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Topic:Hippotherapy

Hippotherapy involves the use of horses as a therapeutic modality to assist individuals with various physical, occupational, and speech challenges. It is conducted by licensed therapists who incorporate equine movement into treatment sessions to improve motor skills, balance, and coordination. The horse's gait provides multidimensional movement, which can be beneficial for patients with neurological or physical impairments. This page compiles peer-reviewed research studies and scholarly articles that investigate the methodologies, outcomes, and clinical applications of hippotherapy in diverse patient populations.
Gross Motor Skills and Gait Performance in Two- and Three-year-old Children With Developmental Delay Participating in Hippotherapy.
Journal of equine veterinary science    December 30, 2020   Volume 99 103359 doi: 10.1016/j.jevs.2020.103359
Brady HA, James CR, Dendy DW, Irwin TA, Thompson LD, Camp TM.This study examined the effects of 15 sessions of hippotherapy (HPOT) on gross motor skills in children (aged 2-3 years) with gross motor developmental delay (DD) (n = 11) in comparison with age-based controls without DD (n = 6). Gross motor skills in both groups were assessed with the Battelle Developmental Inventory 2nd Edition, and gait parameters were measured using a computerized gait analysis system prestudy and poststudy. The DD group took part in 15 sessions of HPOT, and the control (CON) group did not participate in any equine activities. The statistical analysis examined preinterv...
Hippotherapy in neurodevelopmental disorders: a narrative review focusing on cognitive and behavioral outcomes.
Applied neuropsychology. Child    December 1, 2020   Volume 11, Issue 3 553-560 doi: 10.1080/21622965.2020.1852084
Hippotherapy (HT) is a rehabilitative tool inducing psychological and motor improvements using human-horse interaction. HT provides sensory stimulation to the rider through the rhythmic and repetitive movements of the horse, facilitating communication between patients and healthcare professionals, favoring the establishment of a therapeutic alliance. The purpose of this review is to evaluate the effects of HT treatment on cognitive-behavioral processes in neurodevelopmental disorders. We screened studies published between 2002 and 2020 on PubMed, Scopus, Cochrane, and Web of Sciences databases...
The Influence of Hippotherapy on the Body Posture in a Sitting Position among Children with Cerebral Palsy.
International journal of environmental research and public health    September 19, 2020   Volume 17, Issue 18 6846 doi: 10.3390/ijerph17186846
Matusiak-Wieczorek E, Dziankowska-Zaborszczyk E, Synder M, Borowski A.The purpose of this study was to assess the influence of hippotherapy (therapy with horses) on posture and body function among children with cerebral palsy. A case-control study included forty-five children aged 6-12 years, classified as Gross Motor Function Classification System (GMFCS) level I or II, with spastic diplegia or hemiplegia. The participants were randomly divided into three groups: study I (n = 15), study II (n = 15) and control (n = 15). The children from the study groups attended 30min hippotherapy sessions for 12 consecutive weeks, twice (study group I) or once (study group II...
Gymnastic Training of Hippotherapy Horses Benefits Gait Quality When Ridden by Riders with Different Body Weights.
Journal of equine veterinary science    September 12, 2020   Volume 94 103248 doi: 10.1016/j.jevs.2020.103248
de Oliveira K, Clayton HM, Dos Santos Harada É.The objective was to evaluate the effects of gymnastic training on stride characteristics of walk and trot in therapy horses carrying riders of different weights. Eighteen horses used for therapeutic riding 5 days/week were randomly divided into 2 groups. Nine horses performed gymnastic (GYM) exercises after therapeutic riding on 4 days/week for 3 months, 9 horses did no additional exercises (SED). On days 0 and 90, an inertial sensor mounted to the girth on the ventral midline was used to evaluate stride characteristics when horses were ridden at walk (1.3 m/second) and trot (3.0 m/secon...
The Effectiveness of Hippotherapy to Recover Gross Motor Function in Children with Cerebral Palsy: A Systematic Review and Meta-Analysis.
