Document Detail


Effect of therapeutic horseback riding on balance and gait of people with multiple sclerosis.
MedLine Citation:
PMID:  22452106     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Exercise therapy is an important part of symptomatic and supportive treatment in patients with multiple sclerosis (PwMS). According to the literature, equine-assisted therapies--such as therapeutic horseback riding (THR) and hippotherapy (HT)--are exercise therapies that can have positive physical effects on coordination, muscle tone, postural alignment, stiffness/flexibility, endurance and strength, correcting abnormal movement patterns and improving gait and balance. While HT is known to have a positive effect on balance in PwMS, data about THR are limited.
OBJECTIVE: The aim of the present work was to determine the effect of THR on the balance and gait of ambulatory PwMS.
METHODS: Twenty-seven PwMS were included in the study. Patients were divided into two groups: 12 underwent THR and 15 traditional physiotherapy (for both groups, two series of 10 weekly sessions were performed). Before and after the study period, the following outcome measures were applied: Extended Disability Status Scale (EDSS), Barthel Index, Tinetti Performance-Oriented Mobility Assessment (POMA). In addition, patients of the THR group underwent a gait analysis to assess spatiotemporal gait parameters and ground reaction forces.
RESULTS: The THR group showed a significant improvement in POMA scores (p<0.005) and two gait parameters: stride time (p<0.04) and ground reaction forces (p<0.01). No statistically significant change was found in the control group.
CONCLUSION: The results of the study show that THR can improve balance and gait of ambulatory PwMS. Findings are preliminary, but promising and in line with the recent literature.
Authors:
Susana Muñoz-Lasa; Giorgio Ferriero; Raquel Valero; Fernando Gomez-Muñiz; Alessia Rabini; Enrique Varela
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Giornale italiano di medicina del lavoro ed ergonomia     Volume:  33     ISSN:  1592-7830     ISO Abbreviation:  G Ital Med Lav Ergon     Publication Date:    2011 Oct-Dec
Date Detail:
Created Date:  2012-03-28     Completed Date:  2012-05-31     Revised Date:  2014-07-31    
Medline Journal Info:
Nlm Unique ID:  9712708     Medline TA:  G Ital Med Lav Ergon     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  462-7     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Equine-Assisted Therapy*
Female
Gait*
Humans
Male
Middle Aged
Multiple Sclerosis / rehabilitation*
Postural Balance*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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