Hippotherapy on postural balance

in the sitting position of children

with cerebral palsy – Longitudinal
study

Kelompok 13
1. Siska Romauli BR Tampubolon
2. Vini Laras Ayu S
3. Lydia Armalia Kusumadewi
Abstract
PENDAHULUAN !

Penelitian telah menunjukkan bahwa hippoterapi

meningkatkan keseimbangan dan aktivitas fungsional
sehari-hari pasien dengan CP karena gerakan tiga
dimensi kuda, yang menyebabkan stimulasi konstan
dari sistem yang terlibat dalam keseimbangan (Casady
dan Nichols-Larsen,2004; Lee, Kim, dan Na, 2014;
Shurtleff, Standeven, dan Engsberg,2009).
 METODE
● Sample yang digunakan yaitu 13 anak dengan diagnosa CP, usia 5-
10 tahun.
● kemampuan untuk memahami instruksi sederhana, kemampuan
untuk tetap duduk tanpa bantuan setidaknya selama 10 detik dan
kemampuan untuk melakukan abduksi pinggul minimal 20°.
Kriteria eksklusi adalah sebagai berikut: defisit penglihatan
dan/atau pendengaran yang tidak terkoreksi, prosedur bedah apa
pun dalam 12 bulan sebelumnya dan/ atau blokade
neuromuskuler kimiawi dalam 6 bulan sebelumnya, partisipasi
dalam intervensi hippoterapi sebelumnya dan/atau kondisi klinis
apa pun yang mencegah memasang kuda.
PROSEDUR
 INTERVENSI
● Hippoterapi dilakukan dua kali seminggu selama 30 menit,
● Sesi dimulai dengan latihan peregangan selama 5 menit. Setiap
bentangan dipertahankan selama 20 detik dengan kuda
bergerak di atas arena pasir. Anak- anak diminta melakukan
peregangan aktif dengan meletakkan tangan mereka di bagian-
bagian kuda (yaitu leher dan pinggul). Jika ada kesulitan, anak-
anak dibantu untuk melakukan eksekusi oleh fisioterapis untuk
mencapai jangkauan gerak maksimal.
● Anak menekuk lutut dengan posisi 90 selama 4 menit
● Selain itu, posisi anak di atas kuda bervariasi: duduk di setiap sisi
hewan selama 1 menit dan kemudian menghadap ke belakang
selama 3 menit. Anak itu ditutup matanya selama 3 menit
sementara lintasan lengkung dan lurus dibuat .
Di trotoar aspal, anak diinstruksikan untuk melepaskan
kaki dari sanggurdi dan frekuensi serta amplitudo gaya
berjalan kuda bergantian selama 5 menit. Selanjutnya,
jalur aspal dan rumput yang naik dan turun digunakan
selama 6 menit. 2 menit terakhir digunakan untuk
bersantai, dengan anak-anak berbaring telentang dan
mengucapkan selamat tinggal pada kuda.
 HASIL
● Tabel 1 menunjukkan bahwa anthroppmetric karakter CP. GMFCS
dan kemampuan bergerak, menunjukkan hasil perbedaan yang
signifikan pada Mediolateral progeress Hippotherapy. F(1.75, 21.02)
= 19.99, p < 0.01, with a 0.63 effect size and 99% test power.
● Tes perbandingan Multiple menunjukkan perbedaan yang
signifikan secara statistik antara evaluasi yang dilakukan sebelum
hippotherapy (E1) dan semua intervensi lainnya.
● 1) pretest dan 12 sesi (p =0,021); 2) pretest dan 24 sesi (p = 0,006); 3)
pretest dan periode interupsi (p =0,038); 4) pretest dan 36 sesi
hippotherapy (p =0,003); 5) ada perbedaan yang signifikan secara
statistik antara 12 sesi (E2) dan tonggak E5, ketika 36 sesi telah
dilakukan (p = 0,012); 6) antara 24 sesi hippoterapi (E3) dan periode
interupsi (p =0,028); dan 7) antara periode interupsi dan milestone
E5, dengan 36 sesi hippoterapi (p =0,010)
“This is a quote. Words full of wisdom that
someone important said and can make
the reader get inspired.”
—Someone famous
01
INTRODUCTIO
N
Mercury is the closest planet to the
Sun and the smallest one in the
Solar System
 MAYBE YOU NEED TO
DIVIDE THE CONTENT

Mercury Venus
Is the closest planet to the Venus has a beautiful name
Sun and the smallest one in and is the second planet
the Solar System from the Sun
AND HERE COMES
THE SLIDE TITLE!

