Hippotherapy in Medical-and-Social Rehabilitation for Multiple Sclerosis

Abstract

The term “hippotherapy” can be defined as physiotherapy treatment “one patient – one horse”, meaning communication with a horse and riding. The main tasks of hippotherapy are to regulate muscle tone (reduce spasticity) and improve breathing, strengthen the muscles of the trunk, improve balance control and coordination, as well as improving control over walking. The aim of the study was to provide an example of the effectiveness of hippotherapy in the complex therapy of multiple sclerosis. Materials and Methods. An analysis of the literature and a clinical case of a 52‑year-old female patient with multiple sclerosis who underwent a single course of hippotherapy was presented. The following tests, questionnaires and scales: Wakefield Self-Assessment and Depression Scale, Spielberger-Hanin Self-Assessment Scale, SAN Questionnaire, Hamilton Anxiety Scale (HAM-A), Hamilton Depression Scale (HAM-D), Hospital Anxiety and Depression Scale (HADS), Beck Depression Scale. Results. The patient had both positive results on the basis of tests, questionnaires and scales, and on subjective self-awareness. Conclusion. The clinical case demonstrates the effectiveness and the need to consider hippotherapy in the course of medical rehabilitation and psychosocial support of patients with multiple sclerosis, not only with its mild forms, but also with severe forms, as in our observation.