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Disability and rehabilitation2019; 42(26); 3734-3743; doi: 10.1080/09638288.2019.1610083

Evaluating the effectiveness of therapeutic horse riding for children and young people experiencing disability: a single-case experimental design study.

Abstract: Therapeutic horse riding aims to improve the health of children and young people experiencing disability; however, its benefits across a range of health domains, particularly the impact on participation outcomes, are not well known. This research evaluated to what extent there was a change in riders balance, functional performance, social responsiveness, quality of life and participation outcomes as a result of therapeutic horse riding. A multiple-baseline across participants ( = 12) single-case experimental design, with randomly allocated baseline phase lengths, quantitatively evaluated how riders responded to a 20-week intervention. Social participation outcomes measured using the Canadian Occupational Performance Measure demonstrated the most consistent positive between-phase differences (performance ES = 1.20, 95% CI [0.82, 1.63]; satisfaction ES = 1.11, 95% CI [0.73, 1.55]). A causal relationship was seen in three riders, but improvements only reached clinical significance for two riders when accounting for phase data trends. No significant outcome patterns were found comparing riders with principally physical impairments to those with principally psychosocial impairments. Being involved in therapeutic horse riding may improve rider's social participation in home, school and community settings. We postulate that rider self-concept development may be a mechanism of treatment effect leading to participation-level changes.Implications for rehabilitationSocial participation was the health outcome demonstrating the most consistent change following therapeutic horse riding, regardless of rider impairment.Therapeutic horse riding can improve social participation in settings beyond the riding arena.Greater intervention tailoring based on rider responses may enhance therapeutic horse riding intervention effects.
Publication Date: 2019-05-13 PubMed ID: 31084288DOI: 10.1080/09638288.2019.1610083Google Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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The research article investigates whether therapeutic horse riding can improve the health of children and young people with disabilities, particularly in terms of social participation and overall quality of life.

Research Design

The authors designed a quantitative study following a ‘single-case experimental design’. The sample of participants in the study included 12 individuals who experienced a variety of disabilities. The study was carried out over a 20-week period, during which the participants engaged in therapeutic horse riding sessions. The ‘single-case’ nature of the design indicates that each participant was individually monitored and evaluated over the course of the study.

Measurement and Findings

Various outcomes were measured to evaluate the effectiveness of the therapy:

  • Rider balance and functional performance
  • Social responsiveness
  • Quality of life
  • Social participation outcomes

The most positive changes were found in social participation outcomes as measured by the Canadian Occupational Performance Measure. While the study found a potential causal relationship between therapeutic horse riding and improved health in three of the participants, only two participants showed improvements significant enough to be considered clinically significant.

Implications of the Study

The findings suggest that therapeutic horse riding may contribute to an increase in social participation in riders with disabilities, extending to their broader community, home and school settings. The authors also suggest that rider self-concept development might be a catalyst for these changes in participation levels. The study, however, did not discover any significant similarities when comparing riders with physical impairments to those with psychosocial impairments.

Recommendations for Future Research

The authors suggest further research in order to enhance the effects of therapeutic horse riding. By understanding how individual rider responses can influence treatment outcomes, the researchers suggest that it may be possible to more effectively tailor interventions in the future.

Cite This Article

APA
Martin RA, Taylor WJ, Surgenor LJ, Graham FP, Levack WMM, Blampied NM. (2019). Evaluating the effectiveness of therapeutic horse riding for children and young people experiencing disability: a single-case experimental design study. Disabil Rehabil, 42(26), 3734-3743. https://doi.org/10.1080/09638288.2019.1610083

Publication

ISSN: 1464-5165
NlmUniqueID: 9207179
Country: England
Language: English
Volume: 42
Issue: 26
Pages: 3734-3743

Researcher Affiliations

Martin, Rachelle A
  • Rehabilitation Teaching and Research Unit, Department of Medicine, University of Otago Wellington, Wellington, New Zealand.
Taylor, William J
  • Rehabilitation Teaching and Research Unit, Department of Medicine, University of Otago Wellington, Wellington, New Zealand.
Surgenor, Lois J
  • Department of Psychological Medicine, University of Otago Christchurch, Christchurch, New Zealand.
Graham, Fiona P
  • Rehabilitation Teaching and Research Unit, Department of Medicine, University of Otago Wellington, Wellington, New Zealand.
Levack, William M M
  • Rehabilitation Teaching and Research Unit, Department of Medicine, University of Otago Wellington, Wellington, New Zealand.
Blampied, Neville M
  • Department of Psychology, University of Canterbury, Christchurch, New Zealand.

MeSH Terms

  • Adolescent
  • Animals
  • Canada
  • Child
  • Disabled Persons
  • Equine-Assisted Therapy
  • Horses
  • Humans
  • Quality of Life
  • Research Design

Citations

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