Animal-assisted Interventions in Patients With Multiple Sclerosis

Authors

  • Bárbara Eizaguirre Centro Universitario de Esclerosis Múltiple Hospital Ramos Mejía
  • Ricardo Alonso Centro Universitario de Esclerosis Múltiple Hospital Ramos Mejía
  • Pablo A. López Unidad de Neuroinmunología Hospital Alemán de Bs As
  • Marcos Díaz Videla Universidad de Flores

Keywords:

animal-assisted interventions, animal-assisted therapy, hippotherapy, multiple sclerosis, rehabilitation

Abstract

Multiple sclerosis is a demyelinating disease affecting mainly young adults and characterized by the presentation of motor, sensitive, visual and cognitive symptoms (among others), which alter different areas of the affected patients´ lives. Its treatment aims to restrain the functional deterioration of the patient and comprises an interdisciplinary approach including pharmacological therapeutics and neurorehabilitation. Animal-assisted interventions have raised in the last decades as complementary approaches with promising results in patients with neurological diseases, although the research on their efficacy in multiple sclerosis is scarce. A review of the empiric studies that included animal-assisted interventions in persons with multiple sclerosis was performed. Six studies were found, most of them focused on hippotherapy. These investigations highlighted improvement in the participants on the motor area, mainly related to balance and gait speed. Moreover, a beneficial effect on the quality of life of these people was recognize. Although some positive results in the employment of this sort of therapies in persons with multiple sclerosis were found, there are few investigations and more thorough studies are needed. Finally, we suggest that investigations that assess interventions with dogs should be conducted and their effect on cognitive function evaluated.

References

Ackerman, N., & Jahoda, M. (1950). Anti-Semitism and Emotional Disorder: A Psychoanalytical Interpretation. New York: Harper.

American Hippotherapy Association [AHA]. (2018). AHA, Inc. Terminology Guidelines. Disponible en https://americanhippotherapyassociation.org/wp-content/uploads/2019/02/AHA-Terminology-Final-12-2-18.pdf

Benedict, R. H., Wahlig, E., Bakshi, R., Fishman, I., Munschauer, F., Zivadinov, R., & Weinstock-Guttman, B. (2005). Predicting quality of life in multiple sclerosis: accounting for physical disability, fatigue, cognition, mood disorder, personality, and behavior change. Journal of the neurological sciences, 231(1-2), 29-34.

Berg, K. O., Wood-Dauphinee, S. L., Williams, J. I., & Maki, B. (1992). Measuring balance in the elderly: validation of an instrument. Canadian journal of public health, 83, S7-11.

Bronson, C., Brewerton, K., Ong, J., Palanca, C., & Sullivan, S. J. (2010). Does hippotherapy improve balance in persons with multiple sclerosis: a systematic review. Eur J Phys Rehabil Med, 46(3), 347-53.

Charry-Sánchez, J. D., Pradilla, I., & Talero-Gutiérrez, C. (2018). Animal-assisted therapy in adults: A systematic review. Complementary therapies in clinical practice, 32, 169-180.

Churchill, M., Safaoui, J., McCabe, B. W., & Baun, M. M. (1999). Using a therapy dog to alleviate the agitation and desocialization of people with Alzheimer's disease. Journal of psychosocial nursing and mental health services, 37(4), 16-22.

Cirulli, F., Borgi, M., Berry, A., Francia, N. y Alleva, E. (2011) Animal-assisted interventions as innovative tools for mental health. Ann Ist Super Sanità, 47(4), 341-348.

Fine, A. H. (Ed.). (2010). Handbook on animal-assisted therapy: Theoretical foundations and guidelines for practice. London: Academic Press.

Fjeldstad, C., & Pardo, G. (2017). Immediate effect of a service dog on walking speed in individuals with multiple sclerosis and gait dysfunction: a pilot study. International journal of MS care, 19(1), 40-41.

Fritz, C. L., Farver, T. B., Kass, P. H., & Hart, L. A. (1995). Association with companion animals and the expression of noncognitive symptoms in alzheimer's patients. The Journal of nervous and mental disease, 183(7), 459-463.

Hammer, A., Nilsagård, Y., Forsberg, A., Pepa, H., Skargren, E., & Öberg, B. (2005). Evaluation of therapeutic riding (Sweden)/hippotherapy (United States). A single-subject experimental design study replicated in eleven patients with multiple sclerosis. Physiotherapy theory and practice, 21(1), 51-77.

