Powered Saddle and Pelvic Mobility

Quint, Carol; Toomey, Margaret

doi:10.1016/s0031-9406(05)61458-7

Cited by 42 publications

(8 citation statements)

References 10 publications

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“…The presence of spasticity, muscle weakness, musculoskeletal alterations and decreased pelvic movement common to children with CP, make the sitting postural control worse than in healthy children 1,3,4 . To maintain the sitting posture, children with CP perform stereotyped activation of extensor muscles, abnormal muscle recruitment and excessive activation of antagonist muscles 5,6 .…”

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confidence: 99%

Therapeutic effects of a horse riding simulator in children with cerebral palsy

Borges¹,

Werneck

Silva

et al. 2011

Arq. Neuro-Psiquiatr.

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Objective: To evaluate the efficacy of horse ridding simulator on the sitting postural control of children with spastic diplegia. Method: Forty children were randomly divided in a group using the simulator (RS) and a group performing conventional physical therapy (CT). FScan/Fmat equipment was used to register maximal displacement in anteroposterior (AP) and medio-lateral (ML) directions with children in sitting position. At the pre and post intervention stage both groups were classified according to the Gross Motor Function Classification System (GMFCS) and, after intervention, by the AUQEI questionnaire (Autoquestionnaire Qualité de vie Enfant Image). Results: Comparison between groups disclosed statistically significant pos-intervention improvement both in the AP (p<0.0001) as in the ML (p<0.0069) direction in the RS group. Conclusion: The horse ridding simulator produced significant improvement in the postural control of children in sitting position, additionally showing a higher motor functionality and a better acceptance of the therapeutic intervention. Key words: cerebral palsy, spastic diplegia, postural balance, horseback riding therapy.Efeitos terapêuticos de um simulador de equitação em crianças portadoras de paralisia cerebral RESUMO Objetivo: Avaliar os efeitos terapêuticos de um simulador de equitação no controle postural sentado de crianças portadoras de diplegia espástica. Método: Quarenta crianças foram aleatoriamente divididas em dois grupos: 20 utilizaram o simulador (GS) e 20 realizaram fisioterapia convencional (TC). Foi efetuado o registro dos deslocamentos máximos na direção ântero-posterior (AP) e médio-lateral (ML) com a criança sentada, utilizando-se o sistema FScan/Fmat. Antes e após intervenção as crianças foram classificadas pelo Gross Motor Function Classification System (GMFCS) e, após intervenção, pelo AUQEI (Autoquestionnaire Qualité de vie Enfant Image). Resultados: Melhora estatisticamente significativa dos deslocamentos máximos foi observada após intervenção tanto na direção AP (p<0,0001) quanto na ML (p<0,0069) no grupo GS quando comparado ao grupo TC. Conclusão: O simulador de equitação produziu melhora significativamente maior no controle postural da criança sentada, aliada a maior funcionalidade motora e melhor aceitação da intervenção terapêutica. Palavras-Chave: paralisia cerebral, diplegia espástica, equilíbrio postural, equitação terapêutica.

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confidence: 99%

Therapeutic effects of a horse riding simulator in children with cerebral palsy

Borges¹,

Werneck

Silva

et al. 2011

Arq. Neuro-Psiquiatr.

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“…The periods of these interventions differed from a single 8-min session of riding to 60 min once a week for 26 weeks. Seven studies were self-controlled studies [5,10,20,21,22,23,24], 4 were non-RCTs [25,26,27,28], and 7 were RCTs (including 2 studies evaluating the benefit of a single session of HT) [6,14,15,23,29,30,31]. …”

Section: Resultsmentioning

confidence: 99%

“…Most of the studies had no control group, which led to a high risk of selection bias (random sequence generation and allocation concealment). Of 7 RCTs, 4 mentioned allocation concealment [14,29,30,31]. Davis et al [30] and Sterba et al [24] blinded health providers to avoid performance bias.…”

Section: Resultsmentioning

confidence: 99%

“…Davis et al [30] and Sterba et al [24] blinded health providers to avoid performance bias. Blinding of outcome assessment was found to be better as 50% of studies [6,14,15,20,23,24,25,26,30] made efforts in this regard. Seven studies showed a high risk of bias of incomplete outcome data, which mainly resulted from participants' dropping out from the study.…”

