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

Nancy H. McGibbon, William Benda, Burris R Duncan, Debbie Silkwood-Sherer

Research output: Contribution to journalArticle

83 Citations (Scopus)

Abstract

McGibbon NH, Benda W, Duncan BR, Silkwood-Sherer D. Immediate and long-term effects of hippotherapy on symmetry of adductor muscle activity and functional ability in children with spastic cerebral palsy. Objectives: To investigate the immediate effects of 10 minutes of hippotherapy, compared with 10 minutes of barrel-sitting, on symmetry of adductor muscle activity during walking in children with cerebral palsy (CP) (phase I). To investigate the long-term effects of 12 weeks of hippotherapy on adductor activity, gross motor function, and self-concept (phase II). Design: Pretest/posttest randomized controlled trial plus clinical follow-up. Setting: Outpatient therapy center. Participants: Children with spastic CP (phase I: n=47; phase II: n=6). Interventions: Phase I: 10 minutes of hippotherapy or 10 minutes of barrel-sitting; phase II: 12 weekly hippotherapy sessions. Main Outcome Measures: Phases I and II: adductor muscle activity measured by surface electromyography. Phase II: gross motor function and self-perception profiles. Results: Phase I: hippotherapy significantly improved adductor muscle asymmetry (P<.001; d=1.32). Effects of barrel-sitting were not significant (P>.05; d=.10). Phase II: after 12 weeks of hippotherapy, testing in several functional domains showed improvements over baseline that were sustained for 12 weeks posttreatment. Conclusions: Hippotherapy can improve adductor muscle symmetry during walking and can also improve other functional motor skills.

Original languageEnglish (US)
Pages (from-to)966-974
Number of pages9
JournalArchives of Physical Medicine and Rehabilitation
Volume90
Issue number6
DOIs
StatePublished - Jun 2009

Fingerprint

Equine-Assisted Therapy
Aptitude
Cerebral Palsy
Muscles
Self Concept
Walking
Motor Skills
Electromyography
Motor Activity
Outpatients
Randomized Controlled Trials
Outcome Assessment (Health Care)

Keywords

  • Cerebral palsy
  • Electromyography
  • Horses
  • Movement
  • Muscle spasticity
  • Rehabilitation

ASJC Scopus subject areas

  • Rehabilitation
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Immediate and Long-Term Effects of Hippotherapy on Symmetry of Adductor Muscle Activity and Functional Ability in Children With Spastic Cerebral Palsy. / McGibbon, Nancy H.; Benda, William; Duncan, Burris R; Silkwood-Sherer, Debbie.

In: Archives of Physical Medicine and Rehabilitation, Vol. 90, No. 6, 06.2009, p. 966-974.

Research output: Contribution to journalArticle

@article{7ccd88d9bb14466fa78b696bae87eadb,
title = "Immediate and Long-Term Effects of Hippotherapy on Symmetry of Adductor Muscle Activity and Functional Ability in Children With Spastic Cerebral Palsy",
abstract = "McGibbon NH, Benda W, Duncan BR, Silkwood-Sherer D. Immediate and long-term effects of hippotherapy on symmetry of adductor muscle activity and functional ability in children with spastic cerebral palsy. Objectives: To investigate the immediate effects of 10 minutes of hippotherapy, compared with 10 minutes of barrel-sitting, on symmetry of adductor muscle activity during walking in children with cerebral palsy (CP) (phase I). To investigate the long-term effects of 12 weeks of hippotherapy on adductor activity, gross motor function, and self-concept (phase II). Design: Pretest/posttest randomized controlled trial plus clinical follow-up. Setting: Outpatient therapy center. Participants: Children with spastic CP (phase I: n=47; phase II: n=6). Interventions: Phase I: 10 minutes of hippotherapy or 10 minutes of barrel-sitting; phase II: 12 weekly hippotherapy sessions. Main Outcome Measures: Phases I and II: adductor muscle activity measured by surface electromyography. Phase II: gross motor function and self-perception profiles. Results: Phase I: hippotherapy significantly improved adductor muscle asymmetry (P<.001; d=1.32). Effects of barrel-sitting were not significant (P>.05; d=.10). Phase II: after 12 weeks of hippotherapy, testing in several functional domains showed improvements over baseline that were sustained for 12 weeks posttreatment. Conclusions: Hippotherapy can improve adductor muscle symmetry during walking and can also improve other functional motor skills.",
keywords = "Cerebral palsy, Electromyography, Horses, Movement, Muscle spasticity, Rehabilitation",
author = "McGibbon, {Nancy H.} and William Benda and Duncan, {Burris R} and Debbie Silkwood-Sherer",
year = "2009",
month = "6",
doi = "10.1016/j.apmr.2009.01.011",
language = "English (US)",
volume = "90",
pages = "966--974",
journal = "Archives of Physical Medicine and Rehabilitation",
issn = "0003-9993",
publisher = "W.B. Saunders Ltd",
number = "6",