Kruger, K. A., & Serpell, J. A. (2010). Animal-assisted interventions in mental health: Definitions and theoretical foundations. En A. H Fine (Ed.), Handbook on animal-assisted therapy: Theoretical foundations and guidelines for practice (pp. 33-48). Academic Press.

Kubsik-Gidlewska, A. M., Klimkiewicz, P., Klimkiewicz, R., Janczewska, K., & Woldańska-Okońska, M. (2017). Rehabilitation in multiple sclerosis. Advances in clinical and experimental medicine: official organ Wroclaw Medical University, 26(4), 709-715.

Leist, T.P. (2014). Making Informed Decisions when Screening and Monitoring. Deconstructing Therapeutic Decision Making: An Expert Analysis of MS Treatment Options, Supplement of Neurology Reviews, S4-S8.

Lublin, F. D., & Reingold, S. C. (1996). Defining the clinical course of multiple sclerosis: results of an international survey. Neurology, 46(4), 907-911.

McCabe, B. W., Baun, M. M., Speich, D., & Agrawal, S. (2002). Resident dog in the Alzheimer’s special care unit. Western journal of nursing research, 24(6), 684-696.

Moretti, M. (2019). Intervenciones asistidas con animales. Buenos Aires: Autores de Argentina.

Muñoz-Lasa, S., de Silanes, C. L., Atín-Arratibel, M. Á., Bravo-Llatas, C., Pastor-Jimeno, S., & Máximo-Bocanegra, N. (2019). Effects of hippotherapy in multiple sclerosis: Pilot study on quality of life, spasticity, gait, pelvic floor, depression and fatigue. Medicina Clínica (English Edition), 152(2), 55-58.

Muñoz-Lasa, S., Ferriero, G., Valero, R., Gomez-Muñiz, F., Rabini, A., & Varela, E. (2011). Effect of therapeutic horseback riding on balance and gait of people with multiple sclerosis. G Ital Med Lav Ergon, 33(4), 462-7.

Ochoa-Morales, A., Hernández-Mojica, T., Paz-Rodríguez, F., Jara-Prado, A., Trujillo-De Los Santos, Z., Sánchez-Guzmán, M. A., ... & Rivas-Alonso, V. (2019). Quality of life in patients with multiple sclerosis and its association with depressive symptoms and physical disability. Multiple sclerosis and related disorders, 36, 101386.

Polman, C. H., & Rudick, R. A. (2010). The multiple sclerosis functional composite: a clinically meaningful measure of disability. Neurology, 74(17 Supplement 3), S8-S15.

Rommer, P. S., Eichstädt, K., Ellenberger, D., Flachenecker, P., Friede, T., Haas, J. & Zettl, U. K. (2019). Symptomatology and symptomatic treatment in multiple sclerosis: Results from a nationwide MS registry. Multiple Sclerosis Journal, 25(12), 1641-1652.

Silkwood-Sherer, D., & Warmbier, H. (2007). Effects of hippotherapy on postural stability, in persons with multiple sclerosis: a pilot study. Journal of Neurologic Physical Therapy, 31(2), 77-84.

Tinetti, M. E., Williams, T. F., & Mayewski, R. (1986). Fall risk index for elderly patients based on number of chronic disabilities. The American journal of medicine, 80(3), 429-434.

Vermöhlen, V., Schiller, P., Schickendantz, S., Drache, M., Hussack, S., Gerber-Grote, A., & Pöhlau, D. (2018). Hippotherapy for patients with multiple sclerosis: A multicenter randomized controlled trial (MS-HIPPO). Multiple Sclerosis Journal, 24(10), 1375-1382.

Wollenweber, V., Drache, M., Schickendantz, S., Gerber-Grote, A., Schiller, P., & Pöhlau, D. (2016). Study of the effectiveness of hippotherapy on the symptoms of multiple sclerosis–Outline of a randomised controlled multicentre study (MS-HIPPO). Contemporary clinical trials communications, 3, 6-11.

Yamamoto, M., & Hart, L. A. (2019). Providing guidance on psychiatric service dogs and emotional support animals. In L. Kogan & C. Blazina (Eds.), Clinician's guide to treating companion animal issues (pp. 77-101). Academic Press.

Published

2020-08-14

How to Cite

Eizaguirre, B. ., Alonso, R. ., López , P. A. ., & Díaz Videla, M. (2020). Animal-assisted Interventions in Patients With Multiple Sclerosis. Calidad De Vida Y Salud Journal, 13(Especial), 175-183. Retrieved from http://revistacdvs.uflo.edu.ar/index.php/CdVUFLO/article/view/293