Section: Resultsmentioning

confidence: 99%

“…Recently, the effects of an artificial saddle (AS) has been increasingly investigated, which serves as a HT simulator and simulates the rhythmic, multidimensional movement of a walking horse [13,14,15]. This study aimed to evaluate the benefits of HT/THR as well as AS for children with CP by means of a systematic review and meta-analysis.…”

Section: Introductionmentioning

confidence: 99%

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The Effect of Riding as an Alternative Treatment for Children with Cerebral Palsy: A Systematic Review and Meta-Analysis

Ma²,

et al. 2015

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Background and Objectives: There is a substantial body of evidence assessing the effects of equine-assisted therapy on physiological and psychological aspects of individuals with disabilities. This study aimed to evaluate the physiological benefits of this alternative therapy for children with cerebral palsy (CP) by means of a systematic review and meta-analysis. Methods: This systematic review included all randomized and nonrandomized clinical trials of hippotherapy (HT), therapeutic horse riding (THR), and artificial saddle (AS) for the treatment of children with CP by a systematic search in Medline, Embase, Cochrane Library, and other databases up to November 2012. Articles were assessed for inclusion eligibility and quality by two independent reviewers. Any discordant case was re-reviewed and consensus was obtained after sufficient discussion. A random effects model of meta-analysis was applied to provide summary statistics for each outcome. Results: Seven randomized controlled trials (RCTs), 4 non-RCTs, and 7 self-controlled studies were included for quality assessment. Ten studies assessed the effect of HT, 5 evaluated THR, and 3 evaluated AS. The sample size differed from 3 to 72, and the quality ranged from low to moderate. Six studies were included in the meta-analysis, and there was a significant improvement in the 66-item Gross Motor Function Measure (GMFM-66), the GMFM-66/88 total score, and the dimension E of the GMFM. Although the asymmetry score tended to be reduced, it failed to reach statistical significance. Conclusions: HT, THR, and AS seem to improve the total score of the gross motor function via improvement of the walking, running, and jumping dimension. However, they are not likely to be of benefit to the symmetry of postural muscle activity. Studies included in this review lack high-quality RCTs with a sufficient number of subjects, which thus warrants further evaluations of these modalities using large-scale well-designed RCTs.

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Immediate effect of horse riding simulator on adductor spasticity in children with cerebral palsy: A randomized controlled trial

Hemachithra

Meena

Ramanathan

et al. 2019

Physiotherapy Res Intl

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BackgroundSpastic cerebral palsy (CP) is the most common type of CP. Hip adductor spasticity leads to discomfort, stiffness, and difficulties in doing physical activities such as sitting, transfer, and walking. Management of hip adductor spasticity is still a challenge in the field of rehabilitation. Horse riding simulator (HRS) has been reported to have beneficial effects on spasticity, postural control, and motor function in children with spastic CP.ObjectiveThe aim of the study was to determine the immediate effect of HRS on adductor spasticity in children with CP.MethodsTwenty‐four children with CP were selected and were divided into two groups: experimental and control (12 children in each group). Experimental group was exposed to HRS and control group to the corner seat placement. Adductor tone and passive hip abduction range of motion were measured before and after the intervention.ResultsPost intervention scores in the group of HRS show significant reduction in adductor spasticity and improvement in hip abduction range of motion, whereas no difference have been reported in the control group. HRS has positive effects on reducing spasticity and improving range of motion in hip joint in spastic CP.ConclusionIt was concluded that immediate effect of HRS is successful in reducing the adductor spasticity and improving abduction range of motion in hip, which could be incorporated with regular physiotherapy intervention.

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Powered Saddle and Pelvic Mobility

Cited by 42 publications

References 10 publications

Therapeutic effects of a horse riding simulator in children with cerebral palsy

Therapeutic effects of a horse riding simulator in children with cerebral palsy

The Effect of Riding as an Alternative Treatment for Children with Cerebral Palsy: A Systematic Review and Meta-Analysis

Immediate effect of horse riding simulator on adductor spasticity in children with cerebral palsy: A randomized controlled trial

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