Adapting Scratch Ball for Hippotherapy

The common scratch ball toy is easy to adapt for children who have a weak grasp and/or cognitive delays. I put the ball inside the mesh bag and tied it to the mitt. I ask clients to pull it off while riding. This is a great way to promote reaching and balance as well as hand skills. Best of all once the ball falls, it doesn't go far and its easy to set the activity up again.

Barbara Smith, M.S., OTR/L author of, The Recycling Occupational Therapist

Horseot.com

Reaching with the Sword

I bought this foam sword at the dollar store and use it in many different ways. This boy is demonstrating great bilateral hand skills as he balances on the walking horse. Some children go into a 2 point stand to reach for the plastic pieces or while placing them on the sword. Other children hold the sword to insert it into the plastic shapes that I hold in different positions. Because the sword is a lot of fun children visually focus and are motivated to say or sign "more" or "more toys".

Barbara Smith, M.S., OTR/L author of, The Recycling Occupational Therapist

HORSEOT.COM

A Squeaky Ball to Motivate

Its amazing that something as simple as a ball that squeaks can make such a difference. A 9 year old client I have been working with for 2 years was so excited by this ball and sound it made that she stood up into two point stand (with feet in stirrups) and put her palms on the horse's withers as she attempted to reach for the ball. She reached with one hand and then needed a small amount of trunk support to lift her left hand and reach bilaterally. Children seem to be hard wired to love balls!

I had previously used many different balls with varying sizes and textures, also a small cloth bag filled with foam and bells as well as many other auditory toys to encourage her to stand up and reach. This pet ball has a very loud and easy to produce squeak that seemed to do the trick. Furthermore, the horse didn't seem to notice it.
Barbara Smith, M.S., OTR/L author of, The Recycling Occupational Therapist
Horseot.com

Decreasing Muscle Tone

Positioning and horse movement are used to decrease muscle tone. The horse should move in a smooth, rhythmic gait. Bearing weight in forward, backward or side sitting positions can decrease muscle tone. This child is bearing weight on her left hand and also grasping the handle with her right to provide additional stability. The knee flexion breaks up the extensor tone. Childen with high tone may first be more comfortable in a modified side sitting position. This involves a position facing forward with one leg flexed and the other leg extended, hanging along the side. Other positions that relax spastic muslces include include the Sack of Potatoes(hanging prone over horse's barrel) and Cossack hang (hanging supine over horse's barrel). Trained therapists need to especially consider breathing, feeding tubes, blood pressure and gravitational insecurity in these positions.

Barbara Smith, M.S., OTR/L author of, The Recycling Occupational Therapist
Horseot.com

Hippotherapy Success Using Virbrating pIllow

I found many useful ways to use this vibrating pillow during a hippotherapy session this week. A two year old girl I will call Daisy has refused (for over a year) to lie supine on the horse. She is gravitationally insecure, meaning that she is abnormally anxious or fearful when experiencing certain head positions or movement.

Daisy happens to love the feeling of this pillow and was willing to lie supine in order to feel it. I turned the pillow off and told her to sit up and then turned it back on when she lay down again. Daisy performed 5 sit-ups in this fashion, all while the horse was walking. She was also stimulated to used the words "on" and "off".

Other children have been motivated to bear weight on the pillow while sitting backwards. I also place it on the mane so that childre can position their hands on it during half seat position. Using a pillow or another visual guide to show where to place the hands during half seat appears to be helpful.

Barbara Smith, M.S., OTR/L author of, The Recycling Occupational Therapist

Horseot.com

Child with Cerebral Palsy Slide Show

Check out this slide show of a child with cerebral palsy. I love the closing photo of his face glowing with happiness and the trunk rotation positions are fantastic.

http://monroepublishing.com/multimedia/hippotherapy/

Choosing a Therapy Horse

Horses used for hippotherapy are very special. They obviously need to have good temperaments and tolerate riders who make sounds, touch them and move awkwardly. The horse must be able to tolerate a busy environment filled with toys and other riders.

A good therapy horse has a rhythmic gait (regular footfalls) and is supple (bends and shifts balance smoothly). His body is symmetric and aligned straight.

A therapy horse must be able to follow the leader's directions to make transitions and change directions, tempo and speed.





Barbara Smith, M.S., OTR/L author of, The Recycling Occupational Therapist

HORSEOT.COM