Cargando…
Impact of Long-Term Hippotherapy on the Walking Ability of Children With Cerebral Palsy and Quality of Life of Their Caregivers
Background: Cerebral palsy (CP) is a permanent motor disorder that occurs at birth or during early infancy. Despite advances in fetal and maternal medicine, the incidence of CP remains high. Hippotherapy has gradually been recognized as an excellent rehabilitation tool for children with CP. However,...
Autores principales: | , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2019
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6701452/ https://www.ncbi.nlm.nih.gov/pubmed/31456733 http://dx.doi.org/10.3389/fneur.2019.00834 |
_version_ | 1783445062919651328 |
---|---|
author | Mutoh, Tomoko Mutoh, Tatsushi Tsubone, Hirokazu Takada, Makoto Doumura, Misato Ihara, Masayo Shimomura, Hideo Taki, Yasuyuki Ihara, Masahiro |
author_facet | Mutoh, Tomoko Mutoh, Tatsushi Tsubone, Hirokazu Takada, Makoto Doumura, Misato Ihara, Masayo Shimomura, Hideo Taki, Yasuyuki Ihara, Masahiro |
author_sort | Mutoh, Tomoko |
collection | PubMed |
description | Background: Cerebral palsy (CP) is a permanent motor disorder that occurs at birth or during early infancy. Despite advances in fetal and maternal medicine, the incidence of CP remains high. Hippotherapy has gradually been recognized as an excellent rehabilitation tool for children with CP. However, a scientific basis for how it achieves long-term functional improvements or provides additional benefits to patients' caregivers remains unknown. Objectives: We performed a prospective trial to determine how hippotherapy affects the gross motor and gait functions in children with CP and how it may also impact the quality of life (QOL) of patients' caregivers. Methods: In total, 24 children with CP (11 boys, 13 girls; age: 4–14 years; Gross Motor Function Classification System [GMFCS] II-III) underwent a program (30 min/day, once a week) of hippotherapy or day-care recreation (control) over a 1-year intervention and a 3-month follow-up period. Assessment measures used for the children were gait parameters for a 5-m walk test, Gross Motor Function Measure (GMFM)-66, and GMFM dimension-E (GMFM-E). The QOL of the caregivers was estimated using a brief version of the World Health Organization Quality Of Life (WHOQOL-BREF) self-assessment questionnaire. Results: In addition to better GMFM-66 and GMFM-E scores, hippotherapy was associated with increased cadence, step length, and mean acceleration; stabilized horizontal/vertical displacement of patients; and better relationship between the psychological status and QOL of the caregivers than those seen in the control group (p < 0.05). Additionally, the initially improved children's step length and their caregivers' psychological QOL domain (particularly in the “positive feeling” facet) tended to be preserved up to the 3-month follow-up. Conclusion: These data suggest that compared with common day-care recreational activities, a 1-year program of once-weekly hippotherapy can improve not only the walking ability of children with CP but also the psychological health and QOL of their caregivers. Clinical Trial Registration:: www.umin.ac.jp/ctr/, identifier: UMIN000022986 |
format | Online Article Text |
id | pubmed-6701452 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-67014522019-08-27 Impact of Long-Term Hippotherapy on the Walking Ability of Children With Cerebral Palsy and Quality of Life of Their Caregivers Mutoh, Tomoko Mutoh, Tatsushi Tsubone, Hirokazu Takada, Makoto Doumura, Misato Ihara, Masayo Shimomura, Hideo Taki, Yasuyuki Ihara, Masahiro Front Neurol Neurology Background: Cerebral palsy (CP) is a permanent motor disorder that occurs at birth or during early infancy. Despite advances in fetal and maternal medicine, the incidence of CP remains high. Hippotherapy has gradually been recognized as an excellent rehabilitation tool for children with CP. However, a scientific basis for how it achieves long-term functional improvements or provides additional benefits to patients' caregivers remains unknown. Objectives: We performed a prospective trial to determine how hippotherapy affects the gross motor and gait functions in children with CP and how it may also