IMPROVING POSTURAL STABILITY THROUGH SIMULATED HIPPOTHERAPY IN ADULTS WITH CHRONIC LOW BACK PAIN: A PRACTICAL REHABILITATION APPROACH

Abstract: Hippotherapy is a form of therapeutic exercise used as a conservative treatment for segmental instability of the lumbar spine and/or hypomobility in individuals with low back pain (LBP). The aim of the research was to analyze and demonstrate the effectiveness of simulated hippotherapy in improving postural stability and reducing pain in adults with chronic LBP, through the application of a kinetic program focused on enhancing functionality and balance control. Research objectives: To assess the effects of simulated hippotherapy on postural stability and balance control in adults with chronic low back pain; To determine the influence of the simulated hippotherapy program on pain reduction and overall functional improvement in patients. Research hypothesis: It is assumed that the application of a structured simulated hippotherapy program, based on rhythmic movements and postural regulation mechanisms specific to this method, will facilitate the reeducation of postural stability in adults with CLBP, contributing to pain reduction and increased overall functionality. The study included 10 adults with chronic LBP who followed either simulated hippotherapy combined with standard physiotherapy or standard physiotherapy alone. The experimental group showed greater improvement in disability (ODI 34%→20%) and pain (VAS 6.6→3.6; p=0.034) compared to the control group (ODI 33%→27%; VAS 6.4→5.3). These results confirm that simulated hippotherapy is an effective complementary method for reducing pain and improving balance, mobility, and functional recovery in patients with chronic LBP. Keywords: hippotherapy, phisiotherapy, back pain, postural control