Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Apr 1;35(2):202-210.
doi: 10.1097/PEP.0000000000000999. Epub 2023 Mar 3.

Effects of Hippotherapy on Postural Control in Children With Cerebral Palsy: A Systematic Review

Affiliations

Effects of Hippotherapy on Postural Control in Children With Cerebral Palsy: A Systematic Review

Fernanda Peia et al. Pediatr Phys Ther. .

Abstract

Purpose: To summarize and update the current knowledge on the effectiveness of hippotherapy on postural control in children with cerebral palsy.

Methods: Using a systematic review methodology, the electronic databases PubMed, Virtual Health Library, PEDro, Scielo, Embase, and Web of Science were searched for eligible articles from 2011 up to September 2021. Quality assessment of eligible studies was performed using the PEDro scale.

Results: There were 239 identified studies. Eight clinical trials were selected. The total sample consisted of 264 individuals, with 134 allocated to the experimental group (hippotherapy) and 130 individuals to the control group (conventional therapy). Most studies had moderate to high methodological quality.

Conclusions: Hippotherapy can be an effective intervention to improve several aspects related to postural control, such as static balance (especially in the sitting posture), dynamic balance, and alignment (body posture) in children aged 3 to 16 years, particularly with spastic hemiplegia or diplegia.

What this adds to the evidence: This review summarizes studies that explore potential effects of hippotherapy on postural control in children with cerebral palsy.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflicts of interest.

Comment in

References

    1. Michael-Asalu A, Taylor G, Campbell H, Lelea L-L, Kirby RS. Cerebral palsy: diagnosis, epidemiology, genetics, and clinical update. Adv Pediatr. 2019;66:189–208.
    1. Gulati S, Sondhi V. Cerebral palsy: an overview. Indian J Pediatr. 2018;85(11):1006–1016.
    1. Novak I, Morgan C. High-risk follow-up: early intervention and rehabilitation. Handb Clin Neurol. 2019;162:483–510.
    1. Wimalasundera N, Stevenson VL. Cerebral palsy. Pract Neurol. 2016;16(3):184–194.
    1. te Velde A, Morgan C, Novak I, Tantsis E, Badawi N. Early diagnosis and classification of cerebral palsy: an historical perspective and barriers to an early diagnosis. J Clin Med Res. 2019;8(10):1599. doi:10.3390/jcm8101599.

Publication types