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.
Palmer SE.Lameness of the Standardbred racehorse is a function of rigorous training programs, year-round racing schedules, hard racetrack surfaces, and the draft load. In this article, principles of lameness diagnosis and treatment are reviewed, with emphasis upon common or unique problems of the trotter and pacer. The role of physical therapy as an adjunct to medical and surgical treatment of lameness is described. Options for management of chronic pain are discussed, and a limited glossary of descriptive terms that are unique to harness racing is provided.
Bertoti DB.The purpose of this study was to measure postural changes in children with spastic cerebral palsy after participation in a therapeutic horseback riding program. Eleven children with moderate to severe spastic cerebral palsy, aged 2 years 4 months to 9 years 6 months, were selected for this study and underwent postural assessments according to a repeated-measures design. Assessment of posture was performed by a panel of three pediatric physical therapists, using a postural assessment scale designed by the author. A composite score for each test interval was calculated for each child, and a medi...
McIlwraith CW, Vachon A.Treatment of degenerative joint disease (osteoarthritis) is discussed in relationship to pathogenesis of five clinical entities, defined to facilitate discussion:-1) occurring in high motion joints and associated with synovitis; 2) associated with low motion joints; 3) "non-progressive" articular cartilage erosion; 4) secondary to other identified problems (intra-articular fractures, ligamentous damage, wounds, septic arthritis, osteochondrosis); and 5) chondromalacia of the patella. In addition to direct damage to articular cartilage, synovitis and capsulitis and depletion of matrical glycosa...
McIlwraith CW.Current concepts of pathogenesis, diagnosis, and treatment of equine degenerative joint disease are presented on the basis of recently acquired experimental and clinical knowledge. A number of concepts of pathogenesis need modification and the rationale of some of the newer treatments requires definition. Synovitis and other soft tissue changes are important components of the pathogenesis in addition to direct trauma to the articular cartilage. Loss of glycosaminoglycans constitutes an important biochemical "lesion" in the articular cartilage, making it weak and susceptible to trauma. Recognit...
Rieger C.The article surveys some of the scientific fundamentals of hippo- and riding therapy, and its methods using the characteristic horseback three dimensional rhythmic movement impulses for its therapeutic values, particularly in cerebral palsy. The influence of riding on posture and balance reactions, position of the pelvic, postures of head and trunk as well as rotatory movements was demonstrated in film studies using the cerebral palsied with different syndromes as an example. Electromyographic examinations of antagonistic muscle groups, kinesiologic analyses with the help of a video-recorder, ...
Tauffkirchen E.Neurodevelopmental treatment according to Dr. K. and B. Bobath can be supplemented by hippotherapy. At proper control and guidance, an improvement in posture tone, inhibition of pathological movement patterns, facilitation of normal automatical reactions and the promotion of sensorimotor perceptions is achieved. By adjustment to the swaying movements of the horse, the child feels how to retain straightening alignment, symmetry and balance. By pleasure in this therapy, the child can be motivated to satisfactory cooperation and accepts the therapy horse as its friend. The results of hippotherapy...
To evaluate the effect of hippotherapy (physical therapy utilizing the movement of a horse) on muscle activity in children with spastic cerebral palsy. Methods: Pretest/post-test control group. Methods: Therapeutic Riding of Tucson (TROT), Tucson, AZ. Methods: Fifteen (15) children ranging from 4 to 12 years of age diagnosed with spastic cerebral palsy. Methods: Children meeting inclusion criteria were randomized to either 8 minutes of hippotherapy or 8 minutes astride a stationary barrel. Methods: Remote surface electromyography (EMG) was used to measure muscle activity of the trunk and upper...
McIlwraith CW.Current concepts of pathogenesis, diagnosis, and treatment of equine degenerative joint disease are presented on the basis of recently acquired experimental and clinical knowledge. A number of concepts of pathogenesis need modification and the rationale of some of the newer treatments requires definition. Synovitis and other soft tissue changes are important components of the pathogenesis in addition to direct trauma to the articular cartilage. Loss of glycosaminoglycans constitutes an important biochemical "lesion" in the articular cartilage, making it weak and susceptible to trauma. Recognit...
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...
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...
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 ...
Rothhaupt D, Ziegler H, Laser T.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...
Tauffkirchen E.Neurodevelopmental treatment according to Dr. K. and B. Bobath can be supplemented by hippotherapy. At proper control and guidance, an improvement in posture tone, inhibition of pathological movement patterns, facilitation of normal automatical reactions and the promotion of sensorimotor perceptions is achieved. By adjustment to the swaying movements of the horse, the child feels how to retain straightening alignment, symmetry and balance. By pleasure in this therapy, the child can be motivated to satisfactory cooperation and accepts the therapy horse as its friend. The results of hippotherapy...
