Bertoti D B
Community Physical Therapy Associates, Birdsboro, PA 19508.
Phys Ther. 1988 Oct;68(10):1505-12.
The purpose of this study was to measure postural changes in children with spastic cerebral palsy after participation in a therapeutic horseback riding program. Eleven children with moderate to severe spastic cerebral palsy, aged 2 years 4 months to 9 years 6 months, were selected for this study and underwent postural assessments according to a repeated-measures design. Assessment of posture was performed by a panel of three pediatric physical therapists, using a postural assessment scale designed by the author. A composite score for each test interval was calculated for each child, and a median score was calculated for the entire group at each test interval. Data were analyzed using a Friedman test, assuming an alpha level of .05. A statistically significant difference was found between the three test intervals with significant improvement occurring during the period of therapeutic riding. Clinical improvements were also noted in muscle tone and balance as evidenced by improved functional skills. These results constitute the first objective measure supporting the efficacy of therapeutic horseback riding on posture in children with cerebral palsy.
本研究的目的是测量痉挛型脑瘫患儿参加治疗性骑马项目后的姿势变化。选取了11名年龄在2岁4个月至9岁6个月之间的中重度痉挛型脑瘫患儿参与本研究，并根据重复测量设计进行姿势评估。由三名儿科物理治疗师组成的小组使用作者设计的姿势评估量表对姿势进行评估。为每个孩子计算每个测试间隔的综合得分，并为每个测试间隔的整个组计算中位数得分。使用Friedman检验分析数据，假设显著性水平为0.05。在三个测试间隔之间发现了统计学上的显著差异，在治疗性骑马期间有显著改善。肌肉张力和平衡方面也有临床改善，功能技能的提高证明了这一点。这些结果构成了第一项客观指标，支持治疗性骑马对脑瘫患儿姿势的疗效。
