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.
Changes in dynamic trunk/head stability and functional reach after hippotherapy. To determine if hippotherapy (therapy using a horse) improves head/trunk stability and upper extremity (UE) reaching/targeting in children with spastic diplegia cerebral palsy (SDCP). Methods: Pre-postoperative follow-up with a 12-week intervention and 12-week washout period after intervention. Methods: A human performance laboratory with 6 camera video motion capture systems for testing. Methods: Eleven children (age 5-13y, average 8y) with SDCP, 8 children (age 5-13y, average 8y) without disabilities. Methods: Hippotherapy intervention performed at 3 therapeutic horseback riding centers. Met...
[Impact of therapeutic riding on gait and posture regulation].
Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin
Hippotherapy has become an important therapeutic option in patients suffering from motoric dysfunction. The physiologic basis of this approach is the three-dimensional transmission of the horse's motion onto the patients body. These motion stimuli are believed to exert possitve effects on the patients's postural control systems. Objective: To test the hypothesis that hippotherapy has both positive short- and lang-term effects on gait and posture control of persons suffering from motoric disabilities. Methods: Twenty-two children and adolescents aged 9.69 +/- 4.01 years (range: 9.69 +/- 4.01 ye... An assessment of the pressure distribution exerted by a rider on the back of a horse during hippotherapy. Hippotherapy employs locomotion impulses that are emitted from the back of a horse while the horse is walking. These impulses stimulate the rider's postural reflex mechanisms, resulting in training of balance and coordination. The aim of the present study was to assess the changes in magnitude and distribution of the contact pressure between the rider and the horse during a series of hippotherapy lessons. The monitored group, consisting of four healthy women (mean age 22.75 years, mean body weight 59.75 kg, mean height 167.25 cm) without any previous horse riding experience, received five 20 m...
The effect of hippotherapy on functional outcomes for children with disabilities: a pilot study. The purpose of this study was to measure the effect of hippotherapy on functional outcomes using the Goal Attainment Scale (GAS) for children with physical disabilities. Methods: Participants included 4 children aged 5 to 9 years with physical impairments and/or documented motor delays. Individual measurable objectives were developed using the GAS for each child. Data were collected on each child every other week throughout the baseline and intervention phase over 1 year using a multiple single case experimental A-B design. Results: Three of the 4 children had a significant improvement in func...
The effect of hippotherapy on postural control in sitting for children with cerebral palsy. The purpose of this single subject research study was to examine the effects of a once weekly, 10-week hippotherapy program for three children, ages 27-54 months, with cerebral palsy. Participants were rated as Level V on the Gross Motor Function Classification System. The Sitting Dimension of the Gross Motor Function Measure was used to establish a baseline of sitting abilities, and was administered every 2 weeks during intervention. The Sitting Assessment Scale and the Gross Motor Function Measure were administered before, after, and 4 weeks postintervention. Parental perceptions of the hipp...
The effect of hippotherapy on spasticity and on mental well-being of persons with spinal cord injury. To determine the effect of hippotherapy on spasticity and on mental well-being of persons with spinal cord injury (SCI), and to compare it with the effects of other interventions. Methods: Crossover trial with 4 conditions. Methods: Swiss paraplegic center. Methods: A volunteer sample of 12 people with spastic SCI (American Spinal Injury Association grade A or B). Methods: Hippotherapy, sitting astride a Bobath roll, and sitting on a stool with rocking seat. Each session lasted 25 minutes and was conducted twice weekly for 4 weeks; the control condition was spasticity measurement without inter...
The horse as the healer-a study of riding in patients with back pain. A total of 24 patients, considerably disabled in daily activities by back pain, participated in an Equine Assisted Therapy (EAT) programme. The patients also had several health problems in addition to their current pain. The programme emphasised the principles of body awareness. The study is aimed at investigating not only whether symptom reduction would be achieved, but also at identifying qualities of EAT that were particularly beneficial for the patients' well being. The study was performed according to action research principles. The treatment reduced the pain and lessened other symptoms. ...
