A 10-Week Program of Combined Hippotherapy and Scroth’s Exercises Improves Balance and Postural Asymmetries in Adolescence Idiopathic Scoliosis: A Randomized Controlled Study
Abstract:Introduction: The most frequent type of spine abnormality throughout adolescence was adolescent idiopathic scoliosis (AIS). Hippotherapy improved posture, balance and gait of different musculoskeletal conditions. Therefore, this study aims to see how hippotherapy combined with Schroth exercises affected postural asymmetry and dynamic balance in AIS compared to traditional physiotherapy (Schroth exercises) alone. Materials and methods: In this randomized controlled trial, fifty-two patients with AIS (10–18 year… Show more
“…In the category “animal,” we included studies that had an experimental condition with a live animal and that compared that condition to a control condition with no animal present (e.g., Julius et al, 2013 ; Kim et al, 2016 ; Branson et al, 2017 ; Hartfiel et al, 2017 ; Levinson et al, 2017 ; Schuck et al, 2018 ; Wolynczyk-Gmaj et al, 2021 ; Abdel-Aziem et al, 2022 ). We found that 88.37% ( n = 152) of the studies controlled for an animal as a specific factor.…”
Section: Resultsmentioning
confidence: 99%
“…In this category, we included studies with experimental conditions that incorporated movement by an animal as part of the intervention, such as while horseback riding (e.g., Lechner et al, 2007 ; Kim et al, 2014 ; Alemdaroglu et al, 2016 ; Abdel-Aziem et al, 2022 ). We determined that 17.44% ( n = 30) of the studies controlled for movement as a specific factor.…”
Section: Resultsmentioning
confidence: 99%
“…We identified that “animal” and “interaction with an animal” were the most frequent categories that previously published AAI studies have implicitly considered a specific and active component of AAIs. By using different control conditions, the studies also controlled for specific factors such as “movement by the animal,” “physical contact,” and “taking care of an animal.” For example, “movement by the animal” was controlled for by comparing horseback riding with physiotherapy (e.g., Abdel-Aziem et al, 2022 ), “physical contact” by comparing being interviewed while petting a dog to being interviewed without a dog (Krause-Parello and Gulick, 2015 ), and “taking care of an animal” by comparing participants attending lectures about healthy lifestyle choices with participants taking care of crickets (Ko et al, 2016 ).…”
Research on animal-assisted interventions (AAIs) has increased massively in the last few years. But it is still not clear how AAIs work and how important the animal is in such interventions. The aim of this systematic review was to compile the existing state of knowledge about the working mechanisms of AAIs. We searched 12 major electronic databases for previous AAI studies with active control groups. Of 2001 records identified, we included 172 studies in the systematic review. We extracted previously published hypotheses about working mechanisms and factors that have been implicitly considered specific or non-specific in AAI research by categorizing control conditions using content analysis. We analyzed the categories using descriptive statistics. We found that 84% of the included studies mentioned a hypothesis of working mechanisms, but 16% did not define specific hypotheses. By analyzing their control conditions, we found that in most controlled studies, the animal or the interaction with the animal was implicitly considered as a specific factor for the effects of the AAI. Non-specific factors such as therapeutic aspects, social interactions, or novelty have also been controlled for. We conclude that AAI research still cannot answer the question of how and why AAIs work. To address this important research gap, we suggest using component studies with innovative control conditions and results from placebo research to address both the specific and non-specific, contextual factors of AAIs to disentangle its mechanisms.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?RecordID=158103, identifier: CRD42020158103.
“…In the category “animal,” we included studies that had an experimental condition with a live animal and that compared that condition to a control condition with no animal present (e.g., Julius et al, 2013 ; Kim et al, 2016 ; Branson et al, 2017 ; Hartfiel et al, 2017 ; Levinson et al, 2017 ; Schuck et al, 2018 ; Wolynczyk-Gmaj et al, 2021 ; Abdel-Aziem et al, 2022 ). We found that 88.37% ( n = 152) of the studies controlled for an animal as a specific factor.…”
Section: Resultsmentioning
confidence: 99%
“…In this category, we included studies with experimental conditions that incorporated movement by an animal as part of the intervention, such as while horseback riding (e.g., Lechner et al, 2007 ; Kim et al, 2014 ; Alemdaroglu et al, 2016 ; Abdel-Aziem et al, 2022 ). We determined that 17.44% ( n = 30) of the studies controlled for movement as a specific factor.…”
Section: Resultsmentioning
confidence: 99%
“…We identified that “animal” and “interaction with an animal” were the most frequent categories that previously published AAI studies have implicitly considered a specific and active component of AAIs. By using different control conditions, the studies also controlled for specific factors such as “movement by the animal,” “physical contact,” and “taking care of an animal.” For example, “movement by the animal” was controlled for by comparing horseback riding with physiotherapy (e.g., Abdel-Aziem et al, 2022 ), “physical contact” by comparing being interviewed while petting a dog to being interviewed without a dog (Krause-Parello and Gulick, 2015 ), and “taking care of an animal” by comparing participants attending lectures about healthy lifestyle choices with participants taking care of crickets (Ko et al, 2016 ).…”
Research on animal-assisted interventions (AAIs) has increased massively in the last few years. But it is still not clear how AAIs work and how important the animal is in such interventions. The aim of this systematic review was to compile the existing state of knowledge about the working mechanisms of AAIs. We searched 12 major electronic databases for previous AAI studies with active control groups. Of 2001 records identified, we included 172 studies in the systematic review. We extracted previously published hypotheses about working mechanisms and factors that have been implicitly considered specific or non-specific in AAI research by categorizing control conditions using content analysis. We analyzed the categories using descriptive statistics. We found that 84% of the included studies mentioned a hypothesis of working mechanisms, but 16% did not define specific hypotheses. By analyzing their control conditions, we found that in most controlled studies, the animal or the interaction with the animal was implicitly considered as a specific factor for the effects of the AAI. Non-specific factors such as therapeutic aspects, social interactions, or novelty have also been controlled for. We conclude that AAI research still cannot answer the question of how and why AAIs work. To address this important research gap, we suggest using component studies with innovative control conditions and results from placebo research to address both the specific and non-specific, contextual factors of AAIs to disentangle its mechanisms.Systematic Review Registrationhttps://www.crd.york.ac.uk/prospero/display_record.php?RecordID=158103, identifier: CRD42020158103.
