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THERAPEUTIC
HORSEBACK RIDING
INTRODUCTION
Hippotherapy,
literally means “treatment with
the help of the horse: from the Greek word hippos meaning horse". It is
often divided into Hippotherapy and therapeutic horse back riding. Specially
trained physiotherapists, occupational therapists, speech therapists, and
psychologists use this medical treatment for clients who are challenged.
HISTORY
Historically,
the therapeutic benefits of the horse were recognized as early as 460 BC the
field of riding for individuals who are challenged evolved throughout Europe,
the US and Canada. It now occurs world wide mostly under the umbrella of Riding
for the Disabled.
DEFINITIONS
Hippotherapy
In classic Hippo therapy, the horse influences the client rather than the client
controlling the horse. It does not teach specific skills but rather provides a
foundation of improved neuromotor functions and sensory processing that can be
generalized to a wide range of activities outside of treatment. The client is
positioned on, and actively responds to the movement of the therapy horse. The
therapist directs the movement of the horse analyzes the client's responses, and
adjusts the treatment accordingly. The goal of classic Hippotherapy is to
improve the client's posture, balance, mobility and function. This is the
therapeutic/medical model which integrates principles of the medical and/or
psychological development into various uses of the horse. The use of medical
practitioners such as specially trained physiotherapists, occupational
therapists, speech therapists and psychologists become an important part of the
program.
Therapeutic
Horseback Riding also known as
Therapeutic Riding, Equine Assisted Therapy, Equine Facilitated Therapy and
Riding for the Disabled, is the use of the horse and equine oriented
activities to achieve a variety of therapeutic goals, including
cognitive, physical, emotional, social, educational and behavioral goals. Where
if differs from Hippotherapy is that not only does the horse influence the
client but the client also influences the horse. The emphasis is on learning
riding skills; these would include trail riding, driving, vaulting, and
competition. An emphasis on the client’s areas of challenge and specific
therapy goals are included in the riding lesson.
Summary
Many
centers use an integrated approach,
involving all of the above approaches, which lead to a more holistic
approach to the clients benefit. The team consists of some
or all of the following, riding instructors, medical professionals, volunteers,
educational specialists, and behavioral specialists.
WHY
THE HORSE?
Horseback riding for the challenged is
recognized as one of the more progressive forms of therapy. The horse provides
sensory input through multidimensional movement, which is variable, rhythmic and
repetitive. This and the variability of the horse's gait enables the therapist
to grade the degree of the sensory input to the client, then use this movement
in combination with other clinical treatments to achieve desired results.
Clients respond enthusiastically to this enjoyable learning experience in a
natural setting. By adding the ability to control a horse, once the clients body
and mind are organized, inspires self confidence, responsibility and teamwork.
Best of all, it is a thoroughly enjoyable experience, which creates a special
relationship between rider and horse and promotes personal challenge. It can
have an affect on the following areas; physical, psychological,
cognitive, behavioral and communication functions for clients of ail ages.
From
the beginning, riders learn balance, coordination and self assurance while
receiving therapeutic muscle and vestibular stimulation. The horse's
multidimensional movement, gait changes in pace and the clients position on the
horse can assist in physically challenged people.
Some
of the unique aspects of contact with and the riding of therapeutic horses
include,
 | Heat
from the horse can normalize muscle tone controlling a horse helps clients
to learn to control themselves riding can influence nearly every part of the
human body by merely changing the clients
position (sitting, kneeling, laying down supine or prone, front wards,
backwards), their placement
on the horse (close to the neck, in the middle of the back, back towards
the rump) and the speed of the horse
(slow walk, walk, fast
walk, slow trot, fast trot, canter) |
 | Bonding
with a horse may help bonding with
humans |
 | Horses
give unconditional love |
 | Horses
don't talk back |
 | Horses
listen without judgment |
 | Horses
care not about what we look like, move like, past behavior of ours or what
may have happened to us in the past |
 | Horses
give us the opportunity to learn about "Engine" levels, regulation
strategies and modulation riding give opportunities for extremes that cannot
be had elsewhere being outdoors adds a wealth of sensory experiences not
found elsewhere offers the opportunity to maintain movement opportunities
and modulation while working on other issues |
 | The
rider typically looks like their peers doing a natural and special activity |
 | Can
be seen as horseback riding rather than another "therapy". |
 | One
can work on multiple target areas simultaneously without the client
realizing it. |
 | Clients who have negative attitudes,
expectations, ideas and experiences with therapy are less likely to have
them towards Therapeutic Horse Back Riding. |
 | The
movement of the horse boosts respiration and helps to organize the body,
mind and spirit. |
 | The
horse organizes the client without the client having to do much work and
often without having to make a conscious effort |
IT'S
GREAT FUN!!!
