Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                
Scribd Logo
Upload

Welcome to Scribd!

  • 252 views

    Hippo Therapy

    Uploaded by

    Nameeta Shroff Jain
    This meta-analysis reviewed 8 studies examining the effects of hippotherapy and therapeutic horseback riding on postural control and balance in children with cerebral palsy. The analysis found statistically significant improvements in postural control and balance for 76 of the 84 children with CP across the studies. However, the analysis also noted limitations in the studies including small sample sizes, variability in the type and severity of CP among participants, and inconsistent outcome measures and therapy durations. While hippotherapy and horseback riding show promise, the analysis concluded that further research is still needed before recommending them as effective therapies for improving posture and balance in children with CP.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd

    Hippo Therapy

    Uploaded by

    Nameeta Shroff Jain
    252 views23 pages
    This meta-analysis reviewed 8 studies examining the effects of hippotherapy and therapeutic horseback riding on postural control and balance in children with cerebral palsy. The analysis found statistically significant improvements in postural control and balance for 76 of the 84 children with CP across the studies. However, the analysis also noted limitations in the studies including small sample sizes, variability in the type and severity of CP among participants, and inconsistent outcome measures and therapy durations. While hippotherapy and horseback riding show promise, the analysis concluded that further research is still needed before recommending them as effective therapies for improving posture and balance in children with CP.

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    PPT, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This meta-analysis reviewed 8 studies examining the effects of hippotherapy and therapeutic horseback riding on postural control and balance in children with cerebral palsy. The analysis found statistically significant improvements in postural control and balance for 76 of the 84 children with CP across the studies. However, the analysis also noted limitations in the studies including small sample sizes, variability in the type and severity of CP among participants, and inconsistent outcome measures and therapy durations. While hippotherapy and horseback riding show promise, the analysis concluded that further research is still needed before recommending them as effective therapies for improving posture and balance in children with CP.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    252 views23 pages

    Hippo Therapy

    Uploaded by

    Nameeta Shroff Jain
    This meta-analysis reviewed 8 studies examining the effects of hippotherapy and therapeutic horseback riding on postural control and balance in children with cerebral palsy. The analysis found statistically significant improvements in postural control and balance for 76 of the 84 children with CP across the studies. However, the analysis also noted limitations in the studies including small sample sizes, variability in the type and severity of CP among participants, and inconsistent outcome measures and therapy durations. While hippotherapy and horseback riding show promise, the analysis concluded that further research is still needed before recommending them as effective therapies for improving posture and balance in children with CP.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    You are on page 1of 23

    Effects of Hippotherapy and therapeutic horseback riding on postural control or balance in children with Cerebral Palsy: A meta-analysis

    Cerebral palsy (CP)


    It is a term used to describe a spectrum of syndromes of posture and motor impairments that results from an insult to the developing central nervous system.
    Most significant problem is defective postural control in children with CP.

    Postural control
    Organized at two functional levels: 1. First is -Direction specific adjustment when the equilibrium of the body is endangered or generation of direction specific patterns of postural adjustment. 2. Second level is involved in the fine tuning of the basic, direction specific adjustment according to multisensorial afferent input from the somatosensory,visual and vestibular systems.

    Benefits of Hippotherapy
    Improved coordination Increased head and trunk control Improved gait

    Rationale
    The horses gait provides a precise, smooth, rhythmic and repetitive pattern of movement to the rider that is similar to the mechanics of human gait. The rhythmical movement plus warmth of the horse is hypothesized to decrease hyper tonicity and promote relaxation in spastic CP.

    Rationale contd..
    Adjusting to the horses movements also involves use of muscles and joint movements

    Increased strength and Range of motion

    Rationale contd..
    Movement of the horse provides a variety of inputs which may be used to facilitate: Improved contraction Joint stability Weight shift Postural equilibrium responses

    Therapeutic horseback riding


    The exercises are aimed primarily at maintaining balance and proper body posture in different positions. development of riders sensory-motor and perceptual motor skills a gradual increase in the riders capacity to stretch and move while the horse moves at a slow, steady gait.

    Physical Benefits
    Improvement in 1. Balance 2. Strength 3. Coordination 4. Muscle tone 5. Joint range of motion 6. Weight bearing 7. Posture

    Psychological Benefits
    Improvement in: 1. Self-confidence 2. Self-esteem 3. Motivation 4. Attention span 5. Spatial awareness 6. Concentration 7. Verbal skills

    Aim of the Meta-analysis


    To summarize and evaluate critically the evidence for or against the effectiveness of hippotherapy and THR in people with CP.

    Search Stratergy
    A systematic literature search of a total of 11 medical, scientific and arts bibliograhical databases was performed. The search dates covered a period from inception of the databases up till May 2010.

    Including criteria
    A quantitative study design The investigation of the effect of Hippotherapy or THR on postural control or balance The study group comprised children or adults with CP.

    Assesment of study quality


    Study purpose Literature review Study design Sample Outcomes Interventions Results Conclusion

    Data
    Total of 8 studies were included In which 84 children with CP were included, of which 76 felt some positive effects.

    Discussion
    The pooled data from 8 studies has shown a statistically significant effectiveness of hippotherapy or THR among children with CP. Postural control and balance are important elements of motor tasks. Postural Stability is essential for the accomplishment of increasingly complex motor skills and coordination.

    Discussion contd..
    Several sensory deficits are associated with CP such as problems in: Vision Proprioception Cutaneous perception Which may contribute to impaired posture and balance control.

    Discussion contd..
    Hippotherapy and THR are comprehensive strategies to improve postural control and balance which in turn help in their daily activities, independence and quality of life. Changes in the horses gait velocity facilitate righting and equilibrium responses which enable development of dynamic postural stabilization.

    Outcome measures
    Different methods were used to measure effectiveness: Video recordingd Surface EMG Force plate (centre of pressure displacement) Photographs (passive range of movement of pelvis)

    Discussion contd..
    In 21 of 39 children with CP who continued their Physiotherapy during the period of study or sat on a barrel or in an artificial saddle, a positive effect was observed.

    Limitations
    Differences in effects were observed between Mild and Moderate CP. Sample size of children with CP in intervention group was small. Children also differed in the type and severity of CP. Outcome measures were very diverse. Duration of therapy was extremely variable ranging from a single measurement to 6

    Conclusion
    The measurement of effectiveness of hippotherapy and THR that was done was based on a comparison sample which were too small and population with CP too diverse. This analysis does recoomend either hippotherapy or THR as a form of therapyto improve posture and balance.

    THANK YOU

    You might also like