Children (Basel, Switzerland)    August 19, 2020   Volume 7, Issue 9 106 doi: 10.3390/children7090106
Guindos-Sanchez L, Lucena-Anton D, Moral-Munoz JA, Salazar A, Carmona-Barrientos I.Cerebral palsy (CP) is a permanent disorder of the posture and movement, which can result in impairments of gross motor function, among others. Hippotherapy (HPT) is an emerging intervention to promote motor recovery in patients with neurological disorders, providing a smooth, precise, rhythmic, and repetitive pattern of movement to the patient. The main objective of this systematic review and meta-analysis of randomized controlled clinical trials was to analyze the effectiveness of HPT interventions on gross motor function in subjects with CP. The following databases were searched in May 2019...
Effects of horse riding simulator on sitting motor function in children with spastic cerebral palsy.
Physiotherapy research international : the journal for researchers and clinicians in physical therapy    August 18, 2020   Volume 25, Issue 4 e1870 doi: 10.1002/pri.1870
Chinniah H, Natarajan M, Ramanathan R, Ambrose JWF.Horse riding simulator (HRS) is an electronic horse, working under the principles of hippotherapy. It is one of the advanced therapeutic methods to improve postural control and balance in sitting, which could be recommended in the rehabilitation of cerebral palsy if real horses are unavailable. Objective: To investigate the therapeutic effects of HRS on sitting motor function in children with spastic diplegia and evaluate the changes in sitting motor function at different periods of time (4, 8 and 12 weeks). Methods: This study is a randomized controlled trial conducted over a period of 12...
[Effects of pony-assisted therapy on the behavior of older people with neurocognitive disorders living in nursing homes].
Geriatrie et psychologie neuropsychiatrie du vieillissement    July 28, 2020   Volume 18, Issue 3 273-282 doi: 10.1684/pnv.2020.0854
Carillon B, Jarzebowski W, Fulpin B, Miliotis A, Bernadac A, Saint-Georges Chaumet Y, Belmin J.Experienced in psychomotricity in two nursing homes, pony-assisted therapy shows first positive effects on psycho-behavioral symptoms. Recognized in the field of disability and psychiatry, this form of therapy is not developed in gerontology. To measure the effects of this therapy on the behavior of elderly people with neurocognitive disorders living in long-term care and especially on the involvement in this activity. Anxiety and apathy were chosen as the measurement criteria. An intervention study with an experimental cross-study design was conducted over two months for 23 subjects. An inter...
Donkey Therapy and Hippotherapy: Two Faces of the Same Coin?
Innovations in clinical neuroscience    June 18, 2020   Volume 17, Issue 1-3 20-21 
Animal-assisted interventions are considered an innovative rehabilitation approach to improve social, emotional, and physical domains in several diseases. Among such treatments, the equine-assisted activities and therapies have been developed to support the conventional approaches. There is growing evidence on the beneficial effects of hippotherapy, whereas few data are available regarding donkey therapy. Herein, we compare such treatments, hypothesizing their best application field to reach the proper therapeutic outcomes.
Hippotherapy Practice and Safety Patterns in the United States: A Descriptive Survey Study.
Journal of alternative and complementary medicine (New York, N.Y.)    June 17, 2020   Volume 26, Issue 8 743-749 doi: 10.1089/acm.2020.0039
Peters BC, Fields BE, Erdman EA.Objective: The use of equine movement as a therapy tool in a plan of care, or hippotherapy, has grown considerably over the past three decades. However, there is little evidence of safety rates and related practice patterns to guide key stakeholders such as clients, therapists, the health care team, and third-party payers. The purpose of this article is to describe the safety and practice patterns of contemporary use of hippotherapy. Design: A survey was distributed to occupational therapy (OT), physical therapy (PT), and speech-language pathology clinicians who incorporate hippotherapy into t...
