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Meta-Analysis on the Effect of Therapeutic Horseback Riding on Children with Developmental Disabilities and Neural Patients

  • Noh, Hyunju (Department of Nursing, Cheju Halla University) ;
  • Kim, Jiyoung (Department of Physical Therapy, Masan university) ;
  • Park, Jiwon (Department of Physical Therapy, College of Rehabilitation Science, Daegu University)
  • Received : 2020.09.21
  • Accepted : 2020.10.22
  • Published : 2020.10.31

Abstract

Purpose: This study aimed to investigate the evidence that therapeutic horseback riding can improve balance, muscle, ADL, equivalenc, GMFM, gait, emotion with developmental disabilities and neural patients. Methods: To conduct meta-analysis, the search focused on studies that employed therapeutic horseback riding for developmental disabilities and neural patients for which eight databases (KIS, RISS, DBpia, National Assembly Library, Pubmed, Embase, Google scholar and Cochrane Library) were used to extract literature published from 2002 to September 2019. The data were analyzed the RevMan 3.5.3 program. Results: As a result of meta-analysis, therapeutic horseback riding total effect size is 0.552 for children with developmental disabilities and neural patients. And effect size result of according to assessment type variable first, balance effect size is 0.594. Second, muscle activities effect size is 0.425. Third, ADL effect size is 0.430. Fourth, equivalance effect size is 0.640. Fifth, GMFM effect size is 0.482. Sixth, gait effect size is 0.400 and seventh emotion effect size is 0.876. Conclusion: These findings is horseback riding is effective The effect size by outcome was observed to be the effective for children with developmental disabilities and neural patients. and also the horseback riding provided the positive effects of balance, muscle activities, ADL, equivalance, GMFM, gait, emotion for children with developmental disabilities and neural patients. It is hoped that this study will contribute to the development of effective treatments for children with developmental disabilities and neural patients therapeutic horseback riding and the development of study.

