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Ortopedia, traumatologia, rehabilitacja2013; 15(3); 253-257; doi: 10.5604/15093492.1058420

The effect of a hippotherapy session on spatiotemporal parameters of gait in children with cerebral palsy – pilot study.

Abstract: Hippotherapy has been shown to produce beneficial effects by improving the most difficult motor functions, such as sitting, running, jumping, coordination, as well as balance and muscle strength in children with motor developmental delays. The aim of this study was to analyze the effect of hippotherapy on spatiotemporal parameters of gait in cerebrally palsied children. Methods: 16 ambulatory cerebrally palsied children (GMFCS Level I-III; Female: 10, Male: 6; Age: 5.7-17.5 years old) qualified for hippotherapy were investigated. Basic spatiotemporal parameters of gait, including walking speed, cadence, step length, stride length and the left-right symmetry, were collected using a three-dimensional accelerometer device (DynaPort MiniMod) before and immediately after a hippotherapy session. The Wilcoxon test was used to verify the differences between pre- and post-session results. Results: Changes of walking speed were statistically significant. With the exception of step length, all spatiotemporal parameters improved, i.e. were closer to the respective reference ranges after the session. However, these changes were not statistically significant. Conclusions: One session of hippotherapy may have a significant effect on the spatiotemporal parameters of gait in cerebrally palsied children.
Publication Date: 2013-07-31 PubMed ID: 23898002DOI: 10.5604/15093492.1058420Google Scholar: Lookup
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  • Journal Article

Summary

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The research investigates the impacts of hippotherapy (therapeutic horseback riding) on the gait of children with cerebral palsy. The study found a significant improvement in walking speed post-session, but changes in other aspects of gait, while present, were not statistically significant.

Study Aim and Methodology

  • The study’s main objective was to analyze the effect of hippotherapy on the gait of children with cerebral palsy, particularly regarding spatiotemporal parameters such as walking speed, cadence, step length, stride length, and left-right symmetry.
  • In total, 16 children with cerebral palsy (10 females and 6 males between 5.7 and 17.5 years old) who qualified for hippotherapy were included in the study.
  • The researchers used a three-dimensional accelerometer device (DynaPort MiniMod) to measure the spatiotemporal parameters of the participants’ gait both before and immediately after a hippotherapy session.
  • A statistical test called the Wilcoxon test was utilized to verify the differences in the pre- and post-session results.

Study Results

  • The results showed statistically significant changes in walking speed following a session of hippotherapy.
  • Excluding step length, all other spatiotemporal parameters improved post-session, indicating they were closer to their respective reference ranges after the hippotherapy session. However, these changes were not statistically significant despite the improvements noted.

Study Conclusions

  • The researchers concluded that a single session of hippotherapy may lead to a significant effect on the spatiotemporal parameters of gait in children with cerebral palsy, particularly concerning walking speed.
  • While improvements were observed in other parameters, these changes didn’t achieve statistical significance, indicating that further studies might be needed to assess the long-term impacts of hippotherapy on these parameters.

Cite This Article

APA
Manikowska F, Jóźwiak M, Idzior M, Chen PJ, Tarnowski D. (2013). The effect of a hippotherapy session on spatiotemporal parameters of gait in children with cerebral palsy – pilot study. Ortop Traumatol Rehabil, 15(3), 253-257. https://doi.org/10.5604/15093492.1058420

Publication

ISSN: 2084-4336
NlmUniqueID: 101240146
Country: Poland
Language: English
Volume: 15
Issue: 3
Pages: 253-257

Researcher Affiliations

Manikowska, Faustyna
  • Department of Pediatric Orthopedics and Traumatology, Poznań University of Medical Sciences, Poland. foka@interia.pl
Jóźwiak, Marek
    Idzior, Maciej
      Chen, Po-Jung Brian
        Tarnowski, Dariusz

          MeSH Terms

          • Adolescent
          • Animals
          • Cerebral Palsy / rehabilitation
          • Child
          • Child, Preschool
          • Equine-Assisted Therapy / methods
          • Female
          • Gait / physiology
          • Horses
          • Humans
          • Male
          • Muscle Strength / physiology
          • Pilot Projects
          • Postural Balance / physiology
          • Range of Motion, Articular / physiology
          • Treatment Outcome

          Citations

          This article has been cited 2 times.
          1. Mobbs RJ, Perring J, Raj SM, Maharaj M, Yoong NKM, Sy LW, Fonseka RD, Natarajan P, Choy WJ. Gait metrics analysis utilizing single-point inertial measurement units: a systematic review.. Mhealth 2022;8:9.
            doi: 10.21037/mhealth-21-17pubmed: 35178440google scholar: lookup
          2. Jang CH, Joo MC, Noh SE, Lee SY, Lee DB, Lee SH, Kim HK, Park HI. Effects of Hippotherapy on Psychosocial Aspects in Children With Cerebral Palsy and Their Caregivers: A Pilot Study.. Ann Rehabil Med 2016 Apr;40(2):230-6.
            doi: 10.5535/arm.2016.40.2.230pubmed: 27152272google scholar: lookup