Parental Perception of Changes in Basic Life Needs of Children with Disabilities after Six Months of Therapeutic Horseback Riding: A Qualitative Study.
International journal of environmental research and public health    February 13, 2020   Volume 17, Issue 4 1213 doi: 10.3390/ijerph17041213
Lovrić R, Farčić N, Mikšić Š, Gvozdanović Debeljak A.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 p...
Self-Management Intervention for Attention and Executive Functions Using Equine-Assisted Occupational Therapy Among Children Aged 6-14 Diagnosed with Attention Deficit/Hyperactivity Disorder.
Journal of alternative and complementary medicine (New York, N.Y.)    January 14, 2020   Volume 26, Issue 3 239-246 doi: 10.1089/acm.2019.0374
Gilboa Y, Helmer A. Attention deficit/hyperactivity disorder (ADHD), characterized by inattention, hyperactivity, and impulsivity, is currently one of the most common diagnoses given to children. Children with ADHD have a unique cognitive profile that involves difficulties in executive functions (EFs) and in the self-management system of the brain, and are at higher risk for educational failure, social and emotional difficulties, and high risk behavior. The purpose of this study was to examine the effectiveness of self-management intervention for attention and executive functions using equine-assisted occupatio...
[Physiotherapy interventions through hippotherapy in the treatment of cerebral palsy. A literature review].
Rehabilitacion    January 10, 2020   Volume 54, Issue 2 96-106 doi: 10.1016/j.rh.2019.11.003
Mendizábal Alonso P.Cerebral palsy is produced by nonprogressive injury to the developing brain. This lesion produces life-long motor impairments, disturbances in perception, speech, communication, cognition and competence. Physiotherapy is an important part of treatment, and may include hippotherapy, which uses the movement of the horse to stimulate the sensorial, neuromotor and cognitive systems to obtain functional results. Methods: We performed a literature search using distinct databases and the following Keywords: "hippotherapy"; "cerebral palsy"; "children"; "treatment" and "physiotherapy". After applicati...
Hippotherapy: a systematic mapping review of peer-reviewed research, 1980 to 2018.
Disability and rehabilitation    September 6, 2019   Volume 43, Issue 10 1463-1487 doi: 10.1080/09638288.2019.1653997
Wood WH, Fields BE.Comprehensively and systematically map peer-reviewed studies of hippotherapy published over 30 years, from 1980 through 2018, from the perspective of a phased scientific approach to developing complex interventions as a guide to future research and practice. A systematic mapping review of research of hippotherapy was conducted. Searches of nine databases produced 3,528 unique records; 78 full-text, English-written studies were reviewed, the earliest of which was published in 1998. Data relevant to study aims were extracted electronically from these studies and analyzed using queries and pivot ...
Canine and Equine Therapy for Mental Health: A Review of Clinical Effectiveness [Internet] Young C, Horton J.Animals have been used for medicinal and therapeutic purposes throughout much of the course of human history., Formal research into the use of animals for therapeutic purposes being in the 1960s, where work investigating the use of pet psychotherapy for treatment of behavior disorder in children was published. More recently, animals have been incorporated into a number of “animal-assisted interventions”, including animal-assisted activities, animal assisted-therapy, and service animal programs. The most common forms of animal-assisted interventions for the treatment of mental health condit...
Outcomes following physical therapy incorporating hippotherapy on neuromotor function and bladder control in children with Down syndrome: A case series.
Physical & occupational therapy in pediatrics    May 20, 2019   Volume 40, Issue 3 247-260 doi: 10.1080/01942638.2019.1615601
Moriello G, Terpstra ME, Earl J.: The objective of this case series was to document gross motor function, gait parameter, and bladder control outcomes following physical therapy incorporating hippotherapy in children with Down syndrome (DS). : Four children between three and five years of age received eight-weekly physical therapy sessions incorporating hippotherapy. Outcome measures included the Gross Motor Function Measure-88 (GMFM-88), parental perception of function during every day activities, spatiotemporal parameters of gait and bladder control. : Total change scores on the GMFM-88 exceeded the standardized response m...