Do you know what helps you make your point clear? Lists like
this one:
● Because they’re simple
● You can organize your ideas clearly
● And because you’ll never forget to buy milk!
And the most important thing: the audience won’t miss the
point of your presentation
 YOU COULD USE THREE
COLUMNS, WHY NOT?

Mars Jupiter Saturn

Despite being red, It’s a gas giant and It’s composed
Mars is a cold the biggest planet mostly of hydrogen
place, not hot in our Solar System and helium
 OUR SERVICES

Mars Venus
Despite being red, Has a beautiful
Mars is a cold name and is the
place, not hot second planet

Jupiter Saturn
It’s a gas giant and Is the composed
the biggest planet mostly of hydrogen
in our Solar System and helium
 A PICTURE
ALWAYS
REINFORCES
THE
of data,CONCEPT
Images reveal large amounts
so remember: use an
image instead of long texts.
A PICTURE IS WORTH
A THOUSAND WORDS
 OUR GOALS

Mars Venus
Despite being red, Mars is Has a beautiful name and
a cold place, not hot is the second planet

Jupiter Saturn
It’s a gas giant and the Composed mostly of
biggest planet hydrogen and helium
AWESOME
WORDS
 SOMETIMES, REVIEWING
CONCEPTS IS A GOOD IDEA
Mercury Venus Mars
Mercury is the Has a beautiful Despite being
closest planet to name, but it’s red, Mars is a
the Sun terribly hot cold place

Jupiter Saturn Neptune

It’s the biggest Saturn is the Neptune is the
planet in our ringed one and a farthest planet
Solar System gas giant from the Sun
 PERCENTAGE GRAPH

Venus
Venus has a beautiful
name, but it’s terribly hot

Mars
Despite being red, Mars is
a cold place, not hot

Saturn
Mercury is the closest
planet to the Sun
If you want to modify this graph, click on it, follow the
link, change the data and replace it
 THIS IS A GRAPH

Venus
Venus has a beautiful
name, but it’s terribly hot

Mars
Despite being red, Mars is
a cold place, not hot

If you want to modify this graph, click on it, follow the

link, change the data and replace it
 INFOGRAPHICS
80% 60%
Jupiter Venus
It’s the biggest planet in Venus has a beautiful
our Solar System name, but it’s terribly hot

20% 40%
Mercur Mars
Mercury isythe closest Despite being red, Mars is
planet to the Sun a cold place, not hot
 …AND THE SAME GOES FOR TABLES

Mass Diameter Surface gravity

Mercury 0,06 0,38 0,38

Mars 0,11 0,53 0,38

Saturn 95,2 9,4 1,16

 A TIMELINE ALWAYS WORKS FINE

Day 2 Day 4
It’s the biggest planet in Has a beautiful name,
our Solar System but it’s terribly hot

Day 1 Day 3
Mercury is the closest Despite being red, Mars
planet to the Sun is a cold place, not hot
 THIS IS A MAP
Venus
Venus has a
beautiful name,
but it’s terribly hot

Mars
Despite being red,
Mars is a cold
place, not hot
 OTHER TABLE

Week 1 Week 2 Week 3 Week2

Mercury

Mars

Saturn

Jupiter
 NEED ANOTHER INFOGRAPHICS?

Mercury is the closest

1
1
planet to the Sun

Has a beautiful name,

but it’s terribly hot 2
4 2 Despite being red, Mars
is a cold place, not hot 3
3 It’s the biggest planet in
our Solar System 4
400,000
Big numbers catch your audience’s attention
 THESE ARE PERCENTAGES

75% 25% 50%

Venus has a Jupiter is the Despite being red,

beautiful name biggest planet Mars is a cold place
 333,000.00
earths is the Sun’s mass

24h 37m 23s

is Jupiter’s rotation period

386,000 km
is the distance between the Earth and the Moon
DESKTOP
SOFTWAR
E
You can replace the
image on the screen
with your own work
MOBILE
WEB
You can replace the
image on the screen
with your own work
TABLET
APP
You can replace the
image on the screen
with your own work
 OUR TEAM

