Contributions of Equine-Assisted Therapy to the Health of the Elderly: A Scoping Review

Abstract

Considering the age-related physiological and pathological changes, it´s relevant to analyze the scientific production regarding the contributions of equine-assisted therapy (EAT) to the health of elderly people (EP). This scoping review followed the JBI methodology, according to the PCC method. EAT has had benefits in healthy EP: increasing trunk neuromuscular activation, balance, flexibility, agility, and coordination. In Alzheimer's and Parkinson's, it's associated with an improvement in predictive fall risk factors. It´s also associated with reduced spasticity and improved mental well-being in EP with spinal cord injury. In arthritis, a decrease the intensity and frequency of pain and increase of range of motion. Regarding mental health, EAT increases psychological stability, social stimulation, relaxation, and the evocation of positive memories. In post-traumatic stress disorder, it can increase a sense of self-security. Concomitantly, it may be associated with an improvement of EP memory. The integration of EAT into therapeutic plans for EP should be considered by health professionals.