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Topic:Physical Therapy

Physical therapy for horses involves the application of various therapeutic techniques to aid in the rehabilitation, recovery, and maintenance of equine musculoskeletal health. These techniques are used to address issues such as injuries, post-surgical recovery, and performance enhancement. Methods commonly employed in equine physical therapy include massage, stretching, hydrotherapy, and controlled exercise programs. Physical therapy aims to improve mobility, reduce pain, and promote healing in horses. This page compiles peer-reviewed research studies and scholarly articles that explore the methodologies, efficacy, and outcomes of physical therapy interventions in equine care.
An equine-assisted therapy intervention to improve pain, range of motion, and quality of life in adults and older adults with arthritis: A randomized controlled trial.
Applied nursing research : ANR    July 10, 2019   Volume 49 5-12 doi: 10.1016/j.apnr.2019.07.002
White-Lewis S, Johnson R, Ye S, Russell C.To compare equine-assisted therapy to exercise education on pain, range of motion, and quality of life in adults and older adults with arthritis. Quality of life for adults and older adults is negatively impacted by arthritis pain, stiffness, and decreased function. Equine-assisted therapy provides unique movements to the rider's joints and muscles improving pain, range of motion, and quality of life and has improved outcomes in balance, gait, strength, functional mobility, and spasticity for older adults, stroke, spinal cord injury, and multiple sclerosis patients. No research has investigate...
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...
(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
Effectiveness of Simulated Horseback Riding for Patients With Chronic Low Back Pain: A Randomized Controlled Trial.
Journal of sport rehabilitation    January 25, 2019   Volume 29, Issue 2 179-185 doi: 10.1123/jsr.2018-0252
Kim T, Lee J, Oh S, Kim S, Yoon B.A simulated horseback riding (SHR) exercise is effective for improvement of pain and functional disability, but its comparative effectiveness with the other is unknown. Objective: The authors aimed to demonstrate the effect of a SHR exercise in people with chronic low back pain. Methods: A randomized controlled trial. Methods: Community and university campus. Methods: A total of 48 participants with chronic low back pain were divided into 2 groups, and SHR exercises (n = 24) or stabilization (STB) exercises (n = 24) were performed. Methods: The exercises were performed for 30 minutes, 2 days p...
(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...
A qualitative exploration of post-acute stroke participants’ experiences of a multimodal intervention incorporating horseback riding.
PloS one    September 20, 2018   Volume 13, Issue 9 e0203933 doi: 10.1371/journal.pone.0203933
Pohl P, Carlsson G, Bunketorp Käll L, Nilsson M, Blomstrand C.Multimodal rehabilitation interventions delivered in late phase of stroke recovery involve physical (motor and sensory), social, and cognitively challenging activities. Horseback riding can be incorporated within such interventions, leading to meaningful long-term improvements when applied to individuals with moderate levels of disability. There is a lack of research illuminating stroke survivors' experiences and perceptions of horseback riding in the context of multimodal interventions. To explore stroke survivors' experiences of participation in a multimodal group-based intervention that inc...
Rehabilitation of an Adolescent Equestrian Athlete With a History of Multiple Concussions: A Case Report Describing an Adapted Return-to-Sport Protocol.
The Journal of orthopaedic and sports physical therapy    July 27, 2018   Volume 48, Issue 12 934-942 doi: 10.2519/jospt.2018.8214
Gunter KB, Shields CJ, Ott SD, Coronado RA.Equestrian riding is a sport with a high risk of concussion. Currently, the literature guiding rehabilitation for concussions in equestrian athletes is limited, especially for directing return to sport. In this case report, a 14-year-old female equestrian athlete presented to physical therapy following her third concussion in 3 years. Her primary complaints were headaches, dizziness, difficulty concentrating, light sensitivity, and neck pain. On examination, the patient demonstrated reproduction of symptoms during testing of the vestibular-ocular reflex, showed a 3-line symptomatic loss on the...
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...
Management and Rehabilitation of Joint Disease in Sport Horses.
The Veterinary clinics of North America. Equine practice    May 21, 2018   Volume 34, Issue 2 345-358 doi: 10.1016/j.cveq.2018.04.007
Contino EK.Joint disease is one of the most common issues effecting sport horses. Because there is no cure for joint disease, treatment goals surround slowing progression of the disease, minimizing pain, increasing function, and optimizing performance. Accomplishing these goals often requires a multimodal approach that combines systemic medications or supplements; intra-articular therapies, such as corticosteroids or biologics; management considerations; and physical therapy exercises.
