马疗对脑瘫患儿粗大运动功能的影响：一项随机对照试验。
Effect of hippotherapy on gross motor function in children with cerebral palsy: a randomized controlled trial.
作者信息
Kwon Jeong-Yi, Chang Hyun Jung, Yi Sook-Hee, Lee Ji Young, Shin Hye-Yeon, Kim Yun-Hee
机构信息
1 Department of Physical and Rehabilitation Medicine, Center for Prevention and Rehabilitation, Heart Vascular and Stroke Institute, Samsung Medical Center, Sungkyunkwan University School of Medicine , Seoul, Republic of Korea.
出版信息
J Altern Complement Med. 2015 Jan;21(1):15-21. doi: 10.1089/acm.2014.0021. Epub 2014 Dec 31.
OBJECTIVE
To examine whether hippotherapy has a clinically significant effect on gross motor function in children with cerebral palsy (CP).
DESIGN
Randomized controlled trial.
SETTING
Outpatient therapy center.
PARTICIPANTS
Ninety-two children with CP, aged 4-10 years, presenting variable function (Gross Motor Function Classification System [GMFCS] levels I-IV).
INTERVENTION
Hippotherapy (30 minutes twice weekly for 8 consecutive weeks).
OUTCOME MEASURES
Gross Motor Function Measure (GMFM)-88, GMFM-66, and Pediatric Balance Scale.
RESULTS
Pre- and post-treatment measures were completed by 91 children (45 in the intervention group and 46 in the control group). Differences in improvement on all three measures significantly differed between groups after the 8-week study period. Dimensions of GMFM-88 improved significantly after hippotherapy varied by GMFCS level: dimension E in level I, dimensions D and E in level II, dimensions C and D in level III, and dimensions B and C in level IV.
CONCLUSION
Hippotherapy positively affects gross motor function and balance in children with CP of various functional levels.
目的
探讨马术疗法对脑瘫（CP）患儿的粗大运动功能是否具有临床显著效果。
设计
随机对照试验。
地点
门诊治疗中心。
参与者
92名4至10岁的CP患儿，功能水平各异（粗大运动功能分类系统[GMFCS]为I-IV级）。
干预措施
马术疗法（每周两次，每次30分钟，连续8周）。
观察指标
粗大运动功能测量量表（GMFM）-88、GMFM-66和儿童平衡量表。
结果
91名儿童（干预组45名，对照组46名）完成了治疗前后的测量。在为期8周的研究期结束后，两组在所有三项测量指标上的改善差异具有统计学意义。接受马术疗法后，GMFM-88各维度的改善情况因GMFCS级别而异：I级患儿的E维度、II级患儿的D和E维度、III级患儿的C和D维度以及IV级患儿的B和C维度均有显著改善。
结论
马术疗法对不同功能水平的CP患儿的粗大运动功能和平衡具有积极影响。
Zotero 插件