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      Parental Perception of Changes in Basic Life Needs of Children with Disabilities after Six Months of Therapeutic Horseback Riding: A Qualitative Study

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          Abstract

          Therapeutic horseback riding (THR) has a positive effect on the physical, cognitive, and psychosocial functioning of children with disabilities. Parents’ reports of the effects of THR on their children support professionals in individualizing the THR program. With this qualitative study, we aimed to explore parents’ perceptions of changes in the basic life needs of their children with disabilities after six months of THR lessons and to survey parents’ explanations for the causes of these changes. The study involved parents of 13 children with disabilities who were enrolled in a six-month THR program. Parents continuously monitored their children and wrote a report on possible changes in their child’s needs according to Virginia Henderson’s need theory. Qualitative content analysis of parents’ reports indicated only positive changes in 11 children. Most codes were identified in categories “relationships and communication with other people” and “movement and posturing”. Other categories identified codes such as easier breathing, a better quality of sleep, better appetite, better elimination of stool and urine, more independence in clothing and maintaining personal hygiene, and greater interest in play and learning. Parents’ reports are further supported by the assessments of professionals. Most parents think THR is responsible for the noticeable improvements in their children’s quality of life.

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          Most cited references42

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          Autism.

          Autism spectrum disorders are characterised by severe deficits in socialisation, communication, and repetitive or unusual behaviours. Increases over time in the frequency of these disorders (to present rates of about 60 cases per 10,000 children) might be attributable to factors such as new administrative classifications, policy and practice changes, and increased awareness. Surveillance and screening strategies for early identification could enable early treatment and improved outcomes. Autism spectrum disorders are highly genetic and multifactorial, with many risk factors acting together. Genes that affect synaptic maturation are implicated, resulting in neurobiological theories focusing on connectivity and neural effects of gene expression. Several treatments might address core and comorbid symptoms. However, not all treatments have been adequately studied. Improved strategies for early identification with phenotypic characteristics and biological markers (eg, electrophysiological changes) might hopefully improve effectiveness of treatment. Further knowledge about early identification, neurobiology of autism, effective treatments, and the effect of this disorder on families is needed.
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            The Child Behavior Checklist and Related Forms for Assessing Behavioral/Emotional Problems and Competencies

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              The effect of therapeutic horseback riding on social functioning in children with autism.

              This study evaluated the effects of therapeutic horseback riding on social functioning in children with autism. We hypothesized that participants in the experimental condition (n = 19), compared to those on the wait-list control (n = 15), would demonstrate significant improvement in social functioning following a 12-weeks horseback riding intervention. Autistic children exposed to therapeutic horseback riding exhibited greater sensory seeking, sensory sensitivity, social motivation, and less inattention, distractibility, and sedentary behaviors. The results provide evidence that therapeutic horseback riding may be a viable therapeutic option in treating children with autism spectrum disorders.
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                Author and article information

                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                13 February 2020
                February 2020
                : 17
                : 4
                : 1213
                Affiliations
                [1 ]Faculty of Dental Medicine and Health Osijek, Josip Juraj Strossmayer University of Osijek, Osijek 31 000, Croatia; nfarcic@ 123456mefos.hr (N.F.); smiksic@ 123456fdmz.hr (Š.M.)
                [2 ]Department of Surgery, University Hospital Centre Osijek, 31 000 Osijek, Croatia
                [3 ]Faculty of Medicine, Josip Juraj Strossmayer University of Osijek, Osijek 31 000, Croatia
                [4 ]Elementary School Ljudevit Gaj Osijek, Osijek 31 000, Croatia; agdebeljak@ 123456mefos.hr
                [5 ]Faculty of Education and Rehabilitation Sciences, University of Zagreb, Zagreb 10 000, Croatia
                Author notes
                [* ]Correspondence: rlovric@ 123456fdmz.hr ; Tel.: +385-912-000-973
                Author information
                https://orcid.org/0000-0001-8289-0710
                Article
                ijerph-17-01213
                10.3390/ijerph17041213
                7068330
                32069999
                ac45e710-2ace-4213-8555-b97a9873a8df
                © 2020 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 06 January 2020
                : 11 February 2020
                Categories
                Article

                Public health
                children with disabilities,horseback riding,equine-assisted therapy,parent–child relations,basic life needs,quality of life

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