- Volume 26 Issue 4
The Effect of Horseback Riding Simulator on Static Balance of Cerebral Palsy
승마운동이 뇌성마비 아동의 정적 균형에 미치는 영향
- Choi, Hyun-Jin (Department of Physical Therapy, Pyungwha hospital) ;
- Nam, Ki-Won (Department of Physical Therapy, College of Health Science, Dong-shin University)
- Received : 2014.07.15
- Accepted : 2014.08.12
- Published : 2014.08.25
Purpose: The purpose of this study is to examine the effects of using a horseback riding simulation on static balance in children with cerebral palsy. Methods: This study was conducted with 30 children with cerebral palsy at levels I~IV in the Gross Motor Function Classification System (GMFCS), who were randomly divided into a control group and a hippotherapy group. Both the control group and the experimental group received NDT for 30 minutes per session, four times per week, for ten weeks, while the experimental group also received hippotherapy, 15 minutes per session, four times per week, for ten weeks, after the neurodevelopmental treatment (NDT). The horseback riding simulators JOBA (JEU7805, Panasonic, 일본) used in this study simulated actual horse movements; static balance was measured in each group before the exercise and five weeks and ten weeks after the beginning of the exercise using a pedoscan system (Diers Pedo, Germany). Results: The intergroup effects on static balance were tested, and the results showed no significant differences (p<0.05). Conclusion: The horseback riding simulation exercise was shown to be effective for the static balance of children with cerebral palsy. Therefore, additional studies should be conducted with more children with CP divided according to type.
- Shumway-Cook A, Woollacott MH. Motor control: Translating research into clinical practice. Baltimore, Lippincott/Williams and Wilkins. 2007;157-211.
- KIM JH. Relationship Between Gait symmetry and Functional Balance, Walking Performance in Subjects with Stroke. J Kor Soc Phys Ther. 2014;26(1):1-8. https://doi.org/10.1589/jpts.26.1
- Duarte M, Freitas SMSF. Revision of posturography based on force plate for balance evaluation. BJPT. 2010;14(3):183-192.
- Correa JC, Correa FI, Franco RC et al. Corporal oscillation during static biped posture in children with cerebral palsy. Electromyogr Clin Neurophysiol, 2007;47(3):131-6.
- Pollock AS, Durward BR, Rowe PJ. What is balance? Clinl Rehabil. 2000;14(4):402-6. https://doi.org/10.1191/0269215500cr342oa
- Massion J. Movement, posture and equilibrium: interaction and coordination. Prog Neurobiol, 1998;38(1):35-56.
- Woollacott MH, Shumway-Cook A. Postural dysfunction during standing and walking in children with cerebral palsy: What are the underlying problems and what the new therapies might improve balance? Neural Plasticity. 2005;12(2-3):211-219. https://doi.org/10.1155/NP.2005.211
- Oh JL. The Effects of Trunk Muscle Strength Training on Sitting Balance of Children with Spastic Cerebral palsy. Daegu University. Dissertation of Master's Degree. 2003.
- Choi JH, Lee HS, Chang JS. Changes of postural sway and muscle activation while standing Upright and performing a dual task. J Kor Soc Phys Ther. 2011;23(5):1-5. https://doi.org/10.1589/jpts.23.1
- Bobath K. A neurological basis for the treatment of cerebral palsy. 2nd ed, Clinics in Developmental medicine No. 75. Mac Keith Press. 1980;45-78.
- Kim JH. Effects of functional trunk strengthening program for Children with Spastic Cerebral Palsy. Daegu University. Dissertation of Master's Degree. 2012.
- Levitt S. Treatment of cerebral palsy and motor delay. Archives of Disease in Childhood. 1983;58(3);240.
- Dettmann MA, Linder MT, Sepic SB. Relationship among walking performance, postural stability, and functional assessments of the hemiplegic patient. Am J Phys Med, 1987;66(2):77-90.
- Choi HJ, Kim KJ, Nam KW. The Effects of a Horseback Riding Simulation Exercise on the Spinal Alignment of Children with Cerebral palsy. J Kor Soc Phys Ther, 2014;26(3):209-215. https://doi.org/10.1589/jpts.26.209
- Jung JH, YU JH. The Effects of Hippotherapy over 8 Weeks on Trunk Proprioception, Stability and posture in Cerebral palsy patients. J Kor Soc Phys Ther. 2010;22(5):63-70.
- MacPhail HEA, Edwards J, Golding J et al. Trunk postural reactions in children with and without cerebral palsy during therapeutic horseback riding. Pediatric Physical Therapy. 1998;10(4):143-7.
- McGibbon NH, Andrade CK, Widener G et al. Effect of an equine movement therapy program on gait, energy by expenditure, and motor function in children with spastic cerebral palsy: A pilot study. Dev Med Child Neurol. 1998;40(11):754-762.
- Kang HG, Chang SY. The Effects of Robo-horseback Riding Exercise on Trunk Muscle Activity Ratios in Patients with Low Back pain. J Kor Soc Phys Ther. 2012;24(6):393-397.
- Jung JW, Ko JY. Development of the chest Wall in Children with Cerebral Palsy according to GMFCS Levels. J Kor Soc Phys Ther. 2013;25(5):246-251.
- KIM YJ, JI JG, KIM JT. The 20-year-old women's shoes steps according to the type of comparative study on the low pressure zones. J Kor of sports Bio, 2004;14(3):83-98.
- Gong WT, Cho GY, Han JM. The Analysis of Static Foot Pressure on Functional Leg Length Inequality. J of the Kor Data Anal Soci. 2009;11(3):1245-56.
- Mackinnon JR, Noh S, Lariviere J et al. A study of therapeutic effects of horseback riding for children with cerebral palsy. Physical & Occupational Therapy in Pediatrics. 1995;15(1):17-34. https://doi.org/10.1080/J006v15n01_02
- Winter DA. Biomechanics of normal and pathological gait: implicate for understanding human locomotor control. J. Motor Behavior. 1993;21(4):337-355..
- Lim JH, Park JS. Cho WS. The Effect of Mechanical Horseback- Riding Training Velocity on Vestibular Functions and Static Postural Balance in Healthy Adults. J Kor Soc Phys Ther. 2013;25(5):288-296.
- Quint C. & Toomey M. Powered saddle and pelvic mobility : an investigation into the effects on pelvic mobility of children with cerebral palsy of a powered saddle which imitates the movements of a walking horse. Physiotherapy. 1998;84;(8)376-384. https://doi.org/10.1016/S0031-9406(05)61458-7
- Kuczynski M, Slonka K. Influence of artificial saddle riding on postural stability in children with cerebral palsy. Gait Posture. 1999;10(2):154-160. https://doi.org/10.1016/S0966-6362(99)00028-4
- Ferdjallah M, harris GF, Smith P et al. Analysis of postural control synergies during quiet standing in healthy children and children with cerebral palsy. Clin Biomech (Bristol, Avon), 2002;17(3):203-210. https://doi.org/10.1016/S0268-0033(01)00121-8
- Choi HJ, Nam KW. The Effect of Weight-support Treadmill Training on the Balance and Activity of Daily Living of Children with Spastic Diplegia. J kor soc phys Ther. 2012;24(6):398-404.