Good luck getting horse riding going. The skill required just to get up on a horse means these are high functioning individuals already. I assuredly couldn't get my left foot high enough to get it in the stirrup and then to swing my body up with just the right hand would never occur. Solutions to this would be expensive.
Ramp? |
Lift? |
Perception is NOT GOOD ENOUGH, we need actual recovery measured.
The Effects of a Rhythm and Music-based Therapy Program and Therapeutic Riding in Late Recovery Phase Following Stroke
Brief Summary:
The
initiative to the study is based on the fact that various forms of
enriched environments and multimodal stimulation are found to have
positive influences on motivation and psychosocial well-being and have
been shown to facilitate multiple processes in the brain leading to
structural regeneration and functional recovery. Since there is a lack
of rehabilitation programs that encompass all dimensions of a stroke
survivor's life researchers agree upon the need for a rehabilitation
program that addresses both the social and physical needs of the
patients. The aim with the project is to investigate whether it is
possible to improve the life situation among patients with a history of
stroke through a rhythm and music method and therapeutic riding. To get
insights in the underlying mechanisms our research also focuses on
relevant physiological, neurobiological and psychosocial mechanisms
induced by the interventions. The hypothesis is that both treatment
methods will mainly enhance participants' degree of participation.
The study is a
randomized controlled trial where about 123 participants (50-75 years
old) who had their stroke incident 1 - 5 years ago will be consecutively
included and randomly allocated to the following three groups: a)
Ronnie Gardiner Rhythm Music Method (RGRM) b) therapeutic riding c) a
control group receiving RGRM after 9 months. Treatment proceeds during
12 weeks and evaluation takes place pre- and post intervention, and 12
and 24 weeks after the treatment is finalized. The evaluation consists
of a thorough neuropsychological assessment, a physiotherapeutic
assessment, sampling of blood and questionnaires covering mental,
psychosocial, physical and psychological well-being. Interviews are also
conducted in order to map the participants' experiences from the two
treatment programs. Specially designed interviews are also planned to be
carried through with participants having aphasia.
So far, there is only
empirical support suggesting that RGRM has positive effects for
individuals with a history of stroke making it significant to carry out
research with the aim to contribute to strengthening the evidence of the
method. A positive outcome would increase the scientific basis for this
alternative treatment thus facilitating further research and
implementation in everyday clinical practice.
Condition or disease | Intervention/treatment | Phase |
---|---|---|
Stroke | Other: RGRM Other: Therapeutic riding Other: Receives no intervention | Not Applicable |
Detailed Description:
Background
and Purpose: Treatments that improve function in late phase after
stroke are urgently needed. We assessed whether multimodal interventions
based on rhythm-and-music therapy or horse-riding therapy could lead to
increased perceived recovery and functional improvement in a mixed
population of individuals in late phase after stroke.
Methods: Participants
were assigned to rhythm-and-music therapy, horse-riding therapy, or
control using concealed randomization, stratified with respect to sex
and stroke laterality. Therapy was given twice a week for 12 weeks. The
primary outcome was change in participants' perception of stroke
recovery as assessed by the Stroke Impact Scale with an
intention-to-treat analysis. Secondary objective outcome measures were
changes in balance, gait, grip strength, and cognition. Blinded
assessments were performed at baseline, postintervention, and at 3- and
6-month follow-up.
Results: One hundred
twenty-three participants were assigned to rhythm-and-music therapy
(n=41), horse-riding therapy (n=41), or control (n=41).
Post-intervention, the perception of stroke recovery (mean change from
baseline on a scale ranging from 1 to 100) was higher among
rhythm-and-music therapy (5.2 [95% confidence interval, 0.79-9.61]) and
horse-riding therapy participants (9.8 [95% confidence interval,
6.00-13.66]), compared with controls (−0.5 [−3.20 to 2.28]); P=0.001
(1-way ANOVA). The improvements were sustained in both intervention
groups 6 months later, and corresponding gains were observed for the
secondary outcomes.
Conclusions: Multimodal
interventions can improve long-term perception of recovery, as well as
balance, gait, grip strength, and working memory in a mixed population
of individuals in late phase after stroke.
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