Modern Fizyoterapi Yaklaşımlarında Mekanik Hipoterapinin Klinik Etkililiği ve Uygulama Alanları
DOI:
https://doi.org/10.5281/zenodo.18086734Anahtar Kelimeler:
Sağlık hizmetleri, fizyoterapi, hipoterapi, postüral kontrol, dijital sağlık.Özet
Amaç: Bu çalışma, modern fizyoterapide mekanik hipoterapinin terapötik etkilerini ve klinik uygulamalarını incelemeyi amaçlamaktadır. Hipoterapi, at destekli bir rehabilitasyon yöntemi olup, mekanik simülatörler aracılığıyla kontrollü ve güvenli bir şekilde uygulanabilmektedir.
Yöntem: PubMed ve Elsevier veri tabanlarında İngilizce ve Türkçe dillerinde yayınlanmış klinik araştırmalar, derleme makaleleri ve meta-analizler taranmıştır. Anahtar kelimeler arasında “hippotherapy”, “mechanical horse simulator”, “neurological rehabilitation”, “cerebral palsy”, “Parkinson disease” ve “postural control” yer almıştır. Hem gerçek at hem de mekanik simülatör uygulamalarını kapsayan çalışmalar değerlendirilmiş, veriler postüral kontrol, denge, kas aktivasyonu, motor performans ve yaşam kalitesi açısından analiz edilmiştir.
Bulgular: Literatür taraması, mekanik hipoterapinin core aktivasyonu, postüral kontrol, denge, motor performans ve günlük yaşam aktivitelerine katılımı artırdığını göstermektedir. SP, MS, Parkinson hastaları ve ankilozan spondilitli bireylerde kısa ve uzun dönem uygulamalar, hem fiziksel hem de psikososyal açıdan olumlu etkiler sağlamaktadır. Mekanik simülatörler, güvenli ve tekrarlanabilir bir ortam sunarak motivasyonu artırmakta ve terapötik sürece uyumu desteklemektedir.
Sonuç: Mekanik hipoterapi, geleneksel at destekli terapinin sağladığı faydaları kontrollü ve erişilebilir bir şekilde sunan etkili bir rehabilitasyon yöntemidir. Gelecek çalışmalarda optimal seans süreleri, protokoller ve uzun dönem etkilerinin sistematik olarak incelenmesi önerilmektedir.
Referanslar
Ajzenman, H. F., Standeven, J. W., & Shurtleff, T. L. (2013). Effect of hippotherapy on motor control, adaptive behaviors, and participation in children with autism spectrum disorder: A pilot study. The American Journal of Occupational Therapy, 67(6), 653–663. https://doi.org/10.5014/ajot.2013.008383
Bailet, H., Leroy, D., Vérin, E., Delpouve, C., Benguigui, N., Komar, J., & Thouvarecq, R. (2019). Effect of mechanical horse practice as new postural training in patients with neurological disorders: A pilot study. Frontiers in Psychology, 10, 1035. https://doi.org/10.3389/fpsyg.2019.01035
Benda, W., McGibbon, N. H., & Grant, K. L. (2003). Improvements in muscle symmetry in children with cerebral palsy after equine-assisted therapy (hippotherapy). Journal of Alternative and Complementary Medicine, 9, 817–825. https://doi.org/10.1089/107555303771952163
Berardi, A., Di Napoli, G., Ernesto, M., Fabbrini, G., Conte, A., Ferrazzano, G., Viselli, F., & Galeoto, G. (2022). The effectiveness of equine therapy intervention on activities of daily living, quality of life, mood, balance and gait in individuals with Parkinson’s disease. Healthcare, 10(3), 561. https://doi.org/10.3390/healthcare10030561
Borges, M. B. S., Werneck, M. J. D. S., Silva, M. D. L. D., Gandolfi, L., & Pratesi, R. (2011). Therapeutic effects of a horse riding simulator in children with cerebral palsy. Arquivos de Neuro-Psiquiatria, 69, 799–804.
