Study of the therapeutic effects of an advanced hippotherapy simulator in children with cerebral palsy: a randomised controlled trial
Study of the therapeutic effects of an advanced hippotherapy simulator in children with cerebral palsy: a randomised controlled trial
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DOI：
10.1186/1471-2474-11-71
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发表时间：
2010-04-16
影响因子：
2.3
通讯作者：
Casas, Roberto
中科院分区：
文献类型：
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作者：
Herrero, Pablo;Asensio, Angel;Casas, Roberto
背景：虽然马术治疗已被证明对脑瘫儿童有治疗作用，但研究中使用的样本非常小。就马术疗法模拟器而言，没有研究建议或建议反对将其用于治疗脑瘫儿童。这项随机临床研究的目的是分析使用商业马术治疗模拟器对脑瘫儿童的几个重要因素的治疗效果或禁忌症，如运动发育、坐姿平衡控制、髋部外展运动范围和内收肌肌电活动。 方法/设计：该研究是一项随机对照试验。该研究将 37 名脑瘫儿童样本分为两个治疗组。符合资格的参与者将被随机分配接受（a）治疗组使用马术疗法模拟器，保持坐姿，腿部外展且模拟器有节奏运动，或（b）治疗组保持坐姿，腿部外展且模拟器没有节奏运动。数据收集和分析：所有测量都将由经过专门培训的盲评估员进行。为了确保评估员的标准化质量，研究开始时将制定审查员间协议。该试验由阿拉贡地区政府研究、创新和发展部资助（阿拉贡官方公报，2007 年 7 月 23 日），项目编号 PM059/2007。讨论：对该项目的兴趣源于以下因素： 临床原创性（之前没有研究分析模拟器对脑瘫儿童群体的影响，也没有任何研究使用与该项目一样多的变量）；临床影响（小儿脑瘫是一种慢性多系统疾病，不仅影响患者，还影响患者的家人及其亲密朋友圈）；实际效益（开发有效的治疗方法对于将这一元素引入这些儿童的康复中非常重要）。
Background: Although hippotherapy treatment has been demonstrated to have therapeutic effects on children with cerebral palsy, the samples used in research studies have been very small. In the case of hippotherapy simulators, there are no studies that either recommend or advise against their use in the treatment of children with cerebral palsy. The aim of this randomised clinical study is to analyse the therapeutic effects or the contraindications of the use of a commercial hippotherapy simulator on several important factors relating to children with cerebral palsy such as their motor development, balance control in the sitting posture, hip abduction range of motion and electromyographic activity of adductor musculature.Methods/Design: The study is a randomised controlled trial. It will be carried out with a sample of 37 children with cerebral palsy divided into two treatment groups. Eligible participants will be randomly allocated to receive either (a) Treatment Group with hippotherapy simulator, maintaining sitting posture, with legs in abduction and rhythmic movement of the simulator or (b) Treatment Group maintaining sitting posture, with legs in abduction and without rhythmic movement of the simulator. Data collection and analysis: all measurements will be carried out by a specially trained blind assessor. To ensure standardization quality of the assessors, an inter-examiner agreement will be worked out at the start of the study. The trial is funded by the Department of Research, Innovation and Development of the Regional Government of Aragon (Official Bulletin of Aragon 23 July 2007), project number PM059/2007.Discussion: Interest in this project is due to the following factors: Clinical originality (there are no previous studies analysing the effect of simulators on the population group of children with CP, nor any studies using as many variables as this project); Clinical impact (infantile cerebral palsy is a chronic multisystemic condition that affects not only the patient but also the patient's family and their close circle of friends); Practical benefits (the development of an effective treatment is very important for introducing this element into the rehabilitation of these children).