Kang Ok-Deuk
Animal Biotechnology, Jeju National University, Jeju 63243, Korea.
J Anim Sci Technol. 2021 Mar;63(2):440-452. doi: 10.5187/jast.2021.e22. Epub 2021 Mar 31.
The purpose of this study was to determine if an 8-week therapeutic riding (TR) program was effective in improving the walking ability of students with intellectual disabilities. Thirteen students diagnosed with intellectual disabilities participated in the TR program. TR sessions were conducted twice a week (30 min per session), with a total of 16 rides taking place over an 8-week period. A gait measurement analyzer was used to measure progress based on a turn test (6-m walking and turning test), walk test (10-m walking), and timed up and go (TUG) test. Measurements were made three times: before horse-riding (P0), after 4 weeks (8 rides) of horse-riding (P1), and after 8 weeks (16 rides) of horse-riding (P2). Data analysis was conducted using SPSS software (ver. 22.0). Descriptive statistics were generated on the general characteristics of the subjects, and the Kolmogorov-Smirnov test was used to verify the normality of the data. Because of the lack of normality, the data were analyzed using a nonparametric method and the significance level was set to 0.05. Measurements of the duration of the forward gait cycle (s) in the turn test and the forward gait speed (m/s) in the walk test indicated improved walking ability after the TR program ( < 0.001); the stride length (% height) also increased significantly ( < 0.05). The walk test revealed a significant effect of the program on the duration of the forward gait cycle ( < 0.05), while there were significant improvements on the left and right of the elaborated strides ( < 0.001). No significant improvement in TUG test performance was observed after the TR program. In this study, an 8-week TR program had positive results on gait. Therefore, further research is merited, where TR programs are likely to improve the walking ability of individuals with intellectual disabilities.
本研究的目的是确定一项为期8周的治疗性骑马(TR)计划是否能有效提高智障学生的行走能力。13名被诊断为智障的学生参加了TR计划。TR课程每周进行两次(每次30分钟),在8周内共进行16次骑行。使用步态测量分析仪根据转弯测试(6米行走和转弯测试)、步行测试(10米行走)和定时起立行走(TUG)测试来测量进展。测量进行了三次:骑马前(P0)、骑马4周(8次骑行)后(P1)和骑马8周(16次骑行)后(P2)。使用SPSS软件(版本22.0)进行数据分析。对受试者的一般特征进行了描述性统计,并使用Kolmogorov-Smirnov检验来验证数据的正态性。由于数据缺乏正态性,使用非参数方法进行分析,显著性水平设定为0.05。转弯测试中前向步态周期的持续时间(秒)和步行测试中前向步态速度(米/秒)的测量表明,TR计划后行走能力有所提高(<0.001);步幅长度(%身高)也显著增加(<0.05)。步行测试显示该计划对前向步态周期的持续时间有显著影响(<0.05),而在精细步幅的左右两侧有显著改善(<0.001)。TR计划后未观察到TUG测试表现有显著改善。在本研究中,为期8周的TR计划对步态有积极影响。因此,值得进一步研究,TR计划可能会提高智障人士的行走能力。