Hippotherapy for patients with multiple sclerosis: A multicenter randomized controlled trial (MS-HIPPO)

Vermöhlen, Vanessa; Schiller, Petra; Schickendańtz, Sabine; Drache, Marion; Hussack, Sabine; Gerber-Grote, Andreas; Pöhlau, Dieter

doi:10.1177/1352458517721354

Cited by 50 publications

(65 citation statements)

References 23 publications

(20 reference statements)

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“…All of them fulfilled all items for study design and participant representativeness with the exception of item 5 “random selection of participants for assessment”. Regarding the equivalence of comparison group, there were some potential concerns: (1) in the study by White-Lewis, Johnson, Ye and Russell [ 25 ], one group was fully comprised by women and, in the other, 40% were men; (2) in the study by Kim, et al [ 31 ], the mean duration of the pain symptoms in the two groups was 58.22 and 101.55, which might have affected the results; in the study by Vermöhlen, Schiller, Schickendantz, Drache, Hussack, Gerber-Grote and Pöhlau [ 26 ] and the study by Yoo, et al [ 32 ], the baseline pain level was different between the included groups. In this last study, the control group showed a back pain of 1.50 while for the EAT group back pain was 4.37 at baseline.…”

Section: Resultsmentioning

confidence: 99%

“…On the other hand, the five studies using horse riding simulators involved 231 patients suffering from LBP. Participants were older in the studies with real horses (mean or median age higher than 50) compared to the studies using simulators, aged lower than 30 in four of the five included studies [ 31 , 32 , 33 , 34 ] and ≈46 years in the remaining one [ 35 ].…”

Section: Resultsmentioning

confidence: 99%

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Effects of Equine-Assisted Therapies or Horse-Riding Simulators on Chronic Pain: A Systematic Review and Meta-Analysis

et al. 2020

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Background and objectives: Chronic pain is a complex global public health problem that affects the health status, quality of life, activities of daily living, and different work-related variables. Riding a horse may lead to some benefits in chronic pain patients through the improvement of postural control and other biopsychosocial processes. Therefore, this systematic review and meta-analysis aimed to evaluate the effects of horse riding (with real or simulated horses) on chronic pain. Materials and methods: A systematic literature search was carried out in accordance with PRISMA guidelines in Web of Science (WOS) and PubMed (Medline) electronic databases. Eleven articles (seven randomized controlled trials) were selected to be included in the review. Due to some risk of bias concerns, two meta-analyses (using postintervention or change-from-baseline measures) were conducted utilizing Review Manager Software (RevMan 5.3). Results: Horse-riding simulators significantly reduced the pain levels of patients with low back pain (p = 0.03, with a SMD of −1.14 and a 95% CI from −2.16 to −0.11) using change-from-baseline measures. However, the p-value in the meta-analysis with the postintervention measures was 0.06. Regarding interventions with real horses, it was not possible to conduct a meta-analysis due to the low number of studies. Conclusion: Horse riding could be a useful exercise to reduce pain, but more studies are needed to make evidence-based recommendations and to compare the effects of horse-riding with real and simulated horses.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Effects of Equine-Assisted Therapies or Horse-Riding Simulators on Chronic Pain: A Systematic Review and Meta-Analysis

et al. 2020

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“…Sunwoo et al () stated that it was a safe and effective alternative therapy. Vermöhlen et al () described using horses as adjunct and complementary therapy, which in context fits the definition of integrative therapy.…”

Section: Resultsmentioning

confidence: 99%

Equine‐assisted therapies using horses as healers: A concept analysis

White-Lewis

2019

Nursing Open

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AimsA concept analysis was conducted to clarify the attributes, antecedents and meaning of equine‐assisted therapy and present an operational definition.DesignConcept analysis.MethodsWalker and Avant's concept analysis method was used to analyse equine‐assisted therapy, using horses as healers by defining and enumerating the attributes, antecedents, consequences and empirical referents. Example cases are presented.ResultsDefining attributes include the following: a human participant with an equine physically present to assist the human participant, a treatment or intervention as a result of the interactions between an equine and a human participant, a purposeful and regulated interaction and a positive health outcome goal from the interaction. Antecedents include a live horse with a human physically able to interact with the horse, a facilitator and accessibility to an equine‐assisted therapy (EAT) programme. Consequences include improved balance, well‐being, quality of life, trust, spasticity, self‐efficacy, self‐esteem, nurse presence, pleasure and a sense of accomplishment.

