PMID- 31009955
OWN - NLM
STAT- MEDLINE
DCOM- 20191230
LR  - 20191230
IS  - 1439-1899 (Electronic)
IS  - 0174-304X (Linking)
VI  - 50
IP  - 3
DP  - 2019 Jun
TI  - Factors Influencing Motor Outcome of Hippotherapy in Children with Cerebral 
      Palsy.
PG  - 170-177
LID - 10.1055/s-0039-1685526 [doi]
AB  - OBJECTIVE: This study was aimed to identify individual factors influencing the 
      gross motor outcome of hippotherapy in children with cerebral palsy (CP). 
      METHODS: One hundred and forty-six children with CP (mean age: 5.78 +/- 1.72 years, 
      male: 56.2%) presenting variable function (gross motor function classification 
      system [GMFCS], levels I-IV) participated in this study. Participants received 30 
      minutes of hippotherapy twice a week for 8 weeks. Clinical information including 
      GMFCS level, age, sex, CP distribution, CP type, gross motor function measure-88 
      (GMFM-88), GMFM-66, and pediatric balance scale (PBS) score were collected 
      retrospectively. We regarded the children with GMFM-66 score increased by 2.0 
      points as good responders to hippotherapy. Further we analyzed factors affecting 
      good responders. RESULTS: GMFCS level I and II compared with IV (odds ratio 
      [OR] = 6.83) and III compared with IV (OR = 4.45) were significantly associated 
      with a good response to hippotherapy. Higher baseline GMFM E (OR = 1.05) and 
      lower baseline GMFM B (OR = 0.93) were also significantly associated with a good 
      response to hippotherapy. Sex, age, CP type, and distribution were not factors 
      influencing gross motor outcome of hippotherapy. CONCLUSIONS: The children with 
      CP, GMFCS level I-III, with relatively poor postural control in sitting might 
      have a greater chance to improve their GMFM-66 scores through hippotherapy. This 
      supports the hypothesis that hippotherapy is a context-focused therapy to improve 
      postural control in sitting.
CI  - Georg Thieme Verlag KG Stuttgart . New York.
FAU - Seung Mi, Yeo
AU  - Seung Mi Y
AD  - Department of Physical and Rehabilitation Medicine, Samsung Medical Center, 
      Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
FAU - Ji Young, Lee
AU  - Ji Young L
AD  - Samsung Equestrian Team, Bugok dong, Gunposi, Gyeonggido, Republic of Korea.
FAU - Hye Yeon, Shin
AU  - Hye Yeon S
AD  - Samsung Equestrian Team, Bugok dong, Gunposi, Gyeonggido, Republic of Korea.
FAU - Yun Sik, Seo
AU  - Yun Sik S
AD  - Samsung Equestrian Team, Bugok dong, Gunposi, Gyeonggido, Republic of Korea.
FAU - Jeong Yi, Kwon
AU  - Jeong Yi K
AD  - Department of Physical and Rehabilitation Medicine, Samsung Medical Center, 
      Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20190422
PL  - Germany
TA  - Neuropediatrics
JT  - Neuropediatrics
JID - 8101187
SB  - IM
MH  - Cerebral Palsy/diagnosis/*psychology/*therapy
MH  - Child
MH  - Child, Preschool
MH  - Equine-Assisted Therapy/*methods/trends
MH  - Female
MH  - Humans
MH  - Male
MH  - Motor Skills/*physiology
MH  - Retrospective Studies
COIS- The authors have no conflicts of interest to disclose.
EDAT- 2019/04/23 06:00
MHDA- 2019/12/31 06:00
CRDT- 2019/04/23 06:00
PHST- 2019/04/23 06:00 [pubmed]
PHST- 2019/12/31 06:00 [medline]
PHST- 2019/04/23 06:00 [entrez]
AID - 10.1055/s-0039-1685526 [doi]
PST - ppublish
SO  - Neuropediatrics. 2019 Jun;50(3):170-177. doi: 10.1055/s-0039-1685526. Epub 2019 
      Apr 22.