Effects of hippotherapy on postural stability, in persons with multiple sclerosis: a pilot study. The purpose of this pilot study was to examine the effectiveness of hippotherapy as an intervention for the treatment of postural instability in individuals with multiple sclerosis (MS). Methods: A sample of convenience of 15 individuals with MS (24-72 years) were recruited from support groups and assessed for balance deficits. Methods: This study was a nonequivalent pretest-posttest comparison group design. Nine individuals (4 males, 5 females) received weekly hippotherapy intervention for 14 weeks. The other 6 individuals (2 males, 4 females) served as a comparison group. All participants we...
Heart rate response to therapeutic riding in children with cerebral palsy: an exploratory study. The study was designed to document the heart rate response to therapeutic riding in children with cerebral palsy having mild-to-severe disability. Methods: Participants consisted of eight youth riders with cerebral palsy, divided into two groups: ambulatory and wheelchair dependent. The riders received continuous digital heart rate monitoring during 10 weekly 20-minute therapeutic horseback riding sessions. Results: The averaged resting, median, and peak heart rate values, as well as the peak percentage heart rate reserve values, were significantly higher in the wheelchair-dependent group. Con...
[The role of horse-therapy in improvement of children with Down syndrome]. Many years of experience in horse-therapy show that this is the efficient method of rehabilitation of disabled children, also with Down syndrome. This method improves not only proficiency, but also mental sphere and social functions of children. 3 cases of children with Down syndrome in age 7-8 years rehabilitated by horse-therapy, and other methods (physical exercises, swimming, talking exercises) through 1-3 year have been described. In every case adding horse-therapy to other methods of rehabilitation gave measurable advantages both in physical sphere and also in mental and social spheres. ...
Equine rehabilitation therapy for joint disease. The principles of physical rehabilitation therapy can be applied to the horse to provide a reduction in discomfort and dysfunction associated with the various forms of joint disease. Physical agents,such as ice, heat, electricity, sound, light, magnetic fields, compression, and movement, can be used by the rehabilitation therapist to attempt to control pain, reduce swelling, and restore optimal movement and function in the affected joint. The equine therapist's attention is focused not only on the affected joint but on the body as a whole to manage secondary or compensatory problems.
Hippotherapy. Hippotherapy refers to the use of the movement of the horse asa treatment tool by physical therapists, occupational therapists,and speech-language therapists to address impairments, functional limitations, and disabilities in clients with neuromusculoskeletal dysfunction, such as cerebral palsy. Hippotherapy is used as part of an integrated treatment program to achieve functional outcomes. Hippotherapy engages the client in activities on the horse that are enjoyable and challenging. In the controlled hippotherapyenvironment, the therapist modifies the horse's movement and carefully grades sens...
[Horseback riding therapy in development of motor skills in infantile cerebral palsy]. No abstract available
[Hippotherapy as a method for complex rehabilitation of patients with late residual stage of infantile cerebral palsy]. Influence and therapeutic efficacy of horseback riding (hippotherapy) as a method for complex rehabilitation of patients with late residual stage of infantile cerebral palsy were studied. Significant increase of a range of active and passive mosements in large joints of lower extremities, higher, indices of hand dynamometry on the left, of vital lung capacity as well as a relief of relief of reactive and personality anxiety and depression, higher motivation for rehabilitation treatment, etc., were registered. Neurophysiological study revealed significant changes of afferentation at stem and th...
Horseback riding in children with cerebral palsy: effect on gross motor function. The effects of recreational horseback riding therapy (HBRT) on gross motor function in children with cerebral palsy (CP: spastic diplegia, spastic quadriplegia, and spastic hemiplegia) were determined in a blinded study using the Gross Motor Function Measure (GMFM). Seventeen participants (nine females, eight males; mean age 9 years 10 months, SE 10 months) served as their own control. Their mean Gross Motor Function Classification System score was 2.7 (SD 0.4; range 1 to 5). HBRT was 1 hour per week for three riding sessions of 6 weeks per session (18 weeks). GMFM was determined every 6 weeks...
