PMID- 31106675
OWN - NLM
STAT- MEDLINE
DCOM- 20201209
LR  - 20201214
IS  - 1541-3144 (Electronic)
IS  - 0194-2638 (Linking)
VI  - 40
IP  - 3
DP  - 2020
TI  - Outcomes following physical therapy incorporating hippotherapy on neuromotor 
      function and bladder control in children with Down syndrome: A case series.
PG  - 247-260
LID - 10.1080/01942638.2019.1615601 [doi]
AB  - Aims: The objective of this case series was to document gross motor function, 
      gait parameter, and bladder control outcomes following physical therapy 
      incorporating hippotherapy in children with Down syndrome (DS). Methods: Four 
      children between three and five years of age received eight-weekly physical 
      therapy sessions incorporating hippotherapy. Outcome measures included the Gross 
      Motor Function Measure-88 (GMFM-88), parental perception of function during every 
      day activities, spatiotemporal parameters of gait and bladder control. Results: 
      Total change scores on the GMFM-88 exceeded the standardized response mean in all 
      four children, while scores on Dimension E improved in two children. From the 
      mothers' perspectives, all children showed at least some improvement in walking, 
      running, and jumping; sitting, kneeling, and standing; symmetry and comfort; 
      balance; coordination and social interactions and there were inconsistent changes 
      in bladder control. Only one child demonstrated changes greater than 20% in any 
      of the gait parameters. Conclusions: Physical therapy incorporating hippotherapy 
      may be a potential treatment to assist in improving gross motor function in 
      children with DS, but eight sessions may not be long enough to show major 
      improvements in gait parameters or bladder control. Further research in the form 
      of larger controlled trials is warranted to provide more support for the 
      intervention in those with DS.
FAU - Moriello, Gabriele
AU  - Moriello G
AD  - Utica College, Utica, NY, USA.
FAU - Terpstra, Mary Ellen
AU  - Terpstra ME
AD  - The Root Farm, Saquoit, NY, USA.
FAU - Earl, Jeremy
AU  - Earl J
AD  - The Root Farm, Saquoit, NY, USA.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20190520
PL  - England
TA  - Phys Occup Ther Pediatr
JT  - Physical & occupational therapy in pediatrics
JID - 8109120
SB  - IM
CIN - Phys Occup Ther Pediatr. 2020;40(3):261-262. PMID: 32285748
MH  - Child, Preschool
MH  - Down Syndrome/physiopathology/*therapy
MH  - Equine-Assisted Therapy/*methods
MH  - Female
MH  - Gait Disorders, Neurologic/*therapy
MH  - Humans
MH  - Male
MH  - Motor Skills Disorders/*therapy
MH  - *Physical Therapy Modalities
MH  - Surveys and Questionnaires
MH  - Urinary Bladder/*physiopathology
OTO - NOTNLM
OT  - Down syndrome
OT  - EAT
OT  - Equine Assisted Therapy
OT  - HPOT
OT  - hippotherapy
EDAT- 2019/05/21 06:00
MHDA- 2020/12/15 06:00
CRDT- 2019/05/21 06:00
PHST- 2019/05/21 06:00 [pubmed]
PHST- 2020/12/15 06:00 [medline]
PHST- 2019/05/21 06:00 [entrez]
AID - 10.1080/01942638.2019.1615601 [doi]
PST - ppublish
SO  - Phys Occup Ther Pediatr. 2020;40(3):247-260. doi: 10.1080/01942638.2019.1615601. 
      Epub 2019 May 20.