Does hippotherapy improve balance in persons with multiple sclerosis: a systematic review
C Bronson1, K Brewerton, J Ong
1School of Physiotherapy, Centre for Physiotherapy Research, University of Otago, Dunedin, New Zealand.
European Journal of Physical and Rehabilitation Medicine
|October 8, 2010
Summary
Hippotherapy, using horse movement for sensory feedback, shows positive effects on improving balance in individuals with multiple sclerosis (MS). Further research is needed to establish it as a standard rehabilitation therapy.
Area of Science:
- Neurology
- Rehabilitation Therapy
- Equine-Assisted Therapy
Background:
- Multiple sclerosis (MS) significantly impacts neurological function, leading to balance deficits.
- Hippotherapy, an intervention using equine movement, offers sensory feedback for neurological rehabilitation.
- Evidence for hippotherapy's efficacy in MS is limited.
Purpose of the Study:
- To systematically review and evaluate existing evidence on hippotherapy for improving balance in MS patients.
- To synthesize findings from studies investigating hippotherapy's role in MS rehabilitation.
Main Methods:
- A systematic literature search was conducted across major electronic databases.
- Inclusion criteria comprised full-length, peer-reviewed articles in English, focusing on hippotherapy, MS, and balance.
- A modified quality index was used for descriptive assessment, without study exclusion.
Main Results:
- Three studies (case-control and case-series) were included in the review.
- All reviewed studies reported improvements in balance among participants.
- Primary progressive MS subtypes showed the most significant balance improvements post-hippotherapy, based on Berg Balance Scale scores.
Conclusions:
- Hippotherapy demonstrates a positive impact on balance in individuals with MS.
- The intervention may also enhance the quality of life for MS patients.
- Limited data necessitates further research to solidify hippotherapy's role as a rehabilitation modality.