Pilot Project: Adaptation of the Segmental Assessment of Trunk Control for Equine-Assisted Therapy

The Segmental Assessment of Trunk Control (SATCo) scale identifies the trunk segment with reduced postural control, providing essential insights for interventions in equine-assisted therapy. The SATCo is a validated scale for evaluating and measuring outcomes by testing head and trunk control in a neutral, seated, vertical position. The aim of this project was to adapt the scale to monitor head and trunk control on horseback. The practitioner's assessment is conducted in a neutral seated position, using various equestrian tools, including a wooden trestle, mixed saddle, stirrups, cushion, and adjustable foam pad. The saddle is secured to the trestle, ensuring proper alignment of the hips, legs, and feet at 90 degrees in the stirrups. A three-strap belt provides additional stability during evaluation. Two examiners carry out assessments lasting 20 to 50 minutes. One examiner fixes the trunk while the other applies active and reactive multidirectional stimuli. Support is given just below the tested segment (e.g., scapular region, ribs, pelvis) to stabilize it during the evaluation. The foam pad helps position the upper thoracic region for the initial SATCo assessment. The adaptation was made to assess static, active, and reactive trunk control, generating data across these dimensions. It is anticipated that the results of this study will help categorize trunk control levels and guide therapeutic planning. The SATCo scale will assist in selecting appropriate riding equipment, determining the therapist’s hand positioning for support, adjusting the horse’s biomechanics, and positioning the rider to target specific trunk segments. This approach ensures personalized therapy that matches the practitioner’s developmental stage, optimizing the outcomes of equineassisted interventions