@article{oai:ryotokuji-u.repo.nii.ac.jp:00000040, author = {松田, 雅弘 and 細田, 昌孝 and 宮島, 恵樹 and 高梨, 晃 and 塩田, 琴美 and 網本, 和 and 福原, 一郎 and 高橋, 彰子 and 加藤, 貴子 and 高木, 伸輔 and 川村, 里美 and 花井, 丈夫 and 中野, 紀夫}, issue = {2}, journal = {了德寺大学研究紀要, The Bulletin of Ryotokuji University}, month = {}, note = {Stimulation of the body by horse back riding can be therapeutic. A device called Joba that simulates horseback riding without risk of falls has recently become widespread in Japan. We assessed the effectiveness of Joba as rehabilitation therapy of severely handicapped children and adults. 1. Physiotherapists or occupational therapists in charge of 45 patients (age: range 9-52 years, mean 19 years) using Joba were surveyed in Yokohama Ryo-iku Medical Center. 2. In the 2 subjects who clearly responded well to the therapy, pre- and post-therapy muscle activity, measured by electromyography (EMG), and gait monitored by video were analyzed. All the subjects gave their informed consent to participate in the study. Results: 1. Joba used for 5.2 min on average. The therapists' average subjective score of the effectiveness of Joba was 2.42 (maximum value 3). Their main observations were relaxation of muscles around the hips, facilitation of antigravity extension activity and increased feeling of stability around the trunk and pelvis. 2. EMG showed increased muscle activity in the trunk and lower limbs post-therapy. Also, after therapy, excessive pelvic adduction that tends to occur in the swing phase of gait was reduced and flexion of the pelvic joint that accompanies pelvic tilt was significantly improved. The mechanical horseback riding, Joba, increased muscle activity of the trunk and pelvis and around the revised hip and improved posture and gait.}, pages = {69--77}, title = {重症心身障害児(者)施設でのジョーバを使用した治療の取り組み}, year = {2008}, yomi = {マツダ, タダミツ and ホソダ, マサタカ and ミヤジマ, シゲキ and タカナシ, アキラ and シオタ, コトミ and アミモト, カズ} }