Balance performance among horseback-rider compared to non-horseback-rider women in Saudi Arabia: A cross-sectional study.
Abstract: Horseback riding requires adapting to constant changes in balance conditions, maintaining equilibrium on the horse, and preventing falls. However, differences in balance performance among horseback riders and non-rider-healthy young women in Saudi Arabia have not been explored. This study investigates whether horseback-rider women would perform better on static and dynamic balance tests than non-rider women. Also, the study examined the effect of years of horseback riding on balance performance in the rider group. Twenty healthy young females participated in the study using a convenience sampling method. Ten were riders, and ten were non-riders. Static and dynamic balance tests, including the Berg balance scale (BBS), timed up and go (TUG), and unipedal stance test (UPST), was obtained from all subjects. Descriptive and inferential statistics were used to compare balance performance between the horseback riders and non-riders groups. The horseback-rider group had statistically significantly higher scores on both the static and dynamic tests than non-riders: BBS test (Z = -2.537, P = .011), TUG (t = -3.889, P = .001), and unipedal stance test with the eyes open and closed (t = 14.048, t = 13.639, P = .000). Our rider sample did not show a statistically significant correlation between years of riding and balance scores. The horseback riders have greater static and dynamic balance abilities than non-riders. Further study is needed to compare the balance performance between experienced riders versus beginners among healthy adults in Saudi Arabia.
Copyright © 2024 the Author(s). Published by Wolters Kluwer Health, Inc.
Publication Date: 2024-05-24 PubMed ID: 38788034PubMed Central: PMC11124696DOI: 10.1097/MD.0000000000038291Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
- Journal Article
Summary
This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.
Balance abilities were compared between horseback-rider women and non-rider women in Saudi Arabia, showing that riders perform better on various balance tests. The study also examined whether the number of years spent riding affected balance within the rider group but found no significant correlation.
Background and Purpose
- Horseback riding demands constant adjustment to maintain balance due to the dynamic nature of riding a moving horse.
- Balance performance is critical for preventing falls and maintaining stability during riding.
- The study aimed to determine if horseback-rider women perform better on static (still) and dynamic (movement) balance tests compared to non-rider women.
- Additionally, it explored whether years of riding experience influenced balance performance within the rider group.
- The focus was on healthy young women in Saudi Arabia, a population where this comparison was previously unexplored.
Methods
- Design: Cross-sectional study comparing two groups at a single point in time.
- Participants: Twenty healthy young females; 10 horseback riders and 10 non-riders.
- Sampling: Convenience sampling was used to recruit participants.
- Balance Assessments:
- Berg Balance Scale (BBS): Assesses static and dynamic balance through various functional tasks.
- Timed Up and Go (TUG): Measures dynamic balance by timing how quickly a person rises from a chair, walks, turns, and sits down.
- Unipedal Stance Test (UPST): Assesses static balance by measuring the duration a person can stand on one leg, tested both with eyes open and eyes closed.
- Data Analysis: Both descriptive and inferential statistical tests (e.g., t-tests, correlation) were applied to compare groups and explore relationships.
Key Findings
- Horseback riders scored significantly better than non-riders on all balance tests:
- BBS (static and dynamic balance): Riders had notably higher scores (statistically significant with Z = -2.537, P = .011).
- TUG (dynamic balance): Riders performed the timed task faster (t = -3.889, P = .001).
- UPST (static balance with eyes open and eyes closed): Riders could stand longer on one leg (highly significant results with t = 14.048, t = 13.639, P = .000).
- No significant correlation was found between years of riding experience and balance scores within the rider group, suggesting duration of riding did not impact balance in this sample.
Interpretation and Implications
- The improved balance among horseback riders supports the idea that horseback riding enhances both static and dynamic balance abilities.
- This benefit likely arises from the continuous postural adaptations required during riding, which may transfer to improved balance in daily activities.
- The absence of a correlation between years of riding and balance implies that even relatively short-term riding might improve balance or that other factors (such as training intensity or technique) might be influential.
- Given the small sample size and cross-sectional design, these findings should be interpreted cautiously and serve as preliminary evidence.
Recommendations for Future Research
- Conduct studies with larger and more diverse samples to confirm and generalize findings.
