Immediate and Long-Term Effects of Hippotherapy on Symmetry of Adductor Muscle Activity and Functional Ability in Children With Spastic Cerebral Palsy

McGibbon, Nancy H.; Benda, William; Duncan, Burris; Silkwood-Sherer, Debbie

doi:10.1016/j.apmr.2009.01.011

Cited by 141 publications

(132 citation statements)

References 14 publications

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“…[4][5][6][7][8][9][10][11][12][13] Ayrıca hippoterapinin serebral palsili hastalarda simetrinin sağlanması ve fonksiyonel motor beceriler üzerine olumlu etkileri bulunduğu bildirilmektedir. 8,[12][13][14][15][16] Ancak bu araştırmaların çoğunun kontrolsüz olması, olgu sayısının az olması, hastaların klinik özellikleri ve uygulanan tedavinin standardizasyonunun sağlanamaması nedenleriyle hippoterapinin serebral palsi tedavisindeki etkinliğinin belirlenmesi için yeni çalışmalara ihtiyaç vardır.…”

unclassified

Is Hyppotherapy Beneficial for Rehabilitation of Children with Cerebral Palsy?

Şik¹,

Çekmece²,

Dursun³

et al. 2012

Turkiye Klinikleri J Med Sci

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601Hippoterapi Serebral Palsili Çocukların Rehabilitasyonunda Yararlı mıdır?Ö ÖZ ZE ET T A Am ma aç ç: : Bu randomize kontrollü çalışma ile serebral palsili çocuklarda hippoterapinin kaba motor fonksiyonlar, denge, koordinasyon ve yürüme üzerine olan etkilerinin ortaya konması amaçlandı. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Araştırmaya 23 spastik serebral palsili çocuk dâhil edildi. Çalışmaya katılanlar randomize olarak hippoterapi veya kontrol grubuna ayrıldı. Her iki gruptaki tüm çocuklara her gün günde bir saatlik seanslardan oluşan toplam 2 haftalık konvansiyonel fizyoterapi programı uygulandı. Hippoterapi grubu aynı zamanda 10 hafta süre ile haftada 1 kez 30-45 dakikalık hippoterapi eğitimi aldı. Her iki gruptaki tüm çocuklar tedavi öncesi ve sonrasında kaba motor fonksiyonlar açısından Kaba Motor Fonksiyon Ölçütü-88 (KMFÖ-88), denge-koordinasyon açısından Pediatrik Denge Skalası (PDS) ve yürüme fonksiyonları açısından bilgisayarlı yürüme analizi ile değerlendirildi. B Bu ul lg gu ul la ar r: : Araştırmayı hippoterapi grubundan 10, kontrol grubundan 10 hasta tamamladı. Her iki grubun tedavi sonrası değerlendirmesinde KMFÖ-88'in yatma-yuvarlanma, oturma, emekleme-diz üstü durma, ayakta durma ve yürüme-koşma-zıplama alt parametrelerinde ve KMFÖ-88 toplam puanlarında istatistiksel olarak anlamlı gelişmeler elde edildi (tüm parametreler için p<0,05). Hippoterapi grubunda yatma-yuvarlanma, emekleme-diz üstü durma, ayakta durma, KMFÖ-88 toplam puanlarındaki gelişme oranlarının, kontrol grubuna oranla istatistiksel olarak anlamlı derecede yüksek olduğu saptandı (tüm parametreler için p<0,05). PDS her iki grupta anlamlı derecede artış gösterdi (p<0,05 tüm parametreler); iki grubun gelişme oranları arasında istatistiksel olarak anlamlı fark saptanmadı (p>0,05). Hippoterapi grubunda yürüme hızı (sağ p=0,043, sol p=0,026) ve kadans (p=0,028) istatistiksel olarak anlamlı derecede artış gösterdi, ancak kontrol grubunun yürüme parametrelerinde istatistiksel bir gelişme saptanmadı. S So on nu uç ç: : Hippoterapi, serebral palsili çocukların rehabilitasyon ve tedavisinde ek motor kazanımlar sağlayabilecek yararlı bir yardımcı yöntem olarak değerlendirilebilir.A An na ah ht ta ar r K Ke el li im me el le er r: : Serebral palsi; motor beceriler; fizyoterapi A AB BS ST TR RA AC CT T O Ob bj je ec ct ti iv ve e: : The aim of this randomized controlled study was to investigate the effects of hyppotherapy on gross motor functions, balance, coordination and walking in children with cerebral palsy. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : A total of 23 children with cerebral palsy were included in the study. Participants were randomly divided into two groups as hyppotherapy and control groups. All children in both groups received 2 weeks of conventional physiotherapy with one-hour sessions every day. Hyppotherapy group also received hyppotherapy education for 30-45 min once a day for 10 weeks. All children in both groups were evaluated using the Gross Motor Function Measure-88 (GMFM-88) in terms...

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unclassified

Is Hyppotherapy Beneficial for Rehabilitation of Children with Cerebral Palsy?

