Effects of Hippotherapy on the Sitting Balance of Children with Cerebral Palsy: a Randomized Control Trial

Kang, Hyungkyu; Jung, Jin-Hwa; Yu, Jae-Ho

doi:10.1589/jpts.24.833

Cited by 31 publications

(32 citation statements)

References 16 publications

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“…To assess the ability to shift body weight, they used a mat which measured the pressure exerted while sitting. Data analysis revealed that patients with cerebral palsy achiev ed greater improvements in their sitting balance with classic exercises supplemented by hip potherapy than with physiotherapy alone [21].…”

Section: Discussionmentioning

confidence: 99%

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Influence of Hippotherapy on Body Balance in the Sitting Position Among Children with Cerebral Palsy

Matusiak-Wieczorek¹,

Małachowska-Sobieska²,

Synder³

2016

Ortop Traumatol Rehabil

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STRESZCZENIEWstęp. Sa mo dziel ne funk cjo no wa nie dziec ka z mó zgo wym po ra że niem ogra ni czo ne jest wsku tek za bu rzeń kon tro li po sta wy cia ła. Naj lep szym roz wią za niem w uspraw nia niu kon tro li po sta wy są te ra pie, któ re po zwa la ją jed no cze śnie pra co wać nad zmysłem rów no wa gi i roz wi jać zdol no ści mo to rycz ne dziec ka. Ta kie mo żli wo ści w przy pad ku pa cjen tów z mó zgo wym po ra że niem da je na przy kład hi po te ra pia. Celem pra cy była oce na wpły wu hi po te ra pii na zdol ność utrzy ma nia rów no wa gi w po zy cji sie dzą -cej wśród dzie ci z mó zgo wym po ra że niem.Ma te riał i me to dy. W ba da niu wzię ło udział 39 dzie ci, za kwa li fi ko wa nych do I lub II po zio mu GMFCS, z roz po zna ną spastycz ną di ple gią lub he mi ple gią, w wie ku 6-12 lat. Uczest ni cy zo sta li po dzie le ni na dwie gru py: ba da ną (n=19) i kon tro l ną (n=20). Dzie ci z gru py ba da nej bra ły udział w 30-mi nu to wych za ję ciach hi po te ra pii raz w ty go dniu, przez okres 12 ty go dni. Do oce ny kon tro li po sta wy cia ła i rów no wa gi pa cjen ta w po zy cji sie dzą cej uży to ska li SAS (ang. Sit ting As ses sment Sca le).Wy ni ki. Pod czas ba da nia część dzie ci po pra wi ła swo ją rów no wa gę i po sta wę cia ła. Naj czę ściej po lep sza ło się usta wie nie tuło wia i gło wy, a ta kże kon tro la funk cji ra mion, na to miast naj słab sze oce ny przy zna wa no za kon tro lę pra cy stóp.Wnio sek. Hi po te ra pia ma po zy tyw ny wpływ na kon tro lę usta wie nia i pra cę po szcze gól nych czę ści cia ła, przez co po zwa la kształ to wać po sta wę i po pra wia zdol ność utrzy my wa nia rów no wa gi w po zy cji sie dzą cej, u dzie ci z mó zgo wym po ra że niem.Sło wa klu czo we: hi po te ra pia, mó zgo we po ra że nie dzie cię ce, rów no wa ga SUMMARYBackground. Cerebrally palsied children demonstrated limited independence while performing various activities of daily living, which is due to disorders of postural control. The best solution to improve postural con trol is the use of therapies that simultaneously focus on the sense of balance and motor skills. Such possibilities for patients with cerebral palsy are offered, for example, by hippotherapy.Objective. To assess the influence of hippotherapy on body balance in the sitting position among children with cerebral palsy. Material and methods. The study enrolled thirty-nine children aged 6-12 years with GMFCS level 1 or 2 spastic diplegia or spastic hemiplegia. The participants were divided into an intervention group (n = 19) and a control group (n = 20). Children from the intervention group attended 30 minutes of hippotherapy once weekly for 12 consecutive weeks. The Sitting Assessment Scale (SAS) was used to assess the patients' posture and balance.Results. Some children improved their posture and balance during the study. Generally, control of trunk and head position and function of arms were getting better, while footwork was the weakest.Conclusion. Hippotherapy has positive effects on the position and function of ind...