- Explore longitudinal designs to evaluate how balance develops with riding experience over time.
- Compare balance performance among beginner, intermediate, and expert riders to identify potential dose-response relationships.
- Investigate other factors influencing balance improvements such as frequency, type of riding, and physical fitness.
- Assess the potential benefits of horseback riding as a therapeutic or preventive intervention to improve balance in populations at risk for falls.
Cite This Article
APA
Albishi AM.
(2024).
Balance performance among horseback-rider compared to non-horseback-rider women in Saudi Arabia: A cross-sectional study.
Medicine (Baltimore), 103(21), e38291.
https://doi.org/10.1097/MD.0000000000038291 Publication
Researcher Affiliations
- Department of Health Rehabilitation Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.
MeSH Terms
- Female
- Postural Balance / physiology
- Humans
- Saudi Arabia
- Cross-Sectional Studies
- Young Adult
- Horses
- Adult
- Animals
- Accidental Falls / prevention & control
- Accidental Falls / statistics & numerical data
Conflict of Interest Statement
The authors have no funding and conflicts of interest to disclose.
References
This article includes 55 references
- Winter D. Human balance and posture control during standing and walking.. Gait Posture 1995;3:193–214.
- Verbecque E, Johnson C, Rameckers E. Balance control in individuals with developmental coordination disorder: a systematic review and meta-analysis.. Gait Posture 2021;83:268–79.
- Nashner LM, Peters JF. Dynamic posturography in the diagnosis and management of dizziness and balance disorders.. Neurol Clin 1990;8:331–49.
- Baghbaninaghadehi F, Ramezani AR, Hatami F. The effect of functional fatigue on static and dynamic balance in female athletes.. Int Sport Med J 2013;14:77–85.
- Chander H, MacDonald CJ, Dabbs NC, Allen CR, Lamont HS, Garner JC. Balance performance in female collegiate athletes.. J Sports Sci 2014;2:13–20.
- Olivier A, Viseu JP, Vignais N, Vuillerme N. Balance control during stance - A comparison between horseback riding athletes and non-athletes.. PLoS One 2019;14:e0211834–13.
- Olivier A, Faugloire E, Lejeune L, Biau S, Isableu B. Head stability and head-trunk coordination in horseback riders: the contribution of visual information according to expertise.. Front Hum Neurosci 2017;11:11.
- Kim MJ, Kim T, Oh S, Yoon B. Equine exercise in younger and older adults: simulated versus real horseback riding.. Percept Mot Skills 2018;125:93–108.
- Park ES, Rha DW, Shin JS, Kim S, Jung S. Effects of hippotherapy on gross motor function and functional performance of children with cerebral palsy.. Yonsei Med J 2014;55:1736–42.
- Beinotti F, Correia N, Christofoletti G, Borges G. Use of hippotherapy in gait training for hemiparetic post-stroke.. Arq Neuropsiquiatr 2010;68:908–13.
- Verbecque E, Lobo Da Costa PH, Vereeck L, Hallemans A. Psychometric properties of functional balance tests in children: a literature review.. Dev Med Child Neurol 2014;57:521–9.
- Steffen TM, Hacker TA, Mollinger L. Age-and gender-related test performance in community-dwelling elderly people: six-minute walk test, berg balance scale, timed up & go test, and gait speeds.. Phys Ther 2002;82:128–37.
- Franjoine MR, Gunther JS, Taylor MJ. Pediatric balance scale: a modified version of the berg balance scale for the school-age child with mild to moderate motor impairment.. Pediatr Phys Ther 2003;15:114–28.
- Bartlett D, Birmingham T. Validity and reliability of a pediatric reach test.. Pediatr Phys Ther 2003;15:84–92.
- Saether R, Helbostad JL, Riphagen II, Vik T. Clinical tools to assess balance in children and adults with cerebral palsy: a systematic review.. Dev Med Child Neurol 2013;55:988–99.
- Kang KY. Effects of mechanical horseback riding on the balance ability of the elderly.. J Phys Ther Sci 2015;27:2499–500.
- Mancini M, Horak FB. The relevance of clinical balance assessment tools to differentiate balance deficits.. Eur J Phys Rehabil Med 2010;46:239–48.
