Effectiveness of Mechanical Horse-Riding Simulators on Postural Balance in Neurological Rehabilitation: Systematic Review and Meta-Analysis

Juan G. Dominguez-Romero, Assumpta Molina-Aroca, Jose A. Moral-Munoz, Carlos Luque-Moreno and David Lucena-Anton
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Juan G. Dominguez-Romero: Department of Physiotherapy, University of Osuna, 41640 Seville, Spain
Assumpta Molina-Aroca: Department of Physiotherapy, University of Osuna, 41640 Seville, Spain
Jose A. Moral-Munoz: Department of Nursing and Physiotherapy, University of Cadiz, 11009 Cadiz, Spain
Carlos Luque-Moreno: Department of Nursing and Physiotherapy, University of Cadiz, 11009 Cadiz, Spain
David Lucena-Anton: Department of Nursing and Physiotherapy, University of Cadiz, 11009 Cadiz, Spain

IJERPH, 2019, vol. 17, issue 1, 1-13

Abstract: Mechanical horse-riding simulators consist of a device that mimics the movement of a real horse, generating between 50 and 100 three-dimensional physical movements (forward and back, left and right, up and down). The main objective of this study is to analyze the effectiveness of mechanical horse-riding simulators to improve postural balance in subjects with neurological disorders. The search was conducted during January–March 2019 in PubMed, Physiotherapy Evidence Database (PEDro), Cochrane, Web of Science, CINAHL, and Scopus. The methodological quality of the studies was evaluated through the PEDro scale. A total of seven articles were included in this systematic review, of which four contributed information to the meta-analysis. Statistical analysis showed favorable results for balance in stroke patients, measured by the Berg Balance Scale (standardized mean difference (SMD) = 3.24; 95%; confidence interval (CI): 1.66–4.83). Not conclusive results were found in sitting postural balance, measured using the Gross Motor Function Measure-66 (GMFM-66) Sitting Dimension, in patients with cerebral palsy. Most studies have shown beneficial effects on postural balance compared with conventional physical therapy. However, due to the limited number of articles and their low methodological quality, no solid conclusions can be drawn about the effectiveness of this therapy.

Keywords: robotics; cerebral palsy; stroke; postural balance; neurological rehabilitation (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2019
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