The Effect of Hippotherapy on Posture and Trunk Control in Children with Spastic Diplegic Cerebral Palsy-A quasi-experimental study
Background: Hippotherapy is recognized as an integrative therapy in rehabilitation programs as it provides a basis for neurological function and sensory processing. The aim of this study is to evaluate the effects of hippotherapy on posture and trunk control in children with spastic diplegic cerebral palsy. Materials and Methods: This study which a pre-test/post-test quasi experimental model with a control group was included 24 participants aged 7-12 years. In addition to routine physiotherapy and rehabilitation program for participants in experimental group, hippotherapy training sessions lasting 30 minutes were given once a week for 12 weeks each, under the direction of a physiotherapist. Postural alignment changes were evaluated by using New York Posture Rating Chart (NYPR). Trunk Impairment Scale (TIS) was used to evaluate trunk control. Results: The mean age was 13.62 ± 3.17 years. Mean body mass index (BMI) was 23.34 ± 3.38 kg / m2. There was no statistically significant difference between groups in terms of age, gender, BMI, and GMFCS (p> 0.05 for all). There was no difference in NYPR results between the groups (p> 0.05). Total TIS score and static sub-parameter scores were higher in experimental group, after the treatment (p <0.05), whereas there was no difference in terms of dynamic and coordination sub-parameters. Conclusions: We concluded that hippotherapy is a viable treatment strategy to obtain functional results in children with spastic diplegic cerebral palsy. However, we emphasize that effectiveness of hippotherapy in different age groups should be investigated with larger sample groups.