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Hippotherapy played a crucial role in refining her postural balance, motor skills, proprioception, muscle function and endurance. It also positively affected her cognitive and emotional regulation by stimulating sensory inputs that activate neural pathways, providing relief from pain and fatigue. Notably, the patient transitioned from wheelchair reliance to walking with crutches, and then greatly enhanced both gait quality and speed. These findings demonstrate the relevance of hippotherapy for the rehabilitation of hypermobile EDS, reducing the need for pharmacological interventions and fostering a proactive approach to future challenges.<\/jats:p>","DOI":"10.1136\/bcr-2024-261605","type":"journal-article","created":{"date-parts":[[2024,11,14]],"date-time":"2024-11-14T07:13:15Z","timestamp":1731568395000},"page":"e261605","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Hippotherapy in the management of hypermobile Ehlers-Danlos syndrome"],"prefix":"10.1136","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-7722-1322","authenticated-orcid":false,"given":"H\u00e9l\u00e8ne","family":"Viruega","sequence":"first","affiliation":[{"name":"Hippotherapy, Institute Equiphoria, La Canourgue, France"},{"name":"Clinical neurosciences, Alliance Equiphoria, La Canourgue, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C\u00e9lia","family":"Loriette","sequence":"additional","affiliation":[{"name":"Clinical neurosciences, Alliance Equiphoria, La Canourgue, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa","family":"Quignon","sequence":"additional","affiliation":[{"name":"Hippotherapy, Institute Equiphoria, La Canourgue, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manuel","family":"Gaviria","sequence":"additional","affiliation":[{"name":"Clinical neurosciences, Alliance Equiphoria, La Canourgue, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2024,11,14]]},"reference":[{"key":"2025082710055518000_17.11.e261605.1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.39237.484468.80"},{"key":"2025082710055518000_17.11.e261605.2","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1038\/s41572-020-0194-9","article-title":"The Ehlers-Danlos syndromes","volume":"6","author":"Malfait","year":"2020","journal-title":"Nat Rev Dis Primers"},{"key":"2025082710055518000_17.11.e261605.3","doi-asserted-by":"crossref","first-page":"482","DOI":"10.1002\/ajmg.c.31955","article-title":"Updates on the psychological and psychiatric aspects of the Ehlers-Danlos syndromes and hypermobility spectrum disorders","volume":"187","author":"Bulbena-Cabr\u00e9","year":"2021","journal-title":"Am J Med Genet C Semin Med Genet"},{"key":"2025082710055518000_17.11.e261605.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.semarthrit.2014.05.013"},{"key":"2025082710055518000_17.11.e261605.5","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1515\/jom-2021-0267","article-title":"The psychological burden associated with Ehlers-Danlos syndromes: a systematic review","volume":"122","author":"Kennedy","year":"2022","journal-title":"J Osteopath Med"},{"key":"2025082710055518000_17.11.e261605.6","doi-asserted-by":"crossref","DOI":"10.3390\/healthcare9111472","article-title":"Is the Pain Just Physical? 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