title: The horse as the healer-a study of riding in patients with back pain.
abstract: A total of 24 patients, considerably disabled in daily activities by back pain, participated in an Equine Assisted Therapy (EAT) programme. The patients also had several health problems in addition to their current pain. The programme emphasised the principles of body awareness. The study is aimed at investigating not only whether symptom reduction would be achieved, but also at identifying qualities of EAT that were particularly beneficial for the patients' well being. The study was performed according to action research principles. The treatment reduced the pain and lessened other symptoms. The EAT also had an influence on the patients' self-image and a positive chain of effects was observed. The consequences were described according to four dimensions; the dimension of body awareness, competence, emotion and environment. The dimensions were interrelated having the simultaneous influence of a transition process and symptom reduction towards health.
authors.affiliation: Department of Public Health and Community Medicine/Primary Health Care, The Sahlgrenska Academy, Göteborg University, PB 454, SE-405 30 Göteborg, Sweden. margareta.hakanson@comhem.se
authors.forename: Margareta
authors.initials: M
authors.lastname: Håkanson
authors.forename: Margareta
authors.initials: M
authors.lastname: Möller
authors.forename: Ingalill
authors.initials: I
authors.lastname: Lindström
authors.forename: Bengt
authors.initials: B
authors.lastname: Mattsson
mesh_terms: D000293:Adolescent; D000328:Adult; D000818:Animals; D001007:Anxiety; D001294:Attitude to Health; D004644:Emotions; D005081:Exercise Therapy / Q000379:methods*; D005260:Female; D006736:Horses; D006801:Humans; D017116:Low Back Pain / Q000523:psychology / Q000534:rehabilitation* / Q000628:therapy; D008297:Male; D008875:Middle Aged; D019547:Neck Pain / Q000523:psychology / Q000534:rehabilitation* / Q000628:therapy; D012649:Self Concept; D055815:Young Adult