Brain Tumor
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Hippotherapy as an intervention modality for a patient with cerebellar dysfunction
Osborne MBA
Physical Therapy Case Reports (1998)Conclusion
The therapist uses hippotherapy in practice as a component of intervention along with other techniques to improve functional independence. In this case, hippotherapy played a role in improving functional status, the goal of any physical therapy intervention. -
Case report: effects of hippotherapy on balance and functional performance in a child with a neurological disorder
Knueven L, Collins, Jamieson J, Hakim RM, Sensbach K
Pediatric Physical Therapy (2005)Description
The purpose of this case report was to examine the effectiveness of an established hippotherapy program for improving balance and function in a child with a neurological disorder using objective, clinical tests and measures.Results
The patient showed improvements on all outcome measures, with the exception of midpoint scores which were inconsistent. She scored a 49/56 on the PBS at baseline, which remained unchanged at discharge and follow-up. She improved on all timed items on the PBS, demonstrating the greatest improvement in tandem stance, which increased from 3.6 seconds at baseline to 5.6 seconds at discharge, and 8.2 seconds at follow-up. The Biodex Dynamic Limits of Stability scores improved from 33/100 at baseline to 34/100 at discharge, and 38/100 at follow-up. She also improved in self and caregiver perceived functional abilities as indicated by 39% to 56% gains on COPM scores for tasks such as walking, negotiating stairs, and endurance.Conclusion
Hippotherapy was effective at improving outcomes in this child on selected balance and functional performance measures. Although the balance score gains were not large, the COPM indicated larger improvements in perceived functional status based on patient and/or caregiver developed goals. More research is needed to determine the best outcome measures for determining the effects of hippotherapy.
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Physical Therapist
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USA
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HPOT
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Case Report
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1 adult
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22 years
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Functional Observation
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Functional Performance
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1/week x 9 weeks (15-30 minutes)
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Hippotherapy as an intervention modality for a patient with cerebellar dysfunction
Osborne MBA
Physical Therapy Case Reports (1998)
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Physical Therapist
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USA
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HPOT
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Case Report
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1 child
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11 years
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PBS, COPM, and Biodex Dynamic Limits of Stability test
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Balance, walking, negotiating stairs, and endurance
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12 weeks of HPOT, 30 minute sessions
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Collins, J; Jamieson, J; Knueven, L; Hakim, R; Sensbach, K. CASE REPORT: EFFECTS OF HIPPOTHERAPY ON BALANCE AND FUNCTIONAL PERFORMANCE IN A CHILD WITH A NEUROLOGICAL DISORDER. Pediatric Physical Therapy 17(1):p 80-81, Spring 2005.
DOI: 10.1097/01.PEP.0000155630.54603.B6