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Ist die Osteopathie eine sinnvolle Maßnahme in Kombination mit Hippotherapie bei einem CP-Kind?
Is Osteopathy combined with Hippotherapy a Sensible Therapeutic Measure for the Treatment of Children with Cerebral Palsy?

Journal: Unpublished MSc thesis Wiener Schule für Osteopathie, Date: 2009/01, Pages: 149, type of study: case report

Free full text   (https://www.osteopathicresearch.org/s/orw/item/2928)

Keywords:

hippotherapy [1]
infantile cerebral palsy [1]
OMT [2951]
osteopathic manipulative treatment [2973]
case report [514]
tetraplegia [1]
WSO [433]

Abstract:

This osteopathic study examines the effectiveness of osteopathy in a child with cerebral paresis. A single case study has been chosen because the test person, Matthias, is a child who suffers from cerebral palsy. These neurological symptoms can take many different forms. Therefore, it is extremely difficult to make comparisons with several children. Matthias has suffered from tetraplegia since birth. Both his legs and his left arm are affected. Matthias has received physiotherapy from birth onwards, switching later to hippotherapy. This is in effect a physiotherapeutic measure, whereby the three-dimensional movement of the horse is transferred to the rider. I have chosen a withdrawal design (A-B-A) to permit Matthias to continue with hippotherapy and at the same time to allow me to examine the efficiency of osteopathy during the ongoing, additional hippotherapy. Each phase lasts for five weeks, i.e., the complete study encompassed 15 weeks. In the first and third phases, Matthias had hippotherapy once per week, as usual. In the second phase he was given additional osteopathic treatment. The hypothesis of this study was confirmed, i.e., that Matthias’ flexibility did indeed improve during osteopathic treatment, and that this effect can even be prolonged. Osteopathy can, therefore, definitely be regarded as a sensible therapeutic method in Matthias’ case. This conclusion, however, does not automatically apply to all children with cerebral palsy. Further orthopaedic studies on the clinical picture of cerebral palsy in children would be desirable, as few studies have yet been carried out in this field. It would also be extremely interesting to find a suitable means of measuring the increase in these children’s wellbeing and quality of life after osteopathic treatment. Because I used the Smiley Scale, I was unable to distinguish Matthias’ true sense of wellbeing, as he always described his condition as being “very good“. Possibly, the use of a questionnaire with specific questions aimed at parents and children might provide more accurate information on these children’s real feelings of wellbeing.


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