Targeting gait and life quality in persons with Parkinson’s disease: Potential benefits of Equine-Assisted Interventions.
Parkinsonism & related disorders    December 11, 2017   Volume 47 94-95 doi: 10.1016/j.parkreldis.2017.12.003
Peppe A, Costa A, Cerino S, Caltagirone C, Alleva E, Borgi M, Cirulli F.No abstract available
Experience of using hippotherapy in complex effects on muscle spirals in children with spastic forms of cerebral palsy.
Wiadomosci lekarskie (Warsaw, Poland : 1960)    October 9, 2016   Volume 69, Issue 3 pt 2 527-529 
Matters of physical and medical rehabilitation of children with organic lesions of the nervous system, in particular, with cerebral palsy, are actual in countries around the world. Hippotherapy is neurophysiologically oriented therapy using horses. Determine whether a combination of hippotherapy as a method of rehabilitation in the aftermath of outpatient comprehensive impact on MS on a stationary phase; Study of the effect of hippotherapy as securing and preparation method for learning new postures and movements in children with spastic cerebral palsy forms; The study of the possible optimiza...
[Riding therapy in the rehabilitation of mobility-impaired children].
Duodecim; laaketieteellinen aikakauskirja    August 16, 2016   Volume 132, Issue 13-14 1279-1285 
Mäenpää H, Kela K, Sätilä H.Riding therapy is a comprehensive and functional form of rehabilitation, in which the rehabilitee, the horse and the riding therapist collaborate in order to achieve individually assigned goals that support rehabilitation. In Finland, riding therapy is therapeutic rehabilitation carried out by riding therapists who have undergone approved training. The therapy is mainly implemented in an individual form, but small group working is also applied, e.g. in the form of pair therapy and therapeutic vaulting. In Europe, this form of rehabilitation has been divided into hippotherapy supporting motor f...
Hippotherapy: Remuneration issues impair the offering of this therapeutic strategy at Southern California rehabilitation centers.
NeuroRehabilitation    April 12, 2016   Volume 38, Issue 4 411-417 doi: 10.3233/NRE-161332
Pham C, Bitonte R.Hippotherapy is the use of equine movement in physical, occupational, or speech therapy in order to obtain functional improvements in patients. Studies show improvement in motor function and sensory processing for patients with a variety of neuromuscular disabilities, developmental disorders, or skeletal impairments as a result of using hippotherapy. Objective: The primary objective of this study is to identify the pervasiveness of hippotherapy in Southern California, and any factors that impair its utilization. Methods: One hundred and fifty-two rehabilitation centers in the Southern Californ...
Innovations in Equine Physical Therapy and Rehabilitation.
The Veterinary clinics of North America. Equine practice    March 26, 2016   Volume 32, Issue 1 xiii-xiv doi: 10.1016/j.cveq.2016.02.001
King MR, Davidson EJ.No abstract available
Core Training and Rehabilitation in Horses.
The Veterinary clinics of North America. Equine practice    March 26, 2016   Volume 32, Issue 1 49-71 doi: 10.1016/j.cveq.2015.12.009
Clayton HM.The central body axis or core is a key component in controlling body posture and providing a stable platform for limb movements and generation of locomotor forces. Persistent dysfunction of the deep stabilizing muscles seems to be common in horses indicating a need for core training exercises to restore normal function. Core training should be performed throughout the horse's athletic career to maintain a healthy back and used therapeutically when back pain is identified. This article reviews the structure and function of the equine thoracolumbar spine with special reference to function, dysfu...
Introduction to Equine Physical Therapy and Rehabilitation.
The Veterinary clinics of North America. Equine practice    February 20, 2016   Volume 32, Issue 1 1-12 doi: 10.1016/j.cveq.2015.12.006
McGowan CM, Cottriall S.Physical therapy (physiotherapy, or PT) can be broadly defined as the restoration of movement and function and includes assessment, treatment, and rehabilitation. This review outlines the history, definition, and regulation of PT, followed by the core scientific principles of PT. Because musculoskeletal physiotherapy is the predominant subdiscipline in equine PT, encompassing poor performance, back pain syndromes, other musculoskeletal disorders, and some neuromuscular disorders, the sciences of functional biomechanics, neuromotor control, and the sensorimotor system in the spine, pelvis, and ...
Practical Rehabilitation and Physical Therapy for the General Equine Practitioner.
