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Effects of horse-riding therapy and rhythm-and music based therapy on functional mobility in late phase after stroke
journal contributionposted on 13.01.2021, 05:41 by Lina Bunketorp-Käll, Marcela Pekna, Milos Pekny, Christian Blomstrand, Michael NilssonMichael Nilsson
© 2019-IOS Press and the authors. All rights reserved. BACKGROUND: Persons with stroke commonly have residual neurological deficits that seriously hamper mobility. OBJECTIVE: To investigate whether horse-riding therapy (H-RT) and rhythm and music-based therapy (R-MT) affect functional mobility in late phase after stroke. METHODS: This study is part of a randomized controlled trial in which H-RT and R-MT was provided twice weekly for 12 weeks. Assessment included the timed 10-meter walk test (10 mWT), the six-minute walk test (6 MWT) and Modified Motor Assessment Scale (M-MAS). RESULTS: 123 participants were assigned to H-RT (n = 41), R-MT (n = 41), or control (n = 41). Post-intervention, the H-RT group completed the 10 mWT faster at both self-selected (-2.22 seconds [95% CI,-3.55 to-0.88]; p = 0.001) and fast speed (-1.19 seconds [95% CI,-2.18 to-0.18]; p = 0.003), with fewer steps (-2.17 [95% CI,-3.30 to-1.04]; p = 0.002 and-1.40 [95% CI,-2.36 to-0.44]; p = 0.020, respectively), as compared to controls. The H-RT group also showed improvements in functional task performance as measured by M-MAS UAS (1.13 [95% CI, 0.74 to 1.52]; p = 0.001). The gains were partly maintained at 6 months among H-RT participants. The R-MT did not produce any immediate gains. However, 6 months post-intervention, the R-MT group performed better with respect to time;-0.75 seconds [95% CI,-1.36 to-0.14]; p = 0.035) and number of steps-0.76 [95% CI,-1.46 to-0.05]; p = 0.015) in the 10 mWT at self-selected speed. CONCLUSIONS: The present study supports the efficacy of H-RT in producing immediate gains in gait and functional task performance in the late phase after stroke, whereas the effectiveness of R-MT is less clear.
This work was supported by grants from Sten A Olsson foundation for Research and Culture, the Swedish Brain Foundation, the Swedish Arts Council, LUA/ALF Gothenburg, AFA Insurance, The Swedish Stroke Association, Rune and Ulla Amlov's Foundation for Neurological and Rheumatological Research, Edith Jacobson Foundation, Per-OlofAhl Foundation for Neurological Research, Sigurd and Elsa Goljes Memorial Foundation, Wilhelm and Martina Lundgren Scientific Foundation, Doktor Felix Neubergh's Foundation, the Swedish Society of Medicine, the Foundation for Rehabilitation and Medical Science and the Gladys M. Brawn Fund at University of Newcastle.
Pagination10p. (p. 483-492)
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Science & TechnologyLife Sciences & BiomedicineClinical NeurologyRehabilitationNeurosciences & NeurologyStrokerehabilitationrandomized controlled trialhorse-riding therapymusic therapyMOTOR-ASSESSMENT SCALEHEMIPLEGIC GAITWALKINGREHABILITATIONRECOVERYINTERVENTIONSSPEEDCOORDINATIONINDIVIDUALSIMPAIRMENTSAnimalsHumansGaitRange of Motion, ArticularMusic TherapyTask Performance and AnalysisPeriodicityMiddle AgedFemaleMaleEquine-Assisted TherapyStroke Rehabilitationhorse-riding therapy