{"id":4967,"date":"2015-12-16T00:00:00","date_gmt":"2015-12-16T07:00:00","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/2015\/12\/16\/healing-by-horseback-hippotherapy-provides-results\/"},"modified":"2017-01-30T16:37:43","modified_gmt":"2017-01-30T23:37:43","slug":"healing-by-horseback-hippotherapy-provides-results","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/healing-by-horseback-hippotherapy-provides-results\/","title":{"rendered":"Healing by horseback: Hippotherapy provides results"},"content":{"rendered":"
<\/div>

\u201cHippotherapy refers to the incorporation of equine movement by physical therapy, occupational therapy, or speech language pathology professionals in treatment.\u201d \u2013<\/em> American Hippotherapy Association (AHA).<\/em><\/p>\n

Tim Miller laughs and waves his hands with excitement as a physical therapist and volunteers strap him into a rock-climbing harness. He knows what comes next: He\u2019ll be hoisted onto a horse.<\/p>\n

Tim, 28, has cerebral palsy and spends most of his life in a wheelchair. Other than swimming, riding a horse is one of the few chances he gets for exercise.<\/p>\n

Once mounted on Ally, a brown and white mare with a gentle disposition, Tim sits more erect and gains better control of his body.<\/p>\n

Therapists say there\u2019s something about being on horseback that takes patients beyond what they could achieve with traditional physical therapy methods.<\/p>\n

\u201cGood job,\u201d said Sage Littleboy, his physical therapist from the Rehabilitation Patient Care Unit at Memorial Hospital at UCHealth Colorado Springs.<\/p>\n

Littleboy and her supervisor, Kristen Zelenbaba, have earned Level 2 therapist certification from the AHA. Littleboy, who has been doing this for four years at Memorial, originally became involved in hippotherapy when she volunteered in a program while in graduate school.<\/p>\n

Tim\u2019s mom said that after he spent three years in the program (offered at the Pikes Peak Therapeutic Riding Center), she could see a big difference.<\/p>\n

\u201cOh, my gosh, it\u2019s been wonderful for him,\u201d said Sheri Miller. \u201cIt\u2019s been good for his balance, for upper body strength and for relaxing his muscles. It\u2019s very soothing.<\/p>\n

\u201cIt gives him a sense of being able to do something other people can do. He loves it. He\u2019s just the happiest kid anyway, but this makes him especially happy.\u201d<\/p>\n

Littleboy also sees improvement in Tim\u2019s physical abilities.<\/p>\n

\u201cMost recently, our big focus is trying to get him to verbalize more. But from a PT standpoint, it\u2019s more about his standing balance and his ability to walk. At home now, he walks to the bathroom and to the car, instead of riding in a wheelchair,\u201d she said. \u201cHe\u2019s gaining more mobility.\u201d<\/p>\n

More success stories<\/strong><\/h2>\n

Ashley Whitead<\/strong>, also 28, follows Tim into the shady indoor arena.<\/p>\n

Anita Azare, Ashley\u2019s mom, said her daughter has been diagnosed as intellectually developmentally delayed. Learning basic concepts can be difficult for her.<\/p>\n

When she arrived for a recent Monday session, Ashley was overly excited and repeating several phrases over and over. Once mounted on the horse, however, she calmed down and seemed to gain control over both her body and her mind. Her speech became more focused, and she carefully followed directions while sitting atop the gentle Ally.<\/p>\n

Littleboy had Ashley identify colors, name the days of the week, and do small tasks, like tossing a red beanbag into a slot in a ladybug painted on the wall.<\/p>\n

\u201cShe likes being around people, being observed by people,\u201d her mom said. \u201cShe is in a dance troupe, a drama group, and anything that involves performing. She likes all that.\u201d<\/p>\n

Ashley has been riding since she was about 15 or 16. Once she did it, she was hooked, her mom said. \u201cHer first session, it took us about 40 minutes to get her off the horse.\u201d<\/p>\n

On days after Ashley has ridden, \u201cShe\u2019s more independent and expressive in her language, and she\u2019s able to construct language instead of just parroting things or repeating things,\u201d Azare said.<\/p>\n

The fact that Memorial offers this, \u201cWell, it\u2019s just thinking outside the box.\u00a0 And because it\u2019s a hospital program, insurance pays for it. That\u2019s a big deal for us.\u201d<\/p>\n

Ashley tends to have a crouched walk, Littleboy said. \u201cWe\u2019re trying to give her more of an upright gait. She has issues controlling her excitement. The horse helps her control that.\u201d<\/p>\n

Tonya Bauer<\/strong> had a car accident that resulted in a serious spinal injury in 2011. A horse lover, she has been doing hippotherapy for more than a year. She rides Dylan, a big brown gelding. Although she and her husband have horses on their own place east of town, those animals are not trained to handle someone with an injury. But the horses at the riding center are specifically chosen for their placid demeanor.<\/p>\n

