Effect of equestrian therapy and onotherapy in physical and psycho-social performances of adults with intellectual disability: A preliminary study of evaluation tools based on the ICF classification

Nicoletta Borioni, Paola Marinaro, Silvia Celestini, Flavia Del Sole, Rachele Magro, Daniela Zoppi, Francesca Mattei, Valentina Dall'Armi, Federica Mazzarella, Alfredo Cesario, Stefano Bonassi

Research output: Contribution to journalArticle

Abstract

Purpose: To assess the effects of equestrian rehabilitation (ER) and onotherapy (Ono) on physical and psycho-social performances of subjects affected by intellectual disability (ID), and to develop a measurement tool based on the International Classification of Functioning Disability and Health-Children and Youth (ICF-CY). Methods: A tool based on the ICF-CY classification was designed to evaluate subjects undergoing equine rehabilitation within a bio-psychosocial approach. A simplified version of this evaluation form was developed for the equestrian instructors. The agreement between the two tools was evaluated with the Cohen's κ coefficient. Treatment benefits were evaluated in the different areas covered by the evaluation tool. Results: A general improvement in the autonomy and social integration of subjects with ID undergoing horse and donkey therapy was observed. ER and Ono produced maximum benefits respectively at six and 3 months in the large majority of patients, and benefits persisted over time. Although the agreement between the two tools proposed was rather slight, both evaluation groups measured similar improvements in subjects undergoing equine rehabilitation. Conclusions: There is an improvement in autonomy and social integration for subjects with ID, undergoing horse and donkey therapy. Ono emerged as a suitable and effective alternative to equestrian therapy. The simplified measurement tool proved to be sensitive and easy to apply, even if further improvements will be necessary. Implications for Rehabilitation The equine rehabilitation program is designed to recover and/or develop interpersonal interactions capacity and mental functions. An evaluation tool based on the International Classification of Functioning Disability and Health (ICF) and ICF-Children and Youth systems was developed to quantify the beneficial effect of equine rehabilitation. Rehabilitation therapy with horse and donkey produces improvements in autonomy and social integration in subjects with intellectual disability.

Original languageEnglish
Pages (from-to)279-287
Number of pages9
JournalDisability and Rehabilitation
Volume34
Issue number4
DOIs
Publication statusPublished - 2012

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Intellectual Disability
Horses
Rehabilitation
International Classification of Functioning, Disability and Health
Equidae
Therapeutics

Keywords

  • Equestrian rehabilitation
  • ICF-CY
  • Intellectual disability
  • Onotherapy

ASJC Scopus subject areas

  • Rehabilitation

Cite this

Effect of equestrian therapy and onotherapy in physical and psycho-social performances of adults with intellectual disability : A preliminary study of evaluation tools based on the ICF classification. / Borioni, Nicoletta; Marinaro, Paola; Celestini, Silvia; Del Sole, Flavia; Magro, Rachele; Zoppi, Daniela; Mattei, Francesca; Dall'Armi, Valentina; Mazzarella, Federica; Cesario, Alfredo; Bonassi, Stefano.

In: Disability and Rehabilitation, Vol. 34, No. 4, 2012, p. 279-287.

Research output: Contribution to journalArticle

Borioni, Nicoletta ; Marinaro, Paola ; Celestini, Silvia ; Del Sole, Flavia ; Magro, Rachele ; Zoppi, Daniela ; Mattei, Francesca ; Dall'Armi, Valentina ; Mazzarella, Federica ; Cesario, Alfredo ; Bonassi, Stefano. / Effect of equestrian therapy and onotherapy in physical and psycho-social performances of adults with intellectual disability : A preliminary study of evaluation tools based on the ICF classification. In: Disability and Rehabilitation. 2012 ; Vol. 34, No. 4. pp. 279-287.
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