Page 180 - Petelin, Ana, et al. 2019. Eds. Zdravje otrok in mladostnikov / Health of Children and Adolescents. Proceedings. Koper: University of Primorska Press
P. 180
avje otrok in mladostnikov | health of children and adolescents 178 Introduction
The effect of Hypotherapy (H) and therapeutic riding (TR) to posture control
and balance in children with cerebral palsy (CP) has been shown in a system-
atic review of literature.
One of the many definitions of the CP describes that cerebral palsy is a
term used as inconsistent of brain disorders and as a result of a malfunction or
developmental abnormality in a before, during or post-natal period. Disorders
are seen like poor control of the movement, slowing down the length of the
muscles, and deformations of the skelet (Finnie, 2008; Shepherd, 1995).
Children with CP often have problems with posture control and balance,
which is very important for daily life activities (Shummway-Cook and Wool-
lacott, 2001). Neurological control of posture regulation takes on two different
levels. The first level consists of a direct - specific adjustment when the balance
of the body is at risk. The second level is included in the regulation of the di-
rectional adjustment, which depends on the multisensor angular flow from the
somatosensory, visual and equilibrium system (Shepherd, 1995: Van der Haide
et al, 2005).
One of the therapeutic methods to treat children with CP is also hipo-
therapy (Shepherd, 1995; Zadnikar and Rugelj, 2011).
Hypotherapy is physiotherapy on a neurophysiological basis, carried
out on and at the horse (Strauß, 2006). Positive effects of horse movement
in the treatment of persons with sensory - motion disorders are reflected in
a three-dimensional movement that induces a straight and equilibrium re-
action in a person, promotes dynamic stability of the carcase and proximal
limbs of the limbs and contributes to the construction of posture reactions
(Zadnikar and Kastrin, 2011). TR is performed by riding instructors who
teach riders of different motor skills. The riders in a H sit relaxed on a horse.
Riding enables and provides an opportunity for the integration of the kines-
thetic, visual and vestibular flow, which are fundamental for the control and
management of the posture (Shummway-Cook and Woollacott, 2001; Zad-
nikar and Rugelj, 2011).
Metods
Data collecting
International databases are used: PubMed, Ovid MEDLINE, CINAHL (Cu-
mulative Index to Nursing and Allied Health Literature), Web of Science, Eb-
sco host. Search literature are includ articles on the influence of H or TR with
the posture control and balance. The key words used: TR and H (developmen-
tal riding therapy, equine-movement therapy, riding therapy, riding for dis-
abled, therapeutic horseback riding and therapeutic riding) and CP, posture
control and balance. Articles on TR were 32 (with CP it is 14), the H and pos-
ture was 31 articles (with CP 22). The number of articles that included H and TR
in subjects with CP was 36.
The effect of Hypotherapy (H) and therapeutic riding (TR) to posture control
and balance in children with cerebral palsy (CP) has been shown in a system-
atic review of literature.
One of the many definitions of the CP describes that cerebral palsy is a
term used as inconsistent of brain disorders and as a result of a malfunction or
developmental abnormality in a before, during or post-natal period. Disorders
are seen like poor control of the movement, slowing down the length of the
muscles, and deformations of the skelet (Finnie, 2008; Shepherd, 1995).
Children with CP often have problems with posture control and balance,
which is very important for daily life activities (Shummway-Cook and Wool-
lacott, 2001). Neurological control of posture regulation takes on two different
levels. The first level consists of a direct - specific adjustment when the balance
of the body is at risk. The second level is included in the regulation of the di-
rectional adjustment, which depends on the multisensor angular flow from the
somatosensory, visual and equilibrium system (Shepherd, 1995: Van der Haide
et al, 2005).
One of the therapeutic methods to treat children with CP is also hipo-
therapy (Shepherd, 1995; Zadnikar and Rugelj, 2011).
Hypotherapy is physiotherapy on a neurophysiological basis, carried
out on and at the horse (Strauß, 2006). Positive effects of horse movement
in the treatment of persons with sensory - motion disorders are reflected in
a three-dimensional movement that induces a straight and equilibrium re-
action in a person, promotes dynamic stability of the carcase and proximal
limbs of the limbs and contributes to the construction of posture reactions
(Zadnikar and Kastrin, 2011). TR is performed by riding instructors who
teach riders of different motor skills. The riders in a H sit relaxed on a horse.
Riding enables and provides an opportunity for the integration of the kines-
thetic, visual and vestibular flow, which are fundamental for the control and
management of the posture (Shummway-Cook and Woollacott, 2001; Zad-
nikar and Rugelj, 2011).
Metods
Data collecting
International databases are used: PubMed, Ovid MEDLINE, CINAHL (Cu-
mulative Index to Nursing and Allied Health Literature), Web of Science, Eb-
sco host. Search literature are includ articles on the influence of H or TR with
the posture control and balance. The key words used: TR and H (developmen-
tal riding therapy, equine-movement therapy, riding therapy, riding for dis-
abled, therapeutic horseback riding and therapeutic riding) and CP, posture
control and balance. Articles on TR were 32 (with CP it is 14), the H and pos-
ture was 31 articles (with CP 22). The number of articles that included H and TR
in subjects with CP was 36.