Şik¹,

Çekmece²,

Dursun³

et al. 2012

Turkiye Klinikleri J Med Sci

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“…This effect has been confirmed in a study by Bertoti (1988) where hypertonus of the adductor and extensor muscle groups of the lower limbs in children with cerebral palsy decreased after the hippotherapy units were applied. McGibbon et al (2009) also found that even a ten-minute therapy brings changes in the asymmetry of adductor group that have influence on the biomechanics of movement when running and jumping. The influence of hippotherapy on these muscle groups must be assessed comprehensively because hippotherapy not only suppresses the driving pathological stereotypes but also facilitates postural reflex mechanisms at the subcortical level.…”

Section: Discussionmentioning

confidence: 91%

“…Regarding the spastic tetraplegic form, we can often find a pathological gait pattern called "crouch gait", which is characterized by bilateral disabilities of lower limbs with typical foot position in dorsal flexion in combination with excessive knee flexion, adduction and internal rotation of the hip (Perry, 1992;Rodda & Graham, 2001). When monitoring this area, most authors have persuaded the same view that hippotherapy positively affects muscle asymmetry in the lower limbs (Benda et al, 2003;Kulichová & Böswart, 1995;McGibbon et al, 2009). In children with CP, the hippotherapy also has a favourable effect on the step length and frequency.…”

Section: Discussionmentioning

confidence: 99%

“…Using hippotherapy, these pathological patterns can be reduced. Hippotherapy favourably affects muscle asymmetry of the lower limb muscles (Benda, McGibbon, & Grant, 2003;Kulichová & Böswart, 1995;McGibbon, Andrade, Widener, & Cintas, 1998;McGibbon, Benda, Duncan, & Silkwood-Sherer, 2009). Despite the conflicting results of some studies (Drnach, O'Brien, & Kreger, 2010;Hamill, Washington, & White, 2007), the authors assume that any pertinent improvements in the gross motor skills score due to hippotherapy may ultimately lead to reduction in the degree of motor impairment in children with CP.…”

Section: Introductionmentioning

confidence: 99%

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The effect of hippotherapy on gait in patients with spastic cerebral palsy

Fizková¹,

Krejčí²,

Svoboda³

et al. 2013

Acta Gymnica

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BACKGROUND: Disorders of motor skills, especially regarding gait, are prevalent in nearly all forms of cerebral palsy. Through a horse's back movement, the patient is exposed to proprioceptive stimulation, thus improvement in gait performance could be expected. OBJECTIVE: The aim of our study was to determine the effect of hippotherapy on gait in patients with spastic cerebral palsy METHODS: Eleven subjects (age 14.3 ± 4.8 years, height 148.2 ± 17.6 cm, weight 43.3 ± 20.2 kg) with spastic cerebral palsy participated in the study. Gait assessment was performed before and after a weeklong stay. The hippotherapy was conducted daily. Kinematic data from three trials for each child was obtained using the Vicon MX system (seven infrared cameras, frequency 200 Hz). Comparison of ankle, knee, hip and pelvis movement before and after hippotherapy intervention was performed in Statistica (version 10.0) using the Wilcoxon test. To determine the effect size, Cohen's d was used. RESULTS: After completing the short-term hippotherapy intervention, we observed a decrease in the second plantar flexion during initial swing (p < .05), decrease in knee flexion during the stance phase (p < .05), decrease in the hip range of motion in sagittal plane (p < .05) and decrease in the pelvic obliquity (p < .05). The effect size for all statistically significant differences was low. CONCLUSIONS: Hippotherapy combined with individually defined physiotherapy can lead to some changes in bipedal locomotion in terms of improvement and thus contribute to greater self-sufficiency, self-reliance and independence of patients with cerebral palsy.

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“…Once MS involves a wide range of symptoms, the rehabilitation of these patients requires a multidisciplinary approach 17 , and more satisfactory results are observed with techniques that make use of sensory strategies 16 . In the past decades, the effectiveness of hippotherapy 18 as a therapeutic method has been described in a series of neurologic conditions that compromise postural control and mobility [19][20][21][22] . This method requires postural reactions combined with the dissociation of the pelvic and scapular waist, and constant tonic adjustments, besides varying the visual information in quantity and magnitude, and also increasing the demand for sensory information sent to the vestibular system 19,20 .…”

Section: Introductionmentioning

confidence: 99%

Efeito da equoterapia na estabilidade postural de portadores de esclerose múltipla: estudo preliminar

et al. 2013

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OBJETIVO: Este estudo se propôs a verificar se a estimulação por meio da equoterapia é capaz de desencadear alterações no controle postural de portadores de esclerose múltipla (EM). MÉTODO: Fizeram parte deste estudo 11 portadores de EM divididos em Grupo Intervenção (GI) e Grupo Controle (GC). O GI foi inserido num programa de hipoterapia durante 4 meses, sendo conduzidas 2 sessões semanais com duração de 50 minutos cada. A estabilidade postural foi avaliada utilizando uma plataforma de força (para calcular o deslocamento do centro de pressão (COP), durante 30 segundos, em postura ereta quasi-estática, com olhos abertos e fechados, antes e após o treinamento com equoterapia. O tratamento estatístico foi feito através do ANOVA e Post hoc de Tukey com p<0,05. RESULTADOS: A amplitude de oscilação anteroposterior reduziu significativamente no GI após a estimulação, enquanto o GC manteve um comportamento inalterado entre as avaliações. Em ambos os grupos, a estabilidade postural foi reduzida com a supressão da informação visual. CONCLUSÕES: A adaptação funcional proporcionada pela equoterapia foi capaz de melhorar a estabilidade postural dos portadores de EM. Os resultados corroboram a literatura que suporta o uso da equoterapia como uma intervenção em potencial nas desordens de controle postural em portadores de EM.

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Immediate and Long-Term Effects of Hippotherapy on Symmetry of Adductor Muscle Activity and Functional Ability in Children With Spastic Cerebral Palsy

Cited by 141 publications

References 14 publications

Is Hyppotherapy Beneficial for Rehabilitation of Children with Cerebral Palsy?

Is Hyppotherapy Beneficial for Rehabilitation of Children with Cerebral Palsy?

The effect of hippotherapy on gait in patients with spastic cerebral palsy

Efeito da equoterapia na estabilidade postural de portadores de esclerose múltipla: estudo preliminar

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