Effects of Hippotherapy on Postural Stability, in Persons with Multiple Sclerosis: A Pilot Study.

 ArticleJournal of Neurologic Physical Therapy. 31(2):77-84, June 2007. Silkwood-Sherer, Debbie PT, MS; Warmbier, Heather MPT Abstract: Purpose: The purpose of this pilot study was to examine the effectiveness of hippotherapy as an intervention for the treatment of postural instability in individuals with multiple sclerosis (MS). Subjects: A sample of convenience of 15 individuals with MS (24-72 years) were recruited from support groups and assessed for balance deficits. Methods: This study was a nonequivalent pretest-posttest comparison group design. Nine individuals (4 males, 5 females) received weekly hippotherapy intervention for 14 weeks. The other 6 individuals (2 males, 4 females) served as a comparison group. All participants were assessed with the Berg Balance Scale (BBS) and Tinetti Performance Oriented Mobility Assessment (POMA) at 0, 7, and 14 weeks. Results: The group receiving hippotherapy showed statistically significant improvement from pretest (0 week) to posttest (14 week) on the BBS (mean increase 9.15 points (x2 (2) = 8.82, p = 0.012)) and POMA scores (mean increase 5.13 (x2 (2) = 10.38, p = 0.006)). The comparison group had no significant changes on the BBS (mean increase 0.73 (x2 (2) = 0.40, p = 0.819)) or POMA (mean decrease 0.13 (x2 (2) = 1.41, p = 0.494)). A statistically significant difference was also found between the groups’ final BBS scores (treatment group median = 55.0, comparison group median 41.0), U = 7, r = -0.49. Discussion: Hippotherapy shows promise for the treatment of balance disorders in persons with MS. Further research is needed to refine protocols and selection criteria. (C) 2007 Neurology Section, APTA