Effect of hippotherapy on gait symmetry in children with cerebral palsy: A pilot study

Mutoh, Tomoko; Mutoh, Tatsushi; Tsubone, Hirokazu; Takada, Makoto; Doumura, Misato; Ihara, Masayo; Sasaki, Hideo; Taki, Yasuyuki; Ihara, Masahiro

doi:10.1111/1440-1681.13076

Cited by 14 publications

(14 citation statements)

References 11 publications

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“…Hippotherapy was performed at the Holistic Betterment and Wellness Through Riding PIROUETTE riding center (http://www.pirouet-u.com/) formerly known as Riding for the Disabled Association (RDA) Utsunomiya (Tochigi Prefecture), located in the Kanto region–Japan's largest plain consisting of seven prefectures including the capital city of Tokyo. The facility has licensed and specially trained members including certificated therapeutic riding instructors, occupational therapists, psychologists, medical doctors, and veterinarians and conducts highly dedicated educational and research activities on hippotherapy (18, 19, 25, 26).…”

Section: Methodsmentioning

confidence: 99%

“…Temporospatial analyses of the gait and balance abilities were performed using a portable motion recorder (MG-M1110-HW; LSI Medience, Tokyo, Japan) (Figure S2). The resulting motion signals were then recorded at a sampling rate of 100 Hz, stored on a computer for off-line analysis (MG-M1110-PC; LSI Medience, Tokyo, Japan), and then used to quantify cadence (step/min), walking speed (m/min), step length (cm), average acceleration (G), and the horizontal (side-to-side motion of the pelvis) and vertical (rise and fall of the center of gravity) displacement ratio (18, 19, 26).…”

Section: Methodsmentioning

confidence: 99%

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Impact of Long-Term Hippotherapy on the Walking Ability of Children With Cerebral Palsy and Quality of Life of Their Caregivers

Mutoh

Tsubone

et al. 2019

Front. Neurol.

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Background: Cerebral palsy (CP) is a permanent motor disorder that occurs at birth or during early infancy. Despite advances in fetal and maternal medicine, the incidence of CP remains high. Hippotherapy has gradually been recognized as an excellent rehabilitation tool for children with CP. However, a scientific basis for how it achieves long-term functional improvements or provides additional benefits to patients' caregivers remains unknown. Objectives: We performed a prospective trial to determine how hippotherapy affects the gross motor and gait functions in children with CP and how it may also impact the quality of life (QOL) of patients' caregivers. Methods: In total, 24 children with CP (11 boys, 13 girls; age: 4–14 years; Gross Motor Function Classification System [GMFCS] II-III) underwent a program (30 min/day, once a week) of hippotherapy or day-care recreation (control) over a 1-year intervention and a 3-month follow-up period. Assessment measures used for the children were gait parameters for a 5-m walk test, Gross Motor Function Measure (GMFM)-66, and GMFM dimension-E (GMFM-E). The QOL of the caregivers was estimated using a brief version of the World Health Organization Quality Of Life (WHOQOL-BREF) self-assessment questionnaire. Results: In addition to better GMFM-66 and GMFM-E scores, hippotherapy was associated with increased cadence, step length, and mean acceleration; stabilized horizontal/vertical displacement of patients; and better relationship between the psychological status and QOL of the caregivers than those seen in the control group ( p < 0.05). Additionally, the initially improved children's step length and their caregivers' psychological QOL domain (particularly in the “positive feeling” facet) tended to be preserved up to the 3-month follow-up. Conclusion: These data suggest that compared with common day-care recreational activities, a 1-year program of once-weekly hippotherapy can improve not only the walking ability of children with CP but also the psychological health and QOL of their caregivers. Clinical Trial Registration: : www.umin.ac.jp/ctr/ , identifier: UMIN000022986

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Impact of Long-Term Hippotherapy on the Walking Ability of Children With Cerebral Palsy and Quality of Life of Their Caregivers

Mutoh

Tsubone

et al. 2019

Front. Neurol.

