). Heart rate response to therapeutic riding in children with cerebral palsy: an exploratory study. Pediatr Phys Ther, 19(2), 160-165. https://doi.org/10.1097/PEP.0b013e31804a57a8

Publication

ISSN: 0898-5669
NlmUniqueID: 8912748
Country: United States
Language: English
Volume: 19
Issue: 2
Pages: 160-165

Researcher Affiliations

Dirienzo, Lauren N
  • Evolution, Biology, Organismal Biology Program, Ohio State University, Columbus, Ohio, USA.
Dirienzo, Lee T
    Baceski, Deborah A

      MeSH Terms

      • Adolescent
      • Animals
      • Cerebral Palsy / therapy
      • Child
      • Child, Preschool
      • Disabled Children
      • Female
      • Heart Rate / physiology
      • Horses
      • Humans
      • Male
      • Physical Exertion / physiology
      • Physical Therapy Modalities
      • Severity of Illness Index
      • Wheelchairs

      Citations

      This article has been cited 5 times.
      1. Neyroud MC, Newman CJ. Parents' Perspectives on Adaptive Sports in Children with Profound Intellectual and Multiple Disabilities.. Children (Basel) 2021 Sep 16;8(9).
        doi: 10.3390/children8090815pubmed: 34572247google scholar: lookup
      2. Vegesna A, Tran M, Angelaccio M, Arcona S. Remote Patient Monitoring via Non-Invasive Digital Technologies: A Systematic Review.. Telemed J E Health 2017 Jan;23(1):3-17.
        doi: 10.1089/tmj.2016.0051pubmed: 27116181google scholar: lookup
      3. Robert M, Ballaz L, Hart R, Lemay M. Exercise intensity levels in children with cerebral palsy while playing with an active video game console.. Phys Ther 2013 Aug;93(8):1084-91.
        doi: 10.2522/ptj.20120204pubmed: 23580626google scholar: lookup
      4. Chen KY, Janz KF, Zhu W, Brychta RJ. Redefining the roles of sensors in objective physical activity monitoring.. Med Sci Sports Exerc 2012 Jan;44(1 Suppl 1):S13-23.
        doi: 10.1249/MSS.0b013e3182399bc8pubmed: 22157770google scholar: lookup
      5. Brychta R, Wohlers E, Moon J, Chen K. Energy expenditure: measurement of human metabolism.. IEEE Eng Med Biol Mag 2010 Jan-Feb;29(1):42-7.
        doi: 10.1109/MEMB.2009.935463pubmed: 20176521google scholar: lookup