“…When the patient is standing, the asymmetry is manifested as unequal shoulder height, unequal armpit height, lumbar fossa tilt, and pelvic tilt. When the patient bends over, the asymmetry is mainly reflected by back asymmetry [20]. After obtaining the binary contour map, it is necessary to extract the eight feature points of the shoulders, armpits, waist, and hip (Figure 4).…”
Section: Extraction Of Feature Points Of Back Contourmentioning
In recent years, the incidence of scoliosis is rising among adolescents. Considering the radiation hazards of X-ray detection, this paper intends to develop an effective non-radiation detection method for scoliosis. The research method consists of the following steps: (1) Collect clear an image of the back of the patient with a high-resolution digital camera, and optimize the image through preprocessing; (2) Segment the region of interest (ROI) of the back and spine to reduce the complexity of subsequent calculations; (3) Extract the back contour and mark the feature points; (4) Extract features according to the grayscale change of the spine ROI, and fit the spine midline according to the feature points; (5) Evaluate the degree of scoliosis according to the symmetry of the posture features and the Cobb angle of the spine midline. Finally, experimental results were analyzed, which indicate that the proposed scoliosis detection method can preliminarily evaluate the posture features. The scoliosis detection error fell in the reasonable range (0-4 degrees), when the subjects had a Cobb angle between 0 and 30 degrees. Hence, our algorithm is accurate and effective, and provides a low-cost, efficient solution for scoliosis detection.
“…Although PO has a more prominent role in neuromuscular scoliosis, these measurements are important both in treatment planning and in evaluating the results of treatments such as exercise, brace, shoe lift intervention, and insole in patients with IS. 4,13,14 Despite the importance of the assessment of PO, especially in the planning of surgery, there is no consensus on the PO measurements. Due to the variability in displacement, several measurement procedures have been developed in the absence of consensus, with a particular focus on frontal deviation.…”
Background:
Despite the importance of the assessment of pelvic obliquity, especially in the planning of surgery, there is no consensus on the pelvic obliquity measurements. The purpose of this study is to assess the intraobserver and interobserver reliability of 4 different pelvic obliquity measuring methods in patients with idiopathic scoliosis (IS): the Osebold, O’Brien, Maloney, and Allen&Ferguson methods.
Methods:
A retrospective cohort of 85 posteroanterior full-spine radiographs in the standing position of patients with IS involving the pelvic obliquity was evaluated by a team of 3 raters. The same researcher recorded the curve magnitude, apical vertebral rotation, Risser grade, curve pattern, and femoral head height difference. The pelvic obliquity angle was measured using the Osebold, O’Brien, Maloney, and Allen&Ferguson methods. The same graders were asked to regrade the same radiographs after at least 1 month.
Results:
The Osebold method showed the highest interobserver reliability with an ICC of 0.994 and 0.983. The Allen&Ferguson method had the lowest reliability with an ICC of 0.911 and 0.934, but all of the methods were considered having excellent reliability. The Osebold method also showed the highest intraobserver reliability, ranging from 0.909 to 0.997. The Allen&Ferguson method had the lowest intraobserver reliability, with a range of 0.741 to 0.960. Also, all observers preferred the Osebold Method. The observers reported that the Allen&Ferguson method was considered the most time-consuming method, while the least time-consuming method was specified as the Osebold method.
Conclusions:
To the best of our knowledge, this study is the first to evaluate the intraobserver and interobserver reliability of pelvic obliquity among common measurement methods in patients with idiopathic scoliosis. All methods were evaluated as having excellent to good reliability in this study, but the Osebold method is the most reliable method of measuring pelvic obliquity on a frontal view radiograph in idiopathic scoliosis. The Osebold method is easier to use as it requires only the iliac crests to be visualized.
Level of Evidence:
Level III—Retrospective cohort study.
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