The effectiveness of hippotherapy in relation to cerebral palsy - a review

Bator Damian, Wójcik Magdalena, Szarpak Julita, Nieścior Hubert, Dąbrowska Justyna, Piecewicz-Szczęsna Halina. The effectiveness of hippotherapy in relation to cerebral palsy - a review. A case report with literature review. Journal of Education, Health and Sport. 2020;10(9):11‑19. eISSN 2391-8306. DOI http://dx.doi.org/10.12775/JEHS.2020.10.09.001 https://apcz.umk.pl/czasopisma/index.php/JEHS/article/view/JEHS.2020.10.09.001 https://zenodo.org/record/4011945 The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019. © The Authors 2020; This article is published with open access at Licensee Open Journal Systems of Nicolaus Copernicus University in Torun, Poland Open Access. This article is distributed under the terms of the Creative Commons Attribution Noncommercial License which permits any noncommercial use, distribution, and reproduction in any medium, provided the original author (s) and source are credited. This is an open access article licensed under the terms of the Creative Commons Attribution Non commercial license Share alike. (http://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non commercial use, distribution and reproduction in any medium, provided the work is properly cited. The authors declare that there is no conflict of interests regarding the publication of this paper. Received: 10.08.2020. Revised: 15.08.2020. Accepted: 02.09.2020. The effectiveness of hippotherapy in relation to cerebral palsy - a review Damian Bator, Magdalena Wójcik, Julita Szarpak, Hubert Nieścior, Justyna Dąbrowska, Halina Piecewicz-Szczęsna 1) Student Scientific Circle at the Department of Applied Psychology of the Medical University in Lublin 2) Department of Epidemiology and Clinical Research Methodology, Medical University of Lublin Damian Bator1 , 0000-0002-8464-932X, bat199979@gmail.com Magdalena Wójcik1, 0000-0002-0999-6284, magdalena.wojcik967@gmail.com Julita Szarpak1, 0000-0002-5091-0235, julita.szarpak@gmail.com Hubert Nieścior1, 0000-0002-4709-4396, hniescior@gmail.com Justyna Dąbrowska1 , 0000-0002-1356-6965, jdabrowska00@gmail.com dr n. med. Halina Piecewicz-Szczęsna2, 0000-0002-0573-7226; halpiec@wp.pl Summary Cerebral Palsy (CP) includes a group of movement and posture development disorders which cause activity limitation and are related to non-progressive disturbances during the fetal or infant brain development. In recent years, the use of hippotherapy as a rehabilitation of spstatic movement disorders in patients with cerebral palsy is gaining in popularity. Hippotherapy is a physical therapy treatment based on the horse's movements, under the direction of an expert physical therapist. The horse's seat is considered as a dynamic support base. Thus, it is an excellent tool to improve and develop postural control, trunk strength, and balance. It allows to build overall postural strength and endurance, address weight-bearing, and motor planning. The therapeutic results obtained with the application of hippotherapy treatments has encouraged research into developing an advanced hippotherapy platform or simulators that "imitate" the movements of a horse, so that this therapy may be more accessible and adaptable to patients. The purpose of this report is to identify the forms and programmes of hippotherapy used, and to summarise and assess the latest available evidence of their clinical effectiveness in the rehabilitation of symptoms in patients with cerebral palsy. Method: a review of publications on the effectiveness of hippotherapy programmes in the rehabilitation of symptoms in patients with cerebral palsy. Finally, 8 original tests were included in the review whose data have been extracted. The results of the research indicate that hippotherapy may be beneficial in the rehabilitation of symptoms in patients with cerebral palsy. The review suggests that further research is needed to establish a solid evidence base for hippotherapy among people with these problems. The promising results so far support further research projects. Key words: hippotherapy, cerebral palsy, rehabilitatio