Evaluating the effectiveness of therapeutic horse riding for children and young people experiencing disability: a single-case experimental design study.
Disability and rehabilitation    May 13, 2019   Volume 42, Issue 26 3734-3743 doi: 10.1080/09638288.2019.1610083
Martin RA, Taylor WJ, Surgenor LJ, Graham FP, Levack WMM, Blampied NM. Therapeutic horse riding aims to improve the health of children and young people experiencing disability; however, its benefits across a range of health domains, particularly the impact on participation outcomes, are not well known. This research evaluated to what extent there was a change in riders balance, functional performance, social responsiveness, quality of life and participation outcomes as a result of therapeutic horse riding. A multiple-baseline across participants ( = 12) single-case experimental design, with randomly allocated baseline phase lengths, quantitatively evaluated ...
(Horseback) Riding into the Sunset. Re: “Benefits of Hippotherapy and Horse Riding Simulation Exercise on Healthy Older Adults: A Systematic Review”-Reply.
PM & R : the journal of injury, function, and rehabilitation    March 12, 2019   Volume 11, Issue 3 327-328 doi: 10.1002/pmrj.12076
Hilliere C, Collado-Mateo D, Villafaina S, Duque-Fonseca P, Parraça JA.No abstract available
The Translation of Movement From the Equine to Rider With Relevance for Hippotherapy.
Journal of equine veterinary science    February 28, 2019   Volume 77 125-131 doi: 10.1016/j.jevs.2019.02.017
Donaldson MC, Holter AM, Neuhoff S, Arnosky JA, Simpson BW, Vernon K, Blob RW, DesJardins JD.Although horseback riding is a well-established means of rehabilitation therapy for a variety of human patients, there are few data on the biomechanical relationships between horse and rider during such hippotherapy. We simultaneously tracked the movements of a horse with several different novice riders, under conditions similar to hippotherapy, to evaluate whether horses pass the same motion to different riders while being lead at a walk. Riders were outfitted with a goniometric data collection system that recorded the angles of flexion and extension and lateral bending of the thoracic and lu...
The Impact of Equine Therapy and an Audio-Visual Approach Emphasizing Rhythm and Beat Perception in Children with Developmental Coordination Disorder.
Journal of alternative and complementary medicine (New York, N.Y.)    February 21, 2019   Volume 25, Issue 5 535-541 doi: 10.1089/acm.2017.0242
Hession CE, Law Smith MJ, Watterson D, Oxley N, Murphy BA. This study aims to investigate the impact of a therapeutic horse riding (HR) intervention and an audiovisual (AV) intervention comprising exposure to equine rhythm and motion on developmental parameters of children with Developmental Coordination Disorder (DCD). The study design was a pretest/post-test. The study took place in three locations across Ireland-St. Michael's Boys School in Mervue, Co Galway, The Hunt Museum in Limerick City, Co. Limerick, and Fettercairn Youth Horse Project in Tallaght, Co. Dublin. Eighty-three children (6-14 years) with a primary diagnosis of DCD. Children m...
Equine-related eye injury: a case report of globe rupture and vision loss in a post-stroke hippotherapy patient.
American medical student research journal    February 12, 2019   Volume 5, Issue 1 110-113 doi: 10.1016/j.ajo.2008.10.017
Chang LY, Chang SM, Andrews L, Saeedi O.Hippotherapy has recently emerged as a horse-based rehabilitative therapy to improve balance, coordination, and strength in patients with a wide range of medical conditions. Although several studies have demonstrated its effectiveness in restoring balance and gait in patients who have suffered cerebrovascular accidents (CVA), few studies have reported on adverse events associated with the treatment. Methods: This case report describes a female post-stroke patient who fell from a horse during a hippotherapy session. She suffered a closed right zygomaticomaxillary complex fracture and ruptured g...
