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| Effects of hippotherapy on the sitting balance of children with cerebral palsy: a randomized control trial |
| Kang H, Jung J, Yu J |
| Journal of Physical Therapy Science 2012 Oct;24(9):833-836 |
| clinical trial |
| 5/10 [Eligibility criteria: No; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: Yes; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
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PURPOSE: This study aimed to verify the effect of hippotherapy on the sitting balance of children with severe cerebral palsy (CP) by comparing hippotherapy, physical therapy, and a control. SUBJECTS: In this study, 45 children with CP were randomly divided into the hippotherapy group (HTG, n = 15), physical therapy group (PTG, n = 15), and control group (CON, n = 15). METHODS: Two expert physical therapists provided the HTG and PTG with traditional physical therapy comprising strengthening and stretching exercises in 30-minute sessions, semi-weekly, for 8 weeks. Hippotherapy was provided semi-weekly only to the HTG for 8 weeks at 30 minutes per session. The CON group received no treatment. Before and after the 8 weeks of intervention, a sitting balance test was performed, and the results were analyzed. RESULTS: Sway pathway and velocity significantly decreased in HTG compared to PTG and CON. Left/right pathway, total pathway, left/right velocity, and total velocity were significantly reduced in PTG compared to that in the CON. CONCLUSION: Hippotherapy with traditional physical therapy improved the sitting balance of children with severe CP, who could not walk independently more than traditional physical therapy alone.
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