Frank Alana, McCloskey Sandra, Dole Robin L
Quest Therapeutic Services, Inc., West Chester, Pennsylvania, USA.
Pediatr Phys Ther. 2011 Fall;23(3):301-8. doi: 10.1097/PEP.0b013e318227caac.
This case report highlights changes in self-competence and social acceptance, along with changes in functional skills, after an 8-week program of hippotherapy. A 6-year-old girl with mild ataxic cerebral palsy, level I Gross Motor Functional Classification System, exhibited typical impairments in body systems and functions that affected her participation in age-appropriate functional and leisure activities. The child's performance on the Gross Motor Function Measure-66, the Pediatric Outcomes Data Collection Instrument, and the Pictorial Scale of Perceived Competence and Social Acceptance for Young Children were examined at baseline, after the 8-week intervention, and at a 2-month follow-up session. Data at 8 weeks demonstrated positive changes in all areas, with improvements continuing for 2 months after the program's completion. Hippotherapy not only may be an effective intervention to improve functional gross motor development but also may affect perceived self-competence and social acceptance, which may lead to increases in participation for children with mild cerebral palsy.
本病例报告强调了在为期8周的马术疗法项目后，自我能力和社会接纳度的变化，以及功能技能的变化。一名6岁患有轻度共济失调型脑瘫的女孩，处于粗大运动功能分级系统的I级，在身体系统和功能方面表现出典型的损伤，这影响了她参与适合其年龄的功能和休闲活动。在基线、8周干预后以及2个月的随访阶段，对该儿童进行了粗大运动功能测量-66、儿科结局数据收集工具以及幼儿感知能力和社会接纳度图片量表的测试。8周时的数据显示所有领域均有积极变化，且在项目结束后2个月改善仍在持续。马术疗法不仅可能是改善粗大运动功能发育的有效干预措施，还可能影响感知到的自我能力和社会接纳度，这可能会增加轻度脑瘫儿童的参与度。
