The Effectiveness of Hippotherapy to Recover Gross Motor Function in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis

Cerebral palsy (CP) is a permanent disorder of the posture and movement, which can result in impairments of gross motor function, among others. Hippotherapy (HPT) is an emerging intervention to promote motor recovery in patients with neurological disorders, providing a smooth, precise, rhythmic, and...

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Main Authors: Laura De Guindos-Sanchez, David Lucena-Anton, Jose A. Moral-Munoz, Alejandro Salazar, Ines Carmona-Barrientos
Format: Article
Language:English
Published: MDPI AG 2020-08-01
Series:Children
Subjects:
Online Access:https://www.mdpi.com/2227-9067/7/9/106
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author Laura De Guindos-Sanchez
David Lucena-Anton
Jose A. Moral-Munoz
Alejandro Salazar
Ines Carmona-Barrientos
author_facet Laura De Guindos-Sanchez
David Lucena-Anton
Jose A. Moral-Munoz
Alejandro Salazar
Ines Carmona-Barrientos
author_sort Laura De Guindos-Sanchez
collection DOAJ
description Cerebral palsy (CP) is a permanent disorder of the posture and movement, which can result in impairments of gross motor function, among others. Hippotherapy (HPT) is an emerging intervention to promote motor recovery in patients with neurological disorders, providing a smooth, precise, rhythmic, and repetitive pattern of movement to the patient. The main objective of this systematic review and meta-analysis of randomized controlled clinical trials was to analyze the effectiveness of HPT interventions on gross motor function in subjects with CP. The following databases were searched in May 2019: PubMed, Scopus, Embase, and Web of Science. The methodological quality of the randomized controlled trials was assessed using the Physiotherapy Evidence Database (PEDro) scale. A total of 10 studies were analyzed in this review, involving 452 participants. Favorable effects were obtained on the gross motor function (Gross Motor Function Measure-66, standardized mean difference (SMD) = 0.81, 95% confidence interval (CI) = 0.47–1.15, Gross Motor Function Measure-88 dimension A SMD = 0.64, 95% CI = 0.30–0.97, dimension B SMD = 0.42, 95% CI = 0.09–0.75, and dimension E SMD = 0.40, 95% CI = 0.06–0.73). The results obtained in the present review show the potential benefit of HPT intervention in improving gross motor function in children with CP.
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spelling doaj.art-b8435023757b46059f1e5670641a027d2023-11-20T10:41:46ZengMDPI AGChildren2227-90672020-08-017910610.3390/children7090106The Effectiveness of Hippotherapy to Recover Gross Motor Function in Children with Cerebral Palsy: A Systematic Review and Meta-AnalysisLaura De Guindos-Sanchez0David Lucena-Anton1Jose A. Moral-Munoz2Alejandro Salazar3Ines Carmona-Barrientos4Department of Physiotherapy, Upacesur Medical and Functional Rehabilitation Center, 41710 Utrera, SpainDepartment of Nursing and Physiotherapy, University of Cadiz, 11009 Cadiz, SpainDepartment of Nursing and Physiotherapy, University of Cadiz, 11009 Cadiz, SpainInstitute of Research and Innovation in Biomedical Sciences of the Province of Cadiz (INiBICA), University of Cadiz, 11009 Cadiz, SpainDepartment of Nursing and Physiotherapy, University of Cadiz, 11009 Cadiz, SpainCerebral palsy (CP) is a permanent disorder of the posture and movement, which can result in impairments of gross motor function, among others. Hippotherapy (HPT) is an emerging intervention to promote motor recovery in patients with neurological disorders, providing a smooth, precise, rhythmic, and repetitive pattern of movement to the patient. The main objective of this systematic review and meta-analysis of randomized controlled clinical trials was to analyze the effectiveness of HPT interventions on gross motor function in subjects with CP. The following databases were searched in May 2019: PubMed, Scopus, Embase, and Web of Science. The methodological quality of the randomized controlled trials was assessed using the Physiotherapy Evidence Database (PEDro) scale. A total of 10 studies were analyzed in this review, involving 452 participants. Favorable effects were obtained on the gross motor function (Gross Motor Function Measure-66, standardized mean difference (SMD) = 0.81, 95% confidence interval (CI) = 0.47–1.15, Gross Motor Function Measure-88 dimension A SMD = 0.64, 95% CI = 0.30–0.97, dimension B SMD = 0.42, 95% CI = 0.09–0.75, and dimension E SMD = 0.40, 95% CI = 0.06–0.73). The results obtained in the present review show the potential benefit of HPT intervention in improving gross motor function in children with CP.https://www.mdpi.com/2227-9067/7/9/106hippotherapycerebral palsyequine-assisted therapyphysical therapygross motor function
spellingShingle Laura De Guindos-Sanchez
David Lucena-Anton
Jose A. Moral-Munoz
Alejandro Salazar
Ines Carmona-Barrientos
The Effectiveness of Hippotherapy to Recover Gross Motor Function in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis
Children
hippotherapy
cerebral palsy
equine-assisted therapy
physical therapy
gross motor function
title The Effectiveness of Hippotherapy to Recover Gross Motor Function in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis
title_full The Effectiveness of Hippotherapy to Recover Gross Motor Function in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis
title_fullStr The Effectiveness of Hippotherapy to Recover Gross Motor Function in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis
title_full_unstemmed The Effectiveness of Hippotherapy to Recover Gross Motor Function in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis
title_short The Effectiveness of Hippotherapy to Recover Gross Motor Function in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis
title_sort effectiveness of hippotherapy to recover gross motor function in children with cerebral palsy a systematic review and meta analysis
topic hippotherapy
cerebral palsy
equine-assisted therapy
physical therapy
gross motor function
url https://www.mdpi.com/2227-9067/7/9/106
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