Effects of Hippotherapy on Recovery of Gait and Balance Ability in Patients          with Stroke

Lee, Chae Woo; Kim, Seong‐Gil; Yong, Min Sik

doi:10.1589/jpts.26.309

Cited by 46 publications

(51 citation statements)

References 15 publications

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“…The improvements achieved by both interventions were sustained for at least 6 months postintervention (ie, until the final evaluation time point) showing that 12 weeks of moderately intense therapy in late phase after stroke can have long-lasting effects. Although earlier studies also support the potential benefits of H-RT, R-MT, and rhythmic auditory stimulation on balance, gait, mobility, language, and cognition in stroke patients, [5][6][7]12,13 they were based on different study designs. Whether H-RT or R-MT lead to persisting perception of recovery, changes in brain plasticity beyond 6 months, or long-term lifestyle alterations warrants further investigation.…”

Section: July 2017mentioning

confidence: 99%

“…[5][6][7][8][9][10][11][12][13] These interventions share important core components but differ from each other with respect to their combinations of Background and Purpose-Treatments that improve function in late phase after stroke are urgently needed. We assessed whether multimodal interventions based on rhythm-and-music therapy or horse-riding therapy could lead to increased perceived recovery and functional improvement in a mixed population of individuals in late phase after stroke.…”

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confidence: 99%

“…The 3-dimensional movements of the horse's back produce a sensorimotor experience that closely resembles normal human gait, which is shown to be beneficial for stroke survivors. 12 Structured R-MT combines listening to music, while performing coordinated rhythmic and cognitively demanding hand and feet movements in response to visual and audio cues. Individually, or in combination, these components have all shown promise for treating individuals with brain disorders, including stroke, 10 and a recent meta-analyses provide evidence for positive effects of music-supported therapy and rhythmic auditory cueing in stroke rehabilitation.…”

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confidence: 99%

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Long-Term Improvements After Multimodal Rehabilitation in Late Phase After Stroke

Käll

Lundgren‐Nilsson

Samuelsson

et al. 2017

Stroke

102

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Recently, multimodal interventions, such as music therapy, rhythm-and music-based therapies (R-MT), dance, and horseriding therapy (H-RT), have demonstrated promising results when applied to people with various neurologic conditions. [5][6][7][8][9][10][11][12][13] These interventions share important core components but differ from each other with respect to their combinations of Background and Purpose-Treatments that improve function in late phase after stroke are urgently needed. We assessed whether multimodal interventions based on rhythm-and-music therapy or horse-riding therapy could lead to increased perceived recovery and functional improvement in a mixed population of individuals in late phase after stroke. Methods-Participants were assigned to rhythm-and-music therapy, horse-riding therapy, or control using concealed randomization, stratified with respect to sex and stroke laterality. Therapy was given twice a week for 12 weeks. The primary outcome was change in participants' perception of stroke recovery as assessed by the Stroke Impact Scale with an intention-to-treat analysis. Secondary objective outcome measures were changes in balance, gait, grip strength, and cognition. Blinded assessments were performed at baseline, postintervention, and at 3-and 6-month follow-up. Results-One hundred twenty-three participants were assigned to rhythm-and-music therapy (n=41), horse-riding therapy (n=41), or control (n=41). Post-intervention, the perception of stroke recovery (mean change from baseline on a scale ranging from 1 to 100) was higher among rhythm-and-music therapy

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Section: July 2017mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Long-Term Improvements After Multimodal Rehabilitation in Late Phase After Stroke

Käll

Lundgren‐Nilsson

Samuelsson

et al. 2017

Stroke

102

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“…We clearly demonstrated increased step length and balance control immediately after a single hippotherapy session, and a gradual improvement in all functional parameters over the course of the 2 years of hippotherapy. Beneficial effects of hippotherapy on gait parameters (except for balance indicators) have also been reported using a walkway-type gait analysis system (GAITRite, CIR Systems, Franklin, NJ, USA) in elderly patients with stroke21 ) . However, no other data is available with respect to clinical application of accelerometry-based handy motion detectors for quantitative gait assessment following hippotherapy22, 23 ) .…”

Section: Discussionmentioning

confidence: 96%

Application of a tri-axial accelerometry-based portable motion recorder for the quantitative assessment of hippotherapy in children and adolescents with cerebral palsy

Mutoh

Takada³

et al. 2016

J Phys Ther Sci

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[Purpose] This case series aims to evaluate the effects of hippotherapy on gait and balance ability of children and adolescents with cerebral palsy using quantitative parameters for physical activity. [Subjects and Methods] Three patients with gait disability as a sequela of cerebral palsy (one female and two males; age 5, 12, and 25 years old) were recruited. Participants received hippotherapy for 30 min once a week for 2 years. Gait parameters (step rate, step length, gait speed, mean acceleration, and horizontal/vertical displacement ratio) were measured using a portable motion recorder equipped with a tri-axial accelerometer attached to the waist before and after a 10-m walking test. [Results] There was a significant increase in step length between before and after a single hippotherapy session. Over the course of 2 year intervention, there was a significant increase in step rate, gait speed, step length, and mean acceleration and a significant improvement in horizontal/vertical displacement ratio. [Conclusion] The data suggest that quantitative parameters derived from a portable motion recorder can track both immediate and long-term changes in the walking ability of children and adolescents with cerebral palsy undergoing hippotherapy.

