Hippotherapy: Remuneration issues impair the offering of this therapeutic strategy at Southern California rehabilitation centers.

BACKGROUND: Hippotherapy is the use of equine movement in physical, occupational, or speech therapy in order to obtain functional improvements in patients. Studies show improvement in motor function and sensory processing for patients with a variety of neuromuscular disabilities, developmental disorders, or skeletal impairments as a result of using hippotherapy. OBJECTIVE: The primary objective of this study is to identify the pervasiveness of hippotherapy in Southern California, and any factors that impair its utilization. METHODS: One hundred and fifty-two rehabilitation centers in the Southern California counties of Los Angeles, San Diego, Orange, Riverside, San Bernardino, San Diego, San Luis Obispo, Santa Barbara, Ventura, and Kern County were identified, and surveyed to ascertain if hippotherapy is utilized, and if not, why not. RESULTS: Through a review of forty facilities that responded to our inquiry, our study indicates that the majority of rehabilitation centers are familiar with hippotherapy, however, only seven have reported that hippotherapy is indeed available as an option in therapy at their centers. CONCLUSION: It is concluded that hippotherapy, used in a broad based array of physical and sensory disorders, is limited in its ability to be utilized, primarily due to remuneration issues.

Oxygen Cost of Recreational Horse-Riding in Females.

BACKGROUND: The purpose of this study was to characterize the physiological demands of a riding session comprising different types of recreational horse riding in females. METHODS: Sixteen female recreational riders (aged 17 to 54 years) completed an incremental cycle ergometer exercise test to determine peak oxygen consumption (VO2peak) and a 45-minute riding session based upon a British Horse Society Stage 2 riding lesson (including walking, trotting, cantering and work without stirrups). Oxygen consumption (VO2), from which metabolic equivalent (MET) and energy expenditure values were derived, was measured throughout. RESULTS: The mean VO2 requirement for trotting/cantering (18.4 ± 5.1 ml·kg⁻¹·min⁻¹; 52 ± 12% VO2peak; 5.3 ± 1.1 METs) was similar to walking/trotting (17.4 ± 5.1 ml·kg⁻¹·min⁻¹; 48 ± 13% VO2peak; 5.0 ± 1.5 METs) and significantly higher than for work without stirrups (14.2 ± 2.9 ml·kg⁻¹·min⁻¹; 41 ± 12% VO2peak; 4.2 ± 0.8 METs) (P = .001). CONCLUSIONS: The oxygen cost of different activities typically performed in a recreational horse riding session meets the criteria for moderate intensity exercise (3-6 METs) in females, and trotting combined with cantering imposes the highest metabolic demand. Regular riding could contribute to the achievement of the public health recommendations for physical activity in this population.