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青少年特发性脊柱侧凸行马术辅助治疗对肺功能和有氧能力的影响:一项随机对照试验。

Pulmonary Function and Aerobic Capacity Responses to Equine Assisted Therapy in Adolescents with Idiopathic Scoliosis: A Randomized Controlled Trial.

机构信息

Physical Therapy Program, Batterjee Medical College, Jeddah, Saudi Arabia.

Physical Therapy Program, Batterjee Medical College, Jeddah, Saudi Arabia; Department of Biomechanics, Faculty of Physical Therapy, Cairo University, Giza, Egypt.

出版信息

J Rehabil Med. 2022 Jun 23;54:jrm00296. doi: 10.2340/jrm.v54.1085.

DOI:10.2340/jrm.v54.1085
PMID:35652929
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9252090/
Abstract

BACKGROUND

Idiopathic scoliosis is a common spinal malalignment that negatively impacts the respiratory system and physical conditioning in adolescents. Equine-assisted therapy comprises therapeutic horseback riding that optimizes physical performance and mobility in a range of contexts. However, the influence of equine-assisted therapy on pulmonary function remains unclear.

OBJECTIVE

To examine the impact of 10 weeks of hippotherapy combined with Schroth exercises on pulmonary function and aerobic capacity in adolescents with idiopathic scoliosis.

METHODS

A randomized controlled trial including 45 patients, randomly assigned to experimental and control groups, was performed. Patients in the experimental group received 15 30-min sessions of hippotherapy over a period of 10 weeks. The 2 groups attended a 60-min session of Schroth exercises 3 times/week for 10 weeks. Pulmonary function and functional capacity were assessed before and after the intervention.

RESULTS

Pre- and post-intervention variables (FVC, FEV1, FEV1/FVC, MVV and 6MWT) revealed significant improvement in both groups (p < 0.05). The improvement in the experimental group was significantly higher than in the control group (p < 0.05).

CONCLUSION

The addition of hippotherapy to Schroth exercises resulted in improved pulmonary function and aerobic capacity in adolescents with idiopathic scoliosis.

摘要

背景

特发性脊柱侧凸是一种常见的脊柱排列异常,会对青少年的呼吸系统和身体状况产生负面影响。马术辅助治疗包括治疗性骑马,可在多种情况下优化身体表现和活动能力。然而,马术辅助治疗对肺功能的影响尚不清楚。

目的

研究 10 周马术治疗结合施罗特运动对特发性脊柱侧凸青少年肺功能和有氧能力的影响。

方法

进行了一项随机对照试验,纳入 45 例患者,随机分为实验组和对照组。实验组患者接受 15 次、每次 30 分钟的马术治疗,共 10 周。两组均接受每周 3 次、每次 60 分钟的施罗特运动,共 10 周。干预前后评估肺功能和功能能力。

结果

干预前后的变量(FVC、FEV1、FEV1/FVC、MVV 和 6MWT)显示两组均有显著改善(p<0.05)。实验组的改善明显高于对照组(p<0.05)。

结论

在施罗特运动中加入马术治疗可提高特发性脊柱侧凸青少年的肺功能和有氧能力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f904/9252090/6a5e28752a39/JRM-54-1085-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f904/9252090/4bbb43858842/JRM-54-1085-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f904/9252090/6a5e28752a39/JRM-54-1085-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f904/9252090/4bbb43858842/JRM-54-1085-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f904/9252090/6a5e28752a39/JRM-54-1085-g002.jpg

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The Influence of Hippotherapy on the Body Posture in a Sitting Position among Children with Cerebral Palsy.马术治疗对脑瘫儿童坐姿身体姿势的影响。
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Changes in radiographic parameters following chiropractic treatment in 10 patients with adolescent idiopathic scoliosis: A retrospective chart review.10例青少年特发性脊柱侧弯患者接受整脊治疗后的影像学参数变化:一项回顾性图表审查。
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