Hippotherapy and Functional Improvements in Individuals with MS

Hippotherapy (also known as equine therapy) is a unique form of rehabilitative therapy believed to be beneficial for individuals with multiple sclerosis.  Both the shape of the horse’s back and its movements can help stretch hip joints and reduce both pain and spasticity in leg muscles. 

The horse’s movements mimic those of the human pelvis, incorporating up and down, as well as back and forth and side-to-side movements.  These actions mimic the rhythmic movements that occur with walking.  While riding, the variations in the horse’s speed and stride can help an individual improve their coordination, balance, and posture, as well as improve core strength and relax spastic muscles in the legs. 

There are additional psychological benefits from hippotherapy, including providing an opportunity for social interaction with other riders, and bonding with the horse.  Structured therapeutic programs using hippotherapy incorporate physical, occupational, and speech therapy modalities into their riding programs. (See related patient story)

The benefits of structured hippotherapy were reviewed recently by Bronson et al. (European Journal of Physical and Rehabilitation Medicine 2010; 46(3): 347-353).  In this retrospective analysis of published case series and case-control publications, improvements in balance and quality of life were demonstrated following hippotherapy. 

Our MS patients have reported a positive experience with a group in Redmond, Little Bit Therapeutic Riding Program.  

The American Hippotherapy Association is another resource to find certified therapists elsewhere in Washington: 

With a signed waiver and physician referral, the National MS Society advertises that it will pay 50 percent of the cost (fees vary by location).