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“…Caregivers were asked to fill out questionnaires during visits to healthcare facilities (e.g., routine physical examination/medication, physiotherapy, therapeutic horseback riding9,10,11 ) , and daycare or recreation centers), the questions of which address the child’s age and gender as well as the caregiver’s data including age, gender, and education. The child’s latest Gross Motor Function Classification Scale (GMFCS) levels were measured simultaneously to assess their impact on various aspects of the caregiver’s QOL.…”

Section: Participants and Methodsmentioning

confidence: 99%

Development and exploration of a Japanese version of the cerebral palsy quality of life for children questionnaire for primary caregivers: a pilot study

Mutoh

Kurosaki

et al. 2019

J Phys Ther Sci

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We aimed to translate and validate a Japanese language version of the cerebral palsy quality of life for children questionnaire for primary caregivers and assess the relationship between quality of life of Japanese parents and their children's motor skills. [Participants and Methods] Fifty children (aged 4 to 12 years) and their parents (mothers) were enrolled. The parent-proxy version of the cerebral palsy quality of life for children questionnaire translated to Japanese was administered, and a validation study was performed using Cronbach's α as the key metric. The relationships between the parents' quality of life and children's Gross Motor Function Classification Scale levels were analyzed. [Results] We found that the age of the children and their parents and gender of the children were not significant factors affecting the quality of life domains. Significantly high values of internal consistency were detected among items within each quality of life domain, wherein Cronbach's α was between 0.72 and 0.89. Two quality of life domains (Emotional well-being and Feeling about functioning) were significantly associated with Gross Motor Function Classification Scale levels. [Conclusion] Our data suggest that the original English version of the cerebral palsy quality of life for children questionnaire for primary caregivers was successfully translated to Japanese for use by Japanese-speaking parents caring for their children.

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“…In addition, several previous studies have reported that horse riding simulator training led to an improvement in functional activities such as decreased spasticity and the improvement of postural control and gait in children with cerebral palsy. 5,11,16,17 Virtual reality (VR) training uses computer software to track the user's motions and show them on a TV screen. In VR training, since the training machine can detect motions of not only healthy people but also people with various functional disorders, users can perform various game interactions.…”

Section: Korean Physical Therapymentioning

confidence: 99%

Effects of Virtual Reality Horse Riding Simulator Training Using a Head-Mounted Display on Balance and Gait Functions in Children with Cerebral Palsy: A Preliminary Pilot Study

2019

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The purpose of this study was to investigate the effects of three-dimensional virtual reality horse riding simulator training using a head-mounted display on gait and balance in children with cerebral palsy. Methods: Ten children with cerebral palsy were randomly assigned to the horse riding simulator (HRS) group (n= 5) or the horse riding simulator with virtual reality (HRSVR) group (n= 5). To evaluate balance, center of gravity (COG) sway velocity and total sway distance of each group were assessed using the Wii balance board, and gait speed and stride length of each group were assessed using a gait analysis system. Results: Intra-group comparisons between pre-and post-intervention measures revealed that there were significant changes in all gait and balance variables such as stride length, gait velocity, COG sway velocity and COG sway distance in the HRSVR group (p< 0.05). In the HRS group, there were significant changes in all variables except stride length (p< 0.05). In addition, inter-group comparisons showed significant differences between the two groups in stride length, gait velocity and COG sway distance except COG sway velocity (p< 0.05). Conclusion: The findings of this study suggest that horse riding simulator training combined with 3D virtual reality can be a new positive therapeutic approach for improving functional performance in children with cerebral palsy.

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Effect of hippotherapy on gait symmetry in children with cerebral palsy: A pilot study

Cited by 14 publications

References 11 publications

Impact of Long-Term Hippotherapy on the Walking Ability of Children With Cerebral Palsy and Quality of Life of Their Caregivers

Impact of Long-Term Hippotherapy on the Walking Ability of Children With Cerebral Palsy and Quality of Life of Their Caregivers

Development and exploration of a Japanese version of the cerebral palsy quality of life for children questionnaire for primary caregivers: a pilot study

Effects of Virtual Reality Horse Riding Simulator Training Using a Head-Mounted Display on Balance and Gait Functions in Children with Cerebral Palsy: A Preliminary Pilot Study

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