Effects of Hippotherapy on the Sitting Balance of Children with Cerebral Palsy: a Randomized Control Trial
Open accessAbstract
[Purpose] This study aimed to verify the effect of hippotherapy on the sitting balance of children with severe cerebral palsy (CP) by comparing hippotherapy, physical therapy, and a control. [Subjects] In this study, 45 children with CP were randomly divided into the hippotherapy group (HTG, n = 15), physical therapy group (PTG, n = 15), and control group (CON, n = 15). [Methods] Two expert physical therapists provided the HTG and PTG with traditional physical therapy comprising strengthening and stretching exercises in 30-minute sessions, semi-weekly, for 8 weeks . Hippotherapy was provided semi-weekly only to the HTG for 8 weeks at 30 minutes per session. The CON group received no treatment. Before and after the 8 weeks of intervention, a sitting balance test was performed, and the results were analyzed. [Results] Sway pathway and velocity significantly decreased in HTG compared to PTG and CON. Left/right pathway, total pathway, left/right velocity, and total velocity were significantly reduced in PTG compared to that in the CON. [Conclusion] Hippotherapy withtraditional physical therapy improved the sitting balance ofchildren with severe CP, who could not walk independently more than traditional physical therapy alone.
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Sixteen hours of hippotherapy improved sitting balance (BF&S) and standing balance (activity) for ambulant, school-aged children with GMFCS I-II.
“Sixteen hours of therapy (two 1h sessions/wk for 8wks) improved sitting balance (BF&S; evidence level II, conduct weak; see Table SIIIa) 45 and standing balance ('activity'; evidence level III, conduct moderate; see Table SIIIa) 47 for ambulant, school-aged children (GMFCS I -II).”
From Exercise interventions improve postural control in children with cerebral palsy: a systematic review (2015) · cites this paper as [45]
The Results and Discussion report improved sitting balance after hippotherapy plus physical therapy. But the Abstract and Subjects and Methods describe 30-minute hippotherapy sessions twice weekly for eight weeks (8 hours of hippotherapy), alongside 8 hours of physical therapy; they describe children with severe CP who could not walk independently, not ambulant children classified GMFCS I–II. The standing-balance finding is attached to a different citation in the citing sentence, so it is not judged against this paper. (LLM, conf=0.90)
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Cites
Akuthota, V., & Nadler, S. F. (2004) · Archives of Physical Medicine and Rehabilitation · doi:10.1053/j.apmr.2003.12.005 · Cited by 602 · see citing works
Core stability exercises on and off a Swiss ball
Marshall, P. W., & Murphy, B. A. (2005) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2004.05.004 · Cited by 418 · see citing works
Benda, W., McGibbon, N. H., & Grant, K. L. (2003) · The Journal of Alternative and Complementary Medicine · doi:10.1089/107555303771952163 · Cited by 266 · see citing works
ZADNIKAR, M., & KASTRIN, A. (2011) · Developmental Medicine & Child Neurology · doi:10.1111/j.1469-8749.2011.03951.x · Cited by 259 · see citing works
Horseback riding in children with cerebral palsy: effect on gross motor function
Sterba, J. A., Rogers, B., France, A. P., & Vokes, D. A. (2002) · Developmental Medicine & Child Neurology · doi:10.1017/s0012162201002122 · Cited by 245 · see citing works
