Ann Rehabil Med.  2012 Dec;36(6):762-769.

Therapeutic Effects of Mechanical Horseback Riding on Gait and Balance Ability in Stroke Patients

• Han JY
• Kim JM
• Kim SK
• Chung JS
• Lee HC
• Lim JK
• Lee J
• Park KY

Abstract

OBJECTIVE
To investigate the therapeutic effects of mechanical horseback riding for gait and balance parameters in post-stroke patients. METHOD: This study was a non randomized prospective positive-controlled trial over a 12 week period. From May 2011 to October 2011, 37 stroke patients were recruited from our outpatient clinic and divided into two groups. The control group received the conventional physiotherapy while the intervention group received the conventional physiotherapy along with mechanical horseback riding therapy for 12 weeks. Outcome measurements of gait included the Functional Ambulation Category (FAC) and gait part of the Performance Oriented Mobility Assessment (G-POMA) while those of balance included the Berg Balance Scale (BBS) and the balance part of the Performance Oriented Mobility Assessment (B-POMA). These measurements were taken before and after treatment.
RESULTS
There were no significant differences in the baseline characteristics and initial values between the two groups. When comparing baseline and 12 weeks post treatment in each group, the intervention group showed significant improvement on BBS (39.9+/-5.7 --> 45.7+/-4.8, p=0.001) and B-POMA (10.4+/-2.6 --> 12.6+/-2.1, p=0.001), but significant improvement on gait parameters. When comparing the groups, the dynamic balance category of BBS in post treatment showed significant difference (p=0.02).
CONCLUSION
This study suggests that mechanical horseback riding therapy may be an effective treatment tool for enhancing balance in adults with stroke.

Keyword

Hippotherapy; Stroke; Gait; Balance

MeSH Terms

Adult
Ambulatory Care Facilities
Equine-Assisted Therapy
Gait
Humans
Prospective Studies
Stroke

Figure

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  Fig. 1 Movement pattern of hippotherapy simulator equipment.

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