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...
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...
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...
Salbaş E, Karahan AY.Newly created systems called hippotherapy simulators (HS) mimic the primitive movements of a live horse. As they are new systems, research examining their usefulness has been well received. The aim of this study is to research the effects of HS on disease activity, quality of life and muscle strength in patients with ankylosing spondylitis (AS). Unassigned: In a prospective, assessor-blinded, block-randomized trial, 48 AS patients were randomly assigned in a 1:1 ratio to receive either HS or conventional home (CH) exercise therapy. All Participants received 48 sessions, that is 4 sessions a we...
Palmer SE.Lameness of the Standardbred racehorse is a function of rigorous training programs, year-round racing schedules, hard racetrack surfaces, and the draft load. In this article, principles of lameness diagnosis and treatment are reviewed, with emphasis upon common or unique problems of the trotter and pacer. The role of physical therapy as an adjunct to medical and surgical treatment of lameness is described. Options for management of chronic pain are discussed, and a limited glossary of descriptive terms that are unique to harness racing is provided.
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...
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...
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...
Tabsuri T, Thawinchai N, Peansukmanee S, Lugade V.Children with cerebral palsy (CP) have poor postural control. Horseback riding (HR) is an alternative treatment shown to improve postural control among children with CP. However, there is a paucity of research investigating the underlying mechanisms responsible for improving postural control during HR. What are the three-dimensional biomechanical responses of the trunk and pelvis during HR among children with CP and with typical development (TD)? The participants, aged 4-12 years old, were inexperienced horseback riders, consisting of 10 children with TD and 10 children with spastic diplegia C...
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.
Haussler KK.Manual therapy includes a diverse array of techniques, such as touch therapies, massage, physical therapy, osteopathy, and chiropractic, that were originally developed for use in humans and have been gradually applied to horses. All forms of manual therapy have variable reported levels of effectiveness for treating musculoskeletal issues in humans, but mostly only anecdotal evidence exists in horses. This article explores the scientific literature for evidence of efficacy, safety, and common mechanisms of action of the different forms of manual therapies for potential use in managing acute or ...
Rieger C.The article surveys some of the scientific fundamentals of hippo- and riding therapy, and its methods using the characteristic horseback three dimensional rhythmic movement impulses for its therapeutic values, particularly in cerebral palsy. The influence of riding on posture and balance reactions, position of the pelvic, postures of head and trunk as well as rotatory movements was demonstrated in film studies using the cerebral palsied with different syndromes as an example. Electromyographic examinations of antagonistic muscle groups, kinesiologic analyses with the help of a video-recorder, ...
Hennemann S, de Abreu MR.Degenerative lumbar spinal stenosis is the most frequent cause of low back pain and/or sciatica in the elderly patient. Epidemiology, pathophysiology, clinical manifestations and testing are reviewed in a wide current bibliographic investigation. The importance of the relationship between clinical presentation and imaging study, especially magnetic resonance imaging (MRI), is emphasized. Prior to treatment indication, it is necessary to identify the precise location of pain, as well as the differential diagnosis between neurological and vascular lameness. Conservative treatment combining medic...
Silva e Borges MB, Werneck MJ, da Silva Mde L, Gandolfi L, Pratesi R.To evaluate the efficacy of horse ridding simulator on the sitting postural control of children with spastic diplegia. Methods: Forty children were randomly divided in a group using the simulator (RS) and a group performing conventional physical therapy (CT). FScan/Fmat equipment was used to register maximal displacement in antero-posterior (AP) and medio-lateral (ML) directions with children in sitting position. At the pre and post intervention stage both groups were classified according to the Gross Motor Function Classification System (GMFCS) and, after intervention, by the AUQEI questionna...
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...
McIlwraith CW, Vachon A.Treatment of degenerative joint disease (osteoarthritis) is discussed in relationship to pathogenesis of five clinical entities, defined to facilitate discussion:-1) occurring in high motion joints and associated with synovitis; 2) associated with low motion joints; 3) "non-progressive" articular cartilage erosion; 4) secondary to other identified problems (intra-articular fractures, ligamentous damage, wounds, septic arthritis, osteochondrosis); and 5) chondromalacia of the patella. In addition to direct damage to articular cartilage, synovitis and capsulitis and depletion of matrical glycosa...
Connolly K, Ekholm Fry N.An increasing number of universities and colleges in the United States are offering coursework on adaptive/therapeutic riding and the incorporation of horses in human service areas such as psychotherapy, education, occupational therapy, physical therapy, and speech-language pathology. The first study to identify coursework in these areas was published in 2018. In order to track development over time, we conducted a replication study to determine the prevalence of coursework on horses in human services at higher education institutions. Information gathered for the 2021-2022 academic year includ...
