Application of a tri-axial accelerometry-based portable motion recorder for the quantitative assessment of hippotherapy in children and adolescents with cerebral palsy.
Application of a tri-axial accelerometry-based portable motion recorder for the quantitative assessment of hippotherapy in children and adolescents with cerebral palsy.
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DOI：
10.1589/jpts.28.2970
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发表时间：
2016-10
影响因子：
--
通讯作者：
Ihara M
中科院分区：
文献类型：
--
作者：
Mutoh T;Mutoh T;Takada M;Doumura M;Ihara M;Taki Y;Tsubone H;Ihara M
【目的】本病例系列旨在通过身体活动的定量参数来评估海马疗法对脑瘫儿童和青少年步态和平衡能力的影响。【对象与方法】选取脑性瘫痪后遗症步态障碍患者3例（1女2男，年龄分别为5岁、12岁和25岁）。参与者每周接受一次30分钟的海马疗法，持续2年。步态参数（步速、步长、步态速度、平均加速度、水平/垂直位移比）在步行10米测试前后使用便携式运动记录仪测量。[结果]在单次海马疗法前后，步长显著增加。在2年的干预过程中，步频、步速、步长和平均加速度显著增加，水平/垂直位移比显著改善。【结论】便携式运动记录仪获得的定量参数可以追踪接受海马疗法的脑瘫儿童和青少年行走能力的即时和长期变化。
[Purpose] This case series aims to evaluate the effects of hippotherapy on gait and balance ability of children and adolescents with cerebral palsy using quantitative parameters for physical activity. [Subjects and Methods] Three patients with gait disability as a sequela of cerebral palsy (one female and two males; age 5, 12, and 25 years old) were recruited. Participants received hippotherapy for 30 min once a week for 2 years. Gait parameters (step rate, step length, gait speed, mean acceleration, and horizontal/vertical displacement ratio) were measured using a portable motion recorder equipped with a tri-axial accelerometer attached to the waist before and after a 10-m walking test. [Results] There was a significant increase in step length between before and after a single hippotherapy session. Over the course of 2 year intervention, there was a significant increase in step rate, gait speed, step length, and mean acceleration and a significant improvement in horizontal/vertical displacement ratio. [Conclusion] The data suggest that quantitative parameters derived from a portable motion recorder can track both immediate and long-term changes in the walking ability of children and adolescents with cerebral palsy undergoing hippotherapy.