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dc.contributor.authorObrero-Gaitán, Esteban
dc.contributor.authorMontoro-Cárdenas, Desirée
dc.contributor.authorCortés-Pérez, Irene
dc.contributor.authorOsuna-Pérez, María Catalina
dc.date.accessioned2022-12-20T14:20:00Z
dc.date.available2022-12-20T14:20:00Z
dc.date.issued2022-12-11
dc.identifier.issn2306-5354
dc.identifier.urihttp://hdl.handle.net/10835/14129
dc.description.abstractBackground: Mechanical horse-riding simulator (HRS) exercises are a type of therapy based on the use of robotic or mechanical devices that produces movement similar to a real horse with the aim of simulating hippotherapy. This review analyses the effectiveness of HRS therapies in patients with cerebral palsy (CP). Methods: A systematic review and a meta-analysis were carried out by searching studies in PubMed Medline, SCOPUS, Web of Science, CINAHL, PEDro and SciELO up until October 2022. We selected clinical trials that assessed the effectiveness of HRS therapy, compared to other interventions, in patients with CP. The main variables were gross motor function (its global score and dimensions, such as sitting ability), functional balance, spasticity, hip range of motion (ROM), posturographic balance and satisfaction. The risk of bias was assessed using the Cochrane Risk of Bias Tool. The pooled effect was calculated using Cohen’s Standardized Mean Difference (SMD) for a 95% confidence interval (95% CI). Results: Twelve studies were included in the systematic review, and 10 were included in the meta-analysis, providing data from 343 patients with spastic diplegic CP. Our findings revealed that HRS plus physiotherapy is more effective than physiotherapy in improving the total gross motor function (SMD 0.98; 95% CI 0.35–1.62), sitting ability of the gross motor function (SMD 0.84; 95% CI 0.32–1.36) and functional balance (SMD 0.6; 95% CI 0.1–1.08), and HRS therapy is better than sham to improve pelvic abduction ROM (SMD 0.79; 95% CI 0.21–1.37). Conclusions: Horse-riding simulator-based therapy is an effective therapy to improve gross motor function, functional balance and abduction pelvic ROM in children with CP, in comparison to physiotherapy or sham.es_ES
dc.language.isoenes_ES
dc.publisherMDPIes_ES
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 Internacional*
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectcerebral palsyes_ES
dc.subjecthorse-riding simulatores_ES
dc.subjectgross motor functiones_ES
dc.subjectbalancees_ES
dc.subjectsittinges_ES
dc.subjectspasticityes_ES
dc.subjectrange of motiones_ES
dc.subjectmeta-analysises_ES
dc.titleEffectiveness of Mechanical Horse-Riding Simulator-based Interventions in Patients with Cerebral Palsy—A Systematic Review and Meta-Analysises_ES
dc.typeinfo:eu-repo/semantics/articlees_ES
dc.relation.publisherversionhttps://www.mdpi.com/2306-5354/9/12/790es_ES
dc.rights.accessRightsinfo:eu-repo/semantics/openAccesses_ES
dc.identifier.doi10.3390/bioengineering9120790


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Attribution-NonCommercial-NoDerivatives 4.0 Internacional
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