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Physiological demands of therapeutic horseback riding in children with moderate to severe motor impairments: an exploratory study.

Abstract: To examine energy expenditure at rest and during a single therapeutic horseback riding (THR) session in children with moderate to severe motor impairments. Methods: Heart rate (HR), oxygen uptake (.VO2), and minute ventilation (.VE) were measured continuously during a 10-minute rest period and during a typical THR session. Results: Seven children (4 males, mean age 12.3 ± 3.5 years) completed the protocol. Significant increases from rest were seen for mean HR, .VO2, .VE, and energy expenditure. Based on .VO2, 43.3 ± 24.3% of the THR session consisted of sedentary, 44.4 ± 13.4% of light, and 12.3 ± 21.8% of moderate to vigorous activity intensity, with large interindividual differences. Conclusions: The physiological demands of THR in children with moderate to severe motor impairments are moderate. However, considering the short duration of maintaining moderate to vigorous exercise activity during THR in combination with the low training frequency, group data indicate that it is unlikely that THR will improve cardiopulmonary fitness in these children.
Publication Date: 2012-06-28 PubMed ID: 22735475DOI: 10.1097/PEP.0b013e31825c1a7dGoogle Scholar: Lookup
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  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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The research article investigates the level of physical exertion in children with significant motor impairments during therapeutic horseback riding lessons and concludes that, on average, these sessions are not strenuous enough to increase the children’s cardiovascular and pulmonary fitness effectively.

Research Methodology

  • The study included seven children (four boys) with moderate to severe motor impairments. The average age of the children was approximately 12 years old.
  • The researchers measured key physiological parameters during a period of rest and during typical therapeutic horseback riding (THR) sessions. The monitored parameters included Heart rate (HR), oxygen uptake (.VO2), and minute ventilation (.VE).
  • These measurements were made continuously for 10 minutes while the children were resting, and during their horseback riding sessions.

Findings of the Study

  • The study recorded notable increases from the resting values for all parameters, namely heart rate, oxygen uptake, minute ventilation, and energy expenditure, during the THR sessions.
  • A closer look at the .VO2 measurements revealed that approximately 43.3% of the THR session consisted of sedentary activity, 44.4% consisted of light activity, and 12.3% accounted for moderate to intense activity. The data showed significant differences between individuals.

Conclusions

  • Overall, the study concluded that the exertion caused by THR sessions in children with moderate to severe motor impairments is only moderate.
  • Moreover, the study suggested that the brief duration of the moderate to vigorous intense activities during these therapeutic horseback riding sessions and the low frequency of these sessions render them inadequate for improving the cardiopulmonary fitness of these children.

Cite This Article

APA
Bongers BC, Takken T. (2012). Physiological demands of therapeutic horseback riding in children with moderate to severe motor impairments: an exploratory study. Pediatr Phys Ther, 24(3), 252-257. https://doi.org/10.1097/PEP.0b013e31825c1a7d

Publication

ISSN: 1538-005X
NlmUniqueID: 8912748
Country: United States
Language: English
Volume: 24
Issue: 3
Pages: 252-257

Researcher Affiliations

Bongers, Bart C
  • Child Development & Exercise Center, Wilhelmina Children's Hospital, University Medical Center Utrecht, Utrecht, the Netherlands.
Takken, Tim

    MeSH Terms

    • Adolescent
    • Animals
    • Cerebral Palsy / rehabilitation
    • Child
    • Cognition Disorders / rehabilitation
    • Connective Tissue Diseases / rehabilitation
    • Energy Metabolism
    • Equine-Assisted Therapy / instrumentation
    • Equine-Assisted Therapy / methods
    • Feasibility Studies
    • Female
    • Heart Rate
    • Horses
    • Humans
    • Male
    • Mitochondrial Diseases / rehabilitation
    • Mobility Limitation
    • Motor Activity / physiology
    • Oxygen Consumption / physiology
    • Physical Therapy Modalities
    • Quadriplegia / rehabilitation
    • Rest
    • Time Factors
    • Treatment Outcome

    Citations

    This article has been cited 4 times.
    1. Lovrić R, Farčić N, Mikšić Š, Gvozdanović Debeljak A. Parental Perception of Changes in Basic Life Needs of Children with Disabilities after Six Months of Therapeutic Horseback Riding: A Qualitative Study. Int J Environ Res Public Health 2020 Feb 13;17(4).
      doi: 10.3390/ijerph17041213pubmed: 32069999google scholar: lookup
    2. Elmacı DT, Cevizci S. Dog-assisted therapies and activities in rehabilitation of children with cerebral palsy and physical and mental disabilities. Int J Environ Res Public Health 2015 May 12;12(5):5046-60.
      doi: 10.3390/ijerph120505046pubmed: 25985307google scholar: lookup
    3. Albishi AM. Balance performance among horseback-rider compared to non-horseback-rider women in Saudi Arabia: A cross-sectional study. Medicine (Baltimore) 2024 May 24;103(21):e38291.
      doi: 10.1097/MD.0000000000038291pubmed: 38788034google scholar: lookup
    4. Rigby BR. Characterizing stress during animal interaction: a focus on the human endocrine response during equine-assisted services. Front Vet Sci 2023;10:1303354.
      doi: 10.3389/fvets.2023.1303354pubmed: 38188717google scholar: lookup