DOI QR코드

DOI QR Code

Effects of Mechanical Horseback Riding Training on Trunk Control and Balance function in Stroke patients

뇌졸중 환자의 체간조절, 균형능력에 기계적 승마치료가 미치는 영향

  • Song, Myung-Soo (Dept. of Physical therapy, Wonkwang Health Science University) ;
  • Kang, Tae-Woo (Dept. of Physical therapy, Wonkwang Health Science University) ;
  • Kim, Su-Mi (Dept. of Physical therapy, Wonkwang Health Science University) ;
  • Noh, Hyeon-Jeong (Dept. of Physical therapy, Design Rehabilitation Center Hospital)
  • 송명수 (원광보건대학교 물리치료학과) ;
  • 강태우 (원광대학병원 물리치료실) ;
  • 김수미 (원광대학병원 물리치료실) ;
  • 노현정 (대자인병원 물리치료실)
  • Received : 2013.09.17
  • Accepted : 2013.12.20
  • Published : 2013.12.28

Abstract

The purpose of this study was to determine the effect of mechanical horseback riding training on trunk control, balance function in stroke patients. 15 stroke patients were recruited for this study. The subjects were randomly assigned to two groups: experimental(n=7) and control(n=8). All subjects received a routine physical therapy. The mechanical horseback riding training was for 30 min in the case of the EG subjects. This study was carried out approximately 8 weeks from March 4 to May 3. The assessment tools of this study involved the trunk control test, postural assessment scale for stroke, Berg balance scale and timed up and go test. The measurements were recorded before the intervention and after the intervention. In the cases of the EG subjects and CG subjects, the variables measured after the intervention significantly differed from trunk control test, postural assessment scale for stroke, Berg balance scale and timed up and go test before the intervention (p<.05). Also, there were significant differences in trunk control test, postural assessment scale for stroke, Berg balance scale and timed up and go test at post test between the 2 groups (p<.05). The findings indicate that mechanical horseback riding training exerts a positive effect on trunk control, balance function in stroke patients. Further studies are required to generalize the result of this study.

