Utilizing a Novel Hippotherapy Simulation for Neuromuscular Therapeutic Intervention in a Resident with Mowat-Wilson Syndrome (MWS)
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Abstract
This study aims to evaluate the efficacy of a Hippotherapy simulation setup (HT-sim) in enhancing physical adaptations rooted in the mind-body connection, preparing patients for real-time Hippotherapy, and providing mental and emotional benefits. The case study focuses on a resident with Mowat-Wilson Syndrome (MWS) whose engagement with HT-sim was monitored over five quarters. Key metrics, including self-realignments (S-R), accordance periods (ACC), and discordance periods (DCC), were analyzed to assess motor control, stability, and synchronization with external stimuli.
Results indicated a clear trajectory of improvement, with a significant increase in S-R and ACC metrics and a decrease in DCC metrics over time. Initially, our resident struggled with stability and self-led postural adjustments, but consistent engagement with HT-sim led to refined motor responses and improved balance. By the final quarters, he demonstrated mastery in maintaining stability, highlighting the effectiveness of HT-sim in fostering neuromotor functions.
The study also explored the emotional and mental benefits of HT-sim, noting reduced physical tension, increased well-being, and enhanced quality of life. The findings support the potential of HT-sim as a preparatory or supplementary intervention for traditional Hippotherapy, offering significant therapeutic benefits in a cost-effective and accessible manner. This research underscores the value of HT-sim in neurorehabilitation, particularly for individuals with conditions like MWS.
The results suggest that HT-sim can be a practical and effective tool for enhancing motor control, stability, and emotional well-being, paving the way for future applications in clinical and therapeutic settings.
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This manuscript (25 pages) was developed as the culminating project of a 21-month clinical research internship at ACR Homes, a Home and Community-Based Services (HCBS) provider in Minnesota. The project was presented virtually to the CEO, COO, and administrative leadership team in July 2025, and later used as an educational presentation for nurse case managers across the organization.
The paper details the development, implementation, and evaluation of a low-cost Hippotherapy Simulation (HT-sim) model tailored for a resident with Mowat-Wilson Syndrome. It integrates clinical simulation, adaptive therapy design, and patient-centered mobility tracking. The intervention was designed in collaboration with clinical staff and supported by guardian input. Content has been reviewed and approved for public dissemination by the organization.
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Vernekar, Mayuresh. (2024). Utilizing a Novel Hippotherapy Simulation for Neuromuscular Therapeutic Intervention in a Resident with Mowat-Wilson Syndrome (MWS). Retrieved from the University Digital Conservancy, https://hdl.handle.net/11299/272350.
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