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马术疗法对脊髓损伤患者痉挛的短期影响。

The short-term effect of hippotherapy on spasticity in patients with spinal cord injury.

作者信息

Lechner H E, Feldhaus S, Gudmundsen L, Hegemann D, Michel D, Zäch G A, Knecht H

机构信息

Institute for Clinical Research, Swiss Paraplegic Centre, Nottwil, Switzerland.

出版信息

Spinal Cord. 2003 Sep;41(9):502-5. doi: 10.1038/sj.sc.3101492.

Abstract

STUDY DESIGN

Assessment of spasticity before and after hippotherapy treatment.

OBJECTIVE

To evaluate the short-term effect of hippotherapy on spasticity of spinal cord injured patients (SCIs).

SETTING

Swiss Paraplegic Centre, Nottwil.

METHODS

32 patients with spinal cord injury with various degrees of spasticity had repeated sessions (mean 11) of Hippotherapy-K. Spasticity of the lower extremities was scored according to the Ashworth Scale.

RESULTS

In primary rehabilitation patients Ashworth values after hippotherapy were significantly lower than before (Wilcoxon's signed-rank test: P<0.001). Highest improvements were observed in SCIs with very high spasticity. No significant difference between short-term effect in paraplegic and short-term effect in tetraplegic subjects was found.

CONCLUSIONS

Hippotherapy significantly reduces spasticity of lower extremities in SCIs.

摘要

研究设计

评估马疗治疗前后的痉挛状态。

目的

评估马疗对脊髓损伤患者(SCI)痉挛的短期效果。

地点

瑞士诺特维尔截瘫中心。

方法

32例不同程度痉挛的脊髓损伤患者接受了多次(平均11次)马疗-K治疗。根据Ashworth量表对下肢痉挛进行评分。

结果

在初次康复患者中,马疗后Ashworth值显著低于治疗前(Wilcoxon符号秩检验:P<0.001)。在痉挛程度非常高的脊髓损伤患者中观察到最大改善。截瘫患者和四肢瘫患者的短期效果之间未发现显著差异。

结论

马疗可显著降低脊髓损伤患者下肢的痉挛程度。

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