Department of Physiotherapy, Faculty of Health Sciences, Spain.
Carlos Jimenez Mata Physiotherapy, Private Centre, Melilla, Spain.
Eur J Paediatr Neurol. 2018 Nov;22(6):1150-1160. doi: 10.1016/j.ejpn.2018.07.002. Epub 2018 Jul 10.
Children with cerebral palsy display disorders in pelvic movement and require effective rehabilitation. There is evidence to support the hippotherapy due to improvements in balance. The aim of this narrative review was to summarise the grades of recommendation regarding the benefits of hippotherapy in children with cerebral palsy.
We searched electronic databases, limiting the searches to studies published between 2004 and February 2017. The selected documents were classified according to the strength of recommendation provided by Duodecim (the Finnish medical society). The methodological quality of the selected studies was evaluated using the PEDro scale.
18 studies (four graded A, eight graded B and six graded C) showed clinical changes in the outcomes of gross motor function, sitting independently, speed of walking, length of stride and postural alignment of the head in children with cerebral palsy. Study quality was poor to good (mean PEDro Score of 6 out of 10). Benefits were identified in relation to psychological factors, as well as positive effects on quality of life and the performance of daily life activities.
Gains were also observed in postural alignment and the balance of head and trunk. Moreover, there were improvements in quality of life and the activities of daily life, such as jumping, balance, strength and ascending and descending stairs.
脑瘫儿童表现出骨盆运动障碍，需要有效的康复治疗。有证据表明，马术疗法可以改善平衡，从而对其有一定疗效。本叙述性综述的目的是总结有关马术疗法对脑瘫儿童益处的推荐等级。
我们搜索了电子数据库，将搜索范围限制在 2004 年至 2017 年 2 月期间发表的研究。根据十二项医学学会（芬兰医学协会）提供的推荐强度对选定的文件进行分类。使用 PEDro 量表评估选定研究的方法学质量。
18 项研究（4 项 A 级，8 项 B 级和 6 项 C 级）显示脑瘫儿童的粗大运动功能、独立坐、行走速度、步长和头部姿势对齐方面的临床变化。研究质量从差到好（平均 PEDro 评分为 10 分中的 6 分）。研究还发现心理因素、生活质量和日常生活活动表现方面存在积极影响。
在头部和躯干的姿势对齐和平衡方面也有改善。此外，在生活质量和日常生活活动方面，如跳跃、平衡、力量和上下楼梯方面都有提高。
