骑马活动对痉挛型脑瘫儿童肌肉张力和关节活动范围的影响。
The effects of horseback riding participation on the muscle tone and range of motion for children with spastic cerebral palsy.
作者信息
Baik Kwang, Byeun Jung-Kyun, Baek Jae-Keun
机构信息
Department of Rehabilitation Personal Training, College of Rehabilitation Welfare Education, Konyang University, NonSan, Korea.
Department of Adapted Physical Education, Korea National Sport University, Seoul, Korea.
出版信息
J Exerc Rehabil. 2014 Oct 31;10(5):265-70. doi: 10.12965/jer.140124. eCollection 2014 Oct.
The objective of this research is to verify the effects of horseback riding participation on the muscle tone of pelvic limbs and articular range of motion for children with spastic cerebral palsy. The research target is 16 children with spastic cerebral palsy, 8 children for the experimental group and 8 children for the control group. As a tool to measure the muscle tone, Modified Ashworth Scale (MAS), was used and a goniometer was used to measure the range of motion (ROM). A therapeutic horseback riding program was conducted to an experimental group of 8 children with spastic cerebral palsy in the therapeutic horseback riding for 60 min a day, 2 days a week and a total of 12 weeks. The results are as follows: First, the participation in the therapeutic horseback riding program showed a statistically significant difference in the muscle tone for the knee of children with spastic cerebral palsy (P< 0.01). Second, though the difference in knee muscle tone between the experimental group and the control group was statistically insignificant, the average was improved by the participation. Third, the participation in the therapeutic horseback riding program showed a statistically significant difference in the hip-joint motion range for the knee of children with spastic cerebral palsy (P< 0.01). Fourth, though the difference in the hip joint motion range between the experimental group and the control group was statistically insignificant, the average was improved by the participation.
本研究的目的是验证参与骑马对痉挛型脑瘫患儿骨盆肢体肌张力和关节活动范围的影响。研究对象为16名痉挛型脑瘫患儿，其中实验组8名患儿，对照组8名患儿。作为测量肌张力的工具，使用了改良Ashworth量表（MAS），并使用角度计测量活动范围（ROM）。对实验组的8名痉挛型脑瘫患儿进行了治疗性骑马项目，每天在治疗性骑马中进行60分钟，每周2天，共12周。结果如下：第一，参与治疗性骑马项目对痉挛型脑瘫患儿膝关节的肌张力有统计学显著差异（P<0.01）。第二，虽然实验组和对照组之间膝关节肌张力的差异无统计学意义，但参与后平均值有所改善。第三，参与治疗性骑马项目对痉挛型脑瘫患儿膝关节的髋关节活动范围有统计学显著差异（P<0.01）。第四，虽然实验组和对照组之间髋关节活动范围的差异无统计学意义，但参与后平均值有所改善。
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