Abstract：
BACKGROUND: Patients diagnosed with multiple sclerosis (MS) commonly encounter heightened postural instability and challenges in aligning their eyes, head, and bodily motions while engaging in specific tasks. This study aims to compare the effects of Cawthorne-Cooksey and mechanical hippotherapy exercises on fatigue, balance, gait, dizziness, and life quality in patients with MS.
METHODS: The MS patients were randomly divided into Cawthorne-Cooksey (n:25) and mechanical hippotherapy exercise (n:25) groups. In addition to the traditional physical therapy program, Cawthorne-Cooksey and hippotherapy exercises were applied to the groups 3 days a week, for 8 weeks. The trial\'s clinical number is NCT06005909. The Fatigue Severity Scale (FSS), Fatigue Impact Scale (FIS), Dizziness Handicap Inventory, Tinetti Balance and Gait Assessment Scale, and Ferrans&Powers Quality-of-Life Index were used for pre-and post-treatment assessment.
RESULTS: Both groups exhibited a significant decrease in FSS, FIS, and Dizziness Handicap Inventory scores, as well as an increase in Tinetti Balance and Gait Assessment Scale and Ferrans&Powers Quality-of-Life Index scores following treatment. In the inter-group comparison, the Tinetti balance and gait assessment and the Ferrans&Powers quality of life index scores were higher in the hippotherapy group compared to the Cooksey group.
CONCLUSIONS: Although both forms of physical activity have demonstrated effectiveness in reducing fatigue among individuals with MS, hippotherapy shows superior efficacy in enhancing balance, gait, and overall quality of life.
METHODS: The MS patients were randomly divided into Cawthorne-Cooksey (n:25) and mechanical hippotherapy exercise (n:25) groups. In addition to the traditional physical therapy program, Cawthorne-Cooksey and hippotherapy exercises were applied to the groups 3 days a week, for 8 weeks. The trial\'s clinical number is NCT06005909. The Fatigue Severity Scale (FSS), Fatigue Impact Scale (FIS), Dizziness Handicap Inventory, Tinetti Balance and Gait Assessment Scale, and Ferrans&Powers Quality-of-Life Index were used for pre-and post-treatment assessment.
RESULTS: Both groups exhibited a significant decrease in FSS, FIS, and Dizziness Handicap Inventory scores, as well as an increase in Tinetti Balance and Gait Assessment Scale and Ferrans&Powers Quality-of-Life Index scores following treatment. In the inter-group comparison, the Tinetti balance and gait assessment and the Ferrans&Powers quality of life index scores were higher in the hippotherapy group compared to the Cooksey group.
CONCLUSIONS: Although both forms of physical activity have demonstrated effectiveness in reducing fatigue among individuals with MS, hippotherapy shows superior efficacy in enhancing balance, gait, and overall quality of life.
摘要：
背景：诊断为多发性硬化症（MS）的患者通常会遇到高度的姿势不稳定和对准眼睛的挑战，头部,和身体运动，同时从事特定的任务。这项研究旨在比较Cawthorne-Cooksey和机械海马疗法对疲劳的影响，balance,步态,头晕,和MS患者的生活质量
方法：将MS患者随机分为Cawthorne-Cooksey（n:25）和机械海马治疗运动（n:25）组。除了传统的物理治疗方案,每周3天对该组进行Cawthorne-Cooksey和海马疗法锻炼，八个星期。试验的临床编号是NCT06005909。疲劳严重程度量表(FSS)疲劳冲击量表(FIS),头晕障碍库存，Tinetti平衡和步态评估量表,和Ferrans&Powers生活质量指数用于治疗前和治疗后评估。
结果：两组FSS均显著下降，FIS,和头晕障碍清单得分，以及治疗后Tinetti平衡和步态评估量表和Ferrans＆Powers生活质量指数得分的增加。在组间比较中，海马治疗组的Tinetti平衡和步态评估以及Ferrans&Powers生活质量指数评分高于Cooksey组.
结论：尽管这两种形式的体力活动都证明了在减少MS患者疲劳方面的有效性，海马疗法在增强平衡方面表现出优异的疗效，步态,和整体生活质量。
方法：将MS患者随机分为Cawthorne-Cooksey（n:25）和机械海马治疗运动（n:25）组。除了传统的物理治疗方案,每周3天对该组进行Cawthorne-Cooksey和海马疗法锻炼，八个星期。试验的临床编号是NCT06005909。疲劳严重程度量表(FSS)疲劳冲击量表(FIS),头晕障碍库存，Tinetti平衡和步态评估量表,和Ferrans&Powers生活质量指数用于治疗前和治疗后评估。
结果：两组FSS均显著下降，FIS,和头晕障碍清单得分，以及治疗后Tinetti平衡和步态评估量表和Ferrans＆Powers生活质量指数得分的增加。在组间比较中，海马治疗组的Tinetti平衡和步态评估以及Ferrans&Powers生活质量指数评分高于Cooksey组.
结论：尽管这两种形式的体力活动都证明了在减少MS患者疲劳方面的有效性，海马疗法在增强平衡方面表现出优异的疗效，步态,和整体生活质量。
