The Effect of Hippotherapy on Spasticity and on Mental Well-Being of Persons With Spinal Cord Injury

Lechner, H.; Kakebeeke, Tanja H.; Hegemann, Dörte; Baumberger, Michael

doi:10.1016/j.apmr.2007.07.015

Cited by 88 publications

(74 citation statements)

References 31 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Lechner, Kakebeeke, Hegemann, and Baumberger (2007) analyzed the effect of hippotherapy on spasticity and on the mental well-being of persons with spinal cord injury. Other studies examined the effect of therapeutic riding in children with cerebral palsy (Bertoti, 1988;Sterba, Rogers, France, & Vokes, 2002).…”

Section: Introductionmentioning

confidence: 99%

An assessment of the pressure distribution exerted by a rider on the back of a horse during hippotherapy

Janura

Peham

Dvořáková

et al. 2009

Human Movement Science

View full text Add to dashboard Cite

International audienceHippotherapy employs locomotion impulses that are emitted from the back of a horse while the horse is walking. These impulses stimulate the rider's postural reflex mechanisms, resulting in training of balance and coordination. The aim of the present study was to assess the changes in magnitude and distribution of the contact pressure between the rider and the horse during a series of hippotherapeutic lessons. The monitored group, consisting of four healthy women (mean age 22.75 years, mean body weight 59.75 kg, mean height 167.25 cm) without any previous horse riding experience, received five 20 minute-lessons lessons in a three-week period. Hippotherapy was given on a 15-year-old thoroughbred mare. An elastic pad (Novel Pliance System, 30 Hz, 224 sensors) was used for pressure magnitude evaluation. The maximum pressure value was increased ( < .05) in the event of a second measurement (5th lesson). The pressure exerted on the rider upon contact of the rear limbs was higher than upon contact of the front limbs ( < .01). The size of the COP deviations in the anteroposterior direction reduced ( < .05) with the number of lessons received. With the growing experience of the participant, an increase in pressure occurred on contact of her body and the horse's back as well as in the stability of the COP movement

show abstract

Section: Introductionmentioning

confidence: 99%

An assessment of the pressure distribution exerted by a rider on the back of a horse during hippotherapy

Janura

Peham

Dvořáková

et al. 2009

Human Movement Science

View full text Add to dashboard Cite

show abstract

“…The median (interquartile range) PEDro score for trials was 4 (3-5; see Table 1). Only 12 trials blinded assessors 8,10,23,29,[31][32][33][35][36][37]40,43 and only six trials concealed allocation 10,[30][31][32][33]35 and performed intention-to-treat analyses. 23,[31][32][33]35,37 Dropouts were also a common problem, with only 18 trials reporting outcome data on at least 85% of subjects.…”

Section: Resultsmentioning

confidence: 99%

“…Only trials that involved a treatment administered over more than one occasion were included. In trials that looked at the effects of one-off treatments as well the effects of a series of treatments, 8,9 only the data reflecting the response to the series of treatments were included. Trials that examined the effectiveness of providing education or equipment were excluded, as were trials directed at respiratory care or skin management.…”

Section: Inclusion Criteriamentioning

confidence: 99%

The effectiveness of physical interventions for people with spinal cord injuries: a systematic review

et al. 2008

View full text Add to dashboard Cite

Study design: Systematic review. Objectives: To provide a quantitative analysis of all randomized controlled trials designed to determine the effectiveness of physical interventions for people with spinal cord injury (SCI). Setting: Sydney, Australia. Methods: A search was conducted for randomized controlled trials involving physical interventions for people with SCI. Two reviewers independently rated methodological quality using the PEDro scale and extracted key findings from the trials. Results: Four thousand five hundred and forty three abstracts were identified of which 31 trials met the inclusion criteria. Trials examined the effectiveness of fitness and strength training (n ¼ 7), gait training (n ¼ 5), hand therapy (n ¼ 3), stretch (n ¼ 4), acupuncture (n ¼ 3), hand splinting (n ¼ 2) and other related therapies (n ¼ 7). Six trials reported a between-group mean difference with a clearly important treatment effect on at least one outcome measure. These trials supported the use of fitness, strength and gait training as well as acupuncture. Conclusion: There is initial evidence supporting the effectiveness of some physical interventions for people with SCI. However, there is a pressing need for high-quality trials to determine the effectiveness of all physical interventions commonly administered in clinical practice.

show abstract

“…However, some comparative statistical analyses were completed. To obtain a single spasticity score for each person, the MAS scores of the three self-selected muscles groups were summed to get a Modified Ashworth Sum Score (MASSum) as described by Lechner et al 13 The same day pre and post values were compared to determine whether the training had an immediate effect on MASSum scores using a Wilcoxon signed-rank test. To determine a longer-term effect, pre training MASSum scores for the initial, mid and final visits were compared using a Friedman analysis of variance (ANOVA).…”

Section: Discussionmentioning

confidence: 99%

Spasticity changes in SCI following a dynamic standing program using the Segway

et al. 2012

View full text Add to dashboard Cite

Study design: A pilot prospective pre-and post-intervention study. Objectives: To determine whether a dynamic standing program using the Segway Personal Transporter results in any measurable physiological effects in individuals with spinal cord injury (SCI) using both qualitative and quantitative measures of spasticity, pain and fatigue. Setting: International Collaboration of Repair Discoveries (ICORD) Research Centre, Vancouver, BC, Canada. Methods: Eight individuals with SCI ASIA (American Spinal Injury Association) A-D, who could stand with or without the assistance of bracing or supports, participated in a 4-week dynamic standing program using a Segway (3 per week, 30-min sessions). The main outcome was spasticity as measured by the Modified Ashworth Scale (MAS). Secondary measures included the SCI-Spasticity Evaluation Tool, Pain Outcomes Questionnaire, and Fatigue Severity Scale. Results: The dynamic standing sessions were associated with immediate improvements in spasticity (MAS) (Po0.001) and selfreported pain (Po0.05). Fatigue levels decreased, however this was not significant. There is little evidence to suggest that these beneficial outcomes may have lasting effects. Conclusions: Dynamic standing on the Segway may be effective for short-term spasticity reduction and decreased pain and fatigue. Future work should examine a larger sample size and help to propose mechanisms for potential reductions in spasticity.

show abstract

The Effect of Hippotherapy on Spasticity and on Mental Well-Being of Persons With Spinal Cord Injury

Cited by 88 publications

References 31 publications

An assessment of the pressure distribution exerted by a rider on the back of a horse during hippotherapy

An assessment of the pressure distribution exerted by a rider on the back of a horse during hippotherapy

The effectiveness of physical interventions for people with spinal cord injuries: a systematic review

Spasticity changes in SCI following a dynamic standing program using the Segway

Contact Info

Product

Resources

About