Summary of the Systematic ReviewARTICLE CITATIONHippotherapy to improve hypertonia caused by an autonomic imbalance in children with spastic cerebral palsyYokoyama, Kaname, Tabata, Hotta, Shimizu, Kamiya, Kamekawa, Kato, Akiyama, Ohta, Masuda The Kitasato Medical Journal (2013) ARTICLE DETAILSDescriptionHippotherapy (i.e., equine-assisted therapy, horseback riding) has been reported to have beneficial effects on children with spastic cerebral palsy (CP). The purpose of this study was to determine the effects of a single session of hippotherapy on hypertonia caused by the autonomic imbalance in children with spastic CP. ProfessionPhysical Therapist LocationJapan Intervention TerminologyHPOT Study DesignCase Series (pre/post) Sample22 children Age/Population5-12 years Assessment/ Outcome measure toolsHolter ECG, surface electromyography, Modified Ashworth scale, pupillometer, manometer, pulse oximeter Result CategoryNervous system frequency, pupil size, muscle tone, muscle activity Dosage/Description of InterventionBackriding for 15 minutes |