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[Basic principles and effects of hippotherapy within the comprehensive treatment of paraplegic patients].

A total of 67 patients, both paraplegic and quadriplegic, had participated in a hippotherapy programme over a study period of almost 18 months, with positive effects found relative to spasticity, certain pain syndromes, as well as contraction syndromes associated with impaired joint mobility. Frequently the only effective measure at all, and moreover of astonishingly lasting effect, the spasticity-reducing treatment turned out especially beneficial. Along with these statistically supported findings, a number of associated effects were noted in the physiotherapy and, especially, the nursing sectors, with easier catheterization, more rhythmical bowel function, more balanced mood with improved sleep, and a generally increased openness and motivation. Hippotherapy has proven a valid method within a synergistic approach for comprehensive care in paraplegia.