Scientists Confirm Horseback Riding A Viable Mobility Treatment For Cerebral Palsy

Cerebral palsy (CP) affects around two out of every 1000 children born worldwide. Physical therapy is the foremost way of improving movement, balance and posture in children with CP. Research has shown that hippotherapy, a form of physical therapy involving horseback riding, is effective for treating CP. But how exactly does it help? In a recent study, researchers from the Gwangju Institute of Science and Technology (GIST) in South Korea explored this question and provided insightful answers as well as a baseline for future research.

Cerebral Palsy (CP) is a common disability among children, characterized by abnormal gait patterns and the inability to maintain posture and balance. While the condition is incurable, physical therapy treatments can go a long way in improving movement and balance. One such treatment approach is hippotherapy (HPOT), which uses horseback riding to improve functional mobility in children with CP. Although supported by scientific studies as an effective treatment approach for (CP), there is, unfortunately, little data concerning how HPOT results in improvement.

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Recently, a team of researchers from Korea and the United States addressed this question, investigating physical interaction metrics between horses and children with CP during HPOT. “My original research interests lie in the rehabilitation of people with neurological impairment, specifically gait and balance. However, I did not know about hippotherapy until  2016. After realizing how effective it is in treating children with CP, I was motivated to explore it further,” explains Dr. Pilwon Hur, who headed the study. This paper was made available online on September 6, 2021, and was published in Volume 18 Issue 132 of the Journal of NeuroEngineering and Rehabilitation. 

The research team studied four children with CP over the course of eight physical therapy sessions. They placed sensors on the horses and children to record their movements and track their acceleration and angular velocity. They found that the data from the horses and children began to resemble each other as time progressed, indicating a synchronization between the horse and the rider. They also gave the children mobility tests after each session and observed improvement in their motor skills at the end of the experiment.

“We found that physical interaction between the children with CP and the horses, characterized by the children adapting to the horse's movement and vice versa, is extremely important for the rehabilitation to be effective,” says Dr. Hur.

Excited by these findings, the team hopes their work will provide a baseline for further research on HPOT. “To the best of my knowledge, ours is the first study to quantify these interactions and relate them to effectiveness,” says Dr. Hur. “Such an understanding would help us optimize physical therapy programs, improving the quality of life for children with CP.”

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Obese Horses More Likely To Move Unevenly

In an effort to determine how added weight affects equine fitness and performance, Dr. Anna Jansson and a research team from the Swedish University of Agricultural Sciences and Hólar University published a study in Physiological Reports in which horses were fed controlled diets to add or restrict weight gain. The scientists used nine Icelandic horses that they split into two groups. Changes in body weight and fat were induced in the group being fed a high-energy diet for 36 days.

During the last seven days of the study period, researchers recorded body condition score and weight, and percentage of body fat was estimated with an ultrasound. Each horse was then given an exercise test on a treadmill and a field test that mimicked a competition, which was scored by judges. Blood samples were taken, as well as heart rate, temperature and respiratory rate.

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On the treadmill test, the horses that had gained weight had a higher heart rate and temperature, and heavier respiration. Blood tests showed that heavier horses had lower physiological fitness.

The team also found that overweight horses showed a marked gait asymmetry compared with leaner horses, as was shown both by sensors placed on the horses while they moved. The heavier horses moved most asymmetrically on the day after their field test.

Judges overseeing the field test also scored heavier horses lower than their leaner counterparts, suggesting that weight affects performance.

The authors conclude that higher body fat and body weight lowers equine performance, made horses move more unevenly, and delayed their recovery from exercise.

Read the full study here.

Read more at HorseTalk.

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Not Hot To Trot? Underlying Pain May Be To Blame

If a normally game, non-gaited horse begins showing signs of reluctance to trot, but instead paces or breaks into the canter, a call to the vet may be in order, Dr. Bruce Connally of Wyoming Equine in Berthoud, Colorado, tells EQUUS magazine.

A horse suddenly is unwilling to go forward or one that has a significant gait change (like refusing to trot, but being willing to pace) is trying to tell his rider that something is amiss. Loping or gaiting instead of trotting can be ways in which horses seek to minimize pain.

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If the horse is older, arthritis may be to blame. Other possibilities include foot pain, neurologic pain like equine protozoal myeloencephalitis (EPM) or pain in the back or pelvis. The outcome, including the possibility of continued riding, is dependent on the veterinarian's findings.

Read more at EQUUS magazine.

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Study: Your Horse’s Mood Affects His Way Of Going

A new study shows that observing how a horse acts in his stall could offer clues to how a ride might go: A horse that's angry or unhappy in his stall will most likely carry that negative attitude into the arena.

Lead researcher Alice Ruet used 43 lesson horses to test her theory. The study horses were kept in stalls and turned out for one hour a week in individual paddocks. They were used by advanced riders six hours a week for dressage, eventing or jumping lessons.

The study team watched the stalled horses for six weeks, noting their behavior several times each day. The scientists were specifically looking for clues that the horse was in a negative mental state—that he may be experiencing “compromised welfare” from being in a stall. The behaviors they were looking for included aggression toward people, cribbing or other stereotypies, hypervigilance, or a withdrawn posture, which indicated a depressed state.

The researchers then asked the head instructor three questions about each horse's way of going under saddle, including whether he was anxious or fearful, if he seemed uncomfortable, or if he was unwilling to go forward.

The final phase of the study had one rider who was unfamiliar with the horses ride each horse using the same tack. The rider was equipped with inertial sensors on her head and back. The horse wore a sensor on his girth. The ride was recorded, and an independent assessor noted behaviors that may indicate a negative attitude, like head shaking, tail swishing or bolting, as well as the horse's overall demeanor.

The scientists found a correlation between behavior in the stall and how a horse moved under saddle: Horses that were aggressive to humans while in their stalls had choppier gaits while being ridden. They also found that horses that were withdrawn in their stall were more reluctant to go forward when asked. The scientists conclude that a horse in a poor state of welfare is likely to be more unhappy when being ridden, linking welfare to performance.

Ruet suggests additional studies could be done to investigate whether management changes could influence a horse's mood and under-saddle movement.

Read more at EQUUS.

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