The short-term effect of hippotherapy on spasticity in patients with spinal cord injury

Spinal Cord. 2003 Sep;41(9):502-5. doi: 10.1038/sj.sc.3101492.

Abstract

Study design: Assessment of spasticity before and after hippotherapy treatment.

Objective: To evaluate the short-term effect of hippotherapy on spasticity of spinal cord injured patients (SCIs).

Setting: Swiss Paraplegic Centre, Nottwil.

Methods: 32 patients with spinal cord injury with various degrees of spasticity had repeated sessions (mean 11) of Hippotherapy-K. Spasticity of the lower extremities was scored according to the Ashworth Scale.

Results: In primary rehabilitation patients Ashworth values after hippotherapy were significantly lower than before (Wilcoxon's signed-rank test: P<0.001). Highest improvements were observed in SCIs with very high spasticity. No significant difference between short-term effect in paraplegic and short-term effect in tetraplegic subjects was found.

Conclusions: Hippotherapy significantly reduces spasticity of lower extremities in SCIs.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Female
  • Humans
  • Injury Severity Score
  • Male
  • Middle Aged
  • Muscle Spasticity / etiology
  • Muscle Spasticity / physiopathology
  • Muscle Spasticity / rehabilitation*
  • Neurologic Examination / methods
  • Physical Therapy Modalities / methods*
  • Range of Motion, Articular
  • Severity of Illness Index
  • Spinal Cord Injuries / complications
  • Spinal Cord Injuries / physiopathology
  • Spinal Cord Injuries / rehabilitation*
  • Statistics, Nonparametric
  • Treatment Outcome