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Sensors (Basel, Switzerland)2022; 22(8); 2903; doi: 10.3390/s22082903

The Effect of a Horse-Riding Simulator with Virtual Reality on Gross Motor Function and Body Composition of Children with Cerebral Palsy: Preliminary Study.

Abstract: This study aimed to evaluate the effect of a horse-riding simulator (HRS) with virtual reality (VR) on gross motor function, balance control, and body composition in children with spastic cerebral palsy (CP). Seventeen preschool and school-aged children with spastic CP were included; 10 children in the intervention group (HRS group) received 30 min of HRS with VR training twice a week for a total of 16 sessions in addition to conventional physiotherapy. Seven children in the control group were instructed to perform home-based aerobic exercises twice a week for 8 weeks in addition to conventional physiotherapy. Gross motor function measure (GMFM) and body composition were evaluated before the first session and after the last session. Before and after the 2-month intervention, Pediatric Balance Scale and Timed Up and Go test were evaluated for the HRS group. GMFM scores and body composition changed significantly in the HRS group (p < 0.05). However, no significant differences were observed in the control group. Changes in the GMFM total scores, GMFM dimension D scores, and skeletal muscle mass significantly differed between the HRS and control groups (p < 0.05). HRS with VR may be an effective adjunctive therapeutic approach for the rehabilitation of children with CP.
Publication Date: 2022-04-10 PubMed ID: 35458888PubMed Central: PMC9029300DOI: 10.3390/s22082903Google Scholar: Lookup
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  • Journal Article

Summary

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The research article evaluates how a horse-riding simulator combined with virtual reality affects gross motor function and body composition of children suffering from cerebral palsy. They found that the simulator contributed positively to their overall rehabilitation.

Objective of the Research

  • The main aim of the research was to evaluate the impact of a horse-riding simulator (HRS) with virtual reality (VR) on the gross motor function, balance control, and body composition in children with cerebral palsy (CP), specifically the spastic type.

Participants and Methodology

  • The study involved a total of 17 children suffering from spastic CP, with an age range of preschool and elementary school.
  • These children were further divided into two groups. There were ten children in the intervention group (HRS group) and seven in the control group.
  • The HRS group had 30-minute sessions with the HRS, coupled with VR training twice a week. This process continued for a total of 16 sessions along with conventional physiotherapy.
  • The control group performed home-based aerobic exercises twice a week for 8 weeks, also alongside conventional physiotherapy.

Data Collection and Evaluation

  • Prior to and after the 8-week intervention period, several evaluations were carried out. The evaluations included were the Gross Motor Function Measure (GMFM) and assessment of body composition.
  • Also, the HRS group’s balance control was evaluated before and after intervention using the Pediatric Balance Scale and the Timed Up and Go test.

Results of the Research

  • The GMFM scores and body composition of the children in the HRS group showcased a significant increase post-intervention.
  • The control group did not display any significant changes in GMFM scores and body composition after the period of intervention.
  • The study also indicated a significant difference in the changes of the GMFM total scores, GMFM dimension D scores, and skeletal muscle mass between the HRS group and the control group.

Conclusions

  • In conclusion, the horse-riding simulator (HRS) combined with virtual reality (VR) could prove to be an effective additional therapeutic approach for rehabilitating children with cerebral palsy (CP).

Cite This Article

APA
Jung YG, Chang HJ, Jo ES, Kim DH. (2022). The Effect of a Horse-Riding Simulator with Virtual Reality on Gross Motor Function and Body Composition of Children with Cerebral Palsy: Preliminary Study. Sensors (Basel), 22(8), 2903. https://doi.org/10.3390/s22082903

Publication

ISSN: 1424-8220
NlmUniqueID: 101204366
Country: Switzerland
Language: English
Volume: 22
Issue: 8
PII: 2903

Researcher Affiliations

Jung, Yong Gi
  • Department of Otorhinolaryngology-Head and Neck Surgery, Samsung Medical Center, School of Medicine, Sungkyunkwan University, Seoul 06351, Korea.
Chang, Hyun Jung
  • Department of Physical Medicine and Rehabilitation, Samsung Changwon Hospital, School of Medicine, Sungkyunkwan University, Changwon 51353, Korea.
Jo, Eun Sol
  • Department of Physical Medicine and Rehabilitation, Samsung Changwon Hospital, School of Medicine, Sungkyunkwan University, Changwon 51353, Korea.
Kim, Da Hye
  • Department of Physical Medicine and Rehabilitation, Samsung Changwon Hospital, School of Medicine, Sungkyunkwan University, Changwon 51353, Korea.

