EFFECTS OF NON MECHANICAL HORSE BACK RIDING ON BALANCE IN SPASTIC CEREBRAL PALSY CHILDREN: A RANDOMIZED CLINICAL TRAIL
Objective: To compare the effectiveness of non-mechanical horseback riding with conventional Physical therapy on dynamic balance within spastic CP children. Material and Method: A single blinded randomized clinical trial conducted at THQ hospital Gujar Khan Pakistan. The n=30 spastic hemiplegic CP children with Gross Motor Function Classification scale (GMFCS) level-IV, a score of II on Modified Ashworth Scale (MAS) were included through non-probability convenience sampling technique. The participants were randomly allocated into conventional physical therapy (CPT) group and non-mechanical horseback back riding (NMHBR) group through lottery method. The data was collected at baseline and post 06 months through the General demographic questionnaire, MAS, GMFCS and Pediatric Balance Scale (PBS). For between-group comparison independent samples t-test was used while for within-group analysis paired sample t-test was used. Results: The mean age and BMI was 8.36±2.15, 14.5±0.75 respectively. When Comparing both groups, no significant difference was observed in Spasticity (p=0.130) and functional independence (p=0.216). But NMHBR group showed significant improvement in overall pediatric balance score as compare to CPT group (17±10.24 vs. 26.33±1429, p=0.049), after 6 months of intervention. The PBS’s task including standing unsupported (p=0.027), Standing with eyes closed (p=0.039), standing with feet together (p=0.021), Standing with one foot in front (p=0.016), Standing on one foot (p=0.039) and Reaching forward with outstretched arm (p=0.012) significantly improved in NMHBR groups as compare to CPT. Conclusion: It was concluded that conventional physical therapy and non-mechanical horseback riding both can improve spasticity, functional independence and balance of spastic CP children but NMHBR is more effective than CPT.
Keywords: balance, hippo-therapy, physical therapy.
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