Kavcic, N., Grenier, S. G., & McGill, S. M. (2004) · Spine · doi:10.1097/01.brs.0000142222.62203.67 · Cited by 218 · see citing works
Changes in Dynamic Trunk/Head Stability and Functional Reach After Hippotherapy
Shurtleff, T. L., Standeven, J. W., & Engsberg, J. R. (2009) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2009.01.026 · Cited by 192 · see citing works
Horseback riding in children with cerebral palsy: effect on gross motor function
Sterba, J. A., Rogers, B., France, A. P., et al. (2002) · Developmental Medicine & Child Neurology · doi:10.1111/j.1469-8749.2002.tb00815.x · Cited by 179 · see citing works
Evidence-informed management of chronic low back pain with lumbar stabilization exercises
Standaert, C. J., Weinstein, S. M., & Rumpeltes, J. (2008) · The Spine Journal · doi:10.1016/j.spinee.2007.10.015 · Cited by 167 · see citing works
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 · see citing works
Smith, C. N. W., & Case‐Smith, J. (2011) · Physical & Occupational Therapy In Pediatrics · doi:10.3109/01942638.2011.619251 · Cited by 109 · see citing works
KIM, W. H., & Park, E. Y. (2010) · Developmental Medicine & Child Neurology · doi:10.1111/j.1469-8749.2010.03777.x · Cited by 96 · see citing works
Debuse, D., Gibb, C. E., & Chandler, C. (2009) · Physiotherapy Theory and Practice · doi:10.1080/09593980902776662 · Cited by 84 · see citing works
McGee, M. C., & Reese, N. B. (2009) · Pediatric Physical Therapy · doi:10.1097/pep.0b013e3181a39532 · Cited by 70 · see citing works
Dalvand, H., Dehghan, L., Hadian, M. R., Feizy, A., & Hosseini, S. A. (2012) · Archives of Physical Medicine and Rehabilitation · doi:10.1016/j.apmr.2011.10.019 · Cited by 59 · see citing works
Influence of artificial saddle riding on postural stability in children with cerebral palsy
Kuczyński, M., & Słonka, K. (1999) · Gait & Posture · doi:10.1016/s0966-6362(99)00028-4 · Cited by 57 · see citing works
Effect of Hippotherapy on Perceived Self-competence and Participation in a Child With Cerebral Palsy
Frank, A., McCloskey, S., & Dole, R. L. (2011) · Pediatric Physical Therapy · doi:10.1097/pep.0b013e318227caac · Cited by 54 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Exercise interventions improve postural control in children with cerebral palsy: a systematic review
Dewar, R., Love, S., & Johnston, L. M. (2015) · Developmental Medicine & Child Neurology · doi:10.1111/dmcn.12660 · Cited by 242 · see citing works
Exercise interventions for cerebral palsy
Ryan, J. M., Cassidy, E. E., Noorduyn, S. G., & O'Connell, N. E. (2017) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd011660.pub2 · Cited by 201 · see citing works
Therapeutic Effects of Horseback Riding Interventions
Stergiou, A. N., Tzoufi, M. S., Ntzani, E., Varvarousis, D., Beris, A. E., & Ploumis, A. (2017) · American Journal of Physical Medicine & Rehabilitation · doi:10.1097/phm.0000000000000726 · Cited by 91 · see citing works
Hippotherapy: a systematic mapping review of peer-reviewed research, 1980 to 2018
Wood, W. H., & Fields, B. (2019) · Disability and Rehabilitation · doi:10.1080/09638288.2019.1653997 · Cited by 58 · see citing works
Benefits of hippotherapy in children with cerebral palsy: A narrative review
Martín‐Valero, R., Vega-Ballón, J., & Pérez‐Cabezas, V. (2018) · European Journal of Paediatric Neurology · doi:10.1016/j.ejpn.2018.07.002 · Cited by 47 · see citing works
Guindos-Sanchez, L., Lucena-Antón, D., Moral-Muñoz, J. A., Salazar, A., & Carmona-Barrientos, I. (2020) · Children · doi:10.3390/children7090106 · Cited by 45 · see citing works