MeSH Terms

  • Animals
  • Body Composition
  • Cerebral Palsy
  • Child
  • Child, Preschool
  • Horses
  • Humans
  • Motor Skills
  • Postural Balance / physiology
  • Time and Motion Studies
  • Virtual Reality

Conflict of Interest Statement

The authors declare no conflict of interest.

References

This article includes 31 references
  1. Rosenbaum P, Paneth N, Leviton A, Goldstein M, Bax M, Damiano D, Dan B, Jacobsson B. A report: the definition and classification of cerebral palsy April 2006.. Dev Med Child Neurol Suppl 2007 Feb;109:8-14.
    pubmed: 17370477
  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/children7090106pmc: PMC7552760pubmed: 32825159google scholar: lookup
  3. Novak I, Morgan C, Fahey M, Finch-Edmondson M, Galea C, Hines A, Langdon K, Namara MM, Paton MC, Popat H, Shore B, Khamis A, Stanton E, Finemore OP, Tricks A, Te Velde A, Dark L, Morton N, Badawi N. State of the Evidence Traffic Lights 2019: Systematic Review of Interventions for Preventing and Treating Children with Cerebral Palsy.. Curr Neurol Neurosci Rep 2020 Feb 21;20(2):3.
    doi: 10.1007/s11910-020-1022-zpmc: PMC7035308pubmed: 32086598google scholar: lookup
  4. Dominguez-Romero JG, Molina-Aroca A, Moral-Munoz JA, Luque-Moreno C, Lucena-Anton D. Effectiveness of Mechanical Horse-Riding Simulators on Postural Balance in Neurological Rehabilitation: Systematic Review and Meta-Analysis.. Int J Environ Res Public Health 2019 Dec 25;17(1).
    doi: 10.3390/ijerph17010165pmc: PMC6981612pubmed: 31881693google scholar: lookup
  5. 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.
    doi: 10.1589/jpts.27.273pmc: PMC4305581pubmed: 25642090google scholar: lookup
  6. Svraka E. Cerebral Palsy-Challenges for the Future. InTech; Rijeka, Croatia: 2014. p. 312.
  7. Wu J, Loprinzi PD, Ren Z. The Rehabilitative Effects of Virtual Reality Games on Balance Performance among Children with Cerebral Palsy: A Meta-Analysis of Randomized Controlled Trials.. Int J Environ Res Public Health 2019 Oct 28;16(21).
    doi: 10.3390/ijerph16214161pmc: PMC6861947pubmed: 31661938google scholar: lookup
  8. Ren Z, Wu J. The Effect of Virtual Reality Games on the Gross Motor Skills of Children with Cerebral Palsy: A Meta-Analysis of Randomized Controlled Trials.. Int J Environ Res Public Health 2019 Oct 14;16(20).
    doi: 10.3390/ijerph16203885pmc: PMC6843701pubmed: 31614990google scholar: lookup
  9. Noble JJ, Chruscikowski E, Fry NRD, Lewis AP, Gough M, Shortland AP. The relationship between lower limb muscle volume and body mass in ambulant individuals with bilateral cerebral palsy.. BMC Neurol 2017 Dec 29;17(1):223.
    doi: 10.1186/s12883-017-1005-0pmc: PMC5747099pubmed: 29284423google scholar: lookup
  10. Yoo JH, Kim SE, Lee MG, Jin JJ, Hong J, Choi YT, Kim MH, Jee YS. The effect of horse simulator riding on visual analogue scale, body composition and trunk strength in the patients with chronic low back pain.. Int J Clin Pract 2014 Aug;68(8):941-9.
    doi: 10.1111/ijcp.12414pubmed: 25039929google scholar: lookup
  11. Lee S, Jeong J. The efficacy of indoor horseback-riding exercise on health-related fitness, serum lipids, and defecation satisfaction of female collegiate students. Korea Sport Res 2005;16:153–160.
  12. Russell DJ, Rosenbaum PL, Cadman DT, Gowland C, Hardy S, Jarvis S. The gross motor function measure: a means to evaluate the effects of physical therapy.. Dev Med Child Neurol 1989 Jun;31(3):341-52.
  13. Alotaibi M, Long T, Kennedy E, Bavishi S. The efficacy of GMFM-88 and GMFM-66 to detect changes in gross motor function in children with cerebral palsy (CP): a literature review.. Disabil Rehabil 2014;36(8):617-27.
    doi: 10.3109/09638288.2013.805820pubmed: 23802141google scholar: lookup
  14. Russell DJ, Avery LM, Rosenbaum PL, Raina PS, Walter SD, Palisano RJ. Improved scaling of the gross motor function measure for children with cerebral palsy: evidence of reliability and validity.. Phys Ther 2000 Sep;80(9):873-85.
    doi: 10.1093/ptj/80.9.873pubmed: 10960935google scholar: lookup
  15. Yang EM, Park E, Ahn YH, Choi HJ, Kang HG, Cheong HI, Ha IS. Measurement of Fluid Status Using Bioimpedance Methods in Korean Pediatric Patients on Hemodialysis.. J Korean Med Sci 2017 Nov;32(11):1828-1834.
  16. Jayanama K, Putadechakun S, Srisuwarn P, Vallibhakara SA, Chattranukulchai Shantavasinkul P, Sritara C, Kantachuvesiri S, Komindr S. Evaluation of Body Composition in Hemodialysis Thai Patients: Comparison between Two Models of Bioelectrical Impedance Analyzer and Dual-Energy X-Ray Absorptiometry.. J Nutr Metab 2018;2018:4537623.
