Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 6 , Pages 966-974 , June 2009

Immediate and Long-Term Effects of Hippotherapy on Symmetry of Adductor Muscle Activity and Functional Ability in Children With Spastic Cerebral Palsy

Presented to the American Hippotherapy Association, April, 20–22, 2007, Atlanta, GA.

  • Nancy H. McGibbon, MS, PT, HPCS

      Affiliations

    • Therapeutic Riding of Tucson Therapy Services, Tucson, AZ
    • Corresponding Author InformationReprint requests to Nancy H. McGibbon, MS, PT, HPCS, PO Box 647, Green Valley, AZ 85622
    • ,
  • William Benda, MD

      Affiliations

    • Institute for Children, Youth, and Families, Tucson, AZ
    • ,
  • Burris R. Duncan, MD

      Affiliations

    • Department of Pediatrics, Arizona Health Sciences Center, Tucson, AZ
    • ,
  • Debbie Silkwood-Sherer, PT, DHS, HPCS

      Affiliations

    • Central Michigan University, Mt Pleasant, MI

References 

  1. United Cerebral Palsy. http://www.ucp.orgAccessed April 24, 2009
  2. Olney SJ, Wright MJ. Cerebral palsy. In:  Campbell S editors. Physical therapy for children. Philadelphia: WB Saunders; 1994;p. 489–523
  3. Nelson CA. Cerebral palsy. In:  Umphred DA editors. Neurological rehabilitation. 4th ed.. St. Louis: Mosby; 2001;p. 259–286
  4. Tardieu G, Tardieu C, Colbeau-Justin P, Lespargot A. Muscle hypoextensibility in children with cerebral palsy, II: therapeutic implications. Arch Phys Med Rehabil. 1982;63:103–107
  5. Houkom JA, Roach JW, Wenger DR, Speck G, Herring JA, Norris EN. Treatment of acquired hip subluxation in cerebral palsy. J Pediatr Orthop. 1986;6:285–290
  6. Mohamed KA, Moore AP, Rosenbloom L. Adverse events following repeated injections with botulinum toxin A in children with spasticity. Dev Med Child Neurol. 2001;43:791–792
  7. Kolaski K, Logan LR. A review of the complications of intrathecal baclofen in patients with cerebral palsy. NeuroRehabilitation. 2007;22:383–395
  8. Li Z, Zhu J, Liu X. Deformity of lumbar spine after selective dorsal rhizotomy for spastic cerebral palsy. Microsurgery. 2008;28:10–12
  9. Copeland FJ. Hippotherapy and therapeutic riding—an international review. In:  Wilson C,  Turner D editor. Companion animals in human health. Thousand Oaks: Sage Publications; 1997;
  10. Strauss I. Hippotherapy: neurophysiological therapy on the horse. Ontario: Ontario Therapeutic Riding Association; 1995;
  11. McGibbon NH, Andrade CK, Widener G, Cintas HL. Effect of an equine movement therapy program on gait, energy expenditure, and motor function in children with spastic cerebral palsy: a pilot study. Dev Med Child Neurol. 1998;40:754–762
  12. Casady RL, Nichols-Larsen DS. The effect of hippotherapy on ten children with cerebral palsy. Pediatr Phys Ther. 2004;16:165–172
  13. Haehl V. The influence of hippotherapy on the kinematics and functional performance of two children with cerebral palsy. Pediatr Phys Ther. 1996;11:89–101
  14. Redfern MS. Functional muscle: effects of electromyographic output. In: Selected topics in surface electromyography for use in the occupational setting: expert perspectives. Cincinnati: US Dept of Health and Human Services; 1992;
  15. Al-Khabbaz YS, Shimada T, Hasegawa M. The effect of backpack heaviness on trunk-lower extremity muscle activities and trunk posture. Gait Posture. 2008;28:297–302
  16. Aruin AS. The effect of asymmetry of posture on anticipatory postural adjustments. Neurosci Lett. 2006;401:150–153
  17. Martin JE, Epstein LH. Evaluating treatment effectiveness in cerebral palsy. Phys Ther. 1976;56:285–294
  18. Benda W, McGibbon NH, Grant K. Improvement in muscle symmetry in children with cerebral palsy after equine-assisted therapy (hippotherapy). J Altern Complement Med. 2003;9:817–825
  19. Palisano R, Rosenbaum P, Walter S, et al. Gross Motor Function Classification System for cerebral palsy. Dev Med Child Neurol. 1997;39:214–223
  20. Cram JR, Kasman GS. Introduction to surface electromyography. Gaithersburg: Aspen Publishers; 1998;
  21. LeVeau B, Andersson G. Output forms: data analysis and applications: interpretation of the electromyographic signal. Selected topics in surface electromyography for use in the occupational setting: expert perspectives. Cincinnati: US Dept of Health and Human Services; 1992;
  22. Soderberg GL. Recording techniques. Selected topics in surface electromyography for use in the occupational setting: expert perspectives. Cincinnati: US Dept of Health and Human Services; 1992;
  23. Arsenault AB, Winter DA, Marteniuk RG, Hayes KC. How many strides are required for the analysis of electromyographic data in gait?. Scand J Rehabil Med. 1986;18:133–135
  24. Field A. Discovering statistics using SPSS. 2nd ed.. London: Sage Publications; 2005;
  25. World Health Organization. International classification of functioning, disability and health. Geneva: World Health Organization; 2001;
  26. Russell DJ, Avery LM, Rosenbaum PL, Raina PS, Walter SD, Palisano RJ. Improved scaling of the Gross Motor Function Measure for children with cerebral palsy: evidence of reliability and validity. Phys Ther. 2000;80:873–885
  27. Harter S. Manual for the self-perception profile for children. Denver: Univ of Denver; 1985;
  28. Harter S, Pike R. The pictorial scale of perceived competence and social acceptance for young children. Child Dev. 1984;55:1969–1982
  29. Portney LC, Watkins MP. Foundations of clinical research: applications to practice. Norwalk: Appleton and Lange; 1993;
  30. Schmidt RA. Motor control and learning. 2nd ed.. Champaign: Human Kinetics; 1988;
  31. Shumway-Cook A, Woollacott M. Motor control: translating research in clinical practice. 3rd ed.. Baltimore: Williams & Wilkins; 2007;

 Supported by the National Institutes of Health/Department of Health and Human Services (project no. AT00008-05).

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

PII: S0003-9993(09)00204-4

doi: 10.1016/j.apmr.2009.01.011

Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 6 , Pages 966-974 , June 2009

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