[… and Riding as Well? Case Report about the Treatment of an Infant with Unresponsive Wakefulness Syndrome].
Die Rehabilitation    February 11, 2019   Volume 59, Issue 1 48-53 doi: 10.1055/a-0835-2990
Steppacher I, Kissler J.There is a growing number of children surviving birth complications with severe, multiple disabilities. Unfortunately, this is not paralleled by equal growth in knowledge about adequate therapeutic approaches. Some publications showed that Hippotherapy could, under certain circumstances, be a very useful complimentary therapy for a range of disabilities. But it remains unclear if riding could even help a quadriplegic individual with multiple brain damage and tracheal ventilation. Methods: In this case study we examined the effect of horse riding on the mobility of joints and heart rate in a li...
(Horseback) Riding into the Sunset. Re: “Benefits of Hippotherapy and Horse Riding Simulation Exercise on Healthy Older Adults: A Systematic Review”.
PM & R : the journal of injury, function, and rehabilitation    January 18, 2019   Volume 11, Issue 3 325-326 doi: 10.1002/pmrj.12075
No abstract available
Hippotherapy in Rehabilitation Care for Children With Neurological Impairments and Developmental Delays: A Case Series.
Pediatric physical therapy : the official publication of the Section on Pediatrics of the American Physical Therapy Association    December 18, 2018   Volume 31, Issue 1 E14-E21 doi: 10.1097/PEP.0000000000000567
Kraft KA, Weisberg J, Finch MD, Nickel A, Griffin KH, Barnes TL.This report assesses functional mobility in children with neurological impairments and documented gross motor delays, before and after receiving either hippotherapy or standard outpatient physical therapy (PT). This is a case-series report using data previously collected for a discontinued randomized controlled trial, in which participants received hippotherapy or standard outpatient clinic PT for a 12-week treatment period. Results demonstrated both subjective and objective functional mobility improvements after treatment in participants receiving hippotherapy and standard outpatient PT, as d...
Specificity and variability of trunk kinematics on a mechanical horse.
Human movement science    November 30, 2018   Volume 63 82-95 doi: 10.1016/j.humov.2018.11.007
Goodworth AD, Barrett C, Rylander J, Garner B.As perturbation training is gaining popularity, it is important to better understand postural control during complex three-dimensional stimuli. One clinically relevant and commonly used three-dimensional stimulus is found in hippotherapy and simulated hippotherapy on a mechanical horse. We tested nine healthy participants on a horse simulator, measured head and trunk kinematics, and characterized data in time (root-mean-square and variability) and frequency (amplitude spectra, gains, and phases) domains. We addressed three fundamental questions: 1) What is the specificity of postural responses...
Short-Term and Long-Term Effects of Riding for Children with Cerebral Palsy Gross Motor Functions.
BioMed research international    July 8, 2018   Volume 2018 4190249 doi: 10.1155/2018/4190249
Žalienė L, Mockevičienė D, Kreivinienė B, Razbadauskas A, Kleiva Ž, Kirkutis A.. To evaluate the effects of riding for beginners (short-term) and advanced (long-term) riders with cerebral palsy on their whole mobility. The study involved 15 subjects (two girls and eleven boys). The subjects were aged from 3 to 19 years (8.73 years ± 5.85). All of the subjects had been diagnosed with a spastic form of cerebral palsy. The duration of the participation differed as follows: the advanced subjects had been riding for 1-4 years (2.66 years ± 1.16), while the beginners have been riding for two weeks (10 sessions). Group I (advanced riders) consisted of eight subjects (7 boys a...
Benefits of Hippotherapy and Horse Riding Simulation Exercise on Healthy Older Adults: A Systematic Review.
