Effects of Hippotherapy on Functionality in Children With Cerebral Palsy
Effects of Hippotherapy on Upper Extremity Functionality and Trunk Control in Children With Cerebral Palsy
Uskudar University
40 participants
Aug 1, 2024
INTERVENTIONAL
Conditions
Summary
The purpose of this clinical review is to investigate the effect of hippotherapy in improving upper limb functionality in children with cerebral palsy. The main question it aims to answer is The questions are as follows: 1. Does hippotherapy improve gross motor function of the upper extremity in children with cerebral palsy? 2. Is the development of trunk control in children with cerebral palsy who receive hippotherapy different from the development of trunk control in children who receive conventional physiotherapy? Participants will: Hippotherapy and routine physiotherapy in 2 different groups for 2 They will carry out the necessary evaluations before the implementation and at the end of 2 months.
Eligibility
Inclusion Criteria6
- Having been diagnosed with SP
- Being between the ages of 4-16
- Being at GMFCS (Gross Motor Function Classification System) level 1,2 or 3
- Being at MACS (The Manual Ability Classification System) level 1,2,3 or 4
- Having a stable clinical condition
- Having the cognitive level to follow the instructions in the test and treatment protocol
Exclusion Criteria5
- Families who do not sign the consent form
- Presence of active seizures
- Presence of developmental hip dysplasia
- Presence of allergy to horses
- Having undergone surgical intervention or Botulinum Toxin A (BTX-A) application in the last 6 months
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Interventions
Hippotherapy is a therapeutic intervention applied by physiotherapists that aims to improve impaired body functions. Hippotherapy is a therapy in which the rider receives stimuli from the horse that stimulate the sensory, neuromotor and cognitive systems during riding and exercise on the back of a horse. Hippotherapy is effective on posture control, balance, gross motor functions and functional performance in children with cerebral palsy.
In traditional pediatric physiotherapy, cushions of appropriate hardness were used for proprioceptive input. Stools of different heights were used for sitting, squatting, standing up by holding on and standing, Bobath balls and balance boards were used for balance reactions. Triangular and roll cushions of different hardness were used for weight transfer. Surfaces with different patterns were used for sensory input. The child's wishes and interests were taken into consideration in the selection of materials. The treatment was planned according to the activities that were difficult in daily life and the aim was to transfer the knowledge learned to daily life.
Locations(1)
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NCT06550258