Evaluation of Horse Riding Simulator with Strengthening Training Program and Conventional Physiotherapy in treatment of Children with Spastic Diplegic Cerebral Palsy

Abstract

Background: Cerebral Palsy is a group of disorders that affect the development and growth of the movement leading to the determination in the activities of the body, especially related to movements. These disorders occur as a result of damage or deterioration in certain parts of the brain. Objective: To evaluate the effectiveness of horse riding simulator with strengthening training program on children with spastic diplegic cerebral palsy and comparing it with conventional physiotherapy program which is used in rehabilitation. Patients and Methods: Thirty participants were recruited in this study, who were diagnosed with spastic diplegic cerebral palsy. Their ages between four and twelve years old, the children were randomly classified into three groups of interventions Horse Riding Simulator with Strengthening Training, Horse Riding Simulator with conventional physiotherapy and control group with conventional physiotherapy).for each intervention, the children receive 24 sessions three times a week, [Gross Motor Function Measure-66, pediatric balance scale, and Modified Modified Ashworth Scale] were used to evaluate children in all groups both pre and post each intervention.

Effects of horse riding simulator on sitting motor function in children with spastic cerebral palsy

“…The periodical improvements in GMFM scores were evaluated at different levels at baseline, at the end of 4, 8 and 12 weeks in both groups. Regarding the treatment protocol, this study is similar to the study done by Bagheri et al (2017) who conducted study with the same protocol, that is, 15 min of HRS, 3 times per week and addressed the benefits of HRS improving motor functions.…”

Effectiveness of Mechanical Horse-Riding Simulator-Based Interventions in Patients with Cerebral Palsy—A Systematic Review and Meta-Analysis

“…Twenty-one studies were deleted for not meeting the inclusion criteria (reasons in Figure 1 ). Finally, 12 clinical trials were included in this review [ 63 , 64 , 65 , 66 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 ]. All studies provided data for the qualitative synthesis (systematic review), and 10 reported quantitative data for use in the quantitative synthesis (meta-analysis) [ 63 , 64 , 67 , 68 , 69 , 70 , 71 , 72 , 73 , 74 ].…”

“…The studies included in this review were conducted between 1998 and 2022 in India [ 64 , 67 ], South Korea [ 65 , 66 , 70 , 71 ], Iraq [ 63 ], Spain [ 69 ], Brazil [ 73 ], Thailand [ 74 ] and the USA [ 72 ]. The included studies reported data from 343 patients with spastic diplegic CP with ages between 2 and 16 years old, of which 56% were male versus 44% female.…”

“…The included studies reported data from 343 patients with spastic diplegic CP with ages between 2 and 16 years old, of which 56% were male versus 44% female. The experimental group comprised 180 patients who received an HRS intervention alone [ 68 , 69 , 72 , 73 , 74 ] or in combination with conventional therapy [ 63 , 64 , 65 , 66 , 67 , 70 , 71 ]. The control group comprised 163 patients who received conventional therapy [ 63 , 64 , 65 , 66 , 67 , 70 , 71 , 73 ] or sham [ 68 , 69 , 72 , 74 ].…”

“…The experimental group comprised 180 patients who received an HRS intervention alone [ 68 , 69 , 72 , 73 , 74 ] or in combination with conventional therapy [ 63 , 64 , 65 , 66 , 67 , 70 , 71 ]. The control group comprised 163 patients who received conventional therapy [ 63 , 64 , 65 , 66 , 67 , 70 , 71 , 73 ] or sham [ 68 , 69 , 72 , 74 ]. The duration of HRS therapy ranged from 1 to 12 weeks.…”