- Tedla JS, Sangadala DR, Gular K. Normative reference values for functional, lateral, and oblique direction reach tests in Saudi children aged six to 15 years old and psychometric properties of the oblique direction reach test.. Niger J Clin Pract 2021;24:576–83.
- Deshmukh AA, Ganesan S, Tedla JS. Normal values of functional reach and lateral reach tests in Indian school children.. Pediatr Phys Ther 2011;23:23–30.
- Yuksel E, Ozcan Kahraman B, Nalbant A, Kocak UZ, Unver B. Functional reach and lateral reach tests in Turkish children.. Phys Occup Ther Pediatr 2017;37:389–98.
- Lesinski M, Hortobágyi T, Muehlbauer T, Gollhofer A, Granacher U. Effects of balance training on balance performance in healthy older adults: a systematic review and meta-analysis.. Sports Med 2015;45:1721–38.
- Marchetti GF, Whitney SL, Redfern MS, Furman JM. Factors associated with balance confidence in older adults with health conditions affecting the balance and vestibular system.. Arch Phys Med Rehabil 2011;92:1884–91.
- Tricia C, Thubi K. Commentary on normal values of functional reach and lateral reach tests in Indian school children.. Pediatr Phys Ther 2011;23:1.
- Hruschka DJ, Rush EC, Brewis AA. Population differences in the relationship between height, weight, and adiposity: an application of Burton’s model.. Am J Phys Anthropol 2013;151:68–76.
- Lee IM, Shiroma EJ, Lobelo F, Puska P, Blair SN, Katzmarzyk PT, Lancet Physical Activity Series Working Group. Effect of physical inactivity on major non-communicable diseases worldwide: an analysis of burden of disease and life expectancy.. Lancet 2012;380:219–29.
- Al-Hazzaa HM. Physical inactivity in Saudi Arabia revisited: a systematic review of inactivity prevalence and perceived barriers to active living.. Int J Health Sci 2018;12:50–64.
- Al-Shahrani HF. The reality of women’s sport in Saudi society.. Int J Hum Mov Sports Sci 2020;8:525–33.
- Kuyulu P, Kara B. The investigation of the effects of horseback riding on core muscles in adolescents.. Sports Orthop Traumatol 2023;39:58–67.
- Northgraves MJ, Hayes SC, Marshall P, Madden LA, Vince RV. The test-retest reliability of four functional mobility tests in apparently healthy adults.. Isokinet Exerc Sci 2016;24:171–9.
- Hurvitz EA, Richardson JK, Werner RA, Ruhl AM, Dixon MR. Unipedal stance testing as an indicator of fall risk among older outpatients.. Arch Phys Med Rehabil 2000;81:587–91.
- Springer BA, Marin R, Cyhan T, Roberts H, Gill NW. Normative values for the unipedal stance test with eyes open and closed.. J Geriatr Phys Ther 2007;30:8–15.
- Ponce-Gonzalez JG, Sanchis-Moysi J, Gonzalez-Henriquez JJ, Arteaga-Ortiz R, Calbet JA, Dorado C. A reliable unipedal stance test for the assessment of balance using a force platform.. J Sports Med Phys Fitness 2014;54:108–17.
- Downs S, Marquez J, Chiarelli P. The Berg Balance Scale has high intra-and inter-rater reliability but absolute reliability varies across the scale: a systematic review.. J Physiother 2013;59:93–9.
- Vuillerme N, Danion F, Marin L. The effect of expertise in gymnastics on postural control.. Neurosci Lett 2001;303:83–6.
- Malm C, Jakobsson J, Isaksson A. Physical activity and sports–real health benefits: a review with insight into the public health of Sweden.. Sports (Basel) 2019;7:127.
- Terada K, Mullineaux DR, Lanovaz J, Kato K, Clayton HM. Electromyographic analysis of the rider’s muscles at trot.. Equine Comp Exercise Physiol 2004;1:193–8.
- Clayton HM, Hobbs SJ. The role of biomechanical analysis of horse and rider in equitation science.. Appl Anim Behav Sci 2017;190:123–32.
- Han JY, Kim JM, Kim SK. Therapeutic effects of mechanical horseback riding on gait and balance ability in stroke patients.. Ann Rehabil Med 2012;36:762–9.
