Influence of Hippotherapy on Body Balance in the Sitting Position Among Children with Cerebral Palsy.
BACKGROUND
Cerebrally palsied children demonstrated limited independence while performing various activities of daily living, which is due to disorders of postural control. The best solution to improve postural control is the use of therapies that simultaneously focus on the sense of balance and motor skills. Such possibilities for patients with cerebral palsy are offered, for example, by hippotherapy.


OBJECTIVE
To assess the influence of hippotherapy on body balance in the sitting position among children with cerebral palsy.


METHODS
The study enrolled thirty-nine children aged 6-12 years with GMFCS level 1 or 2 spastic diplegia or spastic hemiplegia. The participants were divided into an intervention group (n=19) and a control group (n=20). Children from the intervention group attended 30 minutes of hippotherapy once weekly for 12 consecutive weeks. The Sitting Assessment Scale (SAS) was used to assess the patients' posture and balance.


RESULTS
Some children improved their posture and balance during the study. Generally, control of trunk and head position and function of arms were getting better, while footwork was the weakest.


CONCLUSIONS
Hippotherapy has positive effects on the position and function of individual parts of the body, thus making it possible for cerebrally palsied children to improve posture and the ability to maintain balance in the sitting position.
Division of Sports Medicine, Department of Social and Preventive Medicine, Medical University, Lodz, Poland Department of Orthopedics and Pediatric Orthopedics, Medical University, Lodz, Poland.
Ewelina
E
Matusiak-Wieczorek
Department of Physiotherapy and Occupational Therapy, Faculty of Physiotherapy, University of Physical Education, Wroclaw, Poland "Sobieska" Centre of Hippotherapy and NDT-Bobath Therapy, Bukowina, Poland.
Monika
M
Małachowska-Sobieska
Department of Orthopedics and Pediatric Orthopedics, Medical University, Lodz, Poland.
Marek
M
Synder
D002547:Cerebral Palsy / Q000534:rehabilitation*; D002648:Child; D056147:Equine-Assisted Therapy / Q000379:methods*; D005260:Female; D005684:Gait / Q000502:physiology*; D006801:Humans; D008297:Male; D053580:Muscle Strength / Q000502:physiology; D004856:Postural Balance / Q000502:physiology*; D016059:Range of Motion, Articular / Q000502:physiology*; D016896:Treatment Outcome