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Effect of mechanical horse practice as new postural training in patients with neurological disorders: a pilot study
Baillet H, Leroy D, Verin E, Delpouve C, Benguigui N, Komar J, Thouvarecq R
Frontiers in Psychology 2019 May 8;10(1035):Epub
clinical trial
5/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

OBJECTIVE: From a dynamic system approach, this study evaluated the impact of a new training protocol using a mechanical horse on the postural co-ordination of brain-damaged patients. METHODS: Eighteen volunteer brain-damaged patients (ie, post-stroke or traumatic brain injury) were recruited and randomly divided into an experimental group (horse group n = 10, conventional therapy associated with horse-riding exercise on the mechanical horse for 30 min, twice a week, for 12 weeks) and a control group (n = 8 conventional therapy without intervention on the mechanical horse). Postural co-ordination was evaluated during pre- and post-tests through discrete relative phase (DRP) computation: phi Head-Horse, phi Trunk-Horse. RESULTS: A significant effect of used training has been showed, F[1,15] = 16.6 (p < 0.05) for all patients, concerning the trunk/horse co-ordination. CONCLUSION: This pilot study results showed the impact of this new training method on the postural co-ordination of these patients. After 24 sessions, the co-ordination of the horse group patients differed from that of the control group, showing their ability to adapt to constraints and develop specific modes of postural co-ordination (trunk/horse antiphase) to optimize their posture.

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