יעילות הרכיבה לכאבי ברכיים והגיל השלישי
עודכן: 19 במאי 2019
בהפרעות שלד-שריר, רכיבה על סוסים, תורמת לשיפור התפקוד והיצובות. וכמו כן, מעוררת גירוי המערכת הפרופריוספטיבית (מע' התחושה העמוקה). משום כך, היא נחשבת לשיטת טיפול המשלבת ומחזקת את שני הגורמים בו זמנית.
Comparison between the Effects of Horseback Riding Exercise and Trunk Stability Exercise on the Balance of Normal Adults
Hyeon Su Kim, PT, MS1), CHae-Woo Lee, PT, MS1)*, in-SiL Lee, PT, PhD2)
1) Department of Rehabilitation Science, Graduate School, Daegu University: 15 Jilyang, Gyeongsan-si, Gyeongbuk 712-714, Republic of Korea 2) Department of Occupational Therapy, Sung Duk University, Republic of Korea
Abstract. [Purpose] The aim of this study was to compare the effects of horseback riding exercise and trunk stability exercise on static and dynamic balance in normal adults. [Subjects and Methods] Twenty-two normal adults residing in communities were randomly divided into a horseback riding exercise group and a trunk stability exercise group, and they conducted exercise for eight weeks. [Results] Sway times of the COG (center of gravity) decreased significantly, and the A-P (anterior-posterior) and M-L (medial-lateral) velocities significantly decreased in both groups. A comparison of sway times of the COG after the intervention between the two groups revealed that the horseback riding exercise group showed larger decreases than the trunk stability exercise group. [Conclusion] In terms of the musculoskeletal factor, horseback riding may result in functional improvement and increased stability, and it may stimulate proprioceptive sense input in neurological terms. It is therefore considered a composite exercise method that may strengthen the two factors simultaneously.
השיפור המשמעותי בתוצאות מבחני TUG מדגים כי התמדה בטיפול ברכיבה על סוסים מפחית את הסיכון לנפילות בגיל המבוגר
Effect of equine-assisted therapy on the postural balance of the elderly.
Araujo TB, et al. Rev Bras Fisioter. 2011 Sep-Oct.
OBJECTIVE: To determine whether equine-assisted therapy (hippotherapy) produces alterations in the balance of the elderly.
METHODS: The sample included 17 older adults who were divided into experimental (7 subjects) and control (10 subjects) groups. Stabilometry data were acquired with a force platform. The Timed Up and Go test (TUG) was used for clinical analysis of seated balance, transfer from a seated to a standing position, walking stability and changes in gait. Sixteen equine-assisted therapy sessions were carried out.
RESULTS: Mann-Witney was used to compare the means between groups and no significant differences were found in the analyzed stabilometric parameters. In intragroup comparison with the Wilcoxon test, a significant increase in the variables COPy and Area (p=0.02) was observed. Equine-assisted therapy significantly affected (p=0.04) TUG test means between the experimental and control groups (Mann-Witney). Intragroup TUG test means were also significantly affected (p=0.04) according to the Wilcoxon test.
CONCLUSIONS: Because senescence tends to normalize stabilometric measures, the number of equine-assisted therapy sessions was insufficient to determine any differences. Nevertheless, the significant improvement in TUG test scores demonstrates that this treatment frequency was a predictor of reduced fall risk in the elderly.
"תוצאות המחקר הצביעו על כך שטיפול בעזרת רכיבה על סוסים משפרת ומחזקת את שרירי הגפיים התחתונים ואת שיווי המשקל אצל מבוגרים"
Effects of hippotherapy on mobility, strength and balance in elderly
Thais Borgesde Araújoa1Ricardo Jacóde Oliveiraa1Wagner RodriguesMartinsb1Marciode Moura Pereiraa1FernandoCopettic2Marisete PeraltaSafonsa1
To assess the chronic effects of hippotherapy on functional mobility, muscle strength and balance in elderly.
28 volunteers, between the age of 60 and 84, were randomly recruited and divided in experimental group (EG), with 12 individuals (8 women and 4 men) and control group (CG), with 16 individuals (14 women and 2 men). The EG group participated in an 8-week hippotherapy program. Before and after the study period functional mobility was assessed and measured by Time Up and Go Test (TUG), muscle strength of the lower limbs was measured by 30 s Chair Stand Test (30CST) and performance in balance was measured by the Berg Balance Scale (BBS). A mixed ANOVA model (group × testing time) was applied to establish the effect of the different groups on the functional variables.
The functional capacity of the EG group was increased if compared to CG group after the intervention of the BBS (p = 0.003) and 30CST (p = 0.032), but not of the TUG (p = 0.063).
The results indicated that hippotherapy improves the lower limb strength and balance in elderly.
תוכנית טיפול ברכיבה על סוסים תחת פיקוח הינה שיטה יעילה ובטוחה כפעילות גופנית בכדי לשפר את שיווי המשקל של מבוגרים
The Effect of Therapeutic Horseback Riding on Balance in Community-Dwelling Older Adults: A Pilot Study
Tamara D. Homnick, Kim M. Henning, Charlene V. Swain, First Published November 28, 2012 Research Article
Equine assisted activities (hippotherapy and therapeutic riding) improve balance in patients with disabilities such as cerebral palsy, but have not been systematically studied in older adults, at risk of falls due to balance deficits. We conducted a 10-week, single blind, controlled trial of the effect of a therapeutic horseback riding course on measures of balance in community-dwelling adults 65 years and older. Nine riders and six controls completed the trial. Controls were age matched to riders and all participants were recruited from the local community. Both groups showed improvements in balance during the trial, but did not reach statistical significance. Sample size was small, participants had relatively high initial balance scores, and controls tended to increase their physical activities, likely influencing outcomes. No adverse events occurred and the supervised therapeutic riding program appeared to be a safe and effective form of exercise to improve balance in older adults. A power analysis was performed to estimate numbers of participants needed for a larger study.
תוצאות מחקר זה מצביעות על כך שפיזיותרפיה ברכיבה משפרת את שיווי המשקל אצל מבוגרים.
The Effects of Hippotherapy on Elderly Persons’ Static Balance and Gait
Seong Gil Kim, PT, MS1 and Chae-Woo Lee, PT, MS2
J Phys Ther Sci. 2014 Jan; 26(1): 25–27. Feb 6, 2014
[Purpose] The aim of this study was to examine the effects of hippotherapy on elderly persons’ static balance and gait. [Subjects and Methods] Twenty-two elderly persons residing in the community were randomly divided into a hippotherapy group and a treadmill group and they conducted exercise for eight weeks. [Results] Step lengths increased significantly, and step time and sway path lengths significantly decreased in both groups. A comparison of sway path lengths after the intervention between the two groups revealed that the hippotherapy group showed larger decreases than the treadmill group. [Conclusion] The results of this study indicate that hippotherapy may improve the static balance and gait of elderly persons residing in the community.