Champagne, D., & Dugas, C. (2010). Improving gross motor function and postural control with hippotherapy in children with Down syndrome: Case reports. Physiotherapy Theory and Practice, 26(8), 564–571. https://doi.org/10.3109/09593981003623659
Debuse, D., Chandler, C., & Gibb, C. (2005). An exploration of German and British physiotherapists’ views on the effects of hippotherapy and their measurement. Physiotherapy Theory and Practice, 21, 219–242. https://doi.org/10.1080/09593980500321143
Goodworth, A. D., Barrett, C., Rylander, J., & Garner, B. (2019). Specificity and variability of trunk kinematics on a mechanical horse. Human Movement Science, 63, 82–95. https://doi.org/10.1016/j.humov.2018.11.007
Granados, A. C., & Agís, I. F. (2011). Why children with special needs feel better with hippotherapy sessions: A conceptual review. The Journal of Alternative and Complementary Medicine, 17(3), 191–197.
Han, J. Y., Kim, J. M., Kim, S. K., Chung, J. S., Lee, H. C., Lim, J. K., Lee, J., & Park, K. Y. (2012). Therapeutic effects of mechanical horseback riding on gait and balance ability in stroke patients. Annals of Rehabilitation Medicine, 36(6), 762–769. https://doi.org/10.5535/arm.2012.36.6.762
Hemachithra, C., Meena, N., Ramanathan, R., & Felix, A. J. W. (2020). Immediate effect of horse riding simulator on adductor spasticity in children with cerebral palsy: A randomized controlled trial. Physiotherapy Research International, 25(1), e1809. https://doi.org/10.1002/pri.1809
Herrero, P., Gómez-Trullén, E. M., Asensio, Á., García, E., Casas, R., Monserrat, E., & Pandyan, A. (2012). Study of the therapeutic effects of a hippotherapy simulator in children with cerebral palsy: A stratified single-blind randomized controlled trial. Clinical Rehabilitation, 26(12), 1105–1113. https://doi.org/10.1177/0269215512444633
Hilliere, C., Collado-Mateo, D., Villafaina, S., Duque-Fonseca, P., & Parraça, J. A. (2018). Benefits of hippotherapy and horse riding simulation exercise on healthy older adults: A systematic review. PM & R: The Journal of Injury, Function, and Rehabilitation, 10(10), 1062–1072. https://doi.org/10.1016/j.pmrj.2018.03.019
Hosaka, Y., Nagasaki, M., Bajotto, G., Shinomiya, Y., Ozawa, T., & Sato, Y. (2010). Effects of daily mechanical horseback riding on insulin sensitivity and resting metabolism in middle-aged type 2 diabetes mellitus patients. Nagoya Journal of Medical Science, 72(3–4), 129–137.
Kim, M. J., Kim, T., Oh, S., & Yoon, B. (2018). Equine exercise in younger and older adults: Simulated versus real horseback riding. Perceptual and Motor Skills, 125(1), 93–108. https://doi.org/10.1177/0031512517736463
Kim, S., Yuk, G. C., & Gak, H. (2013). Effects of the horse riding simulator and ball exercises on balance of the elderly. Journal of Physical Therapy Science, 25(11), 1425–1428. https://doi.org/10.1589/jpts.25.1425
Koç, P., Altınkaya, N., & İnanç, G. (2023). Hippoterapinin terapötik yararları: Ergoterapi bakış açısı. Gümüşhane Üniversitesi Sağlık Bilimleri Dergisi, 12(1), 324–333. https://doi.org/10.37989/gumussagbil.931263
Lavín-Pérez, A. M., Collado-Mateo, D., Caña-Pino, A., Villafaina, S., Parraca, J. A., & Apolo-Arenas, M. D. (2022). Benefits of equine-assisted therapies in people with multiple sclerosis: A systematic review. Evidence-Based Complementary and Alternative Medicine, 2022, 9656503. https://doi.org/10.1155/2022/9656503
Mason, M. A. (2005). Effects of therapeutic riding in children with autism. Capella University.
