OUR SERVICES
HIPPOTHERAPY
As with most other physiotherapy services, individuals can either self-refer to
hippotherapy, or be referred by their GP, consultant, case manager or therapist.        
For a referral form, please contact us.
We will aim to respond to people's contact via telephone or our website within two
working days. Following initial telephone and/or e-mail contact, the service to patients
starts with an initial physiotherapy assessment.
The initial assessment
is up to 1.5 hours long and includes the opportunity for
patients and carers to meet our horses. It is a neurological
and hippotherapy-specific physiotherapy assessment
   -  to establish whether the patient is likely to
      benefit from hippotherapy
   -  to establish whether there are any contra-
      indications or precautions to hippotherapy
   -  to establish a baseline against which we
      can compare progress
   -  to understand the patient's individual needs
      and aspirations
   -  to be able to tailor treatment appropriately.
We recognise that therapeutic outcomes are only successful if
they matter to the individual concerned. For this reason, at the
end of the assessment, we work with individual clients and
their carers to negotiate goals for hippotherapy that are both
meaningful to our clients and realistic. Together with our
clients we review these goals, as well as their response to
hippo-therapy, on an ongoing basis. 
Whenever possible we aim to use reliable and valid outcome measures, so that we
can be confident that we can measure the effects of hippotherapy and communicate
clients' improvement to others, as appropriate.
Hippotherapy 
We recommend that clients have a block of
six hippotherapy sessions. While some
clients may notice an immediate
improvement in their movement ability after
one session, we do not really expect to see
lasting change with any less than six
treatments. It is also to ensure that they get
used to the people, the setting and the
horse.
While we expect that most clients will notice
a lasting improvement after six sessions,
many clients will benefit from several
courses of six hippotherapy sessions to
maximise their improvement.
Depending on the individual's
response and level of fatigue,
each hippotherapy treatment
session is between 20 and
30 minutes long including
mounting and dismounting.
The hippotherapy sessions are
tailored to the needs of individual clients.
This means that, within the abilities of each
individual, we will work towards maximum
movement stimulation and facilitation, but
without over-taxing a person's physical
ability or confidence.
The hippotherapy sessions take place in a
20x40m indoor riding arena and are
facilitated by a chartered physiotherapist
with specialist post-graduate training in
hippotherapy. She works with a support
worker and a horse handler who have both
received specific training.
For individuals from the region once-
weekly hippotherapy sessions are the most
obvious method of delivery. However, we
appreciate that people from further afield
may want to benefit from hippotherapy
here at Horse Power for Ability. Therefore,
we do our best to arrange residential
courses of treatment on an individual basis.
For this, we collaborate with Dene House
Farm, a great local family business which
provides truly accessible accommodation
with excellent facilities in beautiful
Northumberland countryside. Please
contact us to discuss the possibility of a
residential course of hippotherapy.
The re-assessment
At the end of the six hippotherapy
treatments, patients receive a follow-up
assessment of up to 1.5 hours. In this
assessment the original goals will be
reviewed and the outcomes of hippotherapy
assessed.
Patients will be reassessed after 6 sessions
regardless of whether they continue to have
hippotherapy with us or not.
This is, because it is important to review
and document progress at regular intervals.
If the block of six hippotherapy sessions is
to be followed by another block of six, the
follow-up assessment will be used both to
assess the outcome of the first six sessions
and to set goals for the next six sessions.
 Partnership working
Whenever possible, and with the agreement of
the client and his/her carers, we strive to work in
partnership with others involved in our clients'
care. This is to make sure that everybody
involved in the care and therapy of an individual
can work towards the same goals and
become more effective in achieving
them.
For this reason, we are keen to share
the findings of our assessments, goals
and progress reports with other
therapists, carers, support workers and
case managers. For confidentiality
reasons, we will only ever do this with
the client's and/or their carers'
permission.