John Patterson Jenna Doe

You can replace the image on You can replace the image on
the screen with your own the screen with your own
 THANK
S
Does anyone have any questions?
Add your email@freepik.com

+91 620 421 838 yourcompany.com

CREDITS: This presentation template was

created by Slidesgo, including icons by Flaticon,
infographics & images by Freepik

Please keep this slide for attribution

ALTERNATIVE RESOURCES
 RESOURCES
PHOTOS
● Smiling blonde young woman with her crossed arms

● Smiley man liking an idea with copy space

● Teacher pointing finger to board

● Teacher looking at camera while sitting at desk

VECTORS
● Gradient abstract shapes infographic

● Geometric background

● Modern people doing different cultural activities

● Modern people doing cultural activities

 Instructions for use (free users)
In order to use this template, you must credit Slidesgo by keeping the Thanks slide.

You are allowed to:

● Modify this template.
● Use it for both personal and commercial purposes.

You are not allowed to:

● Sublicense, sell or rent any of Slidesgo Content (or a modified version of Slidesgo Content).
● Distribute this Slidesgo Template (or a modified version of this Slidesgo Template) or include it in a database or in
any other product or service that offers downloadable images, icons or presentations that may be subject to
distribution or resale.
● Use any of the elements that are part of this Slidesgo Template in an isolated and separated way from this
Template.
● Delete the “Thanks” or “Credits” slide.
● Register any of the elements that are part of this template as a trademark or logo, or register it as a work in an
intellectual property registry or similar.

For more information about editing slides, please read our FAQs or visit Slidesgo School:
https://slidesgo.com/faqs and https://slidesgo.com/slidesgo-school
 Instructions for use (premium users)
In order to use this template, you must be a Premium user on Slidesgo.

You are allowed to:

● Modify this template.
● Use it for both personal and commercial purposes.
● Hide or delete the “Thanks” slide and the mention to Slidesgo in the credits.
● Share this template in an editable format with people who are not part of your team.

You are not allowed to:

● Sublicense, sell or rent this Slidesgo Template (or a modified version of this Slidesgo Template).
● Distribute this Slidesgo Template (or a modified version of this Slidesgo Template) or include it in a database or in
any other product or service that offers downloadable images, icons or presentations that may be subject to
distribution or resale.
● Use any of the elements that are part of this Slidesgo Template in an isolated and separated way from this
Template.
● Register any of the elements that are part of this template as a trademark or logo, or register it as a work in an
intellectual property registry or similar.

For more information about editing slides, please read our FAQs or visit Slidesgo School:
https://slidesgo.com/faqs and https://slidesgo.com/slidesgo-school
 Fonts & colors used
This presentation has been made using the following fonts:

Acme
(https://fonts.google.com/specimen/Acme)

Open Sans
(https://fonts.google.com/specimen/Open+Sans?query=open+san)

#f4a261 #1d3557 #457b9d #a8dadc

 Stories by Freepik
Create your Story with our illustrated concepts. Choose the style you like the most, edit its colors, pick
the background and layers you want to show and bring them to life with the animator panel! It will boost
your presentation. Check out How it Works.

Pana Amico Bro Rafiki Cuate

 Use our editable graphic resources...
You can easily resize these resources without losing quality. To change the color, just ungroup the resource
and click on the object you want to change. Then, click on the paint bucket and select the color you want.
Group the resource again when you’re done. You can also look for more infographics on Slidesgo.
 JANUARY FEBRUARY MARCH APRIL MAY JUNE

PHASE 1

Task 1

Task 2

PHASE 2

Task 1

Task 2

JANUARY FEBRUARY MARCH APRIL

PHASE
1

Task 1

Task 2
 ...and our sets of editable icons
You can resize these icons, keeping the quality.
You can change the stroke and fill color; just select the icon and click on the paint bucket/pen.
In Google Slides, you can also use Flaticon’s extension, allowing you to customize and add even more icons.
Educational Icons Medical Icons
Business Icons Teamwork Icons
Help & Support Icons Avatar Icons
Creative process Icons Performing Arts Icons
Nature Icons
SEO & Marketing Icons