    doi: 10.1155/2018/4537623pmc: PMC6098916pubmed: 30174950google scholar: lookup
  17. Kyle UG, Earthman CP, Pichard C, Coss-Bu JA. Body composition during growth in children: limitations and perspectives of bioelectrical impedance analysis.. Eur J Clin Nutr 2015 Dec;69(12):1298-305.
    doi: 10.1038/ejcn.2015.86pubmed: 26039314google scholar: lookup
  18. Franjoine MR, Gunther JS, Taylor MJ. Pediatric balance scale: a modified version of the berg balance scale for the school-age child with mild to moderate motor impairment.. Pediatr Phys Ther 2003 Summer;15(2):114-28.
  19. Williams EN, Carroll SG, Reddihough DS, Phillips BA, Galea MP. Investigation of the timed 'up & go' test in children.. Dev Med Child Neurol 2005 Aug;47(8):518-24.
    doi: 10.1017/s0012162205001027pubmed: 16108451google scholar: lookup
  20. Rosenbaum PL, Walter SD, Hanna SE, Palisano RJ, Russell DJ, Raina P, Wood E, Bartlett DJ, Galuppi BE. Prognosis for gross motor function in cerebral palsy: creation of motor development curves.. JAMA 2002 Sep 18;288(11):1357-63.
    doi: 10.1001/jama.288.11.1357pubmed: 12234229google scholar: lookup
  21. Hanna SE, Rosenbaum PL, Bartlett DJ, Palisano RJ, Walter SD, Avery L, Russell DJ. Stability and decline in gross motor function among children and youth with cerebral palsy aged 2 to 21 years.. Dev Med Child Neurol 2009 Apr;51(4):295-302.
  22. Damiano DL. Activity, activity, activity: rethinking our physical therapy approach to cerebral palsy.. Phys Ther 2006 Nov;86(11):1534-40.
    doi: 10.2522/ptj.20050397pubmed: 17094192google scholar: lookup
  23. Brandenburg JE, Fogarty MJ, Sieck GC. Why individuals with cerebral palsy are at higher risk for respiratory complications from COVID-19.. J Pediatr Rehabil Med 2020;13(3):317-327.
    doi: 10.3233/PRM-200746pubmed: 33136080google scholar: lookup
  24. Cankurtaran D, Tezel N, Yildiz SY, Celik G, Unlu Akyuz E. Evaluation of the effects of the COVID-19 pandemic on children with cerebral palsy, caregivers' quality of life, and caregivers' fear of COVID-19 with telemedicine.. Ir J Med Sci 2021 Nov;190(4):1473-1480.
    doi: 10.1007/s11845-021-02622-2pmc: PMC8032454pubmed: 33834363google scholar: lookup
  25. Bıyık KS, Özal C, Tunçdemir M, Üneş S, Delioğlu K, Günel MK. The functional health status of children with cerebral palsy during the COVID-19 pandemic stay-at-home period: a parental perspective.. Turk J Pediatr 2021;63(2):223-236.
    doi: 10.24953/turkjped.2021.02.006pubmed: 33929112google scholar: lookup
  26. Herrero P, Gómez-Trullén EM, Asensio A, García E, Casas R, Monserrat E, Pandyan A. Study of the therapeutic effects of a hippotherapy simulator in children with cerebral palsy: a stratified single-blind randomized controlled trial.. Clin Rehabil 2012 Dec;26(12):1105-13.
    doi: 10.1177/0269215512444633pubmed: 22610128google scholar: lookup
  27. Meyns P, Roman de Mettelinge T, van der Spank J, Coussens M, Van Waelvelde H. Motivation in pediatric motor rehabilitation: A systematic search of the literature using the self-determination theory as a conceptual framework.. Dev Neurorehabil 2018 Aug;21(6):371-390.
    doi: 10.1080/17518423.2017.1295286pubmed: 28277817google scholar: lookup
  28. Silva e Borges MB, Werneck MJ, da Silva Mde L, Gandolfi L, Pratesi R. Therapeutic effects of a horse riding simulator in children with cerebral palsy.. Arq Neuropsiquiatr 2011 Oct;69(5):799-804.
  29. Walker JL, Bell KL, Stevenson RD, Weir KA, Boyd RN, Davies PS. Differences in body composition according to functional ability in preschool-aged children with cerebral palsy.. Clin Nutr 2015 Feb;34(1):140-5.
    doi: 10.1016/j.clnu.2014.02.007pubmed: 24613145google scholar: lookup
  30. Whitney DG, Singh H, Miller F, Barbe MF, Slade JM, Pohlig RT, Modlesky CM. Cortical bone deficit and fat infiltration of bone marrow and skeletal muscle in ambulatory children with mild spastic cerebral palsy.. Bone 2017 Jan;94:90-97.
    doi: 10.1016/j.bone.2016.10.005pmc: PMC5912954pubmed: 27732905google scholar: lookup
  31. Arruda RCBF, Tassitano RM, da Silva Brito AL, de Sousa Martins OS, Cabral PC, de Castro Antunes MM. Physical activity, sedentary time and nutritional status in Brazilian children with cerebral palsy.. J Pediatr (Rio J) 2022 May-Jun;98(3):303-309.
    doi: 10.1016/j.jped.2021.07.005pmc: PMC9432072pubmed: 34506748google scholar: lookup

