Display options
Share it on

Ann Rehabil Med. 2016 Apr;40(2):230-6. doi: 10.5535/arm.2016.40.2.230. Epub 2016 Apr 25.

Effects of Hippotherapy on Psychosocial Aspects in Children With Cerebral Palsy and Their Caregivers: A Pilot Study.

Annals of rehabilitation medicine

Chul Hwan Jang, Min Cheol Joo, Se Eung Noh, Sang Yeol Lee, Dae Bo Lee, Sung Ho Lee, Ho Kyun Kim, Hyo In Park

Affiliations

  1. Department of Rehabilitation Medicine, Wonkwang University School of Medicine and Hospital, Iksan, Korea.
  2. Department of Neuropsychiatry, Wonkwang University School of Medicine, Iksan, Korea.
  3. Department of Neuropsychiatry, Yeouido, St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
  4. Department of Equestrian, Jeonju Kijeon College, Jeonju, Korea.

PMID: 27152272 PMCID: PMC4855116 DOI: 10.5535/arm.2016.40.2.230

Abstract

OBJECTIVE: To investigate the effects of hippotherapy on psychosocial and emotional parameters in children with cerebral palsy (CP) and their caregivers.

METHODS: Eight children with CP were recruited (three males and five females; mean age, 7.3 years; Gross Motor Function Classification System levels 1-3). Hippotherapy sessions were conducted for 30 minutes once weekly for 10 consecutive weeks in an indoor riding arena. The Gross Motor Function Measure (GMFM), Pediatric Balance Scale (PBS), and the Korean version of the Modified Barthel Index were evaluated. All children were evaluated by the Children's Depression Inventory, Trait Anxiety Inventory for Children, State Anxiety Inventory for Children, Rosenberg Self Esteem Scale, and the Korean-Satisfaction with Life Scale (K-SWLS). Their caregivers were evaluated with the Beck Depression Inventory, the Beck Anxiety Inventory, and the K-SWLS. We assessed children and their caregivers with the same parameters immediately after hippotherapy.

RESULTS: Significant improvements on the GMFM, dimension E in the GMFM, and the PBS were observed after hippotherapy compared with the baseline assessment (p<0.05). However, no improvements were detected in the psychosocial or emotional parameters in children with CP or their caregivers. None of the participants showed any adverse effects or accidents during the 10 weeks hippotherapy program.

CONCLUSIONS: Hippotherapy was safe and effectively improved gross motor and balance domains in children with CP. However, no improvements were observed in psychosocial or emotional parameters.

Keywords: Cerebral palsy; Hippotherapy; Psychosocial aspects

References

  1. J Pers Assess. 1985 Feb;49(1):71-5 - PubMed
  2. Dev Med Child Neurol. 1998 Nov;40(11):754-62 - PubMed
  3. Phys Occup Ther Pediatr. 2007;27(2):5-23 - PubMed
  4. Pediatr Phys Ther. 2004 Fall;16(3):165-72 - PubMed
  5. Dev Med Child Neurol. 2002 May;44(5):301-8 - PubMed
  6. Phys Occup Ther Pediatr. 2010 May;30(2):150-63 - PubMed
  7. Physiother Theory Pract. 2005 Jan-Mar;21(1):51-77 - PubMed
  8. Phys Med Rehabil Clin N Am. 2004 Nov;15(4):843-54, vii - PubMed
  9. Pediatr Phys Ther. 2011 Fall;23(3):301-8 - PubMed
  10. J Consult Clin Psychol. 1988 Dec;56(6):893-7 - PubMed
  11. Dev Med Child Neurol Suppl. 2007 Feb;109:3-7 - PubMed
  12. Ann Rehabil Med. 2012 Dec;36(6):756-61 - PubMed
  13. Psychol Rep. 1993 Dec;73(3 Pt 2):1184-6 - PubMed
  14. Dev Med Child Neurol. 2007 Jan;49(1):68-73 - PubMed
  15. Neurorehabil Neural Repair. 2005 Sep;19(3):232-7 - PubMed
  16. Pediatr Phys Ther. 2009 Spring;21(1):137; author reply 137-8 - PubMed
  17. Arch Phys Med Rehabil. 2011 May;92(5):774-9 - PubMed
  18. Dev Med Child Neurol Suppl. 2007 Feb;109:8-14 - PubMed
  19. Pediatr Phys Ther. 2003 Summer;15(2):114-28 - PubMed
  20. Ortop Traumatol Rehabil. 2013 Jun 28;15(3):253-7 - PubMed

Publication Types