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Pulmonary Function and Aerobic Capacity Responses to Equine Assisted Therapy in Adolescents with Idiopathic Scoliosis: A Randomized Controlled Trial

By M. A. Abdel Ghafar, O. R. Abdelraouf, A. A. Abdel-Aziem, T. E. Elnegamy, M. E. Mohamed, A. M. Yehia, G. S. Mousa

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Abstract

BACKGROUND: Idiopathic scoliosis is a common spinal malalignment that negatively impacts the respiratory system and physical conditioning in adolescents. Equine-assisted therapy comprises therapeutic horseback riding that optimizes physical performance and mobility in a range of contexts. However, the influence of equine-assisted therapy on pulmonary function remains unclear. OBJECTIVE: To examine the impact of 10 weeks of hippotherapy combined with Schroth exercises on pulmonary function and aerobic capacity in adolescents with idiopathic scoliosis. METHODS: A randomized controlled trial including 45 patients, randomly assigned to experimental and control groups, was performed. Patients in the experimental group received 15 30-min sessions of hippotherapy over a period of 10 weeks. The 2 groups attended a 60-min session of Schroth exercises 3 times/week for 10 weeks. Pulmonary function and functional capacity were assessed before and after the intervention. RESULTS: Pre- and post-intervention variables (FVC, FEV1, FEV1/FVC, MVV and 6MWT) revealed significant improvement in both groups (p < 0.05). The improvement in the experimental group was significantly higher than in the control group (p < 0.05). CONCLUSION: The addition of hippotherapy to Schroth exercises resulted in improved pulmonary function and aerobic capacity in adolescents with idiopathic scoliosis.

Date 2022
Publication Title J Rehabil Med
Volume 54
Pages jrm00296
ISBN/ISSN 1650-1977
DOI 10.2340/jrm.v54.1085
Author Address Physical Therapy Program, Batterjee Medical College, Jeddah, Saudi Arabia. pt12.jed@bmc.edu.sa.Physical Therapy Program, Batterjee Medical College, Jeddah, Saudi Arabia; Department of Biomechanics, Faculty of Physical Therapy, Cairo University, Giza, Egypt.Department of Biomechanics, Faculty of Physical Therapy, Cairo University, Giza, Egypt.Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Prince Sattam Bin Abdelaziz University, Al-Kharj, Saudi Arabia.Physical Therapy Program, Batterjee Medical College, Jeddah, Saudi Arabia; Department of Physical Therapy for Cardiovascular/Respiratory Disorders and Geriatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt.Department of Musculoskeletal Disorders and its Surgery, Faculty of Physical Therapy, 6th October University, Giza, Egypt.Department of Physical Therapy for Cardiovascular/Respiratory Disorders and Geriatrics, Faculty of Physical Therapy, Cairo University, Giza, Egypt; Physical Therapy Department, Faculty of Applied Medical Sciences, Umm Al-Qura University, Makkah, Saudi Arabia.
Additional Language English
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Tags
  1. Adolescents
  2. Hippotherapy
  3. Humans
  4. open access
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  1. open access