WHO
WILL BENEFIT FROM THERAPEUTIC HORSEBACK RIDING
The
horse provides its rider with a multitude of sensations and possibilities.
Identifying the kinds of people or the challenges or disabilities they face that
would benefit from riding a horse is complex. Four areas have been
used to categorize the specific
symptoms that would benefit from therapeutic horse back riding.
Physical Issues
 |
Muscle tone
|
 |
Mobility
|
 |
Strength, endurance,
stamina
|
 |
Postural control
|
 |
Gravitational insecurity
|
 |
Spatial perception
|
 |
Praxis
|
 |
Bilaterality and
laterality
|
 |
Balance
|
 |
Proprioception
|
 |
Sensory defensiveness
|
 |
Coordination, reflexes,
motor planning
|
 |
Respiration and
circulation
|
 |
Appetite and digestion
|
 |
Sensation (tactile,
vestibular, olfactory, vision, auditory)
|
 |
Self regulation and
modulation
|
Psychological
Issues
 | Self-confidence |
 | Self
esteem |
 | Social
emotional |
 | Abuse/neglect |
 | Autism
spectrum |
 | Depression/suicidal |
 | Behavior/attention |
 | Sense
of normality |
Educational
issues
 | Number
concepts |
 | Sequencing |
 | Patterning |
 | Motor
planning |
 | Eye
hand coordination |
 | Visual
perception |
 | Figure
ground |
 | ADD |
 | ADHD |
 | Learning
Disabilities |
Social Issues
 | Bonding |
 | Communication
(verbal and nonverbal) |
 | Interaction |
 | Listening |
 | Following
directions |
 | Normal
peer activities |
The
Power of Therapeutic Horseback Riding
The
use of a horse for therapy is very powerful medium. It is critical that
therapeutic riding programs have appropriately trained personnel. If incorrectly
implemented, it can be extremely dangerous. Since this medium involves the use
of a large animal, safety issues are paramount. It is also necessary to have
complete understanding of the physical and psychological nature of the horse
involved and the physical, mental, and emotional needs and status of the special
needs rider.
Listed
below are a few of the "power packs" that are carried by the horse
when using therapeutic horseback riding with people who are challenged.
 | The
horse's energy |
 | The
horse responds to the feeling it gets from the rider; "the real
you" |
 | Therapeutic
horses are very sensitive to the riders' needs |
 | The
power of nature |
 | Cranio
sacral rhythms |
 | The
physical nature of riding a horse stimulates physical development and
Sensorimotor processing |
 | Looking
after, caring for, responsibility for, and controlling a huge animal that
listens to you (verbally and nonverbally). |
 | Ability
to do something most other cannot and do not do free mobility |
 | Non
verbal communication on a different level |
 | The
horse expects you to do your best and nothing more and if you are not
functioning at your best for that day the horse will challenge you. |
Bibliography
-
Sivewright,
Molly, Thinking Riding (Book 1 a
and ). JA Allen, London
-
British
Horse Society, Manual of Horsemanship, JA Allen, London
-
Sagar,
Ann. Vaulting Develop
Your Riding and Gymnastic Skills, BT Batsforn
Ltd, London, 1993
-
Swift,
S, Centered Riding, 1985, St. Martins Press
-
Williams,
MS and Shellenberger, S,
"How Does Your Engine Run?" A Leader's Guide to the Alert Program
for Self Regulation. Therapy Works Inc., Albuquerque, NM
-
Oetter,
P, Richter, E, Frick, S, MORE:
Integrating the Mouth with Sensory and Postural Functions,
1993, PDP Press,
Hugo, MN
Lisa
Hare OTR, Sleepy Hollow Horse Riding, Noordhoek
Beach, South Africa 6199 |