Evaluation of postural stability in children with hemiplegic cerebral palsy
Keniş-Coşkun, Ö., Giray, E., Eren, B., Özkök, Ö., & Karadağ‐Saygı, E. (2016) · Journal of Physical Therapy Science · doi:10.1589/jpts.28.1398 · Cited by 40 · see citing works
Influence of Hippotherapy on Body Balance in the Sitting Position Among Children with Cerebral Palsy
Matusiak‐Wieczorek, E., Małachowska-Sobieska, M., & Synder, M. A. (2016) · Ortopedia Traumatologia Rehabilitacja · doi:10.5604/15093492.1205024 · Cited by 33 · see citing works
Prieto, A. V., Ayupe, K. M. A., Gomes, L. N., Saúde, A. C., & Filho, P. J. B. G. (2020) · Physiotherapy Theory and Practice · doi:10.1080/09593985.2020.1836694 · Cited by 31 · see citing works
Flores, F. M., Dagnese, F., & Copetti, F. (2019) · Clinical Biomechanics · doi:10.1016/j.clinbiomech.2019.07.030 · Cited by 17 · see citing works
Equine-Assisted Therapies for Children With Cerebral Palsy: A Meta-analysis
Heussen, N. M., & Häusler, M. (2022) · PEDIATRICS · doi:10.1542/peds.2021-055229 · Cited by 16 · see citing works
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Peia, F., Veiga, N. C., Gomes, A. P., dos Santos, B. N., Marques, N. M. S., Glória, I. P. D. S., & Goulardins, J. B. (2023) · Pediatric Physical Therapy · doi:10.1097/pep.0000000000000999 · Cited by 15 · see citing works
Impact of hippotherapy on the life habits of children with disabilities: a systematic review
Potvin-Bélanger, A., Vincent, C., Freeman, A. R., & Flamand, V. H. (2022) · Disability and Rehabilitation · doi:10.1080/09638288.2021.2012847 · Cited by 14 · see citing works
Effects of hippotherapy on children with cerebral palsy: systematic review and meta-analysis
Kim, K.-H., & Lee, S. M. (2020) · Physical therapy rehabilitation science · doi:10.14474/ptrs.2020.9.1.55 · Cited by 10 · see citing works
Efectos de las terapias ecuestres en personas con parálisis cerebral
de la Fuente, A. J. (2017) · Revista Española de Discapacidad · doi:10.5569/2340-5104.05.02.09 · Cited by 8 · see citing works
Fernández-Gutiérrez, C., Apolo-Arenas, M. D., Martínez-García, Y., & Caña-Pino, A. (2015) · Fisioterapia · doi:10.1016/j.ft.2014.10.002 · Cited by 8 · see citing works
Mejora del control postural y equilibrio en la parálisis cerebral infantil: revisión sistemática
Gómez-Regueira, N., & Viñas‐Diz, S. (2016) · Fisioterapia · doi:10.1016/j.ft.2015.11.006 · Cited by 7 · see citing works
Qin, Z., Guo, Z., & Wang, J. (2024) · Journal of Community Health Nursing · doi:10.1080/07370016.2024.2304825 · Cited by 6 · see citing works
Ortega-Cruz, A., Silverio, V. S., Riquelme-Aguado, V., Pérez, J. L. A., Porras, V. A., & Villafañe, J. H. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14010283 · Cited by 6 · see citing works
Baillet, H., Leroy, D., Vérin, É., Delpouve, C., Benguigui, N., Komar, J., & Thouvarecq, R. (2019) · Frontiers in Psychology · doi:10.3389/fpsyg.2019.01035 · Cited by 6 · see citing works
Stergiou, A. N., Mattila-Rautiainen, S., Varvarousis, D., Tzoufi, M. S., Plyta, P., Beris, A. E., & Ploumis, A. (2023) · Frontiers in Veterinary Science · doi:10.3389/fvets.2023.1203481 · Cited by 5 · see citing works
Alonso, P. M. (2020) · Rehabilitación · doi:10.1016/j.rh.2019.11.003 · Cited by 5 · see citing works
Conroy, S., Evans, T., Butler-Moburg, D., Beuttler, R., Robinson, J., Huebert, M., Mahony, E. O., & Grant-Beuttler, M. (2022) · Physiotherapy Theory and Practice · doi:10.1080/09593985.2022.2072250 · Cited by 4 · see citing works
Effects of Equine-Assisted Therapy: A Systematic Review and Meta-Analysis
