The Psychosocial and Physical effects of Therapeutic Horseback Riding for Children with Cerebral Palsy
Abstract
Background: Participation in specialized adapted activities such as therapeutic horseback riding (THR) is critical for children with cerebral palsy (CP) as they are at increased risk for lower habitual physical activity levels, social exclusion and mental health conditions. The benefits of THR for children CP are unclear despite positive anecdotal evidence. Purpose: The aim of the study is to explore the effects of THR participation for children with CP across multiple domains of health (psychological, social and physical) from the children themselves. Specifically, this study explored overall wellbeing including mental health, perceived independence, social inclusion and presence of fatigue and pain in children with CP. Method: This was an embedded mixed method design with qualitative interview data being the primary data collection method and quantitative survey data being the secondary data collection method. More specifically a phenomenological inquiry was used to collect, analyze and interpret the qualitative data. Results: A central overarching theme addressing the connection with the horse and six subthemes classified using the “6- F’s of childhood disability” were found. Conclusions: The social and emotional connection with the horse is the aspect of participation in THR that has the greatest impact across multiple domains of health for children with CP. Clinicians can make informed PA participation recommendations for their clients with CP and help families better understand how THR can impact multiple domains of health through the connection with the horse.