Manikowska Faustyna, Jóźwiak Marek, Idzior Maciej, Chen Po-Jung Brian, Tarnowski Dariusz
Department of Pediatric Orthopedics and Traumatology, Poznań University of Medical Sciences, Poland.
Ortop Traumatol Rehabil. 2013 Jun 28;15(3):253-7. doi: 10.5604/15093492.1058420.
Hippotherapy has been shown to produce beneficial effects by improving the most difficult motor functions, such as sitting, running, jumping, coordination, as well as balance and muscle strength in children with motor developmental delays. The aim of this study was to analyze the effect of hippotherapy on spatiotemporal parameters of gait in cerebrally palsied children.
16 ambulatory cerebrally palsied children (GMFCS Level I-III; Female: 10, Male: 6; Age: 5.7-17.5 years old) qualified for hippotherapy were investigated. Basic spatiotemporal parameters of gait, including walking speed, cadence, step length, stride length and the left-right symmetry, were collected using a three-dimensional accelerometer device (DynaPort MiniMod) before and immediately after a hippotherapy session. The Wilcoxon test was used to verify the differences between pre- and post-session results.
Changes of walking speed were statistically significant. With the exception of step length, all spatiotemporal parameters improved, i.e. were closer to the respective reference ranges after the session. However, these changes were not statistically significant.
One session of hippotherapy may have a significant effect on the spatiotemporal parameters of gait in cerebrally palsied children.
已证明，马术疗法通过改善最困难的运动功能，如坐、跑、跳、协调以及运动发育迟缓儿童的平衡和肌肉力量，产生有益效果。本研究的目的是分析马术疗法对脑瘫儿童步态时空参数的影响。
对16名符合马术疗法条件的门诊脑瘫儿童（GMFCS I-III级；女性：10名，男性：6名；年龄：5.7-17.5岁）进行了调查。在一次马术治疗课程之前和之后立即使用三维加速度计设备（DynaPort MiniMod）收集步态的基本时空参数，包括步行速度、步频、步长、步幅和左右对称性。采用Wilcoxon检验来验证治疗前后结果之间的差异。
步行速度的变化具有统计学意义。除步长外，所有时空参数均有所改善，即治疗后更接近各自的参考范围。然而，这些变化没有统计学意义。
一次马术治疗课程可能对脑瘫儿童步态的时空参数产生显著影响。