Keywords

References

  1. Yoo DH, Oh YS, Youn SW et al. Comparison of the exercise intensity of horseback-riding on walking types. Korean J Sport Sci. 2014;25(4):641-9. https://doi.org/10.24985/kjss.2014.25.4.641
  2. Baik K, Byeun JK, Baek JK. The effects of horseback riding participation on the muscle tone and range of motion for children with spastic cerebral palsy. J Exercise Rehab. 2014;10(5):265-70. https://doi.org/10.12965/jer.140124
  3. McGibbon NH, Benda W, Duncan BR et al. Immediate and long-term effects of hippotherapy in symmetry of adductor muscle activity and functional ability in children with spastic cerebral palsy. Arch Phys Med Rehabil. 2009;90(6):966-74. https://doi.org/10.1016/j.apmr.2009.01.011
  4. Lee CW, Kim HS, Lee IS. The effect of horse-riding exercise on the balance ability in the Chronic low back patient. J Korean Soc Integrative Med. 2014;2(1):101-8. https://doi.org/10.15268/ksim.2014.2.1.101
  5. Cho HG, Jung TW, Jung SH. The effects of horse riding activities on equilibrium and backcone posture of the children with cerebral palsy. Korean J Sport Biomech. 2013;23(1):37-43. https://doi.org/10.5103/KJSB.2013.23.1.037
  6. Fleck CA. Hippotherapy: mechanics of human walking and horseback riding. Delaware University. Dissertation of Doctorate Degree. 1992.
  7. Jang CH, Joo MC, Noh SE et al. Effects of hippotherapy on psychosocial aspects in children with cerebral palsy and their caregivers: a pilot study. Ann Rehab Med. 2016;40(2):230. https://doi.org/10.5535/arm.2016.40.2.230
  8. Song CY. Effects of horse riding therapy program on depression and sociality of exceptional children. Kwangwoon university. Dissertation of Master's Degree. 2009.
  9. Schultz PN, Remick Barlow G, Robbins L. Equine assisted psychotherapy: a mental health promotion/intervention modality for children who have experience intra family violence. Health Soc Care Community. 2007;15(3):265-71. https://doi.org/10.1111/j.1365-2524.2006.00684.x
  10. Oh SG, Yi JH. A kinematic analysis on the treadmill gait of children with Down syndrome. J Kor Aca-Indus Coop Sc. 2011;12(9):3834-42.
  11. Kang OD. The effects of horse riding program for developmental delay improvement in children with cerebral palsy. J Spec Edu & Rehab Sc. 2014;53(2):1-17.
  12. Sterba JA, Rogers BT, France AP et al. Horseback riding in children with cerebral palsy: effect on gross motor function. Dev Med Child Neurol. 2002;44(5):301-8. https://doi.org/10.1111/j.1469-8749.2002.tb00815.x
  13. Zadnikar M, Kastrin AJ. Effects of hippotherapy and therapeutic riding on postural control or balance in children with cerebral palsy: a meta-analysis. Dev Med Child Neurol. 2011;53(8):684-91. https://doi.org/10.1111/j.1469-8749.2011.03951.x
  14. Park JH, Shin JI, Yang AY. A systematic review of hippotherapy intervention for the rehabilitation on children with disabilities in Korea. The J Kor Aging Ass. 2011;3(1):45-51. https://doi.org/10.36650/nexus3.1_45-66_ParkEtAl
  15. Huh J, Choi JY, Jung WS. Analysis and review of research trends related to rehabilitation riding. J Korean GG. 2011;12(1):9-33.
  16. Sterba JA. Does horseback riding therapy or therapist-sirected hippotherapy rehabilitate children with cerebral palsy. Dev Med Child Neurol. 2007;49(1):68-73. https://doi.org/10.1017/S0012162207000175.x
  17. Bax M, Goldstein M, Rosenbaum P et al. Proposed definition and classification of cerebral palsy. Dev Med Child Neurol. 2005;47(8):571-6. https://doi.org/10.1017/S001216220500112X
  18. Jung JH, Lee BH, Yu JH et al. The effects of horseback riding on the hand function, visual perception and activities of daily living in children with cerebral palsy. J Rehab Res. 2010;14(2):1-22.
  19. McGee MC, Reese NB. Immediate effects of a hippotherapy session on gait parameters in children with spastic cerebral palsy. Pediatric Physical Ther. 2009;21(2):212-8. https://doi.org/10.1097/PEP.0b013e3181a39532
  20. Seo BS. Effects of horse riding program for children with developmental disability. Chung-ang university. Dissertation of Master's Degree. 2009.
  21. Kim SK, Lee SW. The effects of the horse riding exercise program for the social adaptability of the children with intellectual disabilities. Journal of Special Education & Rehabilitation Science. 2011;50(2):83-99.
  22. Lee IS. The effects of hippotherapy for balance, gait, ipper extremity function and social maturity in lntellectual disabilities. Daegu university. Dissertation of Doctorate Degree. 2010.
  23. Murphy D, Kahn-D'Angelo L, Gleasn J. The effect of hippotherapy on functional outcomes for children with disabilities: A pilot study. Pediatr Phys Ther. 2008;20(3):264-70. https://doi.org/10.1097/PEP.0b013e31818256cd
  24. Feigin VL, Lawes CM, Bennett DA et al. Stroke epidemiology: a review of population-based studies of incidence, prevalence, and case-fatality in the late 20th century. Lancet Neurol. 2003;2(1):43-53. https://doi.org/10.1016/S1474-4422(03)00266-7
  25. Patel MD, Tilling K, Lawrence E et al. Relationships between long-term stroke disability, handicap and health-related quality of life. Age Ageing. 2006;35(3):273-9. https://doi.org/10.1093/ageing/afj074
  26. Jorgensen L, Engstad T, Jacobsen BK. Higher incidence of falls in long-term stroke survivors than in population controls: Depressive symptoms predict falls after stroke. Stroke. 2002;33(2):542-7. https://doi.org/10.1161/hs0202.102375
  27. Geurts AC, De HM, Van nes IJ et al. A review of standing balance recovery from stroke. Gait Posture. 2005;22(3):267-81. https://doi.org/10.1016/j.gaitpost.2004.10.002
  28. Shumway-cook A, Baldwin M, Polissar N et al. Predicting the probability for falls in community-dwelling older adults. Phys Ther. 1997;77(8):812-9. https://doi.org/10.1093/ptj/77.8.812
  29. Kwon HC, Lee SR. The relationship between activities of daily living and cognitive score in stroke patients. Physical Ther Kor. 2003;10(3):41-51.
  30. Sung YH, Kim KJ, Yu BK. The effects of trunk activity on hippotherapy simulator for patients with stroke. J Rehab Res. 2012;16:333-46.
  31. Kwon HY, Kim BJ. The effects of horseback riding simulation training on the thickness of abdominal muscles and functional balance in children with Down syndrome. J Korean Soc Integrative Med 2018;6(4):127-37. https://doi.org/10.15268/KSIM.2018.6.4.127
  32. Champagne D, Claude D. Improving gross motor function and postural control with hippotherapy in children with Down syndreome. Physio Theory and Practice. 2010;26(8):564-71. https://doi.org/10.3109/09593981003623659
  33. Moher D, Liberati A, Tetzlaff J et al. Preferred reporting items for systematic reviews and meta-analyses: The PRISMA Statement. PLOS Med. 2009;6(7):e1000097. https://doi.org/10.1371/journal.pmed.1000097
  34. Cohen J. Statistical power analysis for the behavioral sciences. Hillsdale, Lawrence Erlbaum Associates, 1988.
  35. Borenstein M, Hedges LV, Higgins JPT et al. Introduction to meta-analysis. New Jersey, Wiley and Sons Inc, 2011.
  36. Duval S, Tweedie R. Trim and fill: a simple funnel-plot-based method of testing and adjusting for publication bias in meta-analysis. Biometrics. 200;56(2):455-63. https://doi.org/10.1111/j.0006-341X.2000.00455.x
  37. Shin HJ. Effect of horseback riding on children with cerebral palsy and intellectual disabilities in korea. J Rehab Research. 2015;19:(3):31-49.