Study of the therapeutic effects of a hippotherapy simulator in children with cerebral palsy: A stratified single-blind randomized controlled trial

Authors: Herrero, P., Gomez, E.M., Asensio, M.A., García, E., Casas, R., Monserrat, E. and Pandyan, A.

Journal: Clinical Rehabilitation

Volume: 26

Issue: 12

Pages: 1105-1113

eISSN: 1477-0873

ISSN: 0269-2155

DOI: 10.1177/0269215512444633

Abstract:

To investigate whether hippotherapy (when applied by a simulator) improves postural control and balance in children with cerebral palsy. Stratified single-blind randomized controlled trial with an independent assessor. Stratification was made by gross motor function classification system levels, and allocation was concealed. Children between 4 and 18 years old with cerebral palsy. Participants were randomized to an intervention (simulator ON) or control (simulator OFF) group after getting informed consent. Treatment was provided once a week (15 minutes) for 10 weeks. Gross Motor Function Measure (dimension B for balance and the Total Score) and Sitting Assessment Scale were carried out at baseline (prior to randomization), end of intervention and 12 weeks after completing the intervention. Thirty-eight children participated. The groups were balanced at baseline. Sitting balance (measured by dimension B of the Gross Motor Function Measure) improved significantly in the treatment group (effect size = 0.36; 95% CI 0.01–0.71) and the effect size was greater in the severely disabled group (effect size = 0.80; 95% CI 0.13–1.47). The improvements in sitting balance were not maintained over the follow-up period. Changes in the total score of the Gross Motor Function Measure and the Sitting Assessment Scale were not significant. Hippotherapy with a simulator can improve sitting balance in cerebral palsy children who have higher levels of disability. However, this did not lead to a change in the overall function of these children (Gross Motor Function Classification System level V). © 2012, SAGE Publications. All rights reserved.

Source: Scopus

Study of the therapeutic effects of a hippotherapy simulator in children with cerebral palsy: a stratified single-blind randomized controlled trial.

Authors: Herrero, P., Gómez-Trullén, E.M., Asensio, A., García, E., Casas, R., Monserrat, E. and Pandyan, A.

Journal: Clin Rehabil

Volume: 26

Issue: 12

Pages: 1105-1113

eISSN: 1477-0873

DOI: 10.1177/0269215512444633

Abstract:

OBJECTIVE: To investigate whether hippotherapy (when applied by a simulator) improves postural control and balance in children with cerebral palsy. DESIGN: Stratified single-blind randomized controlled trial with an independent assessor. Stratification was made by gross motor function classification system levels, and allocation was concealed. SUBJECTS: Children between 4 and 18 years old with cerebral palsy. INTERVENTIONS: Participants were randomized to an intervention (simulator ON) or control (simulator OFF) group after getting informed consent. Treatment was provided once a week (15 minutes) for 10 weeks. MAIN MEASURES: Gross Motor Function Measure (dimension B for balance and the Total Score) and Sitting Assessment Scale were carried out at baseline (prior to randomization), end of intervention and 12 weeks after completing the intervention. RESULTS: Thirty-eight children participated. The groups were balanced at baseline. Sitting balance (measured by dimension B of the Gross Motor Function Measure) improved significantly in the treatment group (effect size = 0.36; 95% CI 0.01-0.71) and the effect size was greater in the severely disabled group (effect size = 0.80; 95% CI 0.13-1.47). The improvements in sitting balance were not maintained over the follow-up period. Changes in the total score of the Gross Motor Function Measure and the Sitting Assessment Scale were not significant. CONCLUSION: Hippotherapy with a simulator can improve sitting balance in cerebral palsy children who have higher levels of disability. However, this did not lead to a change in the overall function of these children (Gross Motor Function Classification System level V).

Source: PubMed

Study of the therapeutic effects of a hippotherapy simulator in children with cerebral palsy: a stratified single-blind randomized controlled trial

Authors: Herrero, P., Gomez-Trullen, E.M., Asensio, A., Garcia, E., Casas, R., Monserrat, E. and Pandyan, A.

Journal: CLINICAL REHABILITATION

Volume: 26

Issue: 12

Pages: 1105-1113

eISSN: 1477-0873

ISSN: 0269-2155

DOI: 10.1177/0269215512444633

Source: Web of Science (Lite)

Study of the therapeutic effects of a hippotherapy simulator in children with cerebral palsy: a stratified single-blind randomized controlled trial.

Authors: Herrero, P., Gómez-Trullén, E.M., Asensio, A., García, E., Casas, R., Monserrat, E. and Pandyan, A.

Journal: Clinical rehabilitation

Volume: 26

Issue: 12

Pages: 1105-1113

eISSN: 1477-0873

ISSN: 0269-2155

DOI: 10.1177/0269215512444633

Abstract:

Objective

To investigate whether hippotherapy (when applied by a simulator) improves postural control and balance in children with cerebral palsy.

Design

Stratified single-blind randomized controlled trial with an independent assessor. Stratification was made by gross motor function classification system levels, and allocation was concealed.

Subjects

Children between 4 and 18 years old with cerebral palsy.

Interventions

Participants were randomized to an intervention (simulator ON) or control (simulator OFF) group after getting informed consent. Treatment was provided once a week (15 minutes) for 10 weeks.

Main measures

Gross Motor Function Measure (dimension B for balance and the Total Score) and Sitting Assessment Scale were carried out at baseline (prior to randomization), end of intervention and 12 weeks after completing the intervention.

Results

Thirty-eight children participated. The groups were balanced at baseline. Sitting balance (measured by dimension B of the Gross Motor Function Measure) improved significantly in the treatment group (effect size = 0.36; 95% CI 0.01-0.71) and the effect size was greater in the severely disabled group (effect size = 0.80; 95% CI 0.13-1.47). The improvements in sitting balance were not maintained over the follow-up period. Changes in the total score of the Gross Motor Function Measure and the Sitting Assessment Scale were not significant.

Conclusion

Hippotherapy with a simulator can improve sitting balance in cerebral palsy children who have higher levels of disability. However, this did not lead to a change in the overall function of these children (Gross Motor Function Classification System level V).

Source: Europe PubMed Central