Use of horse riding in chronic pain therapy
DOI:
https://doi.org/10.12775/JEHS.2024.58.010Keywords
horse riding, equine assisted therapy, hippotherapy, chronic painAbstract
Introduction and purpose: Chronic pain is a struggle itself and also a symptom in many common conditions. Its complexity requires diverse treatment methods including some that might seem unconventional, for example, horse riding. This study gathers information about the use of equine assisted therapy in pain relief.
Brief description of the state of knowledge: Hippotherapy is known as an important part of care for patients with cerebral palsy, attention deficit and autism. The rhythmical, multidimensional movements of the horse are transmitted to the rider’s pelvis and help in strengthening and stretching the muscles which result in better posture stabilization and balance. The positive effects of equine assisted therapy are not limited to only physical ones but positive social, cognitive and psychological effects can be observed as well. In order to lower the cost and time of the therapy, horse riding simulators were invented. So far, horse riding has been tested as a pain relief tool in entities like nonspecific low back pain, multiple sclerosis and arthritis.
Summary: Horse riding sessions had beneficial effects on pain levels among patients with nonspecific back pain and arthritis. There is a need to conduct further research in order to properly compare the use of real horses versus horse simulators. Hippotherapy was well perceived by different patient groups so maybe it has the potential to be an important part of pain management in various conditions.
References
Treede RD, Rief W, Barke A, et al. A classification of chronic pain for ICD-11. Pain. 2015;156[6]:1003-1007. doi:10.1097/j.pain.0000000000000160
Dahlhamer J, Lucas J, Zelaya, C, et al. Prevalence of Chronic Pain and High-Impact Chronic Pain Among Adults — United States, 2016. MMWR Morb Mortal Wkly Rep. 2018;67[36]:1001-1006. doi:10.15585/mmwr.mm6736a2
Treede RD, Rief W, Barke A, et al. Chronic pain as a symptom or a disease: the IASP Classification of Chronic Pain for the International Classification of Diseases (ICD-11). Pain. 2019;160(1):19-27. doi:10.1097/j.pain.0000000000001384
Mills SEE, Nicolson KP, Smith BH. Chronic pain: a review of its epidemiology and associated factors in population-based studies. British Journal of Anaesthesia. 2019;123[2]:e273-e283. doi:10.1016/j.bja.2019.03.023
Chronic+Pain - search results - pubmed. National Center for Biotechnology Information. Accessed January 6, 2024. https://pubmed.ncbi.nlm.nih.gov/?term=chronic%2Bpain&filter=years.2013-2023.
Cohen SP, Vase L, Hooten WM. Chronic pain: an update on burden, best practices, and new advances. The Lancet. 2021;397[10289]:2082-2097. doi:10.1016/S0140-6736[21]00393-7
Collado-Mateo D, Lavín-Pérez AM, Fuentes García JP, García-Gordillo MÁ, Villafaina S. Effects of Equine-Assisted Therapies or Horse-Riding Simulators on Chronic Pain: A Systematic Review and Meta-Analysis. Medicina. 2020;56[9]:444. doi:10.3390/medicina56090444
Mills S, Torrance N, Smith BH. Identification and Management of Chronic Pain in Primary Care: a Review. Curr Psychiatry Rep. 2016;18[2]:22. doi:10.1007/s11920-015-0659-9
Hylands-White N, Duarte RV, Raphael JH. An overview of treatment approaches for chronic pain management. Rheumatol Int. 2017;37[1]:29-42. doi:10.1007/s00296-016-3481-8
Fillingim RB, Loeser JD, Baron R, Edwards RR. Assessment of Chronic Pain: Domains, Methods, and Mechanisms. The Journal of Pain. 2016;17[9]:T10-T20. doi:10.1016/j.jpain.2015.08.010
Clauw DJ, Essex MN, Pitman V, Jones KD. Reframing chronic pain as a disease, not a symptom: rationale and implications for pain management. Postgraduate Medicine. 2019;131[3]:185-198. doi:10.1080/00325481.2019.1574403
Park S, Park S, Min S, Kim CJ, Jee YS. A Randomized Controlled Trial Investigating the Effects of Equine Simulator Riding on Low Back Pain, Morphological Changes, and Trunk Musculature in Elderly Women. Medicina. 2020;56(11):610. doi:10.3390/medicina56110610
Rahbar M, Salekzamani Y, Jahanjou F, Eslamian F, Niroumand A, Dolatkhah N. Effect of hippotherapy simulator on pain, disability and range of motion of the spinal column in subjects with mechanical low back pain: A randomized single-blind clinical trial. BMR. 2018;31(6):1183-1192. doi:10.3233/BMR-170832
Kim T, Lee J, Oh S, Kim S, Yoon B. Effectiveness of Simulated Horseback Riding for Patients With Chronic Low Back Pain: A Randomized Controlled Trial. Journal of Sport Rehabilitation. 2020;29(2):179-185. doi:10.1123/jsr.2018-0252
Chen SY, Kim SK, Kim KH, Lee IS, HwangBo G. Effects of Horse Riding Simulator on Pain, Oswestry Disability Index and Balance in Adults with Nonspecific Chronic Low Back Pain. Journal of the Korean Society of Physical Medicine. 2016;11(4):79-84. doi:10.13066/kspm.2016.11.4.79
Overview -Multiple sclerosis. NHS choices. Accessed January 8, 2024. https://www.nhs.uk/conditions/multiple-sclerosis/.