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Section: Discussionmentioning

confidence: 99%

“…sie dze nia, niż sa ma fi zjo te ra pia [21]. Prze pro wa dzo ne przez nas ba da nie po sia da ło pewne ogra ni cze nia.…”

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Influence of Hippotherapy on Body Balance in the Sitting Position Among Children with Cerebral Palsy

Matusiak-Wieczorek¹,

Małachowska-Sobieska²,

Synder³

2016

Ortop Traumatol Rehabil

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“…Even though the effect of CP on postural stability has been previously studied and documented, one can easily see that studies usually do not have pure hemiplegic CP groups 5 , 6 , 7 ) . Most of the rehabilitation studies have involved children with diplegic CP, and the effectiveness of interventions in these children 8 , 9 ) . Patients with hemiplegic CP are usually children who have higher levels of gross motor function 10 ) .…”

Section: Introductionmentioning

confidence: 99%

Evaluation of postural stability in children with hemiplegic cerebral palsy

et al. 2016

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[Purpose] Postural stability is the ability of to maintain the position of the body within the support area. This function is affected in cerebral palsy. The aim of the present study was to compare static and dynamic postural stability between children with hemiplegic cerebral palsy and healthy controls. [Subjects and Methods] Thirty-seven children between the ages of 5 and 14 diagnosed with hemiplegic cerebral palsy (19 right, 18 left) and 23 healthy gender- and age-matched controls were included in the study. Postural stability was evaluated in both of the groups using a Neurocom Balance. Sway velocity was measured both with the eyes open and closed. Sit to stand and turning abilities were also assessed. [Results] The sway velocities with the eyes open and closed were significantly different between the groups. The weight transfer time in the Sit to Stand test was also significantly slower in children with cerebral palsy. Children with cerebral palsy also showed slower turning times and greater sway velocities during the Step and Quick Turn test on a force plate compared with their healthy counterparts. [Conclusion] Both static and dynamic postural stability parameters are affected in hemiplegic cerebral palsy. Further research is needed to define rehabilitation interventions to improve these parameters in patients.

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“…Los resultados mostraron una mejora en el equilibrio sentado tras el programa de hipoterapia, pero dicha mejoría no se mantuvo tras las 12 semanas desde la intervención lo que nos indica que si queremos que la mejoría se mantenga es necesario mantener el programa de hipoterapia de forma continuada. Kang et al (2012) comprobaron los efectos de la hipoterapia sobre el equilibrio sentado en 45 niños con parálisis cerebral. Para ello dividieron de forma randomizada a los niños en tres grupos, un grupo control (n=15) que no recibiría ningún tipo de tratamiento, un grupo que solo realizaría hipoterapia (n=15) y otro grupo que solo realizaría ejercicios de fortalecimiento y estiramiento por parte de fisioterapeutas (n=15), ambos grupos en sesiones semanales de 30 minutos durante ocho semanas.…”

Section: Resultsunclassified

Efectos de las terapias ecuestres en personas con parálisis cerebral

Fuente

2017

Redis

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ResumenEl objetivo del artículo es revisar la literatura científica existente a fin de comprobar los efectos de las terapias ecuestres en personas con parálisis cerebral. Se realizó una revisión bibliográfica en las bases de datos de Medline (PubMed), Dialnet, Scopus, Sportdiscus y Web of Science, estableciendo como criterios de inclusión para seleccionar los estudios clínicos por revisar que estos hubieran sido publicados entre 2001 y 2016, en castellano o inglés. Asimismo, se rechazaron aquellos en los que los sujetos recibieran una combinación de tratamientos farmacológicos. Se revisaron un total de 68 artículos, de los cuales 20 cumplieron los criterios de inclusión. Se analizaron la población objeto de estudio, el tipo de tratamiento, la temporalización y los resultados obtenidos. En general, se observan beneficios significativos en el uso de las terapias ecuestres como tratamiento para personas con parálisis cerebral. Palabras claveTerapias ecuestres, terapia asistida por caballos, hipoterapia, parálisis cerebral, tono muscular. AbstractThis work aims to review the existing scientific literature in order to check the effects of equestrian therapies on people with cerebral palsy. A bibliographical review was performed in databases of Medline (PubMed), Dialnet, Scopus, Sportdiscus y Web of Science, establishing as inclusion criteria to select clinical studies for review that these had been published between 2001 and 2016, in Spanish or English, likewise there were rejected those in which the subjects received a combination of pharmacological treatments. There were reviewed 68 articles in total, 20 of which met the inclusion criteria. There were analysed many criteria, such as the population object of the study, the type of treatment, the schedule and the results obtained. In general, significant benefits are observed in the use of equestrian therapies as a treatment for people with cerebral palsy.

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Effects of Hippotherapy on the Sitting Balance of Children with Cerebral Palsy: a Randomized Control Trial

Cited by 31 publications

References 16 publications

Influence of Hippotherapy on Body Balance in the Sitting Position Among Children with Cerebral Palsy

Influence of Hippotherapy on Body Balance in the Sitting Position Among Children with Cerebral Palsy

Evaluation of postural stability in children with hemiplegic cerebral palsy

Efectos de las terapias ecuestres en personas con parálisis cerebral

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