Morrisville State College

Morrisville State College

Wednesday, November 29, 2017

Use of a Horse Riding Simulator to Decrease Falling Risk in the Elderly



Balance and trunk muscle activity, both decrease as you age and are proven to increase the chance of falls. Exercise is proven to help increase muscle activation and balance but has not been explored with a horse riding simulator. This study was aimed to help decrease the risk of falling in the elderly by using a horse riding simulator to increase stability and trunk muscle activation.


Thirty elderly people were chosen at random to go into a control group or into the experiment. The people had to be, over 65 years old, have no experience in falling, be able to walk ten meters without assistance, have no disease that would affect the result and score over 24 points in the Mini-Mental State Examination. The Mini-Mental State Examination is used to screen for dementia.

During the experiment, the people would exercise on the horse riding simulator, 5 times a week for 20 minutes each time. A horse riding simulator, uses the exercise and balance part of horse riding, by simulating a horse ride that is more controlled. This way the people using the horse riding simulator are safe and in their comfort zone while also getting the benefits of riding a horse. The machine moves up and down, left to right and anterior to posterior. They would also warm up for five minutes before. The experiment went on for eight weeks in total. The simulation would only go at gaits that the “rider” would feel comfortable with. EMG signals on the core muscles were collected to look at muscle activation. Bioescue was used to measure the stability.

For the results, all muscle activations increased highly in the group that exercised on the horse riding simulator. The muscle activation of the control group had some muscles decrease and no change in others. Before the experiment all of the people had around the same levels. These results were determined by the EMG signals collected over the period of the experiment.

The researchers believe, since the horse riding simulator focused for on the hips and knee, this would help the person from falling because it is thought that the elderly try to focus on the ankle more than the hip and knee. This means when the ankle fails that the person is more likely to fall. With the now more stable hip and knee, after the horse riding simulator, the elderly have more to try to balance with, than just the ankle.

Also with the horse riding simulator, compared to other strengthening exercises, this one helps the person not only with strengthening the muscles but with learning how to be stable and balanced. Stability and balance will help preventing falling and you get the benefit on strengthening the muscles. For the elderly doing a different exercise for stability and strengthening could be tiring and with the simulator, you get both done in a shorter time with the same benefits as doing them separately. One problem with the study was that the study was not followed up on to see how the people were doing later on and if it actually reduced the risk of falling or not.

Compared to other exercises this one was not only effective, but interesting to people. Instead of just doing exercises, you could have an experience. The horse riding simulator was fun and could be hooked up with visuals to make them feel more like they were riding a horse.

I found this article to be interesting because my parents are getting older and as they age I worry about them falling. This could be an interesting exercise for them to do earlier in their life, as a preventive measure and to keep them healthier by continuing to move as they age. Could this be a good idea for your friends or relatives?


References:

Kim, Seong-Gil, Lee, Jung-Ho. “The Effects of Horse Riding Simulating Exercise on Muscle Activation and Limits of Stability in the Elderly.” Archives of Gerontology and Geriatrics.  Volume 60 (2015) pgs. 62-65 https://www.sciencedirect.com/science/article/pii/S0167494314001976

“Candice rides LuLu” by Lulu the Riding Simulator https://flic.kr/p/7QLnyG  Photo Credit.

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