The effect of hippotherapy on ten children with cerebral palsy.
The effect of hippotherapy on ten children with cerebral palsy.
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DOI：
10.1097/01.pep.0000136003.15233.0c
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发表时间：
2004-01-01
期刊：
影响因子：
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通讯作者：
Nichols-Larsen, Deborah S
中科院分区：
文献类型：
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作者：
Casady, Renee L;Nichols-Larsen, Deborah S
目得：本研究的目的是要确定是否康复治疗有影响的一般功能发育的儿童脑瘫。方法：本研究采用了重复测量设计，两个前测试和两个后测试进行了10周的时间间隔，使用儿童残疾评估量表（PEDI）和粗大运动功能测量（GMFM）作为结果的措施。10名脑瘫儿童的便利样本参与了研究，基线时年龄为2.3至6.8岁（平均值+/- SD 4.1 +/- 1.7）。受试者在测试前2和测试后1之间每周接受一次药物治疗，持续10周。测试分数的GMFM和PEDI进行了比较，在治疗前后，receivingtherapeutic.RESULTS：单因素方差分析的组平均分数与重复测量是显着的（P < 0.05），所有PEDI分量表和所有GMFM尺寸，除了躺/滚动。Tukey检验结果显示，前测2和后测1的PEDI和GMFM总分以及GMFM爬/跪和PEDI社交技能分测验的诚实性差异有统计学意义。结论：康复治疗对脑瘫儿童的功能性运动表现有积极的影响。海马疗法似乎是一种可行的治疗策略，治疗师的经验和培训，在这种形式的治疗和改善功能的结果在脑瘫儿童的一种手段，虽然具体的功能技能没有调查。
PURPOSE: The purpose of this study was to determine whether hippotherapy has an effect on the general functional development of children with cerebral palsy.METHODS: The study employed a repeated-measures design with two pre-tests and two post-tests conducted 10 weeks apart using the Pediatric Evaluation of Disability Inventory (PEDI) and the Gross Motor Function Measure (GMFM) as outcome measures. A convenience sample of 10 children with cerebral palsy participated whose ages were 2.3 to 6.8 years at baseline (mean +/- SD 4.1 +/- 1.7). Subjects received hippotherapy once weekly for 10 weeks between pre-test 2 and post-test 1. Test scores on the GMFM and PEDI were compared before and after hippotherapy.RESULTS: One-way analysis of variance of group mean scores with repeated measures was significant (p < 0.05) for all PEDI subscales and all GMFM dimensions except lying/rolling. Post hoc analyses with the Tukey test for honest significant differences on the PEDI and GMFM total measures as well as GMFM crawling/kneeling and PEDI social skills subtests were statistically significant between pre-test 2 and post-test 1.CONCLUSIONS: The results of this study suggest that hippotherapy has a positive effect on the functional motor performance of children with cerebral palsy. Hippotherapy appears to be a viable treatment strategy for therapists with experience and training in this form of treatment and a means of improving functional outcomes in children with cerebral palsy, although specific functional skills were not investigated.