[Purpose] A randomized controlled trial was conducted to investigate the immediate effects of horseback riding (HR) and a dynamic (DHS) and static (SHS) horse riding simulator (OSIM uGallop, Taiwan) on sitting ability of children with cerebral palsy. [Subjects and Methods] Thirty children with cerebral palsy were recruited and randomly assigned into three groups. Children received 30 minutes of exercise according to their assigned group. The Segmental Assessment of Trunk Control (SATCo) and Gross Motor Function Measure-66 (GMFM-66) sitting dimension were used to assess children in all groups both before and after the interventions. [Results] Sitting abilities were significantly improved after all interventions. Horseback riding showed the most improvement, followed by the dynamic and static horse riding simulator groups. Horseback riding also showed a significant improvement in the GMFM sitting dimension. [Conclusion] Horseback riding was the best intervention for promoting sitting ability of children with spastic cerebral palsy. However, a dynamic horse riding simulator can be a good surrogate for horseback riding when horseback riding is not available.

Muscle function depends in part on the interplay between its activity and its length within the stretch-shortening cycle. The longissimus dorsi is a large epaxial muscle running along the thoracic and lumbar regions of the equine back. Due to its anatomical positioning, the longissimus dorsi has the capability of contributing to many functions: developing bending moments in the dorsoventral and lateral (coupled to axial rotation) directions and also providing stiffness to limit motion in these directions. We hypothesize that the exact function of the longissimus dorsi will vary along the back and between gaits as the relation between activity and motion of the back changes. Electromyograms (EMG) were recorded at walk (inclined and level) and trot (on the level) on a treadmill from the longissimus dorsi at muscle segments T14, T16, T18 and L2. Back motion was additionally measured using a fibre-optic goniometer. Co-contractions of the muscle between its left and right sides were quantified using correlation analysis. A greater dominance of unilateral activity was found at more cranial segments and for level walking, suggesting a greater role of the longissimus dorsi in developing lateral bending moments. Timing of the EMG varied between muscle segments relative to the gait cycle, the locomotor condition tested and the flexion–extension cycle of the back. This supports the hypothesis that the function of the longissimus dorsi changes along the back and between gaits.

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These observations indicate that the muscle fascicle architecture predisposes the longissimus dorsi to different functions both along its length and between different regions within each segment. Detailed 3D anatomical measures of the structure with in vivo measures of function (back motion and muscle activity) will be investigated in further studies.

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