PM & R : the journal of injury, function, and rehabilitation    April 5, 2018   Volume 10, Issue 10 1062-1072 doi: 10.1016/j.pmrj.2018.03.019
Hilliere C, Collado-Mateo D, Villafaina S, Duque-Fonseca P, Parraça JA.To provide an up-to-date research analysis on equine-assisted therapies and horse riding simulation exercise in older adults, and to suggest future directions in clinical practice and research. TYPE: Systematic review. A comprehensive search of studies was performed in 4 electronic databases (Cochrane, PubMed, PEDro, and Web of Science) regarding the effects of equine-assisted therapies and horse riding simulation exercise in older adults. Eight articles were selected, 5 of them focused on hippotherapy, 2 on horse riding simulation, and a single article that used the 2 types of therapy. PRISMA...
Hippotherapy for patients with multiple sclerosis: A multicenter randomized controlled trial (MS-HIPPO).
Multiple sclerosis (Houndmills, Basingstoke, England)    August 3, 2017   Volume 24, Issue 10 1375-1382 doi: 10.1177/1352458517721354
Vermöhlen V, Schiller P, Schickendantz S, Drache M, Hussack S, Gerber-Grote A, Pöhlau D.Evidence-based complementary treatment options for multiple sclerosis (MS) are limited. To investigate the effect of hippotherapy plus standard care versus standard care alone in MS patients. A total of 70 adults with MS were recruited in five German centers and randomly allocated to the intervention group (12 weeks of hippotherapy) or the control group. Primary outcome was the change in the Berg Balance Scale (BBS) after 12 weeks, and further outcome measures included fatigue, pain, quality of life, and spasticity. Covariance analysis of the primary endpoint resulted in a mean difference ...
Autism and Equine-Assisted Interventions: A Systematic Mapping Review.
Journal of autism and developmental disorders    July 25, 2017   Volume 47, Issue 10 3220-3242 doi: 10.1007/s10803-017-3219-9
McDaniel Peters BC, Wood W.This systematic mapping review mapped current knowledge of equine-assisted interventions for people with autism to help guide future practice and research. Thirty-three studies including children and adolescents with autism, 3 of which confirmed diagnoses, were reviewed. Five types of equine-assisted activities were identified across 25 studies, with reported improvements in behavior, social interaction, and communication. Four types of equine-assisted therapies were identified across 8 studies, with reported improvements in motor control and self-care. Different approaches to therapeutic ridi...
Therapeutic Effects of Horseback Riding Interventions: A Systematic Review and Meta-analysis.
American journal of physical medicine & rehabilitation    March 3, 2017   Volume 96, Issue 10 717-725 doi: 10.1097/PHM.0000000000000726
Stergiou A, Tzoufi M, Ntzani E, Varvarousis D, Beris A, Ploumis A.Equine-assisted therapies, such as therapeutic riding and hippotherapy, are believed to have positive physical and emotional effects in individuals with neuromotor, developmental, and physical disabilities. The purpose of this review was to determine whether therapeutic riding and hippotherapy improve balance, motor function, gait, muscle symmetry, pelvic movement, psychosocial parameters, and the patients' overall quality of life. Methods: In this study, a literature search was conducted on MEDLINE, CINAHL, MBASE, SportDiscus, Cochrane Database of Systematic Reviews, Cochrane Controlled Trial...
Translational Research for Occupational Therapy: Using SPRE in Hippotherapy for Children with Developmental Disabilities.
Occupational therapy international    February 19, 2017   Volume 2017 2305402 doi: 10.1155/2017/2305402
Weissman-Miller D, Miller RJ, Shotwell MP.Translational research is redefined in this paper using a combination of methods in statistics and data science to enhance the understanding of outcomes and practice in occupational therapy. These new methods are applied, using larger data and smaller single-subject data, to a study in hippotherapy for children with developmental disabilities (DD). The Centers for Disease Control and Prevention estimates DD affects nearly 10 million children, aged 2-19, where diagnoses may be comorbid. Hippotherapy is defined here as a treatment strategy in occupational therapy using equine movement to achieve...