The Veterinary clinics of North America. Equine practice    February 19, 2016   Volume 32, Issue 1 167-180 doi: 10.1016/j.cveq.2015.12.001
Kaneps AJ.Physical treatment and rehabilitation play major roles in recovery and maintenance of the equine athlete, and many therapeutic measures are accessible by the veterinarian in general practice. An accurate diagnosis of the condition undergoing treatment is a requirement, and measurable parameters obtained at diagnosis allows for quantification of treatment outcomes. Therapeutic modalities accessible to the general practicing veterinarian are reviewed. Mechanisms of action, indications, and treatment protocols of thermal therapy, therapeutic ultrasound, extracorporeal shock wave, and laser are di...
Experience of using hippotherapy in complex effects on muscle spirals in children with spastic forms of cerebral palsy.
Wiadomosci lekarskie (Warsaw, Poland : 1960)    January 1, 2016   Volume 69, Issue 3 pt 2 527-529 
Strashko EY, Kapustianska АA, Bobyreva LE.Matters of physical and medical rehabilitation of children with organic lesions of the nervous system, in particular, with cerebral palsy, are actual in countries around the world. Hippotherapy is neurophysiologically oriented therapy using horses. Determine whether a combination of hippotherapy as a method of rehabilitation in the aftermath of outpatient comprehensive impact on MS on a stationary phase; Study of the effect of hippotherapy as securing and preparation method for learning new postures and movements in children with spastic cerebral palsy forms; The study of the possible optimiza...
Effect of repeated therapeutic horse riding sessions on the trunk movement of the rider.
Neuro endocrinology letters    December 29, 2015   Volume 36, Issue 5 481-489 
Janura M, Svoboda Z, Cabell L, Dvoráková T, Jelen K.To assess the rider's movement during walking the horse in repeated therapeutic horse riding sessions and to determine the relationship between movements of the horse's back and the rider's trunk. Methods: A total of 12 healthy females (age: 23.3±2.8 years; height: 167.3±4.2 cm; weight: 59.2±5.3 kg) participated in 10 therapeutic horse riding sessions. Two English Thoroughbreds with similar body constitution (aged 19 and 14 years) were used in the experiment. Nine markers were placed on the rider's body and the horse's back, and four video cameras with a 25 Hz frequency were used. Colle...
Parameters of the center of pressure displacement on the saddle during hippotherapy on different surfaces.
Brazilian journal of physical therapy    June 12, 2015   Volume 19, Issue 3 211-217 doi: 10.1590/bjpt-rbf.2014.0090
Flores FM, Dagnese F, Mota CB, Copetti F.Hippotherapy uses horseback riding movements for therapeutic purposes. In addition to the horse's movement, the choice of equipment and types of floor are also useful in the intervention. The quantification of dynamic parameters that define the interaction of the surface of contact between horse and rider provides insight into how the type of floor surface variations act upon the subject's postural control. Objective: To test whether different types of surfaces promote changes in the amplitude (ACOP) and velocity (VCOP) of the center of pressure (COP) displacement during the rider's contact wi...
Rodeo athletes: management of shoulder instability.
The Journal of sports medicine and physical fitness    May 25, 2015   Volume 56, Issue 5 560-564 
Figueiredo EA, Belangero PS, Cohen C, Louchard RL, Terra BB, Pochini AC, Andreoli CV, Cohen M, Ejnisman B.The aim of this study was to describe epidemiological data and evaluate the clinical results of traumatic anterior glenohumeral instability in rodeo athletes. Methods: Thirteen patients, all male, with a mean age of 23.2 (18-31) years old, with anterior glenohumeral instability were include in this study. In 9 patients, the right side was affected. The mean time elapsed between injury and undergoing surgery was 56 months (24-120 months). The surgical technique used (arthroscopic or open bone block procedure) was chosen based on the ISIS (Instability Severity Index Score). Only professional ath...
Science in brief: recent advances into understanding tendon function and injury risk.
Equine veterinary journal    February 4, 2015   Volume 47, Issue 2 137-140 doi: 10.1111/evj.12346
Thorpe CT, Spiesz EM, Chaudhry S, Screen HR, Clegg PD.No abstract available
Human pelvis motions when walking and when riding a therapeutic horse.
Human movement science    November 28, 2014   Volume 39 121-137 doi: 10.1016/j.humov.2014.06.011
Garner BA, Rigby BR.A prevailing rationale for equine assisted therapies is that the motion of a horse can provide sensory stimulus and movement patterns that mimic those of natural human activities such as walking. The purpose of this study was to quantitatively measure and compare human pelvis motions when walking to those when riding a horse. Six able-bodied children (inexperienced riders, 8-12years old) participated in over-ground trials of self-paced walking and leader-paced riding on four different horses. Five kinematic measures were extracted from three-dimensional pelvis motion data: anteroposterior, sup...
