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Uğur Ödek1, Kürşat Özcan1, Gonca Özyurt2, Selçuk Akpinar1

1Nevsehir Haci Bektas Veli University, Faculty of Education, Department of Physical Education and Sport, Nevsehir, Turkey
2İzmir Katip Çelebi University, Faculty of Medicine, Child and Adolescent Psychiatry Department, İzmir, Turkey

Psychological Benefits of Equine-Facilitated Activities for Children Diagnosed with Cerebral Palsy

Sport Mont 2022, 20(1), 31-37 | DOI: 10.26773/smj.220206

Abstract

Equine-facilitated activities (EFA) are generally considered to be an alternative treatment method by using the natural body form, gait and behavior of horses. EFA have been used for many years to treat and to improve the living conditions of people with disorders or disabilities such as autism, cerebral palsy (CP), arthritis, multiple sclerosis, stroke, spinal cord injury, behavioral and psychiatric disorders. This study aims to examine the effects of adaptive riding (AR), which is a subdiscipline under EFA, on anxiety, empathy, aggression, and emotional regulation of children diagnosed with cerebral palsy. Maternal depression and anxiety level measurements were also included in the study. Twenty children with CP, between 7 and 10 years old and their mothers participated in the study. They were randomly assigned to one of two groups (intervention and control) consisting of 10 participants. Pre and post measurements were implemented at the beginning and at the end of 8 weeks of AR intervention. The Screen for Anxiety Related Emotional Disorders, Bryant Index of Empathy Measurement for Children and Adolescents, Buss-Perry Aggression Questionnaire, Beck Depression Inventory, The State-Trait Anxiety Inventory were used to measure the psychological and emotional status of the participants and depression, anxiety levels of mothers. Aggression, anxiety, and maternal depression decreased; empathy and emotional regulation improved in the intervention group. No significant differences found in the control group. This study provides strong evidence that an 8-week AR intervention has positive effects on children with cerebral palsy. Significant improvements regarding both maternal and children’s psychological and emotional aspects showed how an alternative therapy with animals can be constructive.

Keywords

aggression, cerebral palsy, emotional regulation, empathy, equine-facilitated activities, maternal anxiety, maternal depression



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References

Akpınar, S., Özcan, K., Özyurt, G., & Dinsever, C. (2016). Otizm Spektrum Bozukluğu Tanısı Olan Çocuklarda Terapötik At Binme Aktivitelerinin Yaşam Kalitesi ve Motor Performans Üzerine Etkisi. Hacettepe Journal of Sport Sciences, 27 (4), 172–184.

Asher, S. & Gazelle, H. (1999). Loneliness, peer relations and language disorder in childhood. Topics Lang Disord, 19, 16–23.

Beck, A. T., Ward, C. H., Mendelson, M., & Erbaugh, J. (1961). An inventory for measuring depression. Arch Gen Psychiatry, 4, 561-571.

Birmaher, B., Khetarpal, S., Brent, D., Cully, M., Balach, L., Kaufman, J., & Neer, S. M. (1997). The screen for child anxiety related emotional disorders (SCARED): Scale construction and psychometric characteristics. Journal of the American Academy of Child and Adolescent Psychiatry, 36 (4), 545–553.

Bourke, S., & Burgman, I. (2010). Coping with bullying in Australian schools: how children with disabilities experience support from friends, parents and teachers. Disabil Soc, 25, 359–371.

Brandt, C. (2013). Equine-facilitated psychotherapy as a complementary treatment intervention. The Practitioner Scholar: Journal of Counseling and Professional Psychology, 2 (1), 23-42.

Bryant, B. K. (1982). An index of empathy for children and adolescents. Child Development, 53, 413–425.

Buss, A. H., & Perry, M. (1992). The aggression questionnaire. Journal of Personality and Social Psychology, 63, 452–459.

Casady, R. L., & Nichols-Larsen, D. S. (2004). The effect of hippotherapy on ten children with cerebral palsy. Pediatr Phys Ther, 16, 165-72.

Cho, Y. K., Kim, E. J., Park, J. W., Cho, K. E., Lee, S. H., Kang, E. Y., et al. (2008). Assessment of quality of life in parents of children with cerebral palsy. J Korean Acad Rehabil Med, 32, 682-8.

Coutinho, J. F., Silva, P. O., & Decety, J. (2014). Neurosciences, empathy, and healthy interpersonal relationships: recent findings and implications for counseling psychology. J Couns Psychol., 61 (4), 541-8. https://doi.org/10.1037/cou0000021.

