Use of hippotherapy in gait training for hemiparetic post-stroke
Use of hippotherapy in gait training for hemiparetic post-stroke
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DOI：
10.1590/s0004-282x2010000600015
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发表时间：
2010-12-01
影响因子：
1.4
通讯作者：
Borges, Guilherme
中科院分区：
文献类型：
--
作者：
Beinotti, Fernanda;Correia, Nilzete;Borges, Guilherme
目的：评估马术疗法对中风后偏瘫患者步态训练的影响。方法：该研究由 20 名个体组成，分为两组。 A组采用常规治疗，B组采用常规治疗加马术治疗，疗程16周。在治疗开始和结束时使用功能性步行分类量表、Fugl-Meyer量表、仅下肢和平衡子项目、Berg平衡量表以及步态（节奏）功能评估对患者进行评估。结果：随着时间的推移，实验组观察到显着改善，包括下肢运动障碍（p=0.004）、平衡能力（p=0.007），但组间趋势显着（p=0.056）。两组的步态独立性、步频和速度均不显着（p=0.93、0.69 和 0.44）。结论：马术疗法与传统物理疗法相结合，除了使患者的步态标准比对照组更接近正常外，还对步态训练产生积极影响。
Objective: To evaluate the hippotherapy influence on gait training in post-stroke hemiparetic individuals. Method: The study was constituted of 20 individuals divided into two groups. Group A performed the conventional treatment while group B the conventional treatment along with hippotherapy during 16 weeks. The patients were evaluated by using the Functional Ambulation Category Scale, Fugl-Meyer Scale, only the lower limbs and balance sub items, Berg Balance Scale, and functional assessment of gait (cadence) in the beginning and end of the treatment. Results: Significant improvements were observed in the experimental group including motor impairment in lower limbs (p=0.004), balance, over time (p=0.007) but a significant trend between groups (p=0.056). The gait independence, cadence and speed were not significantly in both groups (p=0.93, 0.69 and 0.44). Conclusion: Hippotherapy associated with conventional physical therapy demonstrates a positive influence in gait training, besides bringing the patients' gait standard closer to normality than the control group.