Matusiak-Wieczorek, E., Dziankowska-Zaborszczyk, E., Synder, M., & Borowski, A. (2020). The influence of hippotherapy on the body posture in a sitting position among children with cerebral palsy. International Journal of Environmental Research and Public Health, 17(18), 6846. https://doi.org/10.3390/ijerph17186846
McDaniel Peters, B. C., & Wood, W. (2017). Autism and equine-assisted interventions: A systematic mapping review. Journal of Autism and Developmental Disorders, 47(10), 3220–3242. https://doi.org/10.1007/s10803-017-3219-9
Meregillano, G. (2004). Hippotherapy. Physical Medicine and Rehabilitation Clinics of North America, 15, 843–854. https://doi.org/10.1016/j.pmr.2004.02.002
Prieto, A., Martins Almeida Ayupe, K., Nemetala Gomes, L., Saúde, A. C., & Gutierres Filho, P. (2022). Effects of equine-assisted therapy on the functionality of individuals with disabilities: Systematic review and meta-analysis. Physiotherapy Theory and Practice, 38(9), 1091–1106. https://doi.org/10.1080/09593985.2020.1836694
Rahbar, M., Salekzamani, Y., Jahanjou, F., Eslamian, F., Niroumand, A., & Dolatkhah, N. (2018). Effect of hippotherapy simulator on pain, disability and range of motion of the spinal column in subjects with mechanical low back pain: A randomized single-blind clinical trial. Journal of Back and Musculoskeletal Rehabilitation, 31(6), 1183–1192. https://doi.org/10.3233/BMR-170832
Salbaş, E., & Karahan, A. Y. (2023). The effectiveness of hippotherapy simulation exercises for muscle strength, disease activity and quality of life in sedentary adults with ankylosing spondylitis. Annals of Medicine, 55(2), 2249822. https://doi.org/10.1080/07853890.2023.2249822
Silkwood-Sherer, D., & Warmbier, H. (2007). Effects of hippotherapy on postural stability, in persons with multiple sclerosis: A pilot study. Journal of Neurologic Physical Therapy, 31, 77–84. https://doi.org/10.1097/NPT.0b013e31806769f7
Silkwood-Sherer, D. J., Killian, C. B., Long, T. M., & Martin, K. S. (2012). Hippotherapy—An intervention to habilitate balance deficits in children with movement disorders: A clinical trial. Physical Therapy, 92(5), 707–717. https://doi.org/10.2522/ptj.20110081
Sterba, J. A. (2007). Does horseback riding therapy or therapist-directed hippotherapy rehabilitate children with cerebral palsy? Developmental Medicine and Child Neurology, 49(1), 68–73. https://doi.org/10.1017/s0012162207000175.x
Temcharoensuk, P., Lekskulchai, R., Akamanon, C., Ritruechai, P., & Sutcharitpongsa, S. (2015). Effect of horseback riding versus a dynamic and static horse riding simulator on sitting ability of children with cerebral palsy: A randomized controlled trial. Journal of Physical Therapy Science, 27(1), 273–277. https://doi.org/10.1589/jpts.27.273
Wood, W. H., & Fields, B. E. (2021). Hippotherapy: A systematic mapping review of peer-reviewed research, 1980 to 2018. Disability and Rehabilitation, 43(10), 1463–1487. https://doi.org/10.1080/09638288.2019.1653997
Zurek, G., Dudek, K., Pirogowicz, I., Dziuba, A., & Pokorski, M. (2008). Influence of mechanical hippotherapy on skin temperature responses in lower limbs in children with cerebral palsy. Journal of Physiology and Pharmacology, 59(Suppl 6), 819–824.
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