The influence of horseback riding training on the physical function and psychological problems of stroke patients

Dong-Kyu Lee, Eun-Kyung Kim, Dong-Kyu Lee, Eun-Kyung Kim

Abstract

[Purpose] The purpose of this study was to determine the influence of horseback riding training on the physical function and psychological problems of stroke patients. [Subjects and Methods] Thirty stroke patients were divided evenly into an experimental group and a control group. Both groups carried out neurodevelopmental treatment. The experimental group additionally performed mechanical horseback riding training for 30 minutes a day, 5 days a week, for 6 weeks. Physical function was evaluated using the Berg Balance Scale (BBS) and the Timed Up and Go Test (TUGT). Psychological problems were assessed using the Beck Depression Inventory (BDI). In order to compare differences within groups between before and after the experiment, the paired t test was conducted. In order to compare differences between groups before and after the experiment, the independent t test was conducted. [Results] In the experimental group, the BBS, TUGT, and BDI showed significant improvements after the intervention. The experimental group's BBS, TUGT, and BDI post-intervention changes were significantly better than those observed in the control group. [Conclusion] According to our results, horseback riding training has a positive effect on the physical function and psychological problems of stroke patients.

Keywords: Horseback riding training; Physical function; Psychological problems.

References

    1. Duncan PW: Stroke disability. Phys Ther, 1994, 74: 399–407.
    1. Singh A, Black SE, Herrmann N, et al. : Functional and neuroanatomic correlations in poststroke depression: the Sunnybrook Stroke Study. Stroke, 2000, 31: 637–644.
    1. Ikai T, Kamikubo T, Takehara I, et al. : Dynamic postural control in patients with hemiparesis. Am J Phys Med Rehabil, 2003, 82: 463–469, quiz 470–472, 484.
    1. Sagen U, Vik TG, Moum T, et al. : Screening for anxiety and depression after stroke: comparison of the hospital anxiety and depression scale and the Montgomery and Asberg depression rating scale. J Psychosom Res, 2009, 67: 325–332.
    1. Cunningham B: The effect of hippotherapy on functional outcomes for children with disabilities: a pilot study. Pediatr Phys Ther, 2009, 21: 137–138, author reply 137–138.
    1. Sterba JA, Rogers BT, France AP, et al. : Horseback riding in children with cerebral palsy: effect on gross motor function. Dev Med Child Neurol, 2002, 44: 301–308.
    1. Lee CW, Kim SG, Yong MS: Effects of hippotherapy on recovery of gait and balance ability in patients with stroke. J Phys Ther Sci, 2014, 26: 309–311.
    1. Zadnikar M, Kastrin A: Effects of hippotherapy and therapeutic horseback riding on postural control or balance in children with cerebral palsy: a meta-analysis. Dev Med Child Neurol, 2011, 53: 684–691.
    1. Asselin G, Penning JH, Ramanujam S, et al. : Therapeutic horse back riding of a spinal cord injured veteran: a case study. Rehabil Nurs, 2012, 37: 270–276.
    1. Bronson C, Brewerton K, Ong J, et al. : Does hippotherapy improve balance in persons with multiple sclerosis: a systematic review. Eur J Phys Rehabil Med, 2010, 46: 347–353.
    1. Kim YN, Lee DK: Effects of horse-riding exercise on balance, gait, and activities of daily living in stroke patients. J Phys Ther Sci, 2015, 27: 607–609.
    1. Han JY, Kim JM, Kim SK, et al. : Therapeutic effects of mechanical horseback riding on gait and balance ability in stroke patients. Ann Rehabil Med, 2012, 36: 762–769.
    1. Silva e Borges MB, Werneck MJ, da Silva ML, et al. : Therapeutic effects of a horse riding simulator in children with cerebral palsy. Arq Neuropsiquiatr, 2011, 69: 799–804.
    1. Debuse D, Gibb C, Chandler C: Effects of hippotherapy on people with cerebral palsy from the users’ perspective: a qualitative study. Physiother Theory Pract, 2009, 25: 174–192.
    1. Morris PL, Raphael B, Robinson RG: Clinical depression is associated with impaired recovery from stroke. Med J Aust, 1992, 157: 239–242.
    1. Lessick M, Shinaver R, Post KM, et al. : Therapeutic horseback riding. Exploring this alternative therapy for women with disabilities. AWHONN Lifelines, 2004, 8: 46–53.

Source: PubMed

Patrocinadores y Colaboradores

Condiciones médicas

Intervenciones de drogas

3
Suscribir