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Abstract：
BACKGROUND: Despite accumulating data regarding the beneficial effects of hippotherapy on gait and balance skills in children with cerebral palsy (CP), its effects on caregivers\' quality of life (QOL) are limited, presumably due to a lack of reliable and valid measurement tools. This study aims to evaluate the impact of hippotherapy on the health-related QOL of primary caregivers using the Japanese version of the Cerebral Palsy Quality of Life for Children (CP QOL) questionnaire.
METHODS: A quasi-experimental design embedded within our existing cohort was utilized. A total of 29 children with CP (range 4-12 years) and their caregivers participated in either a weekly hippotherapy or recreation (usual care) program for 1 year. In addition to gait-related measurements (Gross Motor Function Measure [GMFM]-E) of children, CP QOL-evidenced determinants of the caregivers\' health-related QOL and well-being were compared before and after the intervention.
RESULTS: In addition to improvements in children\'s GMFM-E scores, hippotherapy improved CP QOL domains related to participation and physical health, children\'s emotional well-being, and parents\' overall health (p < 0.05). Linear regression analysis showed a positive relationship between the children\'s GMFM-E scores and their caregivers\' health domains in participants who received hippotherapy (r2 = 0.404; p = 0.011).
CONCLUSIONS: Hippotherapy has a beneficial effect on the physical and mental well-being and satisfaction of Japanese parents caring for children with CP.
METHODS: A quasi-experimental design embedded within our existing cohort was utilized. A total of 29 children with CP (range 4-12 years) and their caregivers participated in either a weekly hippotherapy or recreation (usual care) program for 1 year. In addition to gait-related measurements (Gross Motor Function Measure [GMFM]-E) of children, CP QOL-evidenced determinants of the caregivers\' health-related QOL and well-being were compared before and after the intervention.
RESULTS: In addition to improvements in children\'s GMFM-E scores, hippotherapy improved CP QOL domains related to participation and physical health, children\'s emotional well-being, and parents\' overall health (p < 0.05). Linear regression analysis showed a positive relationship between the children\'s GMFM-E scores and their caregivers\' health domains in participants who received hippotherapy (r2 = 0.404; p = 0.011).
CONCLUSIONS: Hippotherapy has a beneficial effect on the physical and mental well-being and satisfaction of Japanese parents caring for children with CP.
摘要：
背景：尽管积累了有关海马疗法对脑瘫（CP）儿童步态和平衡能力的有益影响的数据，它对护理人员生活质量(QOL)的影响是有限的，可能是由于缺乏可靠和有效的测量工具。本研究旨在使用日本版的儿童脑瘫生活质量（CPQOL）问卷评估海马疗法对主要护理人员健康相关QOL的影响。
方法：使用了嵌入我们现有队列的准实验设计。共有29名CP儿童（4-12岁）及其看护人参加了为期1年的每周海马疗法或娱乐（常规护理）计划。除了儿童的步态相关测量（粗大运动功能测量[GMFM]-E），在干预前后比较了护理者与健康相关的QOL和幸福感的CPQOL证据决定因素。
结果：除了改善儿童的GMFM-E成绩外，海马疗法改善了与参与和身体健康相关的CPQOL域，儿童的情感幸福，和父母的整体健康状况（p<0.05）。线性回归分析显示，接受海马治疗的参与者的儿童GMFM-E评分与其照顾者的健康领域之间存在正相关关系（r2=0.404；p=0.011）。
结论：海马疗法对照顾CP儿童的日本父母的身心健康和满意度具有有益作用。
方法：使用了嵌入我们现有队列的准实验设计。共有29名CP儿童（4-12岁）及其看护人参加了为期1年的每周海马疗法或娱乐（常规护理）计划。除了儿童的步态相关测量（粗大运动功能测量[GMFM]-E），在干预前后比较了护理者与健康相关的QOL和幸福感的CPQOL证据决定因素。
结果：除了改善儿童的GMFM-E成绩外，海马疗法改善了与参与和身体健康相关的CPQOL域，儿童的情感幸福，和父母的整体健康状况（p<0.05）。线性回归分析显示，接受海马治疗的参与者的儿童GMFM-E评分与其照顾者的健康领域之间存在正相关关系（r2=0.404；p=0.011）。
结论：海马疗法对照顾CP儿童的日本父母的身心健康和满意度具有有益作用。
