Effects of Hippotherapy in Children With Cerebral Palsy

Inclusion Criteria: * Aged between 7 and 15 years * Diagnosis of cerebral palsy confirmed by a specialist physician * Gross Motor Function Classification System (GMFCS) level I-III * Ability to understand and follow basic verbal commands * Ability to stand independently for at least 30 seconds * No medical contraindications to participation in hippotherapy * Voluntary participation in the study and written informed consent provided by a parent or legal representative Exclusion Criteria: * Presence of an active infection * Bladder or bowel symptoms caused by an organic condition, such as -Hirschsprung disease or anorectal malformation * Receipt of hippotherapy within the previous 12 months * Uncontrolled epilepsy or a seizure within the previous 6 months * Inability to comply with the assessment or treatment program because of severe behavioral problems * Inability to attend the treatment program regularly * Surgery affecting the spine, pelvis, or lower extremities within the previous 12 months * Severe hip dislocation, atlantoaxial instability, uncontrolled scoliosis, or another orthopedic condition constituting a contraindication to hippotherapy