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Facilitating new movement strategies: Equine assisted physiotherapy for children with cerebral palsy

Norrud, Brita Cecilie and Råheim, Målfrid and Sudmann, Tobba Therkildsen and Håkansson, Margareta (2021). Facilitating new movement strategies: Equine assisted physiotherapy for children with cerebral palsy. Journal of Bodywork and Movement Therapies. 26 , 364-373
[Research article]

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Abstract

Background: Equine Assisted Physiotherapy (EAPT) offers children with cerebral palsy (CP) opportunities for new movement experiences, and may influence movement qualities. Descriptions of how, and to what extent EAPT affects trunk control is missing. The aim of this study was to explore if, and how changes in trunk control and changes in other movement aspects were observable in children with CP during EAPT, and if potential changes in trunk control could be measured.Method: A multiple case study with a mixed methods design was completed. Two children with CP, GMFCS grade 1, were observed using video during a period of six months, and tested with Trunk Impairment Scale modified Norwegian Version. Skilled physiotherapists analyzed the videos qualitatively, and triangulated recurring changes in movement with the results from the test.Results: Riding bareback, improvements in trunk control were observed and measured. However, riding in a saddle led to reduced trunk control. Other observable movement changes were: from asymmetry to symmetry, adaptation to rhythm, mastery of riding skills, and reduced loss of postural control. Increased instances of adapting own movements in spontaneous dialogue with the horse, were observed. Instructions and feedback from the therapist influenced the dialogue with the horse both positively and negatively.Conclusion: This study describes in detail how balance and symmetry can be stimulated during EAPT in a body characterized by imbalance and asymmetry. During EAPT, the children gained the possibility to explore new movement qualities. Equipment and feedback influenced movement qualities. (C) 2020 The Authors. Published by Elsevier Ltd.

Authors/Creators:Norrud, Brita Cecilie and Råheim, Målfrid and Sudmann, Tobba Therkildsen and Håkansson, Margareta
Title:Facilitating new movement strategies: Equine assisted physiotherapy for children with cerebral palsy
Series Name/Journal:Journal of Bodywork and Movement Therapies
Year of publishing :2021
Volume:26
Page range:364-373
Number of Pages:10
Publisher:ELSEVIER
ISSN:1360-8592
Language:English
Publication Type:Research article
Article category:Scientific peer reviewed
Version:Published version
Copyright:Creative Commons: Attribution 4.0
Full Text Status:Public
Subjects:(A) Swedish standard research categories 2011 > 4 Agricultural Sciences > 402 Animal and Dairy Science > Animal and Dairy Science.
(A) Swedish standard research categories 2011 > 1 Natural sciences > 106 Biological Sciences (Medical to be 3 and Agricultural to be 4) > Zoology
(A) Swedish standard research categories 2011 > 3 Medical and Health Sciences > 301 Basic Medicine > Neurosciences
Keywords:Equine assisted physiotherapy, Trunk control, Cerebral palsy, Video observation, Trunk Impairment Scale - modified, Norwegian Version
URN:NBN:urn:nbn:se:slu:epsilon-p-113793
Permanent URL:
http://urn.kb.se/resolve?urn=urn:nbn:se:slu:epsilon-p-113793
Additional ID:
Type of IDID
DOI10.1016/j.jbmt.2020.12.022
Web of Science (WoS)000652679200001
ID Code:25548
Faculty:VH - Faculty of Veterinary Medicine and Animal Science
Department:(VH) > Dept. of Animal Environment and Health
Deposited By: SLUpub Connector
Deposited On:04 Oct 2021 07:25
Metadata Last Modified:04 Oct 2021 07:31

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