Keywords

Horseback riding training;Stroke patients;Trunk control;Balance function

Acknowledgement

Supported by : 원광보건대학교

References

  1. Keun-Bae Oh, Ji-Young Baek, Effects of corestability training on balance and postural control in the stroke patients. The Korean public health association, Vol. 38, No. 2, pp.81-88, 2012.
  2. C. M.. Dean & R. B. Shepherd, Task-related training improves performance of seated reaching task after stroke: A randomized controlled trial. Stroke, Vol. 28, No. 4, pp. 722-728, 1997. https://doi.org/10.1161/01.STR.28.4.722
  3. V. Akuthota & S. F. Nadler, Core strengthening. Arch phys Med Rehabil, Vol. 85, No. 3 Suppl 1, pp, S86-92, 2004.
  4. Jun-ho Sin, Duck-Won Oh, Jin-Seop Kim, Effect of nordic walking training on walking function of patients with stroke. Journal of Special Education & Rehabilitation Science, Vol. 49, No. 2, pp. 181-194, 2010.
  5. Gyeo-Un Jeong, Ji-Young Baek, Seong-A Lee, Effect of functional activities according to posture change on upper extremity function and activities daily living in the stroke patients. Journal of Special Education & Rehabilitation Science, Vol. 51, No. 1, pp. 231-251, 2012.
  6. S. Ryerson & K. Levik, Functional movement reeducation. Churchill Living stone, 1997.
  7. G. Verheyden, L. Vereeck, S. Truijen, M. Troch, I. Herregodts, C. Lafosse, A. Nieuwboer A & W. D. Weerdt, Trunk performance after stroke and the relationship with balance, gait and functional ability. Clin rehabil, Vol. 20, No. 5, pp. 451-458, 2006. https://doi.org/10.1191/0269215505cr955oa
  8. D. Murphy, L. Kahn-D'Angelo & J. Gleason, The effect of hippotherapy on functional outcomes for children with disabilities: A pilot study. Pediatr Phys Ther, Vol. 20, No. 3, pp. 1022-1027, 2008.
  9. F. Beniotti, N. Correia, G. Christofoletti & G. Borges, Use of hippotherapy in gait training for hemiparetic post-stroke. Arq Neuropsiguiatr, Vol. 68, No. 6, pp. 908-913, 2010. https://doi.org/10.1590/S0004-282X2010000600015
  10. R. Kijima, M. Kouno, K. Hashimoto, Y. Jiang, T. Aoki & T. Ojika, Karakuri horse riding therapy. In Proc of the 8th International Conference on rehabilitation robotics, pp.278-281, 2003.
  11. Y. Shinomiya, O. sekine, T. Hojo, T. Ono & Y. Kamizono, Development of horseback riding therapeutic equipment and verification of effect on increase in muscle strength. Matsushita denko giho(Matsushita electric works technical report), No. 76, pp.69-74, 2001.
  12. M. B. Silva e Borges, M. J. Werneck, L. da Silva Mde, L. Gandolifi & R. Pratesi, Therapeutic effects of a horse riding simulator in children with cerebral palsy. Arq Neuropsiquiatr, Vol. 69, No. 5, pp. 799-804, 2011. https://doi.org/10.1590/S0004-282X2011000600014
  13. X. Li, D. C. Sang & C. H. Piao, Effects of mechanical horseback riding on balance ability in stroke patients. Chin J Rehabil Theory Pract, Vol. 11, pp. 1051-1053, 2009.
  14. F. M. Collen, D. T. Wade & C. M. Bradshaw, Mobility after stroke: Reliability of measures of impairment and disability. Int Disabil Stud, Vol. 12, No. 1, pp. 6-9, 1990. https://doi.org/10.3109/03790799009166594
  15. H. F. Mao, I. P. Hsueh, P. F. Tang, C. F. Sheu & C. L. Hsieh, Analysis and comparison of the psychometric properties of three balance measures for stroke patients. Stroke, Vol. 33, No. 4, pp. 1022-1027, 2002. https://doi.org/10.1161/01.STR.0000012516.63191.C5
  16. K. Berg, Measuring balance in the elderly: preliminary development of an instrument. Physiother Can, Vol. 41, No. 6, pp. 304-311, 1989. https://doi.org/10.3138/ptc.41.6.304
  17. M. J. Kiuru, M. P. Koivikko & S. K. Koskinen, Serious horse-riding accidents: Imaging findings and evaluation with multi-slice ct. Emerg Radiol, Vol. 9, No. 4, pp. 213-218, 2002.
  18. C. W. Chien, J. H. Lin, C. H. Wang, I. P. Hsueh, C. F. Sheu & C. I. Hsieh, Developing a short form of the postural assessment scale for people with stroke. Neurorehabil Neural Repair, Vol. 21, No. 1, pp. 81-90, 2007. https://doi.org/10.1177/1545968306289297
  19. L. J. Liaw, C. L. Hsieh, S. K. Lo, H. M. Chen, S. Lee & J. H. Lin, The relative and absolute reliability of two balance performance measures in chronic stroke patients. Disabil Rehabil, Vol. 30, No. 9, pp. 656-661, 2008. https://doi.org/10.1080/09638280701400698
  20. R. W. Bohannon, Strength of lower limb related to gait velocity and cadence in stroke patients. Physiother can, Vol. 38, No. 4, pp. 204-206, 1986. https://doi.org/10.3138/ptc.38.4.204
  21. S. Bruhm, N. Kullmann & A. Golhofer, "Combinatory effects of high-intensity-strength training and sensorimotor training on muscle strength". Int J Sports Med, Vol. 27, No. 5, pp. 401-406, 2006. https://doi.org/10.1055/s-2005-865750
  22. Yun-Hee Sung, Ki-Jeong Kim, Byong-Kyu Yu, Therapeutic effects of hippotherapy simulator on trunk function in patients with stroke. Rehabilitation research, Vol. 16, No. 2, pp. 333-346, 2012.
  23. E. Duarte, E. Marco, J. M. Muniesea, R. Belmonte, P. Diaz, M. Tejero & F. Escalada, Trunk control test as a functional predictor in stroke patients. J Rehabil Med, Vol. 34, No. 6, pp. 267-272, 2002. https://doi.org/10.1080/165019702760390356
  24. Sung-Hyoun Cho, Byoung-Hwan Oh, Bo-Gak Hwang, The effects of hippotherapy on the activities of trunk muscles in preterm born children with spastic cerebral palsy. Journal of Special Education & Rehabilitation Science, Vol. 51, No. 1, pp. 349-364, 2012.
  25. T. M. Steffen, T. A. Hacker & L. Mollinger, Ageand gender-related test performance in communitydwelling elderly people: Six-minute walk test, Berg balance scale, Timed up & go test, and gait speeds. Phys Ther, Vol. 82, No. 2, pp. 128-137, 2002. https://doi.org/10.1093/ptj/82.2.128
  26. N. Kavic, S. Grenier & S. M. McGill, Determining the stabilizing role of individual torso muscles during rehabilitation exercises. Spine, Vol. 29, No. 11, pp. 1254-1265, 2004. https://doi.org/10.1097/00007632-200406010-00016
  27. Gyu-Chang Lee, Hyun-Gyu Kang, Suk-Min Lee, The effect of isokinetic trunk exercise for strength, gait and balance in the patients with chronic stroke. Journal of Special Education & Rehabilitation Science, Vol. 49, No. 3, pp. 199-218, 2010.

Cited by

  1. Effects of Using Convergence Horseback Riding Program on the Emotion·Behavior Development, Anxiety, Depression and ADHD in Adolescent vol.7, pp.6, 2016, https://doi.org/10.15207/JKCS.2016.7.6.287