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Rehabilitacion2020; 54(2); 96-106; doi: 10.1016/j.rh.2019.11.003

[Physiotherapy interventions through hippotherapy in the treatment of cerebral palsy. A literature review].

Abstract: Cerebral palsy is produced by nonprogressive injury to the developing brain. This lesion produces life-long motor impairments, disturbances in perception, speech, communication, cognition and competence. Physiotherapy is an important part of treatment, and may include hippotherapy, which uses the movement of the horse to stimulate the sensorial, neuromotor and cognitive systems to obtain functional results. Methods: We performed a literature search using distinct databases and the following Keywords: "hippotherapy"; "cerebral palsy"; "children"; "treatment" and "physiotherapy". After application of the inclusion and exclusion criteria; elimination of duplicated tests; and critical appraisal of the retrieved texts; 22 articles were finally selected for the review. Conclusions: Hippotherapy is used by physiotherapy in the treatment of cerebral palsy. In this therapy, the horse's movement is purposefully manipulated to stimulate the patient's sensitive, neuromotor and cognitive systems and promote functional goals. Among the interventions used, the most recommend by the authors is the postural alignment, although there is no single standard of care, but the treatment is individually-tailored to the needs of each patient with cerebral palsy.
Publication Date: 2020-01-10 PubMed ID: 32370834DOI: 10.1016/j.rh.2019.11.003Google Scholar: Lookup
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  • Journal Article
  • Review

Summary

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The research article discusses how physiotherapy, specifically through hippotherapy, can be beneficial in treating symptoms of cerebral palsy. It highlights an extensive review of numerous existing studies on the topic, consolidating and discussing relevant findings.

Introduction to Cerebral Palsy and Physiotherapy

  • Cerebral palsy stems from a non-progressive injury to a developing brain, and results in life-long motor impairments, disturbances in perception, speech, cognition, and overall competence.
  • Physiotherapy is identified as an essential aspect of managing these symptoms. One version of this is hippotherapy, where the movement of a horse is used therapeutically.

Methodology of the Literature Review

  • The researchers performed an exhaustive literature search using various databases. They used keywords such as “hippotherapy”, “cerebral palsy”, “children”, “treatment”, and “physiotherapy”.
  • To maintain relevance and quality, the team applied specific inclusion and exclusion criteria, removed duplicated studies, and critically appraised all retrieved texts.
  • After this rigorous process, 22 articles were selected for review.

Hippotherapy as a Physiotherapy Technique

  • The review asserts that hippotherapy is a valuable tool for physiotherapy when treating cerebral palsy.
  • In this therapy, the movement of the horse is deliberately controlled in order to stimulate the patient’s sensorial, neuromotor, and cognitive systems thus fostering functional development.
  • The therapeutic interventions suggest that postural alignment is the most recommended approach by authors.

Tailoring Therapy to Individual Needs

  • While hippotherapy is effective, the researchers note that there is no single standard of care in its application.
  • The treatment needs to be individually tailored to suit the unique needs of each patient with cerebral palsy.

Cite This Article

APA
Mendizábal Alonso P. (2020). [Physiotherapy interventions through hippotherapy in the treatment of cerebral palsy. A literature review]. Rehabilitacion (Madr), 54(2), 96-106. https://doi.org/10.1016/j.rh.2019.11.003

Publication

ISSN: 1578-3278
NlmUniqueID: 7802471
Country: Spain
Language: spa
Volume: 54
Issue: 2
Pages: 96-106
PII: S0048-7120(19)30104-5

Researcher Affiliations

Mendizábal Alonso, P
  • Fisioterapeuta independiente, Soria, España. Electronic address: paulamendizabal97@gmail.com.

MeSH Terms

  • Adolescent
  • Animal Husbandry / organization & administration
  • Animals
  • Cerebral Palsy / rehabilitation
  • Child
  • Child, Preschool
  • Equine-Assisted Therapy / instrumentation
  • Equine-Assisted Therapy / methods
  • Equine-Assisted Therapy / statistics & numerical data
  • Horses
  • Humans
  • Movement
  • Muscle Relaxation
  • Muscle Stretching Exercises
  • Posture
  • Therapy Animals
  • Time Factors
  • Walking Speed

Citations

This article has been cited 2 times.
  1. Corallo F, Bonanno L, Cardile D, Luvarà F, Giliberto S, Di Cara M, Leonardi S, Quartarone A, Rao G, Pidalà A. Improvement of Self-Esteem in Children with Specific Learning Disorders after Donkey-Assisted Therapy. Children (Basel) 2023 Feb 22;10(3).
    doi: 10.3390/children10030425pubmed: 36979983google scholar: lookup
  2. 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).
    doi: 10.3390/children7090106pubmed: 32825159google scholar: lookup