Stergiou, A. N., Ploumis, A., Kamtsios, S., Markozannes, G., Pineio, C., & Varvarousis, D. (2025) · Journal of Clinical Medicine · doi:10.3390/jcm14113731 · Cited by 4 · see citing works
Potvin-Bélanger, A., Freeman, A. R., & Vincent, C. (2021) · Journal of Pediatric Rehabilitation Medicine · doi:10.3233/prm-190641 · Cited by 4 · see citing works
Animal-assisted therapy for pediatric patients
Macauley, B. L. (2022) · Elsevier eBooks · doi:10.1016/b978-0-323-98815-5.00009-4 · Cited by 3 · see citing works
Effects of sensory cues on dynamic trunk control in children with spastic diplegic cerebral palsy
Khumlee, N., Suriyaamarit, D., & Boonyong, S. (2021) · Physiotherapy Theory and Practice · doi:10.1080/09593985.2021.1967541 · Cited by 2 · see citing works
Şen, A. D. Y., Çarman, K. B., Yarar, Ç., Yıldırım, C., & Bilge, U. (2022) · OSMANGAZİ JOURNAL OF MEDICINE · doi:10.20515/otd.1166252 · Cited by 2 · see citing works
Bruzek, C. E. (2014) · Digital Commons - University of South Florida (University of South Florida) · Cited by 2 · see citing works
ROLE OF EXERCISES IN IMPROVING STATIC, DYNAMIC AND FUNCTIONAL BALANCE IN CEREBRAL PALSY
Khan, A., & Khan, A. (2017) · Pakistan Journal of Rehabilitation · doi:10.36283/pjr.zu.6.2/010 · Cited by 1 · see citing works
Zhoubo plus uncaria tincture in the treatment of cerebral concussion sequelae
Liang, J., Wang, Y., & Liang, B. (2016) · Journal of Physical Therapy Science · doi:10.1589/jpts.28.2027 · Cited by 1 · see citing works
Efectividad de la hipoterapia en niños con patología del desarrollo: revisión sistemática
Grávalos, L. H. (2014) · UCrea (University of Cantabria)
Canto, A. D. A., Azevedo, B. C. M., Picanço, L. D. J., & Silva, F. L. T. (2021) · Revista Eletrônica Acervo Saúde · doi:10.25248/reas.e6793.2021
New Research in Children with Neurodevelopmental Disorders
Ayuso, D. M. R. (2022) · MDPI eBooks · doi:10.3390/books978-3-0365-4391-8
García-Arandilla, A., Gonzàlez-Gàzquez, T., Morgado-Pérez, A., Dávalos‐Yerovi, V., Tejero-Sánchez, M., & Meza-Valderrama, D. (2023) · Rehabilitación · doi:10.1016/j.rh.2023.100816
Changes in trunk postural control with different types of mounts with relevance for hippotherapy
Hennig, V. E., da Silva, A. L., Zanetti, M. S., & Copetti, F. (2024) · Journal of Bodywork and Movement Therapies · doi:10.1016/j.jbmt.2024.04.057
Oelfke, J. (2015) · CommonKnowledge Research Repository (Pacific University Oregon)
- Authors
- Kang, H., Jung, J., & Yu, J.
- Affiliations
- Sahmyook University (KR)
- Semyung University (KR)
- Department of Physical Therapy, Kangwon National University
- ORCID
- Kang, Hyungkyu
- Venue
- Journal of Physical Therapy Science
- Publisher
- Society of Physical Therapy Science
- Published
- 2012
- Volume
- 24
- Issue
- 9
- Pages
- 833-836
- ISSN
- 0915-5287 (ISSN-L)
- 2187-5626
- OpenAlex
- W1997355461
- Cited by
- 39
- References
- 16
- Citations by year
- 2025: 2 · 2024: 2 · 2023: 3 · 2022: 6 · 2021: 3 · 2020: 5 · 2019: 3 · 2018: 1 · 2017: 4 · 2016: 5 · 2015: 2 · 2014: 3
- FWCI
- 1.14
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Journal of Physical Therapy Science (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Cerebral Palsy and Movement Disorders
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Human-Animal Interaction Studies
- Health Sciences › Medicine › Neurology › Botulinum Toxin and Related Neurological Disorders
- Keywords
- hippotherapy, cerebral palsy, children, sitting balance, postural sway, physiotherapy, balance training, equine-assisted therapy
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