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1 성덕대학 재활승마치료연구소 경상북도 Green 정책! 말산업과재활승마의역할 발표자 : 이인경 PhD

2 Contents / INDEX 1. General Strategic Things about Horse 2. Riding Horse 3. Therapeutic Approach 4. Furthering more 5. About SDC related to Horse

3 General Strategic Things about Horse

4 말산업의개념 1. 말산업이란? - 생산에서부터관광및레저까지연계된복합산업 - 말과관련된상품의공급 - 재활승마 - 친환경적인산업으로정부의녹색성장기조에부합 - 산업유발및고용창출효과큰신성장동력산업 2. 일반적특성 구분주요내용 시설기준 전문인력 ( 체육지도자 ) 실외마장 : 3,000 m2이상 실내마장 : 1,500 m2이상 승용마 : 10 두이상 말 20 두이하 : 1 인이상 말 20 두이상 : 2 인이상 생산및유지관리비용이상대적으로저렴 - 인공수정에대한제한이없어개량증식이자유롭고교배료부담적어생산비저렴 - 사람이일일이관리해야하므로 5~10두정도의소규모사육이오히려수익성높음 - 통상 20세까지승마가능하여경제적수명이경주마에비해매우장기 고용등산업창출효과가타산업에비해높음 - 승용마관리및조련이사람이담당해야하므로인력고용효과가매우우수 - 순치정도, 대회입상실적에따라마필가격이지속상승하므로부가가치효과높음 관련법률 - 체육시설의설치및이용에관한법률에의한승마장업등록기준

경북의말산업현황 잉여경주마및국내산승용마의후기육성승용마경매장활용승마전문학교 (

외승마대회 KRA 친환경장외발매소운영 영천운주산승마장개장 ( 09 4 월 )

5 경북의말산업현황 잉여경주마및국내산승용마의후기육성승용마경매장활용승마전문학교 ( 교관및일반인 ) 및말문화체험장등말테마공원화농촌체험마을과연계한관광자원화국내 외승마대회 KRA 친환경장외발매소운영 영천운주산승마장개장 ( 09 4 월 ) 구미승마장준공예정 ( 월 ) 상주봉화승마장설치예정 ( 09 ) 상주 WUEC 유치개최 ( 10) 경마 (KRA) 및승마 (KRA 및민간승마장 ) 산업진출 생산 육성전문목장 기타말 ( 馬 ) 산업 ( 말진료, 재활승마, 유통, 레저, 교육기관등 ) 승마선수단운영 도내말특성화고등학교지정 대학내말관련학과개설혹은교과목편성 평생 ( 사회 ) 교육원개설 현업종사자의보수교육기능

6 Riding Horse

7 승마운동의치료효과 상체를바르게교정해준다. 허리가유연해진다. 정신집중력을기른다. 장기능이강화된다. 신체의리듬감을기른다. 폐활량이늘어난다. 담력을북돋운다. 골반이튼튼해진다. 관절염예방에도움이된다. 동물을사랑하는마음이생긴다.

8 See through about horse 외형적특징 - 코가발달 - 긴다리 : 자신체중의 10 배무게를감당할수있을정도충격흡수 말의귀 - 귀에많은근육분포되어전후좌우자유롭고다양한움직임 - 감정표현의도구 말은머리가나쁘다? - 뇌의무게가체중의 0.12% - 말은고통, 통증, 놀람등특수한상황, 신변위협에대한기억력이좋음 말과수명? - 자연수명은 20세 - 경제수명은 15세 ( 말 6세 = 사람 20세, 말 11세 = 사람 40세 ) - 성장은 2세까지 - 5~6세때원기왕성 말이잘달리는이유? - 강한심장, 우수한다리 - 흉골 18 쌍 : 흉강이월등히크고심장과폐의크기가큼

9 종류 걸음걸이의종류 속력 ( 분속 / 시속 ) 절도 ( 박자 ) 평보 (Walk) 110m/ 6km 4절도운동 속보 (Trot) 220m/15km 2절도운동 구보 (Canter) 320m/24km 3절도운동 습보 (Gallop) 990m/60km 4절도운동 평보 (walk) - 4 박자 : 걸어가는것 속보 (Tort) 2 박자 : 가볍게달리는것 구보 (Canter) 3 박자 : 달리는것 습보 (Gallop) 4 박자 : 질주

10 Therapeutic Approaches using Horse : What s Hippotherapy?

11 Definition of Hippotherapy 장애인이전신운동인승마를통하여신체적, 정신적회복을도모하고건강한사회생활을영위할수있게하는재활치료방법의하나이자생애스포츠 People with disabilities can ride for rehabilitation and exercise, for fun and recreation.