Vermöhlen V, Schiller P, Schickendantz S, et al. Hippotherapy for patients with multiple sclerosis: A multicenter randomized controlled trial (MS-HIPPO). Mult Scler. 2018;24(10):1375-1382. doi:10.1177/1352458517721354
White-Lewis S, Johnson R, Ye S, Russell C. An equine-assisted therapy intervention to improve pain, range of motion, and quality of life in adults and older adults with arthritis: A randomized controlled trial. Applied Nursing Research. 2019;49:5-12. doi:10.1016/j.apnr.2019.07.002
Osteoarthritis. Centers for Disease Control and Prevention. June 12, 2023. Accessed January 8, 2024. https://www.cdc.gov/arthritis/types/osteoarthritis.htm?CDC_AA_refVal=https%3A%2F%2Fwww.cdc.gov%2Farthritis%2Fbasics%2Fosteoarthritis.htm.
Koca TT. What is hippotherapy? The indications and effectiveness of hippotherapy. North Clin Istanbul. Published online 2016. doi:10.14744/nci.2016.71601
Ren C, Liu T, Zhang J. Horse‐riding simulators in treatment of chronic low back pain: A meta‐analysis. Int J Clin Pract. 2021;75(7). doi:10.1111/ijcp.14198
Hilliere C, Collado‐Mateo D, Villafaina S, Duque‐Fonseca P, Parraça JA. Benefits of Hippotherapy and Horse Riding Simulation Exercise on Healthy Older Adults: A Systematic Review. PM&R. 2018;10(10):1062-1072. doi:10.1016/j.pmrj.2018.03.019
Bunketorp-Käll L, Lundgren-Nilsson Å, Samuelsson H, et al. Long-Term Improvements After Multimodal Rehabilitation in Late Phase After Stroke: A Randomized Controlled Trial. Stroke. 2017;48(7):1916-1924. doi:10.1161/STROKEAHA.116.016433
Kubota M, Nagasaki M, Tokudome M, Shinomiya Y, Ozawa T, Sato Y. Mechanical horseback riding improves insulin sensitivity in elder diabetic patients. Diabetes Research and Clinical Practice. 2006;71(2):124-130. doi:10.1016/j.diabres.2005.06.012
Kim SG, Lee JH. The effects of horse riding simulation exercise on muscle activation and limits of stability in the elderly. Archives of Gerontology and Geriatrics. 2015;60(1):62-65. doi:10.1016/j.archger.2014.10.018
MiracoltTM horse-riding motion simulator. Chariot Innovations. October 31, 2023. Accessed January 12, 2024. https://chariotinnovations.com/miracolt/.
AHA ,INC. Terminology for Health Care. americanhippotherapyassociation.org/. Accessed January 4, 2024. https://www.americanhippotherapyassociation.org/assets/docs/AHA-%20Recommended%20Terminology.pdf.
Health & Wellness Benefits of Equine Assisted Therapy Services: PATH INTL. PATH International. February 8, 2023. Accessed January 4, 2024. https://pathintl.org/benefits-of-eas/.
Lessick M, Shinaver R, Post KM, Rivera JE, Lemon B. Therapeutic Horseback Riding. AWHONN Lifelines. 2004;8[1]:46-53. doi:10.1177/1091592304263956
Håkanson M, Möller M, Lindström I, Mattsson B. The horse as the healer—A study of riding in patients with back pain. Journal of Bodywork and Movement Therapies. 2009;13(1):43-52. doi:10.1016/j.jbmt.2007.06.002
Oh HW, Lee MG, Jang JY, et al. Time-effects of horse simulator exercise on psychophysiological responses in men with chronic low back pain. IES. 2014;22(2):153-163. doi:10.3233/IES-140533
Yoo JH, Kim SE, Lee MG, et al. The effect of horse simulator riding on visual analogue scale, body composition and trunk strength in the patients with chronic low back pain. Int J Clin Pract. 2014;68(8):941-949. doi:10.1111/ijcp.12414
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Copyright (c) 2024 Sylwia Mazur, Agata Mazur, Magdalena Madera, Aleksy Bizan, Emilia Nagórska, Krzysztof Marcinkowski, Karolina Strus, Aleksandra Kublińska, Roksana Zdunek, Natalia Dąbrowska
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