TRUNK MUSCLE ACTIVATION IN CHILDREN WITH SPASTIC DIPLEGIC CEREBRAL PALSY USING A HIPPOTHERAPY SIMULATOR

Abstract

Purpose: To determine if there is a difference in trunk muscle activation in children with spastic diplegic cerebral palsy (CP) compared to typically developing (TD) children while being held in different positions on a hippotherapy simulator. Methods: Five children with spastic diplegic CP and five TD children of similar age were recruited through the Children’s Hospital of Wisconsin. The participants were held in static positions sitting on a hippotherapy simulator at 10[Formula: see text], 15[Formula: see text], and 20[Formula: see text] from the midline to front, back, and side positions. Surface electromyography (sEMG) data were collected from the left and right latissimus dorsi, hip adductor, middle trapezius, and rectus abdominis muscles. The pooled mean sEMG amplitude, at each position, served as the main outcome measurement. Results: The forward position at 20[Formula: see text] for the left and right lower rectus abdominis and right middle trapezius muscles had an effect size of [Formula: see text]. This was also evident in the right middle trapezius at 10[Formula: see text] in the forward and left tilted positions, and in the right latissimus dorsi at the 10[Formula: see text] left tilted position. Conclusion: Different sEMG in the abdominal, middle trapezius, and latissimus dorsi muscles in children with spastic diplegic CP suggests that utilizing a trunk position of different angles may improve the current therapeutic methods in the recruitment of trunk muscles.