impact the quality of life (QOL) of patients' caregivers. Methods: In total, 24 children with CP (11 boys, 13 girls; age: 4–14 years; Gross Motor Function Classification System [GMFCS] II-III) underwent a program (30 min/day, once a week) of hippotherapy or day-care recreation (control) over a 1-year intervention and a 3-month follow-up period. Assessment measures used for the children were gait parameters for a 5-m walk test, Gross Motor Function Measure (GMFM)-66, and GMFM dimension-E (GMFM-E). The QOL of the caregivers was estimated using a brief version of the World Health Organization Quality Of Life (WHOQOL-BREF) self-assessment questionnaire. Results: In addition to better GMFM-66 and GMFM-E scores, hippotherapy was associated with increased cadence, step length, and mean acceleration; stabilized horizontal/vertical displacement of patients; and better relationship between the psychological status and QOL of the caregivers than those seen in the control group (p < 0.05). Additionally, the initially improved children's step length and their caregivers' psychological QOL domain (particularly in the “positive feeling” facet) tended to be preserved up to the 3-month follow-up. Conclusion: These data suggest that compared with common day-care recreational activities, a 1-year program of once-weekly hippotherapy can improve not only the walking ability of children with CP but also the psychological health and QOL of their caregivers. Clinical Trial Registration:: www.umin.ac.jp/ctr/, identifier: UMIN000022986 Frontiers Media S.A. 2019-08-13 /pmc/articles/PMC6701452/ /pubmed/31456733 http://dx.doi.org/10.3389/fneur.2019.00834 Text en Copyright © 2019 Mutoh, Mutoh, Tsubone, Takada, Doumura, Ihara, Shimomura, Taki and Ihara. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Neurology Mutoh, Tomoko Mutoh, Tatsushi Tsubone, Hirokazu Takada, Makoto Doumura, Misato Ihara, Masayo Shimomura, Hideo Taki, Yasuyuki Ihara, Masahiro Impact of Long-Term Hippotherapy on the Walking Ability of Children With Cerebral Palsy and Quality of Life of Their Caregivers |
title | Impact of Long-Term Hippotherapy on the Walking Ability of Children With Cerebral Palsy and Quality of Life of Their Caregivers |
title_full | Impact of Long-Term Hippotherapy on the Walking Ability of Children With Cerebral Palsy and Quality of Life of Their Caregivers |
title_fullStr | Impact of Long-Term Hippotherapy on the Walking Ability of Children With Cerebral Palsy and Quality of Life of Their Caregivers |
title_full_unstemmed | Impact of Long-Term Hippotherapy on the Walking Ability of Children With Cerebral Palsy and Quality of Life of Their Caregivers |
title_short | Impact of Long-Term Hippotherapy on the Walking Ability of Children With Cerebral Palsy and Quality of Life of Their Caregivers |
title_sort | impact of long-term hippotherapy on the walking ability of children with cerebral palsy and quality of life of their caregivers |
topic | Neurology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6701452/ https://www.ncbi.nlm.nih.gov/pubmed/31456733 http://dx.doi.org/10.3389/fneur.2019.00834 |
work_keys_str_mv | AT mutohtomoko impactoflongtermhippotherapyonthewalkingabilityofchildrenwithcerebralpalsyandqualityoflifeoftheircaregivers AT mutohtatsushi impactoflongtermhippotherapyonthewalkingabilityofchildrenwithcerebralpalsyandqualityoflifeoftheircaregivers AT tsubonehirokazu impactoflongtermhippotherapyonthewalkingabilityofchildrenwithcerebralpalsyandqualityoflifeoftheircaregivers AT takadamakoto impactoflongtermhippotherapyonthewalkingabilityofchildrenwithcerebralpalsyandqualityoflifeoftheircaregivers AT doumuramisato impactoflongtermhippotherapyonthewalkingabilityofchildrenwithcerebralpalsyandqualityoflifeoftheircaregivers AT iharamasayo impactoflongtermhippotherapyonthewalkingabilityofchildrenwithcerebralpalsyandqualityoflifeoftheircaregivers AT shimomurahideo impactoflongtermhippotherapyonthewalkingabilityofchildrenwithcerebralpalsyandqualityoflifeoftheircaregivers AT takiyasuyuki impactoflongtermhippotherapyonthewalkingabilityofchildrenwithcerebralpalsyandqualityoflifeoftheircaregivers AT iharamasahiro impactoflongtermhippotherapyonthewalkingabilityofchildrenwithcerebralpalsyandqualityoflifeoftheircaregivers |