Easter Seals Disability Services

Hippotherapy

As a treatment tool, HPOT is seldom used in isolation. Instead, it is part of an overall treatment plan that includes more traditional therapeutic techniques. BVRC is currently in the process of becoming registered with the American Hippotherapy Association, part of the North American Riding for the Handicapped Association (NAHRA).

In HPOT, the horse's movement facilitates a wide variety of responses in the client. For instance, HPOT used in a Physical Therapy setting can facilitate the pelvic motions and trunk rotation that is necessary for ambulation. In an Occupational Therapy setting, HPOT is valuable for developing the dynamic postural control necessary for upper limb activities. The horse's movement also assists in maintaining appropriate arousal levels, making it an invaluable tool for speech and language therapy.

Other benefits of HPOT include:

• Modification of muscle tone
• Improved body awareness, midline awareness, and spatial orientation
• Prolonged passive stretch to lower extremities
• Facilitation of righting and equilibrium reactions in 3-dimensions
• Strong tactile, proprioceptive, and vestibular stimulation
• Positive effects on respiration, circulation, and endurance
• Psychological benefits (improved self-esteem, motivation, and empowerment)

• TBI
• CP
• Spina bifida
• Language delay
• Seizure disorder
• Developmental delay
• Sensory integration dysfunction
• Hemiplegia
• Down's syndrome
• Other indications for HPOT would include clients with the following:
• Abnormal muscle tone
• Postural asymmetry
• Impaired balance and coordination
• Autism
• Decreased LE or spinal mobility
• Abnormal reflexes
• Decreased postural control
• ADHD
• CVA

What about safety? Each rider is required to wear a protective helmet and a gait belt. The patient's therapist is always present for the HPOT session. Therapy horses are led by experienced personnel trained for the task. Sidewalkers walk along each side of the horse, providing any support that is needed by the rider. Each horse that is used in a therapy session is specifically trained to work with people with special needs.

If you want to know more about HPOT or if you have questions regarding its appropriateness for one of your patients, please contact BVRC.