The short-term effect of hippotherapy on spasticity in patients with spinal cord injury
The short-term effect of hippotherapy on spasticity in patients with spinal cord injury
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DOI：
10.1038/sj.sc.3101492
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发表时间：
2003-09-01
期刊：
影响因子：
2.2
通讯作者：
Knecht, H
中科院分区：
文献类型：
--
作者：
Lechner, HE;Feldhaus, S;Knecht, H
研究设计：评估海马疗法治疗前后的痉挛。目的：探讨海马疗法对脊髓损伤患者痉挛的短期疗效。地点：瑞士诺特威尔截瘫中心。方法：32例不同程度痉挛的脊髓损伤患者均进行了重复的Hippotherapy-K(R)治疗，平均11次。根据Ashworth量表对下肢痉挛进行评分。结果：初级康复患者海马治疗后Ashworth值显著低于治疗前（Wilcoxon's sign -rank检验：P < 0.001）。在高度痉挛的sci中观察到最大的改善。截瘫患者的短期疗效与全瘫患者的短期疗效无显著差异。结论：海马疗法可显著减轻脊髓损伤患者的下肢痉挛。
Study design: Assessment of spasticity before and after hippotherapy treatment.Objective: To evaluate the short-term effect of hippotherapy on spasticity of spinal cord injured patients (SCIs).Setting: Swiss Paraplegic Centre, Nottwil.Methods: 32 patients with spinal cord injury with various degrees of spasticity had repeated sessions (mean 11) of Hippotherapy-K(R). Spasticity of the lower extremities was scored according to the Ashworth Scale.Results: In primary rehabilitation patients Ashworth values after hippotherapy were significantly lower than before (Wilcoxon's signed-rank test: P < 0.001). Highest improvements were observed in SCIs with very high spasticity. No significant difference between short-term effect in paraplegic and short-term effect in tetraplegic subjects was found.Conclusions: Hippotherapy significantly reduces spasticity of lower extremities in SCIs.