Citations

This article has been cited 6 times.
  1. Wang C, Kong J, Qi H. Areas of Research Focus and Trends in the Research on the Application of VR in Rehabilitation Medicine.. Healthcare (Basel) 2023 Jul 18;11(14).
    doi: 10.3390/healthcare11142056pubmed: 37510497google scholar: lookup
  2. Bonanno M, Militi A, La Fauci Belponer F, De Luca R, Leonetti D, Quartarone A, Ciancarelli I, Morone G, Calabrò RS. Rehabilitation of Gait and Balance in Cerebral Palsy: A Scoping Review on the Use of Robotics with Biomechanical Implications.. J Clin Med 2023 May 4;12(9).
    doi: 10.3390/jcm12093278pubmed: 37176718google scholar: lookup
  3. Moon I, An Y, Min S, Park C. Therapeutic Effects of Metaverse Rehabilitation for Cerebral Palsy: A Randomized Controlled Trial.. Int J Environ Res Public Health 2023 Jan 15;20(2).
    doi: 10.3390/ijerph20021578pubmed: 36674332google scholar: lookup
  4. Cortés-Pérez I, González-González N, Peinado-Rubia AB, Nieto-Escamez FA, Obrero-Gaitán E, García-López H. Efficacy of Robot-Assisted Gait Therapy Compared to Conventional Therapy or Treadmill Training in Children with Cerebral Palsy: A Systematic Review with Meta-Analysis.. Sensors (Basel) 2022 Dec 16;22(24).
    doi: 10.3390/s22249910pubmed: 36560281google scholar: lookup
  5. Aghapour M, Bockstahler B. State of the Art and Future Prospects of Virtual and Augmented Reality in Veterinary Medicine: A Systematic Review.. Animals (Basel) 2022 Dec 13;12(24).
    doi: 10.3390/ani12243517pubmed: 36552437google scholar: lookup
  6. Obrero-Gaitán E, Montoro-Cárdenas D, Cortés-Pérez I, Osuna-Pérez MC. Effectiveness of Mechanical Horse-Riding Simulator-Based Interventions in Patients with Cerebral Palsy-A Systematic Review and Meta-Analysis.. Bioengineering (Basel) 2022 Dec 11;9(12).
    doi: 10.3390/bioengineering9120790pubmed: 36550996google scholar: lookup