"לפיזיותראפיה ברכיבה על סוסים השפעה חיובית באופן משמעותי על סימטרית ההליכה והפחתת כאב לסובלים מכאבי גב תחתון"
Effect of physiotherapy and hippotherapy on kinematics of lower limbs during walking in patients with chronic low back pain: A pilot study
Journal of Physical Education and Sport ® (JPES), 15(4), Art 101, pp. 663 - 670, 2015
MIROSLAV JANURA1; JIŘÍ GALLO2; ZDENĚK SVOBODA1; DAGMAR ŠVIDERNOCHOVÁ1; JARMILA KRISTINÍKOVÁ3 1Department of Natural Sciences in Kinanthropology, Faculty of Physical Culture, Palacký University Olomouc, Olomouc, CZECH REPUBLIC 2Department of Orthopaedics, Faculty of Medicine and Dentistry, Palacký University Olomouc, Teaching Hospital Olomouc, Olomouc, CZECH REPUBLIC 3Department of Rehabilitation, Faculty of Medicine, University of Ostrava, Ostrava, CZECH REPUBLIC
Published online: December 26, 2015 (Accepted for publication October 10, 2015)
Abstract: Low back pain (LBP) is a painful disease which results in limitations on normal daily physical activities related to self-care, social contact and communication. Physiotherapy combined with spa treatments and hippotherapy could be a suitable treatment method recommended in patients with LBP. The purpose of the study was to determine the effect of standard physiotherapy with and without hippotherapy on gait kinematic parameters in patients with chronic LBP. A total of 23 patients suffering from LBP with a damage located between L4 and S1 segments were enrolled in the study. Thirteen of them (the experimental group) underwent in addition to standard physiotherapy also hippotherapy. Physiotherapy intervention and hippotherapy units were performed at the Darkov Spa, Czech Republic. The kinematic gait parameters were obtained by the Vicon MX system. The intensity of the pain was determined using the visual analogue pain scale (VAS). After the intervention, we found statistically significant increase in the range of motion the knee joint in the sagittal plane (P < 0.05) as well as the flexion in the hip joint (P<0.05) in the experimental group. Similar trends were observed in the control group. Only two significant differences (P<0.05) between lower extremities with and without pain propagation were detected for the experimental group while for the control group the number of differences increased after the intervention. VAS pain score decreased in both groups but significantly (P < 0.01) only in the experimental group. Particular physiotherapy protocol had an observable effect on the gait kinematics in the patients with chronic LBP. A significant effect of hippotherapy on the symmetry of gait and VAS pain score was found
הטיפול בעזרת רכיבה על סוסים הפחית את הכאב, ותסמינים נוספים. לרכיבה הייתה גם השפעה על הדימוי העצמי של המטופלים והובילה להשפעות חיוביות נוספות.
The horse as the healer-a study of riding in patients with back pain.
Håkanson M1, Möller M, Lindström I, Mattsson B.
J Bodyw Mov Ther. 2009 Jan;13(1):43-52. doi: 10.1016/j.jbmt.2007.06.002. Epub 2007 Aug 24.
A total of 24 patients, considerably disabled in daily activities by back pain, participated in an Equine Assisted Therapy (EAT) programme. The patients also had several health problems in addition to their current pain. The programme emphasised the principles of body awareness. The study is aimed at investigating not only whether symptom reduction would be achieved, but also at identifying qualities of EAT that were particularly beneficial for the patients' well being. The study was performed according to action research principles. The treatment reduced the pain and lessened other symptoms. The EAT also had an influence on the patients' self-image and a positive chain of effects was observed. The consequences were described according to four dimensions; the dimension of body awareness, competence, emotion and environment. The dimensions were interrelated having the simultaneous influence of a transition process and symptom reduction towards health.
תוכניות טיפול ברכיבה על סוסים, הן אפשרות ברת קיימא עבור מטופלים עם בעיות שיווי משקל, הליכה ובעיות פסיכומוטוריות.
Therapeutic Effects of Horseback Riding Interventions: A Systematic Review and Meta-analysis.
Stergiou A1, Tzoufi M, Ntzani E, Varvarousis D, Beris A, Ploumis A.
Am J Phys Med Rehabil. 2017 Oct;96(10):717-725
Equine-assisted therapies, such as therapeutic riding and hippotherapy, are believed to have positive physical and emotional effects in individuals with neuromotor, developmental, and physical disabilities. The purpose of this review was to determine whether therapeutic riding and hippotherapy improve balance, motor function, gait, muscle symmetry, pelvic movement, psychosocial parameters, and the patients' overall quality of life.
In this study, a literature search was conducted on MEDLINE, CINAHL, MBASE, SportDiscus, Cochrane Database of Systematic Reviews, Cochrane Controlled Trials Register, PEDro, DARE, Google Scholar, and Dissertation Abstracts. Only studies with a control/comparison group or self-controlled studies performing preintervention and postintervention assessment were included. Excluded were (1) studies not providing data on baseline score or end-point outcome, (2) single-subject studies, (3) studies providing only qualitative data, and (4) studies that used a mechanical horse. Sixteen trials were included. The methodologic quality of each study was evaluated using Downs and Black quality assessment tool.
Most of the studies showed a trend toward a beneficial effect of therapeutic riding and hippotherapy on balance and gross motor function. The meta-analysis showed improvement in both the Berg Balance Scale and the Gross Motor Function Measure in therapeutic riding and hippotherapy programs.
Programs such as therapeutic riding and hippotherapy are a viable intervention option for patients with balance, gait, and psychomotor disorders.