Effects of Hippotherapy on Gross Motor Function and Functional Performance of Children with Cerebral Palsy
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Purpose: The purpose of our study was to investigate the effects of hippotherapy on gross motor function and functional performance in children with spastic cerebralpalsy (CP). Materials and Methods: We recruited 34 children (M:F=15:19, age: 3‒12 years) with spastic CP who underwent hippotherapy for 45 minutes twice a week for 8 weeks. Twenty-one children with spastic CP were recruited for control group. The distribution of gross motor function classification system level and mean age were not significantly different between the two groups. Outcome measures, including the Gross Motor Function Measure (GMFM)-66, GMFM-88 and the Pediatric Evaluation of Disability Inventory: Functional Skills Scale (PEDI-FSS), were assessed before therapy and after the 8-weeks intervention as outcome measures. Results: There were no significant differences between interventionand control groups in mean baseline total scores of GMFM-66, GMFM-88 or PEDI-FSS. After the 8-weeks intervention, mean GMFM-66 and GMFM-88 scores were significantly improved in both groups. However, the hippotherapy group had significantly greater improvement in dimension E and GMFM-66 total score than the control group. The total PEDI-FSS score and the sub-scores of its 3 domains were significantly improved in the hippotherapy group, but not in the control group. Conclusion: The results of our study demonstrate the beneficial effectsof hippotherapy on gross motor function and functional performance in childrenwith CP compared to control group. The significant improvement in PEDI-FSS scores suggests that hippotherapy may be useful to maximize the functional performance of children with CP.
Abstract
Purpose: The purpose of our study was to investigate the effects of hippotherapy on gross motor function and functional performance in children with spastic cerebralpalsy (CP). Materials and Methods: We recruited 34 children (M:F=15:19, age: 3‒12 years) with spastic CP who underwent hippotherapy for 45 minutes twice a week for 8 weeks. Twenty-one children with spastic CP were recruited for control group. The distribution of gross motor function classification system level and mean age were not significantly different between the two groups. Outcome measures, including the Gross Motor Function Measure (GMFM)-66, GMFM-88 and the Pediatric Evaluation of Disability Inventory: Functional Skills Scale (PEDI-FSS), were assessed before therapy and after the 8-weeks intervention as outcome measures. Results: There were no significant differences between interventionand control groups in mean baseline total scores of GMFM-66, GMFM-88 or PEDI-FSS. After the 8-weeks intervention, mean GMFM-66 and GMFM-88 scores were significantly improved in both groups. However, the hippotherapy group had significantly greater improvement in dimension E and GMFM-66 total score than the control group. The total PEDI-FSS score and the sub-scores of its 3 domains were significantly improved in the hippotherapy group, but not in the control group. Conclusion: The results of our study demonstrate the beneficial effectsof hippotherapy on gross motor function and functional performance in childrenwith CP compared to control group. The significant improvement in PEDI-FSS scores suggests that hippotherapy may be useful to maximize the functional performance of children with CP.
참고문헌 (29)
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