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A randomized controlled trial of the impact of therapeutic horse riding on the quality of life, health, and function of children with cerebral palsy
Open accessAbstract
This randomized controlled trial examined whether therapeutic horse riding has a clinically significant impact on the physical function, health and quality of life (QoL) of children with cerebral palsy (CP). Ninety‐nine children aged 4 to 12 years with no prior horse riding experience and various levels of impairment (Gross Motor Function Classification System Levels I−III) were randomized to intervention (10wks therapeutic programme; 26 males, 24 females; mean age 7y 8mo [SD 2y 5mo] or control (usual activities, 27 males, 22 females; mean age 8y 2mo [SD 2y 6mo]). Pre‐ and post‐measures were completed by 72 families (35 intervention and 37 control). Children’s gross motor function (Gross Motor Function Measure [GMFM]), health status (Child Health Questionnaire [CHQ]), and QoL (CP QoL‐Child, KIDSCREEN) were assessed by parents and QoL was assessed by children before and after the 10‐week study period. On analysis of covariance, there was no statistically significant difference in GMFM, CP QoL‐Child (parent report and child self‐report), and CHQ scores (except family cohesion) between the intervention and control group after the 10‐week study period, but there was weak evidence of a difference for KIDSCREEN (parent report). This study suggests that therapeutic horse riding does not have a clinically significant impact on children with CP. However, a smaller effect cannot be ruled out and the absence of evidence might be explained by a lack of sensitivity of the instruments since the QoL and health measures have not yet been demonstrated to be sensitive to change for children with CP.
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In Davis et al., no significant differences emerged between groups except for an improvement in family cohesion in the therapeutic riding condition.
“No significant differences emerged between the two groups except for an improvement in family cohesion in the therapeutic riding condition (p < 0.007).”
From A Systematic Review of Randomized Controlled Trials of Animal-Assisted Therapy on Psychosocial Outcomes (2015) · cites this paper as Davis et al. 2009
The psychological measures in Davis et al. were broad quality-of-life measures that may not detect the more specific changes expected from an equine-assisted therapy program.
“the psychological measures administered were broad measures of quality of life which may not detect the more specific changes one might expect from an equine-assisted therapy program.”
From A Systematic Review of Randomized Controlled Trials of Animal-Assisted Therapy on Psychosocial Outcomes (2015) · cites this paper as Davis et al. 2009
The two equine studies had substantially different sample sizes, one with n = 34 and the other with n = 99.
“Sample sizes in the two studies differed substantially, with one study examining the efficacy of the intervention in a relatively small sample (n = 34; Bass, Duchowny and llabre 2009), and the other using a large sample (n = 99; Davis et al. 2009).”
From A Systematic Review of Randomized Controlled Trials of Animal-Assisted Therapy on Psychosocial Outcomes (2015) · cites this paper as Davis et al. 2009
The relatively large sample size of Davis et al. provided adequate statistical power to detect an effect if one was present.
“the relatively large sample size is a significant strength of this study, as it provided adequate statistical power to detect an effect if one was present.”
From A Systematic Review of Randomized Controlled Trials of Animal-Assisted Therapy on Psychosocial Outcomes (2015) · cites this paper as Davis et al. 2009
Davis et al. found that AAI was effective in improving family cohesion.
“this study found that the aaI was effective in improving family cohesion.”
From A Systematic Review of Randomized Controlled Trials of Animal-Assisted Therapy on Psychosocial Outcomes (2015) · cites this paper as Davis et al. 2009
The studies in the review were conducted using relatively small sample sizes, ranging from 21 to 99.
“the studies in this review were conducted using relatively small sample sizes, ranging from 21 (Villalta-Gil et al. 2009) to 99 (Davis et al. 2009).”
From A Systematic Review of Randomized Controlled Trials of Animal-Assisted Therapy on Psychosocial Outcomes (2015) · cites this paper as Davis et al. 2009
There was little evidence for the use of equine-assisted therapy for children with cerebral palsy, other than on family cohesion.
“and little evidence for the use of equine-assisted therapy for children with cerebral palsy, other than on family cohesion (Davis et al. 2009).”
From A Systematic Review of Randomized Controlled Trials of Animal-Assisted Therapy on Psychosocial Outcomes (2015) · cites this paper as Davis et al. 2009
Only one study, Davis et al. 2009, reported a statistical power analysis that confirmed a sufficient sample size to detect an effect if present.
