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马术疗法对能行走的脑瘫儿童运动能力和功能的影响。

Effect of Hippotherapy on Motor Proficiency and Function in Children with Cerebral Palsy Who Walk.

作者信息

Champagne Danielle, Corriveau Hélène, Dugas Claude

机构信息

a Faculty of Medicine and Health Sciences , Université de Sherbrooke , Sherbrooke , Québec , Canada.

b Research Centre on Aging , University Institute of Geriatrics of Sherbrooke , Sherbrooke , Québec , Canada.

出版信息

Phys Occup Ther Pediatr. 2017 Feb;37(1):51-63. doi: 10.3109/01942638.2015.1129386. Epub 2016 Mar 1.

Abstract

AIMS

To evaluate the effects of hippotherapy on physical capacities of children with cerebral palsy.

METHODS

Thirteen children (4-12 years old) with cerebral palsy classified in Gross Motor Function Classification System Level I or II were included in this prospective quasi-experimental ABA design study. Participants received 10 weeks of hippotherapy (30 min per week). Gross motor function and proficiency were measured with the Bruininks-Oseretski Motor Proficiency short form [BOT2-SF]) and the Gross Motor Function Measure-88 [GMFM-88] (Dimension D and E) twice before the program (T1 and T1'), immediately after (T2), and 10 weeks following the end of the program (T3).

RESULTS

Mean scores for dimensions D and E of the GMFM-88 Dimension scores (p = .005) and three out of the eight items of the BOT2-SF (fine motor precision (p = .013), balance (p = .025), and strength (p = .012) improved between baseline and immediately after intervention; mean scores immediately following and 10 weeks following intervention did not differ.

CONCLUSIONS

Hippotherapy provided by a trained therapist who applies an intense and graded session for 10 weeks can improve body functions and performance of gross motor and fine motor activities in children with cerebral palsy.

摘要

目的

评估马疗法对脑瘫儿童身体能力的影响。

方法

本前瞻性准实验ABA设计研究纳入了13名年龄在4至12岁之间、按照粗大运动功能分类系统分为I级或II级的脑瘫儿童。参与者接受为期10周的马疗法(每周30分钟)。在项目开始前(T1和T1')、结束后立即(T2)以及项目结束后10周(T3),使用布鲁宁克斯-奥塞雷茨基运动技能简式测试[BOT2-SF]和粗大运动功能测量-88[GMFM-88](维度D和E)对粗大运动功能和熟练程度进行了两次测量。

结果

GMFM-88维度D和E的平均得分(p = 0.005)以及BOT2-SF八项中的三项(精细运动精度(p = 0.013)、平衡(p = 0.025)和力量(p = 0.012))在基线和干预后立即有所改善;干预后立即和干预后10周的平均得分没有差异。

结论

由训练有素的治疗师提供的、为期10周的高强度分级马疗法可以改善脑瘫儿童的身体功能以及粗大运动和精细运动活动的表现。

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