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“…46 En un estudio realizado por Lee CW et al, donde se medían los efectos de la hipoterapia en la recuperación de la marcha y el balance en pacientes post ictus con una muestra de 15 pacientes en el grupo experimental y el grupo control, se encontró una significancia estadística en la velocidad de la marcha, longitud del paso y balance medido con la escala de Berg con un valor p <0,05, concluyendo que la hipoterapia puede ser un método de tratamiento que puede ayudar en la rehabilitación de la marcha de estos pacientes. 47 En niños con parálisis cerebral se ha encontrado un aumento en la velocidad de la marcha, simetría en músculos aductores, aumento en la movilidad escapulo -pélvica, mayor basculación pélvica y aumento en la longitud del paso y altura luego de la intervención con hipoterapia. [48][49][50] Jeong-Yi Kwon et al, 51 encontraron en una muestra de 32 niños con diagnóstico de parálisis cerebral espástica que recibieron hipoterapia durante ocho semanas, un aumento en la velocidad de la marcha, la longitud del paso y la cinemática pélvica, mejorando globalmente la marcha y el balance en estos niños, con un valor p <0,046.…”

Section: Principios Terapéuticosunclassified

Hipoterapia como técnica de habilitación y rehabilitación

López-Roa

Moreno-Rodríguez²

2015

Univ. Salud

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ResumenLa habilitación y rehabilitación son procesos a través de los cuales las personas con discapacidad tienen la oportunidad de contar y mantener óptimos niveles en los planos físico, sensorial, intelectual, psicológico y social; a pesar de la existencia de diferentes campos de habilitación y rehabilitación en la fisioterapia con todo un abanico de técnicas y procedimientos (Bobath, TFNP, Perfetti, rehabilitación basada en tareas y otras) para la intervención de estos pacientes, la hipoterapia (terapia con caballos) se perfila como una opción prometedora en el restablecimiento de las deficiencias de pacientes con afecciones neurológicas centrales y periféricas, donde el caballo juega un papel fundamental. El caballo es un animal por característica muy perceptivo, lo cual le permite graduar su comportamiento y conducta según la persona que lo monta, que en primera instancia lo muestra como una vía para su utilización con personas. Montar a caballo proporciona un trabajo físico, resistencia muscular, controles posturales y enderezamientos corporales para mantener equilibrio, balance, mantenimiento de posiciones y coordinación, también favorece la adquisición de habilidades cognitivas que permiten la interacción del jinete/amazona con su medio y por darse en espacios ambientales al aire libre facilitan el desarrollo de la persona en torno a todas sus esferas (personal, familiar y social). Es la hipoterapia una modalidad asistida con animales, que utiliza al caballo como medio facilitador en la rehabilitación o habilitación de deficiencias a nivel motor, senso-perceptivo, cognitivo, comunicativo y social, se aprovecha el paso, el carácter, la voluntad, la anatomía del animal y la planeación de ejercicios terapéuticos sobre este para que el fisioterapeuta los convierta en elementos fundamentales para el proceso de restablecimiento de la funcionalidad y funcionamiento del paciente (jinete/amazona).Palabras clave: Hipoterapia, rehabilitación, terapia asistida por caballos, personas con discapacidad, fisioterapia. (Fuente: DeCS, Bireme). AbstractThe habilitation and rehabilitation are processes through which people with disabilities go through to maintain optimal results at physical, sensory, intellectual, psychological and social levels. Despite the existence of different fields of habilitation and rehabilitation in physical therapy, with a wide range of techniques and procedures (Bobath, TFNP, Perfetti, rehabilitation based on assignments and others) for the intervention of these patients, the hippotherapy (therapy with horses) is emerging as a promising option in the restoration of the deficiencies of patients suffering from central and peripheral neurological disorders, where the horse plays a fundamental role. Horses are very perceptive animals which allow them to graduate their behavior and conduct according to the person who rides them, which first shows them as a means to use with people. Horse riding provides physical work, muscle endurance, postural control and straightening body to maintain balance, positi...

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Effects of Hippotherapy on Recovery of Gait and Balance Ability in Patients with Stroke

Cited by 46 publications

References 15 publications

Long-Term Improvements After Multimodal Rehabilitation in Late Phase After Stroke

Long-Term Improvements After Multimodal Rehabilitation in Late Phase After Stroke

Application of a tri-axial accelerometry-based portable motion recorder for the quantitative assessment of hippotherapy in children and adolescents with cerebral palsy

Hipoterapia como técnica de habilitación y rehabilitación

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