“Only one study (Davis et al. 2009) reported a statistical power analysis that confirmed that a sufficient sample size (to detect an effect if it was present) was used.”
From A Systematic Review of Randomized Controlled Trials of Animal-Assisted Therapy on Psychosocial Outcomes (2015) · cites this paper as Davis et al. 2009
Two studies found beneficial effects of AAIs with horses.
“two found beneficial effects of aaIs with horses (Bass, Duchowny and llabre 2009;Davis et al. 2009).”
From A Systematic Review of Randomized Controlled Trials of Animal-Assisted Therapy on Psychosocial Outcomes (2015) · cites this paper as Davis et al. 2009
A brief AAI may not be expected to enhance overall quality of life, particularly when life circumstances are challenging.
“a brief aaI may not be expected to enhance overall quality of life, particularly when life circumstances are challenging (e.g., Davis et al. 2009).”
From A Systematic Review of Randomized Controlled Trials of Animal-Assisted Therapy on Psychosocial Outcomes (2015) · cites this paper as Davis et al. 2009
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Cited by
Sorted by citations
Beetz, A., Uvnäs-Moberg, K., Julius, H., & Kotrschal, K. (2012) · Frontiers in Psychology · doi:10.3389/fpsyg.2012.00234 · Cited by 904
“…July 2012 | Volume 3 | Article 234 | 3 Table 1 | Continued Authors Study Population/age group N Significant effects of HAI Davis et al. (2009) 10 week therapeutic riding program, control group Children, age 4–12, with cerebral palsy 35/37 No significant effect on…”
Maujean, A., Pepping, C. A., & Kendall, E. (2015) · Anthrozoös · doi:10.2752/089279315x14129350721812 · Cited by 149
Effects of Hippotherapy on Gait Parameters in Children With Bilateral Spastic Cerebral Palsy
Kwon, J.-Y., Chang, H. J., Lee, J. Y., Ha, Y., Lee, P. K., & Kim, Y.-H. (2011) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2010.11.031 · Cited by 148
Tseng, S.-H., Chen, H.-C., & Tam, K.-W. (2013) · Disability and Rehabilitation · doi:10.3109/09638288.2012.687033 · Cited by 129
Anxiety disorders and medical comorbidity: Treatment implications
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Herrero, P., Gómez-Trullén, E. M., Asensio, Á., García, E., Casas, R., Monserrat, E., & Pandyan, A. (2012) · Clinical Rehabilitation · doi:10.1177/0269215512444633 · Cited by 55
Metadata
- Authors
- DAVIS, E., DAVIES, B., WOLFE, R., RAADSVELD, R., HEINE, B., THOMASON, P., DOBSON, F., & GRAHAM, H. K.
- Affiliations
- The University of Melbourne (AU)
- Deakin University (AU)
- Monash University (AU)
- Royal Children's Hospital (AU)
- Venue
- Developmental Medicine & Child Neurology
- Publisher
- Wiley
- Published
- 2009-01-15
- Volume
- 51
- Issue
- 2
- Pages
- 111-119
- ISSN
- 0012-1622 (ISSN-L)
- 1469-8749
- OpenAlex
- W2041473008
- Cited by
- 145
- References
- 0
- Citations by year
- 2025: 7 · 2024: 8 · 2023: 4 · 2022: 8 · 2021: 11 · 2020: 9 · 2019: 9 · 2018: 8 · 2017: 9 · 2016: 10 · 2015: 12 · 2014: 15 · 2013: 10 · 2012: 13
- FWCI
- 8.62
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Developmental Medicine & Child Neurology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Rehabilitation › Cerebral Palsy and Movement Disorders
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Health Sciences › Medicine › Clinical Neurology › Botulinum Toxin and Related Neurological Disorders
- Keywords
- therapeutic horse riding, equine-assisted therapy, cerebral palsy, children, quality of life, gross motor function, health status, physical function, family cohesion
- MeSH terms
- Activities of Daily Living, Animals, Cerebral Palsy, Child, Child, Preschool, Female, Health Status, Horses, Humans, Male, Motor Activity, Motor Skills, Play Therapy, Quality of Life, Surveys and Questionnaires, Retrospective Studies
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