未经评估:目的是记录海马疗法对各种残疾儿童12种生活习惯的影响。
UNASSIGNED:使用PRISMA指南进行系统评价以确定相关研究。查阅了五个数据库。纳入标准为:2至18岁;PT提供的治疗,OT或SLP/SLT;与人类发展模型-残疾创造过程定义的生活习惯相关的变量。使用麦克马斯特大学职业治疗循证实践研究小组开发的定量研究关键审查表分析质量。使用牛津循证医学中心指南评估证据水平。
未经评估:调查的总体质量评分非常好(n=5项研究),可接受(n=10)和较差(n=8);证据水平为2/高(n=2),3/中等(n=3)和4/低(n=18)。这项系统评价表明,海马疗法与三种习惯的改善之间存在可观察到的联系(移动性,通信,人际关系)。
UNASSIGNED:这些发现为海马疗法作为一种疗法提供了支持,对三类生活习惯产生积极影响。教育需要进一步的研究,住房,营养,个人护理和娱乐(只有3项研究),以及社区和精神生活,employment,身体健康、心理健康和责任感(无研究)。对康复的影响职业,身体和语言治疗师必须继续对与各种诊断相关的发育迟缓儿童进行干预,这在15项涉及海马治疗的研究中得到了证明,这些研究的质量从可接受到极好。鉴于改进,治疗师应该在行动中追求海马疗法,通信,人际关系,这是由五项具有中度到高度证据的研究特别确定的。鉴于海马疗法的三项研究,鼓励治疗师记录其他生活习惯的改善,如教育,住房,营养,个人护理和娱乐。
The aim was to document the effects of
hippotherapy on the 12 life habits of children with various disabilities.
A systematic
review using PRISMA guidelines was conducted to identify relevant studies. Five databases were consulted. Inclusion criteria were: 2-to-18 years old; therapy provided by a PT, OT or SLP/SLT; variables relevant to life habits as defined by the Human Development Model - Disability Creation Process. Quality was analyzed using a quantitative studies critical
review form developed by the McMaster University Occupational Therapy Evidence-Based Practice Research Group. Levels of evidence were evaluated using the Oxford Centre for Evidence-Based Medicine guidelines.
The investigations\' overall quality ratings were excellent (n = 5 studies), acceptable (n = 10) and poor (n = 8); the evidence levels were 2/high (n = 2), 3/moderate (n = 3) and 4/low (n = 18). This systematic
review suggests an observable connection between
hippotherapy and improvements in three habits (mobility, communication, interpersonal relationships).
The findings provide support for hippotherapy as a therapy with a positive impact on three categories of life habits. Further research is warranted for education, housing, nutrition, personal care and recreation (only 3 studies), as well as community and spiritual life, employment, physical fitness and psychological well-being and responsibility (no studies). Implications for rehabilitationOccupational, physical and speech language therapists must continue to intervene with children with developmental delays related to various diagnoses as demonstrated by 15 studies involving hippotherapy rated from acceptable to excellent quality.Given improvements, therapists should pursue
hippotherapy in mobility, communication, interpersonal relationships, as established specifically by five studies with moderate to high evidence.Given three studies in hippotherapy, therapists are encouraged to document improvement in other life habits such as education, housing, nutrition, personal care and recreation.