Ortega-Cruz Antonio, Sánchez-Silverio Víctor, Riquelme-Aguado Víctor, Alonso-Perez Jose Luis, Abuín-Porras Vanesa, Villafañe Jorge Hugo
Department of Physiotherapy, Faculty of Medicine, Health and Sports, Universidad Europea de Madrid, 28670 Villaviciosa de Odón, Spain.
School of Applied Health Sciences, Pontificia Universidad Católica Madre y Maestra, Autopista Duarte Km 1 1/2, Santiago De Los Caballeros 51000, Dominican Republic.
J Clin Med. 2025 Jan 6;14(1):283. doi: 10.3390/jcm14010283.
: Cerebral palsy (CP) can have a negative impact on gross motor function. Conventional hippotherapy and horse-riding simulators (HRS) have shown promising results on gross motor function in populations with neurological disorders. This review aims to update the knowledge on the effectiveness of hippotherapy on gross motor function in children with CP. : A search was conducted in Academic Search Ultimate, CINAHL, Medline complete, and PEDro covering publications between 2012 and 2022. Two authors identified studies that met the inclusion criteria; a third author resolved discrepancies. Studies were included if they analyzed the effects of hippotherapy on the gross motor function of children with CP. The quality of the methodology was assessed according to the PEDro scale. : Of the 150 studies initially identified, 9 were included in this review. The studies showed fair (N = 3) and good (N = 6) methodological quality on the PEDro scale. The majority used conventional hippotherapy (N = 7), while a minority used HRS (N = 2). The most commonly used protocol for conventional hippotherapy was 1-2 sessions of 30-45 min per week for 8 weeks (N = 4), whereas for HRS, these protocols were varied. Seven studies on conventional hippotherapy and one study on HRS showed improvements in gross motor function. However, the hippotherapy protocols were not very standardized and the samples were neither homogeneous nor representative. : Conventional hippotherapy and HRS appear to have evidence to support their benefits on gross motor function in children with CP. However, more clinical trials with standardized protocols and more representative samples are needed to confirm these effects.
脑瘫（CP）会对粗大运动功能产生负面影响。传统的骑马疗法和骑马模拟器（HRS）已在神经障碍人群的粗大运动功能方面显示出有前景的结果。本综述旨在更新关于骑马疗法对脑瘫儿童粗大运动功能有效性的知识。：在学术搜索终极版、护理学与健康领域数据库（CINAHL）、医学全文数据库（Medline complete）和循证医学数据库（PEDro）中进行了搜索，涵盖2012年至2022年期间的出版物。两位作者确定符合纳入标准的研究；第三位作者解决分歧。如果研究分析了骑马疗法对脑瘫儿童粗大运动功能的影响，则将其纳入。根据PEDro量表评估方法学质量。：在最初确定的150项研究中，9项被纳入本综述。这些研究在PEDro量表上显示出中等（N = 3）和良好（N = 6）的方法学质量。大多数研究使用传统的骑马疗法（N = 7），而少数研究使用骑马模拟器（N = 2）。传统骑马疗法最常用的方案是每周1 - 2次，每次30 - 45分钟，共8周（N = 4），而对于骑马模拟器，这些方案各不相同。七项关于传统骑马疗法的研究和一项关于骑马模拟器的研究显示粗大运动功能有改善。然而，骑马疗法方案不太标准化，样本既不均匀也不具有代表性。：传统的骑马疗法和骑马模拟器似乎有证据支持它们对脑瘫儿童粗大运动功能的益处。然而，需要更多采用标准化方案和更具代表性样本的临床试验来证实这些效果。
