The efficacy of Equine Assisted Therapy intervention in gross motor function, performance, and spasticity in children with Cerebral Palsy

PurposeTo evaluate the efficacy of Equine Assisted Therapy in children with Cerebral Palsy, in terms of gross motor function, performance, and spasticity as well as whether this improvement can be maintained for 2 months after the end of the intervention.MethodsChildren with Cerebral Palsy participa...

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Main Authors: Alexandra N. Stergiou, Sanna Mattila-Rautiainen, Dimitrios N. Varvarousis, Meropi Tzoufi, Panagiota Plyta, Alexandros Beris, Avraam Ploumis
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-08-01
Series:Frontiers in Veterinary Science
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fvets.2023.1203481/full
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author Alexandra N. Stergiou
Alexandra N. Stergiou
Sanna Mattila-Rautiainen
Dimitrios N. Varvarousis
Meropi Tzoufi
Panagiota Plyta
Panagiota Plyta
Alexandros Beris
Avraam Ploumis
author_facet Alexandra N. Stergiou
Alexandra N. Stergiou
Sanna Mattila-Rautiainen
Dimitrios N. Varvarousis
Meropi Tzoufi
Panagiota Plyta
Panagiota Plyta
Alexandros Beris
Avraam Ploumis
author_sort Alexandra N. Stergiou
collection DOAJ
description PurposeTo evaluate the efficacy of Equine Assisted Therapy in children with Cerebral Palsy, in terms of gross motor function, performance, and spasticity as well as whether this improvement can be maintained for 2 months after the end of the intervention.MethodsChildren with Cerebral Palsy participated in this prospective cohort study. The study lasted for 28 weeks, of which the equine assisted therapy lasted 12 weeks taking place once a week for 30 min. Repeated measures within the subject design were used for the evaluation of each child’s physical performance and mental capacity consisting of six measurements: Gross Motor Function Measure-88 (GMFM-88), Gross Motor Performance Measure (GMPM), Gross Motor Function Classification System (GMFCS), Modified Ashworth Scale (MAS) and Wechsler Intelligence Scale for Children (WISC III).ResultsStatistically significant improvements were achieved for 31 children in Gross Motor Function Measure and all its subcategories (p < 0.005), also in total Gross Motor Performance Measure and all subcategories (p < 0.005). These Gross Motor Function Measure results remained consistent for 2 months after the last session of the intervention. Regarding spasticity, although an improving trend was seen, this was not found to be statistically significant.Conclusion and implicationsEquine Assisted Therapy improves motor ability (qualitatively and quantitatively) in children with Cerebral Palsy, with clinical significance in gross motor function.
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spelling doaj.art-d9c49c23b84c419b9b41e6c2b8d9d38e2023-08-16T09:29:10ZengFrontiers Media S.A.Frontiers in Veterinary Science2297-17692023-08-011010.3389/fvets.2023.12034811203481The efficacy of Equine Assisted Therapy intervention in gross motor function, performance, and spasticity in children with Cerebral PalsyAlexandra N. Stergiou0Alexandra N. Stergiou1Sanna Mattila-Rautiainen2Dimitrios N. Varvarousis3Meropi Tzoufi4Panagiota Plyta5Panagiota Plyta6Alexandros Beris7Avraam Ploumis8Division of Surgery, Department of Physical Medicine and Rehabilitation, University of Ioannina Medical School, Ioannina, GreeceIoannina Therapeutic Riding Center, Ioannina, GreeceSports and Exercise Medicine, Biomedicine, University of Eastern Finland, Kuopio, FinlandDepartment of Anatomy, University of Ioannina Medical School, Ioannina, GreeceDivision of Child’s Health, Department of Paediatrics, University of Ioannina Medical School, Ioannina, GreeceDivision of Surgery, Department of Physical Medicine and Rehabilitation, University of Ioannina Medical School, Ioannina, GreeceIoannina Therapeutic Riding Center, Ioannina, GreeceDivision of Surgery, Department of Orthopaedics, University of Ioannina Medical School, Ioannina, GreeceDivision of Surgery, Department of Physical Medicine and Rehabilitation, University of Ioannina Medical School, Ioannina, GreecePurposeTo evaluate the efficacy of Equine Assisted Therapy in children with Cerebral Palsy, in terms of gross motor function, performance, and spasticity as well as whether this improvement can be maintained for 2 months after the end of the intervention.MethodsChildren with Cerebral Palsy participated in this prospective cohort study. The study lasted for 28 weeks, of which the equine assisted therapy lasted 12 weeks taking place once a week for 30 min. Repeated measures within the subject design were used for the evaluation of each child’s physical performance and mental capacity consisting of six measurements: Gross Motor Function Measure-88 (GMFM-88), Gross Motor Performance Measure (GMPM), Gross Motor Function Classification System (GMFCS), Modified Ashworth Scale (MAS) and Wechsler Intelligence Scale for Children (WISC III).ResultsStatistically significant improvements were achieved for 31 children in Gross Motor Function Measure and all its subcategories (p < 0.005), also in total Gross Motor Performance Measure and all subcategories (p < 0.005). These Gross Motor Function Measure results remained consistent for 2 months after the last session of the intervention. Regarding spasticity, although an improving trend was seen, this was not found to be statistically significant.Conclusion and implicationsEquine Assisted Therapy improves motor ability (qualitatively and quantitatively) in children with Cerebral Palsy, with clinical significance in gross motor function.https://www.frontiersin.org/articles/10.3389/fvets.2023.1203481/fullCerebral Palsyequine assisted therapiesgross motor functiongross motor performancespasticity
spellingShingle Alexandra N. Stergiou
Alexandra N. Stergiou
Sanna Mattila-Rautiainen
Dimitrios N. Varvarousis
Meropi Tzoufi
Panagiota Plyta
Panagiota Plyta
Alexandros Beris
Avraam Ploumis
The efficacy of Equine Assisted Therapy intervention in gross motor function, performance, and spasticity in children with Cerebral Palsy
Frontiers in Veterinary Science
Cerebral Palsy
equine assisted therapies
gross motor function
gross motor performance
spasticity
title The efficacy of Equine Assisted Therapy intervention in gross motor function, performance, and spasticity in children with Cerebral Palsy
title_full The efficacy of Equine Assisted Therapy intervention in gross motor function, performance, and spasticity in children with Cerebral Palsy
title_fullStr The efficacy of Equine Assisted Therapy intervention in gross motor function, performance, and spasticity in children with Cerebral Palsy
title_full_unstemmed The efficacy of Equine Assisted Therapy intervention in gross motor function, performance, and spasticity in children with Cerebral Palsy
title_short The efficacy of Equine Assisted Therapy intervention in gross motor function, performance, and spasticity in children with Cerebral Palsy
title_sort efficacy of equine assisted therapy intervention in gross motor function performance and spasticity in children with cerebral palsy
topic Cerebral Palsy
equine assisted therapies
gross motor function
gross motor performance
spasticity
url https://www.frontiersin.org/articles/10.3389/fvets.2023.1203481/full
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