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“…Lo anterior concuerda con la indagación de Hammer et al (2004), quienes postulan que 10 sesiones semanales de terapia equina mejoran el equilibrio en sus 2 facetas, acorde con una investigación llevada a cabo con 11 personas (Tabla 2). Se suma lo señalado por Vermöhlen et al (2017), quienes demuestran que la terapia asistida por caballos más la atención estándar, aplicada a 32 personas 1 vez a la semana, durante 12 semanas, generan cambios clínicos significativos importantes en la mejora del equilibrio. Junto a esto, Lindroth et al (2015) comprueban que el uso de la terapia en cuestión contribuye al equilibrio estático y dinámico, como lo establece su trabajo en el que 3 personas recibieron 2 sesiones a la semana, durante 6 semanas.…”

Section: Resultsunclassified

Beneficios de la terapia asistida por caballos en las variables de la marcha en personas mayores de 18 años, con deficiencias motoras secundarias, ante un accidente cerebrovascular o esclerosis múltiple

Córdova

Díaz

Parra

et al. 2019

MHSalud

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El propósito de este artículo es analizar los resultados obtenidos sobre los beneficios de la terapia asistida por caballos, en variables de la marcha (equilibrio, coordinación y control postural), en personas mayores de 18 años con deficiencias corporales o fisiológicas, transitorias o permanentes, secundarias, ante un accidente cerebrovascular (isquémico o hemorrágico) o EM (recaída-remisión o secundaria progresiva), luego de haber participado en entrenamientos de dicha terapia. La metodología utilizada fue una revisión narrativa de la literatura existente, con método de búsqueda sistemático, en las siguientes bases de datos: PubMed, SciELO, LILACS y Scopus, con el fin de realizar una actualización bibliográfica del tema. Finalmente, se seleccionaron 11 artículos (revisiones sistemáticas, ECA, estudio control) para su posterior análisis. Los resultados de estos artículos coinciden en que el uso de la terapia asistida por caballos pudiera ser efectiva en la mejora de las variables ya mencionadas. No obstante, la información existente en las distintas plataformas de búsqueda es escasa, por lo que surge la necesidad de llevar a cabo estudios con un tamaño de muestra representativo, en los que se utilicen las mismas escalas de evaluación, con el propósito de poder objetivar y homologar los resultados. A modo de conclusión, se establece que hoy existen estudios, originados en diferentes partes del mundo, los cuales indican que la terapia asistida por caballos podría ser una herramienta efectiva en la rehabilitación de los distintos componentes que afectan la marcha, como el equilibrio o la coordinación, en personas con deficiencias motoras secundarias, ante un ACV (isquémico o hemorrágico) o EM (recaída-remisión o secundaria progresiva). En consecuencia, se podría considerar la utilización de la terapia asistida por caballos como una herramienta terapéutica, en el proceso de rehabilitación de la marcha en personas mayores de 18 años con daño neurológico.

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Hippotherapy for patients with multiple sclerosis: A multicenter randomized controlled trial (MS-HIPPO)

Abstract: Hippotherapy plus standard care, while below the threshold of a minimal clinically important difference, significantly improved balance and also fatigue, spasticity, and quality of life in MS patients.

Cited by 50 publications

References 23 publications

Effects of Equine-Assisted Therapies or Horse-Riding Simulators on Chronic Pain: A Systematic Review and Meta-Analysis

Effects of Equine-Assisted Therapies or Horse-Riding Simulators on Chronic Pain: A Systematic Review and Meta-Analysis

Equine‐assisted therapies using horses as healers: A concept analysis

Beneficios de la terapia asistida por caballos en las variables de la marcha en personas mayores de 18 años, con deficiencias motoras secundarias, ante un accidente cerebrovascular o esclerosis múltiple

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