Effects of hippotherapy in multiple sclerosis: pilot study on quality of life, spasticity, gait, pelvic floor, depression and fatigue
Med Clin (Barc). 2019 Jan 18;152(2):55-58.
doi: 10.1016/j.medcli.2018.02.015.
Epub 2018 Apr 19.
[Article in
English,
Spanish]
Affiliations
- 1 Departamento de Medicina Física y Rehabilitación, Hidrología Médica, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, España; Fundación MHG, Guadarrama, Madrid, España. Electronic address: anibaltacha@hotmail.com.
- 2 Servicio de Neurología, Hospital Universitario de Torrejón, Torrejón de Ardoz, Madrid, España.
- 3 Departamento de Medicina Física y Rehabilitación, Hidrología Médica, Facultad de Medicina, Universidad Complutense de Madrid, Madrid, España.
- 4 Área de Gobierno de T.I. y Apoyo Técnico al Usuario (Apoyo a Docencia e Investigación), Universidad Complutense de Madrid, Madrid, España.
- 5 Fundación MHG, Guadarrama, Madrid, España.
- 6 Departamento de Fisioterapia, Terapia ocupacional, Rehabilitación y Medicina Física, Facultad de Ciencias de la Salud, Universidad Rey Juan Carlos, Campus de Alcorcón, Madrid, España.
Abstract
Introduction and objective:
Hippotherapy is being used as a promising method in the physical treatment of multiple sclerosis (MS).
Material and method:
Comparative open clinical pre-post study into hippotherapy intervention during a 6-month period in patients with MS (n=6). Not randomised and with control group (n=4). The study was performed by MHG Foundation.
Results:
A statistically significant improvement was observed in the therapy group in: spasticity pre-post measured by the modified Ashworth scale (P=.01). Statistically significant improvement in fatigue impact (P<.0001) measured with FIS; in general, perception of heath outcome in urinary quality of life scale KHQ (P=.033), and in subscales 2, 3 and 4 of MSQOL-54 (P=.011). Control group showed no improvement in any scale.
Conclusions:
This study reinforces current literature that supports hippotherapy as an adequate intervention for MS patients. Further studies with more participants, control groups and blinded research would be logical steps for future research in this field.
Keywords:
Calidad de vida; Esclerosis múltiple; Espasticidad; Fatiga; Fatigue; Hipoterapia; Hippotherapy; Multiple sclerosis; Pelvic floor; Quality of life; Spasticity; Suelo pélvico.
Copyright © 2018 Elsevier España, S.L.U. All rights reserved.
Publication types
-
Clinical Trial
-
Research Support, Non-U.S. Gov't
MeSH terms
-
Adult
-
Depressive Disorder / etiology
-
Depressive Disorder / therapy
-
Equine-Assisted Therapy*
-
Fatigue / etiology
-
Fatigue / therapy
-
Female
-
Gait Disorders, Neurologic / etiology
-
Gait Disorders, Neurologic / therapy
-
Humans
-
Male
-
Middle Aged
-
Multiple Sclerosis / complications
-
Multiple Sclerosis / psychology
-
Multiple Sclerosis / therapy*
-
Muscle Spasticity / etiology
-
Muscle Spasticity / therapy
-
Pelvic Floor / physiopathology
-
Pilot Projects
-
Quality of Life
-
Severity of Illness Index