- Zadnikar M, Kastrin A. Effects of hippotherapy and therapeutic horseback riding on postural control or balance in children with cerebral palsy: a meta‐analysis.. Dev Med Child Neurol 2011;53:684–91.
- Araujo TB, Silva NA, Costa JN, Pereira MM, Safons MP. Effect of equine-assisted therapy on the postural balance of the elderly.. Rev Bras Fisioter 2011;15:414–9.
- Shurtleff T, Engsberg J. Long-term effects of hippotherapy on one child with cerebral palsy: a research case study.. Br J Occup Ther 2012;75:359–66.
- Casady RL, Nichols-Larsen DS. The effect of hippotherapy on ten children with cerebral palsy.. Pediatr Phys Ther 2004;16:165–72.
- Sterba JA, Rogers BT, France AP, Vokes DA. Horseback riding in children with cerebral palsy: effect on gross motor function.. Dev Med Child Neurol 2002;44:301–8.
- Bongers BC, Takken T. Physiological demands of therapeutic horseback riding in children with moderate to severe motor impairments: an exploratory study.. Pediatr Phys Ther 2012;24:252–7.
- Aranda-Garcia S, Iricibar A, Planas A, Prat-Subirana JA, Angulo-Barroso RM. Comparative effects of horse exercise versus traditional exercise programs on gait, muscle strength, and body balance in healthy older adults.. J Aging Phys Act 2015;23:78–89.
- Hosaka Y, Nagasaki M, Bajotto G, Shinomiya Y, Ozawa T, Sato Y. Effects of daily mechanical horseback riding on insulin sensitivity and resting metabolism in middle-aged type 2 diabetes mellitus patients.. Nagoya J Med Sci 2010;72:129–37.
- Nakhostin-Ansari A, Naghshtabrizi N, Naghdi S. Normative values of functional reach test, single-leg stance test, and timed “UP and GO” with and without dual-task in healthy Iranian adults: a cross-sectional study.. Ann Med Surg 2022;80:104053.
- Chalabaev A, Brisswalter J, Radel R, Coombes SA, Easthope C, Clément-Guillotin C. Can stereotype threat affect motor performance in the absence of explicit monitoring processes?: Evidence using a strength task.. J Sport Exerc Psychol 2013;35:211–5.
- Chalabaev A, Stone J, Sarrazin P, Croizet JC. Investigating physiological and self-reported mediators of stereotype lift effects on a motor task.. Basic Appl Soc Psychol 2008;30:18–26.
- Heidrich C, Chiviacowsky S. Stereotype threat affects the learning of sport motor skills.. Psychol Sport Exerc 2015;18:42–6.
- Clément-Guillotin C, Chalabaev A, Fontayne P. Disentangling the influences of sex stereotypes in physical education with the non-zero-sum/zero-sum behaviors distinction. Sci Motricité 2013;79:55–61.
- Wilde K. Women in sport: gender stereotypes in the past and present. Univ Athabasca Women’s Gender Stud 2007:1–10.
- Niinimaa V, McAvoy T. Influence of exercise on body sway in the standing rifle shooting position. Can J Appl Sport Sci 1983;8:30–3.
- Era P, Konttinen N, Mehto P, Saarela P, Lyytinen H. Postural stability and skilled performance–a study on top-level and naive rifle shooters. J Biomech 1996;29:301–6.
- Hrysomallis C. Balance ability and athletic performance. Sports Med 2011;41:221–32.
Citations
This article has been cited 1 times.- Albishi AM. Physical activity levels, agility skills and speed among female basketball players compared to non-basketball players in Saudi Arabia: A cross-sectional study.. PLoS One 2024;19(11):e0312431.
Use Nutrition Calculator
Check if your horse's diet meets their nutrition requirements with our easy-to-use tool Check your horse's diet with our easy-to-use tool
Talk to a Nutritionist
Discuss your horse's feeding plan with our experts over a free phone consultation Discuss your horse's diet over a phone consultation
Submit Diet Evaluation
Get a customized feeding plan for your horse formulated by our equine nutritionists Get a custom feeding plan formulated by our nutritionists