Efficacy of hippotherapy simulator exercise program in patients with stroke: a randomized single-blind clinical trial.

IF 2.2 4区医学 Q1 REHABILITATION

Topics in Stroke Rehabilitation Pub Date : 2024-09-01 Epub Date: 2024-02-14 DOI:10.1080/10749357.2024.2310425

Sergen Öztürk, Onur Aydoğdu, Zübeyir Sari

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引用次数: 0

Abstract

Objectives: The aim of this study was to investigate the effect of hippotherapy simulator on balance, postural control, mobility, functional capacity and independence level in people with stroke.

Methods: This study involved 26 people with stroke aged 18-65, who were randomly assigned to a Hippotherapy Simulator Group (HSG; n = 13) and a Conventional Exercise Group (CEG; n = 13). Patients underwent assessments using the Berg Balance Scale (BBS), Postural Assessment Scale for Stroke (PAS-S), Timed Up and Go Test (TUG), Rivermead Mobility Index (RMI), 2-Minute Walking Test (2-MWT), and Barthel Daily Living Activity Index (BI) to evaluate balance, postural control, mobility, functional capacity, and independence before and after treatment. In the HSG, participants received 30 sessions of conventional exercises and hippotherapy simulator - a mechanical and robotic equipment with a dynamic saddle simulating horse movement - exercises over 6 weeks. Meanwhile, the CEG underwent 30 sessions of conventional exercises alone for 6 weeks.

Results: In the post-therapy evaluation between groups, BBS (p = 0.004) and 2-MWT (p < 0.001) scores were higher in HSG compared to CEG. However, no statistically significant difference was found between the two groups in terms of PAS-S, RMI, TUG and BI scores (p > 0.05). Statistically significant differences were found between BBS, PAS-S, RMI, TUG, BI and 2-MWT scores before and after treatment in both groups (p < 0.05).

Conclusions: Hippotherapy simulator can be added to conventional exercises to improve balance and functional capacity in people with stroke.

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中风患者嬉游疗法模拟器运动项目的疗效：随机单盲临床试验。

研究目的本研究旨在探讨嬉马模拟器对中风患者的平衡、姿势控制、活动能力、功能能力和独立性水平的影响：本研究涉及 26 名年龄在 18-65 岁之间的中风患者，他们被随机分配到嬉马疗法模拟器组（HSG；n = 13）和常规锻炼组（CEG；n = 13）。患者在治疗前后接受了伯格平衡量表（BBS）、脑卒中姿势评估量表（PAS-S）、定时起立行走测试（TUG）、里弗米德活动指数（RMI）、2分钟步行测试（2-MWT）和巴特尔日常生活活动指数（BI）的评估，以评估平衡、姿势控制、活动能力、功能能力和独立性。在 HSG 中，参与者在 6 周内接受了 30 次常规锻炼和嬉马疗法模拟器（一种机械和机器人设备，带有模拟马匹运动的动态马鞍）锻炼。与此同时，CEG 组在 6 周内只进行了 30 次常规锻炼：在治疗后的组间评估中，BBS（p = 0.004）和 2-MWT（p p > 0.05）。两组的 BBS、PAS-S、RMI、TUG、BI 和 2-MWT 评分在治疗前后均有统计学意义的差异（p 结论："髋关节训练模拟器 "可作为髋关节训练的辅助工具：河马疗法模拟器可与传统运动相结合，改善中风患者的平衡能力和功能。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Topics in Stroke Rehabilitation 医学-康复医学

CiteScore

5.10

自引率

4.50%

发文量

审稿时长

6-12 weeks

期刊介绍： Topics in Stroke Rehabilitation is the leading journal devoted to the study and dissemination of interdisciplinary, evidence-based, clinical information related to stroke rehabilitation. The journal’s scope covers physical medicine and rehabilitation, neurology, neurorehabilitation, neural engineering and therapeutics, neuropsychology and cognition, optimization of the rehabilitation system, robotics and biomechanics, pain management, nursing, physical therapy, cardiopulmonary fitness, mobility, occupational therapy, speech pathology and communication. There is a particular focus on stroke recovery, improving rehabilitation outcomes, quality of life, activities of daily living, motor control, family and care givers, and community issues. The journal reviews and reports clinical practices, clinical trials, state-of-the-art concepts, and new developments in stroke research and patient care. Both primary research papers, reviews of existing literature, and invited editorials, are included. Sharply-focused, single-issue topics, and the latest in clinical research, provide in-depth knowledge.