Effects of Hippotherapy on Postural Stability, in Persons with Multiple Sclerosis: A Pilot Study
- 1 June 2007
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Journal of Neurologic Physical Therapy
- Vol. 31 (2), 77-84
- https://doi.org/10.1097/npt.0b013e31806769f7
Abstract
The purpose of this pilot study was to examine the effectiveness of hippotherapy as an intervention for the treatment of postural instability in individuals with multiple sclerosis (MS). A sample of convenience of 15 individuals with MS (24-72 years) were recruited from support groups and assessed for balance deficits. This study was a nonequivalent pretest-posttest comparison group design. Nine individuals (4 males, 5 females) received weekly hippotherapy intervention for 14 weeks. The other 6 individuals (2 males, 4 females) served as a comparison group. All participants were assessed with the Berg Balance Scale (BBS) and Tinetti Performance Oriented Mobility Assessment (POMA) at 0, 7, and 14 weeks. The group receiving hippotherapy showed statistically significant improvement from pretest (0 week) to posttest (14 week) on the BBS (mean increase 9.15 points (x (2) = 8.82, p = 0.012)) and POMA scores (mean increase 5.13 (x (2) = 10.38, p = 0.006)). The comparison group had no significant changes on the BBS (mean increase 0.73 (x (2) = 0.40, p = 0.819)) or POMA (mean decrease 0.13 (x (2) = 1.41, p = 0.494)). A statistically significant difference was also found between the groups' final BBS scores (treatment group median = 55.0, comparison group median 41.0), U = 7, r = -0.49. Hippotherapy shows promise for the treatment of balance disorders in persons with MS. Further research is needed to refine protocols and selection criteria.This publication has 28 references indexed in Scilit:
- Balance and gait improved in patients with MS after physiotherapy based on the Bobath conceptPhysiotherapy Research International, 2006
- Validity of six balance disorders scales in persons with multiple sclerosisDisability and Rehabilitation, 2006
- The Effect of Hippotherapy on Ten Children with Cerebral PalsyPediatric Physical Therapy, 2004
- Improvements in Muscle Symmetry in Children with Cerebral Palsy After Equine-Assisted Therapy (Hippotherapy)The Journal of Alternative and Complementary Medicine, 2003
- The short-term effect of hippotherapy on spasticity in patients with spinal cord injurySpinal Cord, 2003
- Health status and quality of life of people with multiple sclerosisDisability and Rehabilitation, 2001
- Influence of Hippotherapy on the Kinematics and Functional Performance of Two Children with Cerebral PalsyPediatric Physical Therapy, 1999
- Trunk Postural Reactions in Children with and Without Cerebral Palsy During Therapeutic Horseback RidingPediatric Physical Therapy, 1998
- Measuring balance in the elderly: preliminary development of an instrumentPhysiotherapy Canada, 1989
- EYE MOVEMENT DISORDERS IN MULTIPLE SCLEROSIS AND OPTIC NEURITISBrain, 1983