Qin Zhikai, Guo Zizhao, Wang Junsheng
Institute of physical education and training, Capital University of Physical Education and Sports, Beijing, China.
J Community Health Nurs. 2024 Apr-Jun;41(2):82-95. doi: 10.1080/07370016.2024.2304825. Epub 2024 Jan 16.
This study aimed to evaluate the impact of three equine therapy approaches on gross motor function in children with cerebral palsy.
The studies were retrieved from PubMed, Web of Science, Science Direct, and the Cochrane Library, in accordance with the style commonly found in scientific journal publications:(1) peer-reviewed articles written in English; (2) experimental or quasi-experimental; (3) three Equine Therapy Interventions as experiment's independent variable; (4) children with cerebral palsy; and (5) measurement of outcomes related to Gross Motor Function.
The study examined 596 patients with cerebral palsy, whose average age was 8.03 years. The three types of horse therapy interventions had a significant impact on gross motor function in children with cerebral palsy (SMD = 0.19, 95% CI 0.02-0.36, = 0.031). Additionally, the interventions positively affected dimensions C (SMD = 0.31, 95% CI 0.00-0.62, = 0.05), D (SMD = 0.30, 95% CI 0.06-0.56, = 0.017), and B (SMD = 0.72, 95% CI 0.10-1.34, = 0.023). The Gross Motor Function Measure (GMFM) consists of 88 or 66 items, which are divided into five functional dimensions: GMFM-A (lying down and rolling), GMFM-B (sitting), GMFM-C (crawling and kneeling), GMFM-D (standing), and GMFM-E (walking, running, and jumping). Each subsection of the GMFM can be used separately to evaluate motor changes in a specific dimension of interest. Subgroup analysis revealed that different horse-assisted therapy approaches, types of cerebral palsy, exercise duration, frequency, and intervention periods are important factors influencing treatment outcomes.
The intervention period ranged from 8 to 12 weeks, with session durations of 30 to 45 minutes, 2 to 3 times per week. Equine-assisted therapy (EAT) demonstrated significant improvements in the overall gross motor function score, Dimension B, Dimension C, and Dimension D among children with cerebral palsy. The most effective treatment is provided by Equine-Assisted Therapy, followed by Horseback Riding Simulator (HRS). Due to its economic practicality, HRS plays an irreplaceable role.
Equine-Assisted Therapy (EAT) demonstrates the most effective treatment outcomes, suggesting that hospitals and healthcare professionals can form specialized teams to provide rehabilitation guidance. 2. Within equine-assisted therapy, Horseback Riding Simulator (HRS) exhibits treatment efficacy second only to Equine-Assisted Therapy (EAT), making it a cost-effective and practical option worthy of promotion and utilization among healthcare institutions and professionals. 3. In equine-assisted therapy, Therapeutic Horseback Riding (THR) holds certain value in rehabilitation due to its engaging and practical nature.
本研究旨在评估三种马术治疗方法对脑瘫患儿粗大运动功能的影响。
按照科学期刊出版物中常见的格式，从PubMed、科学引文索引、科学Direct和Cochrane图书馆检索研究：（1）英文撰写的同行评审文章；（2）实验性或准实验性研究；（3）三种马术治疗干预措施作为实验的自变量；（4）脑瘫患儿；（5）测量与粗大运动功能相关的结果。
该研究共纳入596例脑瘫患儿，平均年龄为8.03岁。三种类型的马术治疗干预措施对脑瘫患儿的粗大运动功能有显著影响（标准化均数差=0.19，95%可信区间0.02 - 0.36，P = 0.031）。此外，这些干预措施对维度C（标准化均数差=0.31，95%可信区间0.00 - 0.62，P = 0.05）、维度D（标准化均数差=0.30，95%可信区间0.06 - 0.56，P = 0.017）和维度B（标准化均数差=0.72，95%可信区间0.10 - 1.34，P = 0.023）有积极影响。粗大运动功能测量量表（GMFM）由88项或66项组成，分为五个功能维度：GMFM - A（仰卧和翻身）、GMFM - B（坐位）、GMFM - C（爬行和跪位）、GMFM - D（站立）以及GMFM - E（行走、跑步和跳跃）。GMFM的每个子部分可单独用于评估特定感兴趣维度的运动变化。亚组分析显示，不同的马术辅助治疗方法、脑瘫类型、运动持续时间、频率和干预期是影响治疗效果的重要因素。
干预期为8至12周，每次疗程持续30至45分钟，每周2至3次。马术辅助治疗（EAT）在脑瘫患儿的总体粗大运动功能评分、维度B、维度C和维度D方面显示出显著改善。最有效的治疗方法是马术辅助治疗，其次是骑马模拟器（HRS）。由于其经济实用性，HRS发挥着不可替代的作用。
