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Journal of geriatric physical therapy (2001)2018; 42(3); E155-E160; doi: 10.1519/JPT.0000000000000167

An Exploration of Equine-Assisted Therapy to Improve Balance, Functional Capacity, and Cognition in Older Adults With Alzheimer Disease.

Abstract: Alzheimer disease (AD) is a chronic, progressive dementia syndrome that features cognitive and behavioral symptoms, as well as physical and functional limitations that develop over the course of the disease. As an activity that involves physical and cognitive aspects, equine-assisted therapy (EAT) could be a useful therapeutic approach in conditions that involve physical and cognitive decline. However, to date, there are no reports of the use of this therapy in participants with AD. Within this context, the objective of this case series was to describe the effects of EAT on balance, functional capacity, and cognition in older adults diagnosed with AD. We enrolled 9 participants, of both sexes, with a mean age of 79.7 (7.8) years and a diagnosis of AD. The study intervention comprised 20 sessions of EAT. We evaluated participants at baseline and at the end of the intervention. Outcome measures were balance (force plate), functional capacity (Timed Up and Go test and 30-second chair stand test), and cognition (verbal fluency and Mini-Mental State Examination). Comparison between the pre- and postintervention time points (Wilcoxon test) revealed significant improvements in balance (center of pressure in the anterior-posterior direction, P = .017) and functional capacity (Timed Up and Go test, P = .036, and 30-second chair stand test, P = .012). These findings provide evidence of an association between EAT and improved balance and functional capacity in older adults with AD, with no significant impact on cognitive performance.
Publication Date: 2018-04-10 PubMed ID: 29630005DOI: 10.1519/JPT.0000000000000167Google Scholar: Lookup
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  • Journal Article

Summary

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This study explores the potential health benefits of equine-assisted therapy (EAT) for Alzheimer’s Disease (AD) patients; specifically in improving balance, functional capacity and, to some extent, cognition.

Research Objectives and Methods

The research focuses on how equine-assisted therapy, a treatment modality involving interaction with horses, could be beneficial for improving physical and cognitive abilities of older adults diagnosed with Alzheimer’s Disease (AD).

  • The objective of this research was to study the effects of EAT on balance, functional capacity and cognition in older adults with AD, areas often compromised due to the disease.
  • The research included 9 participants of both sexes, with an average age of 79.7 years and a diagnosis of AD.
  • The experimental procedure involved 20 sessions of EAT, after which the health and cognitive abilities of the participants were assessed.
  • The assessment methods used were force plate for balance, Timed Up and Go test and 30-second chair stand test for functional capacity, and verbal fluency and Mini-Mental State Examination for cognition.

Key Findings

The study revealed significant changes in physical characteristics of older adults with AD post-EAT sessions.

  • There was a significant improvement in participants’ balance which was measured by noting the shift in the center of pressure in the anterior-posterior direction (P = .017).
  • Functional capacity, as measured by the Timed Up and Go test and the 30-second chair stand test also showed noteworthy enhancements post-therapy (P = .036, and .012 respectively).
  • However, while EAT was found to be beneficial in improving physical health of the participants, it did not significantly impact cognitive performance or mental capacity of the patients.

Conclusion

The study concludes by asserting that equine-assisted therapy can be considered a valuable addition to the overall management of physical health and mobility in older adults with Alzheimer’s disease. While both balance and functional capacity showed improvement with EAT, the therapy did not show any significant impact on the cognitive functions of the participants.

Cite This Article

APA
Borges de Araujo T, Martins WR, Freitas MP, Camargos E, Mota J, Safons MP. (2018). An Exploration of Equine-Assisted Therapy to Improve Balance, Functional Capacity, and Cognition in Older Adults With Alzheimer Disease. J Geriatr Phys Ther, 42(3), E155-E160. https://doi.org/10.1519/JPT.0000000000000167

Publication

ISSN: 2152-0895
NlmUniqueID: 101142169
Country: United States
Language: English
Volume: 42
Issue: 3
Pages: E155-E160

Researcher Affiliations

Borges de Araujo, Thais
  • Graduate Program in Physical Education, School of Physical Education, Universidade de Brasília, Brasília, DF, Bazil.
Martins, Wagner Rodrigues
  • Graduate Program in Public Health, Faculdade de Ceilândia, Universidade de Brasília, Brasília, DF, Bazil.
Freitas, Marco Polo
  • Graduate Program in Medical Sciences, School of Medicine, Universidade de Brasília, Brasília, DF, Bazil.
Camargos, Einstein
  • Graduate Program in Medical Sciences, School of Medicine, Universidade de Brasília, Brasília, DF, Bazil.
Mota, Jéssica
  • Faculdade de Ceilândia, Universidade de Brasília, Brasília, DF, Bazil.
Safons, Marisete Peralta
  • Graduate Program in Physical Education, School of Physical Education, Universidade de Brasília, Brasília, DF, Bazil.

MeSH Terms

  • Aged
  • Aged, 80 and over
  • Alzheimer Disease / physiopathology
  • Alzheimer Disease / rehabilitation
  • Cognition
  • Equine-Assisted Therapy
  • Exercise Test
  • Female
  • Humans
  • Male
  • Mental Status and Dementia Tests
  • Physical Functional Performance
  • Postural Balance
  • Time and Motion Studies

Citations

This article has been cited 6 times.
  1. Shoesmith E, Surr C, Ratschen E. Animal-assisted and robotic animal-assisted interventions within dementia care: A systematic review.. Dementia (London) 2023 Apr;22(3):664-693.
    doi: 10.1177/14713012231155985pubmed: 36765455google scholar: lookup
  2. Badin L, Alibran É, Pothier K, Bailly N. Effects of equine-assisted interventions on older adults' health: A systematic review.. Int J Nurs Sci 2022 Oct;9(4):542-552.
    doi: 10.1016/j.ijnss.2022.09.008pubmed: 36285074google scholar: lookup
  3. Ayala MD, Carrillo A, Iniesta P, Ferrer P. Pilot Study of the Influence of Equine Assisted Therapy on Physiological and Behavioral Parameters Related to Welfare of Horses and Patients.. Animals (Basel) 2021 Dec 10;11(12).
    doi: 10.3390/ani11123527pubmed: 34944303google scholar: lookup
  4. Kim S, Nam Y, Ham MJ, Park C, Moon M, Yoo DH. Neurological Mechanisms of Animal-Assisted Intervention in Alzheimer's Disease: A Hypothetical Review.. Front Aging Neurosci 2021;13:682308.
    doi: 10.3389/fnagi.2021.682308pubmed: 34335229google scholar: lookup
  5. de Mello EC, Regalo SCH, Diniz LH, Lage JB, Ribeiro MF, Bevilacqua Junior DE, Rosa RC, Ferreira AA, Ferraz MLF, Teixeira VPA, Espindula AP. Electromyographic analysis of stomatognathic muscles in elderly after hippotherapy.. PLoS One 2020;15(8):e0238036.
    doi: 10.1371/journal.pone.0238036pubmed: 32853244google scholar: lookup
  6. Lai NM, Chang SMW, Ng SS, Tan SL, Chaiyakunapruk N, Stanaway F. Animal-assisted therapy for dementia.. Cochrane Database Syst Rev 2019 Nov 25;2019(11).