Issue №6-10, 2020

Clinical case

https://doi.org/10.38025/2078-1962-2020-100-6-114-119

Hippotherapy in Medical-and-Social Rehabilitation for Multiple Sclerosis

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1 ORCIDAkhmadeeva L.R., 1 ORCIDGizatullin R.R., 1 ORCIDGizatullin R.H., 1 ORCIDKhokh I.R., 2,3,4 ORCIDVoitenkov V.B., 3 ORCIDEkusheva E.V., 5 ORCIDNikitina N.A., 6 ORCIDRobinson C.

1 Bashkir State Medical University, Ufa, Russian Federation
2 Pediatric Research and Clinical Center for Infectious Diseases, Saint-Petersburg, Russian Federation
3 Federal Scientific Research Center, Moscow, Russian Federation
4 Federal Scientific Center of Rehabilitation of the Disabled Named After G. A. Albrecht, Saint-Petersburg, Russian Federation
5 Republican Center of Hippotherapy, Ufa, Russian Federation
6 University of Washington, Seattle, USA


ABSTRACT

The term “hippotherapy” can be defined as physiotherapy treatment “one patient – one horse”, meaning communication with a horseand riding. The main tasks of hippotherapy are to regulate muscle tone (reduce spasticity) and improve breathing, strengthen themuscles 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 underwenta single course of hippotherapy was presented. The following tests, questionnaires and scales: Wakefield Self-Assessment andDepression Scale, Spielberger-Hanin Self-Assessment Scale, SAN Questionnaire, Hamilton Anxiety Scale (HAM-A), Hamilton DepressionScale (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 rehabilitationand psychosocial support of patients with multiple sclerosis, not only with its mild forms, but also with severe forms, as in ourobservation.


KEYWORDS: rehabilitation, multiple sclerosis, hippotherapy

For citation: Akhmadeeva L.R, Gizatullin R.R., Gizatullin R.H., Khokh I.R., Voitenkov V.B., Ekusheva E.V., Nikitina N.A., Robinson C. Hippotherapy in Medical-and-Social Rehabilitation for Multiple Sclerosis. Bulletin of Rehabilitation Medicine. 2020; 6 (100): 114–119. https://doi.org/10.38025/2078-1962-2020-100-6-114-119



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This is an open article under the CC BY 4.0 license. Published by the National Medical Research Center for Rehabilitation and Balneology.

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