}

TY - JOUR

T1 - Immediate and Long-Term Effects of Hippotherapy on Symmetry of Adductor Muscle Activity and Functional Ability in Children With Spastic Cerebral Palsy

AU - McGibbon, Nancy H.

AU - Benda, William

AU - Duncan, Burris R

AU - Silkwood-Sherer, Debbie

PY - 2009/6

Y1 - 2009/6

N2 - McGibbon NH, Benda W, Duncan BR, Silkwood-Sherer D. Immediate and long-term effects of hippotherapy on symmetry of adductor muscle activity and functional ability in children with spastic cerebral palsy. Objectives: To investigate the immediate effects of 10 minutes of hippotherapy, compared with 10 minutes of barrel-sitting, on symmetry of adductor muscle activity during walking in children with cerebral palsy (CP) (phase I). To investigate the long-term effects of 12 weeks of hippotherapy on adductor activity, gross motor function, and self-concept (phase II). Design: Pretest/posttest randomized controlled trial plus clinical follow-up. Setting: Outpatient therapy center. Participants: Children with spastic CP (phase I: n=47; phase II: n=6). Interventions: Phase I: 10 minutes of hippotherapy or 10 minutes of barrel-sitting; phase II: 12 weekly hippotherapy sessions. Main Outcome Measures: Phases I and II: adductor muscle activity measured by surface electromyography. Phase II: gross motor function and self-perception profiles. Results: Phase I: hippotherapy significantly improved adductor muscle asymmetry (P<.001; d=1.32). Effects of barrel-sitting were not significant (P>.05; d=.10). Phase II: after 12 weeks of hippotherapy, testing in several functional domains showed improvements over baseline that were sustained for 12 weeks posttreatment. Conclusions: Hippotherapy can improve adductor muscle symmetry during walking and can also improve other functional motor skills.

AB - McGibbon NH, Benda W, Duncan BR, Silkwood-Sherer D. Immediate and long-term effects of hippotherapy on symmetry of adductor muscle activity and functional ability in children with spastic cerebral palsy. Objectives: To investigate the immediate effects of 10 minutes of hippotherapy, compared with 10 minutes of barrel-sitting, on symmetry of adductor muscle activity during walking in children with cerebral palsy (CP) (phase I). To investigate the long-term effects of 12 weeks of hippotherapy on adductor activity, gross motor function, and self-concept (phase II). Design: Pretest/posttest randomized controlled trial plus clinical follow-up. Setting: Outpatient therapy center. Participants: Children with spastic CP (phase I: n=47; phase II: n=6). Interventions: Phase I: 10 minutes of hippotherapy or 10 minutes of barrel-sitting; phase II: 12 weekly hippotherapy sessions. Main Outcome Measures: Phases I and II: adductor muscle activity measured by surface electromyography. Phase II: gross motor function and self-perception profiles. Results: Phase I: hippotherapy significantly improved adductor muscle asymmetry (P<.001; d=1.32). Effects of barrel-sitting were not significant (P>.05; d=.10). Phase II: after 12 weeks of hippotherapy, testing in several functional domains showed improvements over baseline that were sustained for 12 weeks posttreatment. Conclusions: Hippotherapy can improve adductor muscle symmetry during walking and can also improve other functional motor skills.

KW - Cerebral palsy

KW - Electromyography

KW - Horses

KW - Movement

KW - Muscle spasticity

KW - Rehabilitation

UR - http://www.scopus.com/inward/record.url?scp=65949098430&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=65949098430&partnerID=8YFLogxK

U2 - 10.1016/j.apmr.2009.01.011

DO - 10.1016/j.apmr.2009.01.011

M3 - Article

C2 - 19480872

AN - SCOPUS:65949098430

VL - 90

SP - 966

EP - 974

JO - Archives of Physical Medicine and Rehabilitation

JF - Archives of Physical Medicine and Rehabilitation

SN - 0003-9993

IS - 6

ER -