Feldman, J. M., Ortega, A. N., Koinis-Mitchell, D., Kuo, A. A., & Canino, G. (2010). Child and family psychiatric and psychological factors associated with child physical health problems: results from the Boricua youth study. J Nerv Ment Dis, 198, 272-279.

Glasow, B. L. (1986). Hippotherapy: the horse as a therapeutic modality. People Anim Environ, 4, 30-31.

Hastings, R. P. (2002). Parental stress and behaviour problems of children with developmental disability. Journal of Intellectual and Developmental Disability, 27, 149-160.

Hauser-Cram, P., Warfield, M. E., Shonkoff, J. P., Krauss, M. W., Sayer, A., & Upshur, C. C. (2001). Children with disabilities: A longitudinal study of child development and parent well-being. Monogr Soc Res Child Dev., 66 (i-viii), 1-114; discussion 115-26.

Hisli, N. (1989). Validity and reliability of Beck Depression Scale in university students. Turkish Journal of Psychology, 7, 13-19.

Kim, H. S., Lee, K. W., Hwang, J. H., Kim, E. J., Lee, Y. T., Chung, S. H., et al. (2005). Therapeutic effects of horseback riding (hippotherapy) on motor development of children with cerebral palsy. Korean J Sports Med, 23, 278-83.

Kruger, K. A. & Serpell, J. A. (2010). Animal-assisted interventions in mental health: Definitions and theoretical foundations. In A. H. Fine (Ed.), Handbook on animal-assisted therapy: Theoretical foundations and guidelines for practice. San Diego: Academic Press. (3rd ed., pp. 33–48).

Manikowska, F., Jozwiak, M., Idzior, M., Chen, P. J., & Tarnowski, D. (2013). The effect of a hippotherapy session on spatiotemporal parameters of gait in children with cerebral palsy: pilot study. Ortop Traumatol Rehabil, 15, 253-7.

McGibbon, N. H., Andrade, C. K., Widener, G., & Cintas, H. L. (1998). Effect of an equine-movement therapy program on gait, energy expenditure, and motor function in children with spastic cerebral palsy: a pilot study. Dev Med Child Neurol, 40, 754-62.

Morgan, S. B. (1988). The autistic child and family functioning: A developmental-family systems perspective. J Autism Dev Disord., 18, 263-80.

Öner, N., & Le Compte, W. A. (1983). State and trait anxiety handbook. Bogazici University

Ones, K., Yilmaz, E., Cetinkaya, B., Caglar, N. (2005). Assessment of the quality of life of mothers of children with cerebral palsy (primary caregivers). Neurorehabil Neural Repair, 19, 232-7.

Ozyurt, G., Ozcan, K., Elikucuk, C. D., Odek, U., & Akpınar, S. (2020). Equine Assisted Activities Have Positive Effects on Children with Autism Spectrum Disorder and Family Functioning. Montenegrin Journal of Sports Science and Medicine, 9 (2), 51-58. https://doi.org/10.26773/mjssm.200909

Reddihough, D. S., Jiang, B., Lanigan, A., Reid, S. M., Walstab, J.E. & Davis, E. (2013). Social outcomes of young adults with cerebral palsy. J Intellect Dev Disabil., 38 (3), 215-22. https://doi.org/10.3109/13668250.2013.788690.

Ribeiro, M. F., Porto, C. C., & Vandenberghe, L. (2013). Parental stress in families of children with cerebral palsy: an integrative review. Cien Saude Colet., 18 (6), 1705-15.

Schultz, P. N., Remick-Barlow, G. A., & Robbins, L. (2007). Equine assisted psychotherapy: A mental health promotion/intervention modality for children who have experienced intra-family violence. Health Soc Care Community, 15, 265-71.

Shurtleff, T. L. & Engsberg, J. R. (2010). Changes in trunk and head stability in children with cerebral palsy after hippotherapy: a pilot study. Phys Occup Ther Pediatr, 30, 150-63.

Smith, T. B., Innocenti, M. S., Boyce, G. C., & Smith, C. S. (1993). Depressive symptomatology and interaction behaviors of mothers having a child with disabilities. Psychol Rep, 73 (3 Pt 2), 1184-6.

Spielberger, C. D. (1970). STAI manual for the state-trait anxiety inventory. Self-Evaluation Questionnaire, 1–24.

Weiss, J. A. & Lunsky, Y. (2011). The brief family distress scale: A measure of crisis in caregivers of individuals with autism spectrum disorders. Journal of Child and Family Studies, 20, 521–528.