\u201cIt has opened new vistas for me,\u201d Bauer said. \u201cIt gives me more flexibility, and more confidence in my walking,\u201d which she does with the aid of two high-tech crutches.<\/p>\n

\u201cWe are working on Tonya\u2019s core stability and leg strength to allow her to be more independent in her home with the Lofstrand crutches,\u201d said therapist Zelenbaba. \u201cWhen she first started, Tonya required assistance to sit upright on the horse. [But] now she has incorporated the use of the reins, which decreases the ability for her arms to help her with balance. [As a result], Tonya walks more fluidly following treatment then she does before and reports increased ease at home for several days following hippotherapy.\u201d<\/p>\n

Tonya said she looks forward to her weekly sessions.<\/p>\n

\u201cIt\u2019s a bright spot in my week,\u201d she said. \u201cAnd the people are so nice here.\u201d<\/p>\n

How it works<\/strong><\/h2>\n

According to the AHA, the therapists \u201cuse evidence-based practice and clinical reasoning in the purposeful manipulation of equine movement to engage the sensorimotor and neuromotor systems to create functional change in their patients. Used with other neuromotor and sensorimotor techniques, hippotherapy is part of a patient\u2019s integrated plan of care.\u201d<\/p>\n

Nancy Beers, director for the Pikes Peak Therapeutic Riding Center, said Memorial has used their facility at Latigo for its hippotherapy program for many years.<\/p>\n

\u201cIt started as a program for children but has been taking adults for a long time, at least a decade.\u201d<\/p>\n

\"horsebackHippotherapy is all about improving or regaining control of your body, from balance to confidence.\u00a0 Riding, even at a slow pace, \u201chelps normalize muscle tone,\u201d she said. \u201cSome patients have low muscle tone and others have way too much. Riding seems to resolve both issues.\u201d<\/p>\n

She also thinks that it\u2019s good for a patient like Tim, who must turn his head and look up any time someone speaks to him. When he\u2019s on a horse, he can sit erect and look down at the speaker for a change.<\/p>\n

The whole premise of hippotherapy \u201cis that the gait of the horse runs in a perpendicular fashion to the human pelvis,\u201d Littleboy said. So it replicates normal human gait.<\/p>\n

\u201c<\/strong>It\u2019s also about posture,\u201d she said. \u201c[Tim] can sit up in an upright posture and it allows his diaphragm to be in a more appropriate position \u2013 he can literally breathe easier.\u201d<\/p>\n

Another important aspect hippotherapy offers is the rhythmical motion that only a horse can provide. The patient receives what is called vestibular, proprioceptive and visual input \u2013 which is different with every horse\u2019s gait \u2013 and so some horses work better with certain people, she said.<\/p>\n

\u201cYou have to analyze what the patient needs and what horse can provide that for them,\u201d Littleboy said.\u00a0 \u201cThat\u2019s why it\u2019s important for the therapist to be certified to provide that service.\u201d<\/p>\n

Insurance does cover some patients at Memorial, particularly cerebral palsy or multiple sclerosis patients, but, she admitted, \u201cIt can be tough to get insurance to pay for any of this.\u201d<\/p>\n

In order to get into the program, patients need to be evaluated by therapist Zelenbaba, who is the supervisor of Memorial\u2019s Scarborough Outpatient Rehabilitation Clinic.<\/p>\n

She typically gets referrals from physicians or requests from patients or their families for the program.\u00a0 Patients need a prescription for the program, and she checks to see if their insurance will cover it. It\u2019s billed as physical therapy \u2013 \u201cAnd that is exactly what it is. We just use the movement of the horse to facilitate it.\u201d The constant movement of the horse is far better than, say, sitting on an exercise ball, she added.<\/p>\n

\u201cOur main concern is the safety of the rider, volunteers and horse,\u201d she said. \u201cIf a patient has enough sitting balance and is behaviorally appropriate, then the program can be very beneficial.\u201d<\/p>\n

Anyone interested in the program may contact Zelenbaba at the Scarborough center, 719-365-5742.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

\u201cHippotherapy refers to the incorporation of equine movement by physical therapy, occupational therapy, or speech language pathology professionals in treatment.\u201d \u2013 American Hippotherapy Association (AHA). Tim Miller laughs and waves his hands with excitement as a physical therapist and volunteers strap him into a rock-climbing harness. He knows what comes next: He\u2019ll be hoisted onto […]<\/p>\n","protected":false},"author":20,"featured_media":2018,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[7],"tags":[444,21,445],"class_list":["post-4967","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-stories","tag-hippotherapy","tag-southern-colorado","tag-uchealth-colorado-springs"],"acf":[],"yoast_head":"\nHealing by horseback: Hippotherapy provides results - UCHealth Today<\/title>\n<meta name=\"description\" content=\"\u201cHippotherapy refers to the incorporation of equine movement by physical therapy, occupational therapy, or speech language pathology professionals in treatment.\u201d \u2013 American Hippotherapy Association (AHA). 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