A hippotherapy simulator is effective to shift weight bearing toward the affected side during gait in patients with stroke.

Abstract:

AIM:We investigated whether a hippotherapy simulator has influence on symmetric body weight bearing during gait in patients with stroke. METHOD:Stroke patients were divided into a control group (n = 10) that received conventional rehabilitation for 60 min/day, 5 times/week for 4 weeks and an experimental group (n = 10) that used a hippotherapy simulator for 15 min/day, 5 times/week for 4 weeks after conventional rehabilitation for 45 min/day. Temporospatial gait assessed using OptoGait and trunk muscles (abdominis and erector spinae on affected side) activity evaluated using surface electromyography during sit-to-stand and gait. Prior to starting the experiment, pre-testing was performed. At the end of the 4-week intervention, we performed post-testing. RESULT:Activation of the erector spinae in the experimental group was significantly increased compared to that in the control group (p < 0.01), whereas activation of the rectus abdominis decreased during sit-to-stand. Of the gait parameters, load response, single support, total double support, and pre-swing showed significant changes in the experimental group with a hippotherapy simulator compared to control group (p < 0.05). Moreover, activation of the erector spinae and rectus abdominis in gait correlate with changes of gait parameters including load response, single support, total double support, and pre-swing in experimental group. CONCLUSION:These findings suggest that use of a hippotherapy simulator to patients with stroke can improve asymmetric weight bearing by influencing trunk muscles.

journal_name

NeuroRehabilitation

journal_title

NeuroRehabilitation

authors

Sung YH,Kim CJ,Yu BK,Kim KM

doi

10.3233/NRE-130971

subject

Has Abstract

pub_date

2013-01-01 00:00:00

pages

407-12

issue

3

eissn

1053-8135

issn

1878-6448

pii

D5K276G88W767711

journal_volume

33

pub_type

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