Therapeutic horse riding improves cognition, mood arousal, and ambulation in children with dyspraxia.
Journal of alternative and complementary medicine (New York, N.Y.)    October 2, 2013   Volume 20, Issue 1 19-23 doi: 10.1089/acm.2013.0207
Hession CE, Eastwood B, Watterson D, Lehane CM, Oxley N, Murphy BA.The objectives of this study were to evaluate the effects of the physical motion of a horse (riding therapy) combined with the audiovisual perception of this motion on a group of children with dyspraxia in terms of cognition, mood arousal, and gait variability. Methods: The study design was a pretest/post-test. Methods: The study was conducted at the Fettercairn Youth Horse Project, Fettercairn, Tallaght, Dublin. Methods: Forty (40) children ranging from 6 to 15 years of age with a primary diagnosis of dyspraxia were the study subjects. Methods: Children meeting inclusion criteria participated...
The effect of a hippotherapy session on spatiotemporal parameters of gait in children with cerebral palsy – pilot study.
Ortopedia, traumatologia, rehabilitacja    July 31, 2013   Volume 15, Issue 3 253-257 doi: 10.5604/15093492.1058420
Manikowska F, Jóźwiak M, Idzior M, Chen PJ, Tarnowski D.Hippotherapy has been shown to produce beneficial effects by improving the most difficult motor functions, such as sitting, running, jumping, coordination, as well as balance and muscle strength in children with motor developmental delays. The aim of this study was to analyze the effect of hippotherapy on spatiotemporal parameters of gait in cerebrally palsied children. Methods: 16 ambulatory cerebrally palsied children (GMFCS Level I-III; Female: 10, Male: 6; Age: 5.7-17.5 years old) qualified for hippotherapy were investigated. Basic spatiotemporal parameters of gait, including walking speed...
Muscle reaction function of individuals with intellectual disabilities may be improved through therapeutic use of a horse.
Research in developmental disabilities    June 7, 2013   Volume 34, Issue 9 2442-2448 doi: 10.1016/j.ridd.2013.04.015
Giagazoglou P, Arabatzi F, Kellis E, Liga M, Karra C, Amiridis I.Reaction time and muscle activation deficits might limit the individual's autonomy in activities of daily living and in participating in recreational activities. The aim of the present study was to assess the effects of a 14-week hippotherapy exercise program on movement reaction time and muscle activation in adolescents with intellectual disability (ID). Nineteen adolescents with moderate ID were assigned either to an experimental group (n=10) or a control group (n=9). The experimental group attended a hippotherapy exercise program, consisting of two 30-min sessions per week for 14 weeks. Rea...
Effect of therapeutic horseback riding on balance in community-dwelling older adults with balance deficits.
Journal of alternative and complementary medicine (New York, N.Y.)    January 29, 2013   Volume 19, Issue 7 622-626 doi: 10.1089/acm.2012.0642
Homnick DN, Henning KM, Swain CV, Homnick TD.Falls are an important cause of morbidity in older adults. Equine-assisted activities including therapeutic riding (TR) benefit balance and neuromuscular control in patients with neurological disabilities but have not been systematically studied in older adults at greater risk for falls due to balance deficits. The effect of an 8-week TR program on measures of balance and quality of life in community-dwelling older adults with established balance deficits was evaluated. Methods: This was a pretest-post-test single-group trial of a TR program on measures of balance and quality of life. Methods:...
Therapeutic horse back riding of a spinal cord injured veteran: a case study.
Rehabilitation nursing : the official journal of the Association of Rehabilitation Nurses    December 6, 2012   Volume 37, Issue 6 270-276 doi: 10.1002/rnj.027
Asselin G, Penning JH, Ramanujam S, Neri R, Ward C.To determine an incomplete spinal cord injured veteran's experience following participation in a therapeutic horseback riding program. Methods: Following the establishment of a nationwide therapeutic riding program for America's wounded service veterans in 2007, a Certified Rehabilitation Registered Nurse from the Michael E. DeBakey Veteran Affairs Medical Center worked with an incomplete spinal cord injured veteran who participated in the Horses for Heroes program. Results: This program resulted in many benefits for the veteran, including an increase in balance, muscle strength, and self-este...