My STEP Signature Project was at Focus Hippotherapy, a 501(c)3 nonprofit in North Jackson, Ohio where I assisted physical therapists to provide treatment to special needs children while they were riding one of five different horses. Hippotherapy is a medically based intervention that can be used as a treatment tool by physical therapists that utilizes the movement and gait of a horse to provide neuromotor inputs to the patient that is riding the horse; with hippotherapy, the patient’s neuromuscular development is amplified when their body makes necessary adjustments to the rhythm of a horse as it moves. As an intern, I learned how the physical therapists treated their patients via hippotherapy, I assisted with treatments of the children alongside a physical therapist, and I gained invaluable knowledge about several disorders the children have been diagnosed with and how hippotherapy is able to improve their physical limitations in many ways.
A change that took place in my understanding of myself after completing the project was that I have a special interest in pediatric physical therapy for special needs children. I wish to be able to help as many children as I can to be able to gain a wider range of motion, complete tasks, and participate in many activities after undergoing treatment and overcoming the physical limitations of their disorder. Being able to see the children smile from ear to ear atop their horse while also exceling and having fun with their therapy exercises is invaluable and is something that I want to continue to experience in my profession in the future. I also learned that I enjoy being around and taking care of horses. I knew the workload of taking care of animals as my family owns a farm, but I had never been around horses until this experience; I now know how to care for them as well.
Before my internship, I really was not sure how physical therapy could be performed on a moving horse let alone show improvement in the patient’s condition overtime. However, after my seven-week experience at Focus Hippotherapy, I have been able to see such a creative side of the field of physical therapy that allows the children to gain a wider range of motion, improve their balance, become stronger, improve their motor planning, increase body awareness, gain a greater ability to focus on tasks, and achieve an improved sense of confidence in themselves while riding their horse. Another perspective that I gained after my internship is how special needs children are perceived by so many people as incapable of tasks such as riding a horse because of the physical limitations imposed by their disorder. Focus Hippotherapy completely defies those assumptions by allowing special needs children to ride a horse and improve their conditions as they do so.
During my STEP Signature Project, I worked with a five-year-old boy that has cerebral palsy. After each hippotherapy session, I could see improvements in his balance, strength, and confidence while riding the horse. Something that varies from adult to pediatric physical therapy is that the parents are highly involved in their child’s treatment plan and progress. At the end of the seven-week program, this boy’s mother thanked us profusely for helping her son be able to defy the odds of his diagnosis and ride a horse while also counteracting some of the physical limitations imposed on him by his disease via hippotherapy. After receiving treatment, this boy can stand fully upright in his walker and has the strength to walk on his own with minimal assistance from his mom. He also can pull himself up into his car seat with ease. My experience with this boy and many other children from the program this summer made me realize just how impactful being a physical therapist in pediatrics can be. My goal is to help as many kids as possible to get stronger so that their diagnosis does not limit them from going after their goals and dreams.
Another key aspect of my experience at Focus Hippotherapy was the upkeep of the horse barn and horses that are a key aspect to the program. Each day that I went to the barn I had to clean stalls, brush horses, feed and water horses, and walk horses before the program started. As a result of having these daily chores at the barn, I appreciated the hard work it takes behind the scenes to run the hippotherapy program. Much of this hard work also depends on interns like me and volunteers from the community to be able to treat the children and impact their lives in such a positive way. As Focus Hippotherapy is a nonprofit, all donations and money that comes into the program goes to taking care of the horses through feed, saddles, brushes, medicines, treats, the upkeep of the barn, tools, and several other items. Another important way funds are allocated is a scholarship program for children that cannot afford treatment for the seven-week-program. At Focus Hippotherapy, no child is turned away from reaping the vast number of physical and emotional benefits of the program. Before my project, I had volunteered at different nonprofits in Columbus and other areas, but I had never been a part of the innerworkings of one. After my internship, I have a greater understanding of the behind the scenes work of a nonprofit and what time, energy, and dedication it takes to keep one running effectively.
Lastly, prior to my internship, I had never been exposed to hippotherapy before and was not sure exactly how the special needs children were going to be able to safely ride a horse let alone be able to do their physical therapy exercises while riding one. I, like so many others, had the false assumption that children with special needs would have a difficult time riding a horse without assistance from the physical therapist and would not be able to perform many exercises while atop one. This assumption was proven false every day that my internship took place. Many children rode the horses backwards, on their hands and knees, steered the horse with reins, kept their balance while the horse trotted, played catch while on the horse, and many other exercises that helped the children work on their individual goals for treatment. Some goals are increased core strength, improved posture, listening to directions, enhanced balance, and many others. The hippotherapy treatment sessions for each child were tailored to their goals and their capabilities, and by the end of the seven-week-program every single child treated left with improvements on their goals and a better quality of life. I am so grateful I was able to be a part of such an amazing program that completely defies the diagnoses of the children partaking in the program and allows them to accomplish challenging tasks because of their hard work and dedication. My Step Signature Project at Focus Hippotherapy granted me with an invaluable experience of witnessing children defy the odds of their disorders each day while grinning from ear to ear.
The changes I’ve experienced after completing my STEP Signature Project listed above are significant to me because working with these kids has made me more interested in pursuing pediatric physical therapy as a future career choice. The children I worked with have also shown me that no goal is too big to accomplish. Watching these children overcome obstacles and accomplish their goals despite their disorders has shown me that nothing is impossible if one puts forth their best effort and never gives up. I will remember the perseverance and strength these children in the program had the next time I must face an academic or personal obstacle and have them motivate me to keep going and not give up. I am so thankful for STEP that way I could partake in this life-changing internship. I will never forget the strong and courageous children that I helped successfully treat.