Hippotherapy effects on trunk, pelvic, and hip motion during ambulation in children with neurological impairments

Pediatr Phys Ther. 2012 Fall;24(3):242-50. doi: 10.1097/PEP.0b013e31825c1dc3.

Abstract

Purpose: This study investigated the effects of a 10-week hippotherapy program on trunk, pelvis, and hip joint positioning during the stance phase of gait.

Methods: Eleven children (6 boys and 5 girls; 7.9 ± 2.7 years) with neurological disorders and impaired ambulation participated. Joint range of motion data were collected via 3-dimensional computerized gait analysis before and after the program. Paired t tests were performed on kinematic data for each joint.

Results: Significant improvements (P ≤ .008) and large effect sizes (ESs) for sagittal plane hip positions at initial contact and toe-off were found. No differences in pelvic or trunk positioning were determined, although sagittal plane pelvic positioning displayed a trend toward improvement with large ESs. Several trunk variables displayed moderate ESs with a trend toward more upright positioning.

Conclusions: Improvements in pelvic and hip joint positioning and more normalized vertical trunk position may indicate increased postural control during gait after 10 sessions of hippotherapy.

MeSH terms

  • Animals
  • Biomechanical Phenomena
  • Child
  • Child, Preschool
  • Confidence Intervals
  • Equine-Assisted Therapy / methods*
  • Female
  • Gait Disorders, Neurologic / diagnosis
  • Gait Disorders, Neurologic / pathology
  • Gait Disorders, Neurologic / rehabilitation*
  • Gait*
  • Hip Joint / pathology*
  • Hip Joint / physiology
  • Horses
  • Humans
  • Male
  • Mobility Limitation*
  • Nervous System Diseases / rehabilitation
  • Pelvis / pathology*
  • Pelvis / physiology
  • Posture
  • Range of Motion, Articular
  • Torso / pathology*
  • Torso / physiology