Changes in Dynamic Trunk/Head Stability and Functional Reach After Hippotherapy
Changes in Dynamic Trunk/Head Stability and Functional Reach After Hippotherapy
复制标题
DOI：
10.1016/j.apmr.2009.01.026
复制
发表时间：
2009-07-01
影响因子：
4.3
通讯作者：
Engsberg, Jack R.
中科院分区：
文献类型：
--
作者：
Shurtleff, Tim L.;Standeven, John W.;Engsberg, Jack R.
目的：探讨河马疗法是否能改善痉挛型双瘫脑瘫(SDCP)患儿的头/躯干稳定性和上肢伸展功能。设计：术后随访12周，干预后12周。地点：配备6个摄像视频运动捕捉系统的人体行为实验室。受试者：11名SDCP儿童(年龄5-13岁，平均8岁)，干预：在3个骑马治疗中心进行了干预。主要观察指标：使用表面标记在60赫兹采集数据的视频运动捕捉、挑战躯干和头部稳定性的三力桶，以及静态表面上的功能伸展/靶向测试。结果：经过12周的河马治疗干预后，在头部/躯干的稳定性和伸展/瞄准、经过时间和效率(伸展/路径比)方面均有显著变化。结论：海马术改善了躯干/头部的稳定性和UE的到达/靶向。这些技能构成了许多功能性任务的基础。在干预停止后保持变化，为功能性任务提供技能基础，这也可能提高职业表现和参与度。
Changes in dynamic trunk/head stability and functional reach after hippotherapy.Objectives: To determine if hippotherapy (therapy using a horse) improves head/trunk stability and upper extremity (UE) reaching/targeting in children with spastic diplegia cerebral palsy (SDCP).Design: Pre-postoperative follow-up with a 12-week intervention and 12-week washout period after intervention.Setting: A human performance laboratory with 6 camera video motion capture systems for testing.Participants: Eleven children (age 5-13y, average 8y) with SDCP, 8 children (age 5-13y, average 8y) without disabilities.Intervention: Hippotherapy intervention performed at 3 therapeutic horseback riding centers.Main Outcome Measures: Video motion capture using surface markers collecting data at 60Hz, a triechanical barrel to challenge trunk and head stability, and functional reach/targeting test on static surface.Results: Significant changes with large effect sizes in head/trunk stability and reaching/targeting, elapsed time, and efficiency (reach/path ratio) after 12 weeks of hippotherapy intervention. Changes were retained after a 12-week washout period.Conclusions: Hippotherapy improves trunk/head stability and UE reaching/targeting. These skills form the foundation for many functional tasks. Changes are maintained after the intervention ceases providing a skill foundation for functional tasks that may also enhance occupational performance and participation.