[article] 
inThe British Journal of Occupational Therapy > Vol. 82 Issue 10 (Octobre 2019) . - p. 639-645

Titre :	Effect of hippotherapy on physiological cost index and walking speed of adolescents with diplegia
Type de document :	texte imprimé
Auteurs :	Ninette du Plessis ; Jodie Tamarin de Bruyne
Année de publication :	2019
Article en page(s) :	p. 639-645
Note générale :	doi.org/10.1177/0308022619841318
Langues :	Anglais (eng)
Mots-clés :	Hippotherapy  adolescents  diplegia  Physiological Cost Index  walking speed  occupational therapy
Résumé :	Introduction This research describes the therapeutic impact of hippotherapy on adolescents with cerebral palsy diplegia using the Physiological Cost Index and walking speed as outcome measures. Method A single-system multiple-baseline design across subjects was implemented. Ten adolescents with diplegia were included. Participants had to be able to walk independently or with an assistive device. Adolescents were classified using the gross motor functional classification system levels I to III, and were 12 to 17 years old. Physiological Cost Index and walking speed were measured. Hippotherapy sessions took place once a week over a 12-week period. Each hippotherapy session (conducted by an occupational therapist) lasted 30 minutes. Average baseline measurements were compared with measurements taken before each intervention session and with post-intervention measurements. Results One participant’s Physiological Cost Index values decreased significantly (p = 0.014). Walking speed increased significantly over the course of treatment from the sixth intervention session (Wilcoxon Signed Rank Test, p = 0.024 post-intervention). The greatest improvement in walking speed was seen at intervention session 12 (p = 0.018). Conclusion One participant’s Physiological Cost Index decreased and 10 participants showed increased walking speeds. Adolescents with diplegia need to adjust to increased growth and their walking ability may regress if therapy is not provided. Hippotherapy supports gross motor functioning and simulates the pelvic movement of normal walking.
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[article] Effect of hippotherapy on physiological cost index and walking speed of adolescents with diplegia [texte imprimé] / Ninette du Plessis ; Jodie Tamarin de Bruyne . - 2019 . - p. 639-645.
doi.org/10.1177/0308022619841318
Langues : Anglais (eng)
in The British Journal of Occupational Therapy > Vol. 82 Issue 10 (Octobre 2019) . - p. 639-645

Mots-clés :	Hippotherapy  adolescents  diplegia  Physiological Cost Index  walking speed  occupational therapy
Résumé :	Introduction This research describes the therapeutic impact of hippotherapy on adolescents with cerebral palsy diplegia using the Physiological Cost Index and walking speed as outcome measures. Method A single-system multiple-baseline design across subjects was implemented. Ten adolescents with diplegia were included. Participants had to be able to walk independently or with an assistive device. Adolescents were classified using the gross motor functional classification system levels I to III, and were 12 to 17 years old. Physiological Cost Index and walking speed were measured. Hippotherapy sessions took place once a week over a 12-week period. Each hippotherapy session (conducted by an occupational therapist) lasted 30 minutes. Average baseline measurements were compared with measurements taken before each intervention session and with post-intervention measurements. Results One participant’s Physiological Cost Index values decreased significantly (p = 0.014). Walking speed increased significantly over the course of treatment from the sixth intervention session (Wilcoxon Signed Rank Test, p = 0.024 post-intervention). The greatest improvement in walking speed was seen at intervention session 12 (p = 0.018). Conclusion One participant’s Physiological Cost Index decreased and 10 participants showed increased walking speeds. Adolescents with diplegia need to adjust to increased growth and their walking ability may regress if therapy is not provided. Hippotherapy supports gross motor functioning and simulates the pelvic movement of normal walking.
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