Ankle-foot orthoses: effect on gait in children with cerebral palsy. In this study our aim was to evaluate the effectiveness of Ankle-Foot Orthoses (AFOs) on gait function in patients with spastic cerebral palsy for whom orthoses were indicated to control dynamic equines deformity. Methods: Twenty-four spastic cerebral palsied patients with dynamic equines deformity were included in the study. Videotape recordings were performed to each patient on the same day with barefoot and AFOs. Temporal distance factors including velocity, cadence, stride length, stride width and Clinical Gait Assessment Score (CGAS) were compared across two conditions. Results: The use o...
Physical therapy for the equine back. Before a physical therapy and rehabilitation program is suggested, the end requirement must be considered. All physiotherapeutic machines are subject to laboratory screening. In the United States, the approval of the Food and Drug Administration is required; in the United Kingdom, certification by the National Physics Laboratory has been required by law since January 1996. Laboratory experiments are continually conducted to examine and evaluate the effects on tissues of varied electrical waveforms, low-intensity electrical currents, sound waves, and light rays delivered by a variety of therape...
Effect of an equine-movement therapy program on gait, energy expenditure, and motor function in children with spastic cerebral palsy: a pilot study. The purpose of this study was to evaluate the effects of an 8-week program of hippotherapy on energy expenditure during walking; on the gait dimensions of stride length, velocity, and cadence; and on performance on the Gross Motor Function Measure (GMFM) in five children with spastic cerebral palsy (CP). A repeated-measures within-subjects design was used consisting of two baseline measurements taken 8 weeks apart, followed by an 8-week intervention period, then a posttest. After hippotherapy, all five children showed a significant decrease (X2(r)=7.6, P<0.05) in energy expenditure during walk...
[Orthopedic hippotherapy–new methods in treatment of segmental instabilities of the lumbar spine]. The orthopedic hippotherapy represents a new form of therapeutic exercise in the conservative treatment of segmental instabilities in the lumbar spine region. This kind of therapy works on the principle of conveying to the patient the three-dimensional swinging motion of the horse's back. The patient reacts to these movement impulses by moving up and down (vertical movement of the spine), back and forth (sagittal movement) and to the right and the left (horizontal movement). The small movements of the spine thus produced bring about a mobilization of the segments involved in movement and there...
Congenital abnormalities of tendons and ligaments. Congenital deformities of tendons and ligaments are not uncommon in foals. The vast majority of hyperextension deformities are treated successfully with exercise management and extended heel shoes. Successful treatment of contractural deformities depend on the site and severity of the deformity and on the appropriate use of medical, physical, and, possibly, surgical therapy.
[Diagnosis and therapy of tendinitis exemplified by the athletic horse].
Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin
This paper reviews the literature and describes our experiences in the diagnosis and treatment of tendinitis in horses. Ultrasonography provides a sensitive tool to diagnose tendinitis and quantitate the degree of damage to the tendon; as well as provide differential diagnoses such as peritendinitis. The principles in therapy of acute tendinitis are: Immediate reduced exercise or rest, physical therapy to reduce inflammation and administration of local and systemic antiinflammatory drugs. The goal is restoration of the tensile strength of the tendon without peritendinous granulation tissue and... [Therapeutic riding for persons with somatic disabilities]. Therapeutic riding for somatic disabled has been established as one of the treatment modalities at Beitostølen Health Sports Centre ever since it opened in 1970. The accumulated experience indicates positive effects of the treatment, on empirical grounds, but there is a need of further evaluation and controlled studies. The authors briefly review the principle of the treatment and present the results of a study on the level of pain in patients with Bechterew's disease before and after treatment.