The clinical effect of hippotherapy on gross motor function of children with Cerebral Palsy
Background: Cerebral palsy (CP) is the most common cause of physical disability affecting gross motor function (GMF ) in early childhood. Hippotherapy is a treatment approach aimed at improving GMF in children with CP. Several systematic reviews have been published showing an improvement in Dimensio...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
AOSIS
2013-12-01
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| Series: | South African Journal of Physiotherapy |
| Subjects: | |
| Online Access: | https://sajp.co.za/index.php/sajp/article/view/321 |
| _version_ | 1811291159587192832 |
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| author | K Litlle N Nel V Ortell H van Wyk M Badenhorst Q Louw |
| author_facet | K Litlle N Nel V Ortell H van Wyk M Badenhorst Q Louw |
| author_sort | K Litlle |
| collection | DOAJ |
| description | Background: Cerebral palsy (CP) is the most common cause of physical disability affecting gross motor function (GMF ) in early childhood. Hippotherapy is a treatment approach aimed at improving GMF in children with CP. Several systematic reviews have been published showing an improvement in Dimension E of the Gross Motor Function Measure (GMFM ) after hippotherapy. However, these reviews failed to evaluate the clinical effect of hippotherapy in improving GMF in children with CP.
Objective: To critically appraise the evidence of hippotherapy to ascertain whether it is a clinically meaningful approach for children with CP.
Methodology: Five computerised bibliographic databases were searched. Predetermined inclusion and exclusion criteria were set. The PEDro scale was used to assess the quality of the studies. A revised JBI Data extraction tool was used to extract data from the selected articles. Revman© Review Manager Software was used to create forest plots for comparisons of results.
Results: All studies used the GMFM as an outcome measure for gross motor function. The added benefit of hippotherapy is a minimum 1% and a maximum 7% increase on the GMFM scores. However, all 95% confidence intervals (CI ) around all the mean differences were insignificant.
Conclusion: The clinical effect of hippotherapy on the GMF of children with CP is small. Larger studies are required to provide evidence of the effect of hippotherapy within this population. |
| first_indexed | 2024-04-13T04:24:22Z |
| format | Article |
| id | doaj.art-cfbd214e8b234f29a294d40cfe610a31 |
| institution | Directory Open Access Journal |
| issn | 0379-6175 2410-8219 |
| language | English |
| last_indexed | 2024-04-13T04:24:22Z |
| publishDate | 2013-12-01 |
| publisher | AOSIS |
| record_format | Article |
| series | South African Journal of Physiotherapy |
| spelling | doaj.art-cfbd214e8b234f29a294d40cfe610a312022-12-22T03:02:35ZengAOSISSouth African Journal of Physiotherapy0379-61752410-82192013-12-01692263410.4102/sajp.v69i2.321268The clinical effect of hippotherapy on gross motor function of children with Cerebral PalsyK Litlle0N Nel1V Ortell2H van Wyk3M Badenhorst4Q Louw5Stellenbosch UniversityStellenbosch UniversityStellenbosch UniversityStellenbosch UniversityStellenbosch UniversityStellenbosch UniversityBackground: Cerebral palsy (CP) is the most common cause of physical disability affecting gross motor function (GMF ) in early childhood. Hippotherapy is a treatment approach aimed at improving GMF in children with CP. Several systematic reviews have been published showing an improvement in Dimension E of the Gross Motor Function Measure (GMFM ) after hippotherapy. However, these reviews failed to evaluate the clinical effect of hippotherapy in improving GMF in children with CP. Objective: To critically appraise the evidence of hippotherapy to ascertain whether it is a clinically meaningful approach for children with CP. Methodology: Five computerised bibliographic databases were searched. Predetermined inclusion and exclusion criteria were set. The PEDro scale was used to assess the quality of the studies. A revised JBI Data extraction tool was used to extract data from the selected articles. Revman© Review Manager Software was used to create forest plots for comparisons of results. Results: All studies used the GMFM as an outcome measure for gross motor function. The added benefit of hippotherapy is a minimum 1% and a maximum 7% increase on the GMFM scores. However, all 95% confidence intervals (CI ) around all the mean differences were insignificant. Conclusion: The clinical effect of hippotherapy on the GMF of children with CP is small. Larger studies are required to provide evidence of the effect of hippotherapy within this population.https://sajp.co.za/index.php/sajp/article/view/321Cerebra l pa lsyHipp otherap yTherap eutic Hors eback RidingGr oss Motor Function |
| spellingShingle | K Litlle N Nel V Ortell H van Wyk M Badenhorst Q Louw The clinical effect of hippotherapy on gross motor function of children with Cerebral Palsy South African Journal of Physiotherapy Cerebra l pa lsy Hipp otherap y Therap eutic Hors eback Riding Gr oss Motor Function |
| title | The clinical effect of hippotherapy on gross motor function of children with Cerebral Palsy |
| title_full | The clinical effect of hippotherapy on gross motor function of children with Cerebral Palsy |
| title_fullStr | The clinical effect of hippotherapy on gross motor function of children with Cerebral Palsy |
| title_full_unstemmed | The clinical effect of hippotherapy on gross motor function of children with Cerebral Palsy |
| title_short | The clinical effect of hippotherapy on gross motor function of children with Cerebral Palsy |
| title_sort | clinical effect of hippotherapy on gross motor function of children with cerebral palsy |
| topic | Cerebra l pa lsy Hipp otherap y Therap eutic Hors eback Riding Gr oss Motor Function |
| url | https://sajp.co.za/index.php/sajp/article/view/321 |
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