12 Mechanism of Hippotherapy The three-dimensional swing of the horse s walk (forward-backward, side to side, up and down) is similar to the human walk, and this movement is transferred from the horse to the rider. In addition, the rider is activated by sensory stimulation received from the horse

13 Organizations NARHA North American Riding for the Handicapped Association National Association of United States Membership organization CANTRA Canadian Therapeutic Riding Association Membership organization maintain a well-developed library Similar to those of NARHA and RDA International Therapeutic Riding Organizations Riding for the Disabled Association founded in UK Set the standard, form RDA group, session and meeting R D I The Federation for the Disabled International In Belgian Non profit organization Sponsoring international congress

Therapists can use the movement s of horse as means to facilitate more normal movement Relax tight muscle, improve strength, coordination, and motor skills Riding also activates the respiratory

14 Therapists can use the movement s of horse as means to facilitate more normal movement Relax tight muscle, improve strength, coordination, and motor skills Riding also activates the respiratory system which helps to stimulate speech and normal muscle tone THERAPY how to ride astride a horse In the normal way possible Go on trail ride Compete horse show Enjoy other experience SPORT RECREATION /LEISURE Goal can include socialization, relaxation, Pleasure &feeling of well-being EDUCATION Teacher can use horse, horse care, riding skills as the means of teaching vocabulary, spelling, reading, and cognitive skills. -> equestrian environment to increase attention span and develop problem-solving strategies.

15 Who are the Rider? The riders from small Children to people in their senior years Diminish the effects of - strokes - head injuries, cerebral palsy - arthritis(suited for therapeutic horseback riding) - emotional problem - low vision or no vision using caller - autism, muscular dystrophy multiple sclerosis, polio, coordination dysfunctions, hearing and speech disorders and low level spinal cord injuries

16 이상적인재활승마용말 건강한말 좋은기질, 순한말 체고 :130~150cm 환경적응력, 순응 다양한몸통 나이 :7~15 세 리드미컬한움직임 나쁜버릇이없는말 균등한보폭 다양한종

17 Client 에게적절한말을이용한재활승마 크기보폭진동등의넓이말 (Horse) Client 나이장애유형장애정도운동능력지적수준

18 참여자와역할 지도자 (Instructor) 진행자 (Leader) 보조자 (Side Walker) 고지자 (Caller) 대상자, 말, 진행자, 재활승마진행에서 재활승마진행중 시각장애인의경우 양측보조자등을 말을끄는사람으로 대상자를보조하는 마장의각표기에 조직화하여재활승 말에대한책임자 도우미준비및 말이접근해오면 마운영을책임지는 준비및진행 진행 외치는역할 연출자준비및진행

19 Therapeutic Procedure 전화및인터넷접수 (1) 치료방향전환 (5) (4) 재활승마를포함한통합치료 상담예약 (2) 진단평가 (3) 상태에따른상담

20 재활승마치료사례 독일에서다발성경화증환자를대상으로실시한치료사례 총환자수 : 139 명 - 경증장애인 : 14 명 (10%) - 중증장애인 : 83 명 (60%) - 휠체어의존장애인 : 42명 (30%) 치료기간 : 4~6주치료효과 - 변함없는환자 : 14명 (10%) - 악화된환자 : 14명 (10%) - 호전된환자 : 113명 (80%) 가장성공적인치료매체

21 Lateral pelvic Tilt in human Horse movement Rotation of the horse`s pelvis on the trunk. As the horse initiates forward swing of the right hind leg, un-weighting the right leg, the pelvis drops on the right side, rotating the horse`s pelvis on the trunk Human response Lateral pelvic tilt. The person`s pelvis drops on the right; the trunk of the person elongates on the right side and shortens on the left side

22 Pelvic Rotation in human Horse movement Lateral Flexion of the horse`s barrel resulting from the forward swing and reach of the hind leg Human response Pelvic rotation

23 Anterior-Posterior pelvic Tilt in human Horse movement * Acceleration of the horse`s movement during swing phase of the hind leg. * Deceleration of the horse`s movement at strike and stance of the hind leg. Human response * Posterior tilting of the pelvis * Anterior tilting of the pelvis

24 Lateral pelvic Displacement Horse movement As the horse`s steps with each leg, his center of gravity shifts from side to side Human response Pelvis shifts right and left, corresponding to the lateral shifting of the horse as it bears weight over each hind leg

CASE STUDY 1 The short-term effect of hippotherapy on spasticity in patients with spinal cord injury Spasticity is known as an accompanying phenomenon of

25 CASE STUDY 1 The short-term effect of hippotherapy on spasticity in patients with spinal cord injury Spasticity is known as an accompanying phenomenon of spinal cord injuries and was defined by Lance as an increased reflex activity What other possibilities besides medication are there to reduce high muscle tone?

26 Methods Study subjects From June 1996 to November 1997 and from June 1999 to May 2001 all patients with various degrees of spasticity were tested by the physiotherapists prior to and after hippotherapy treatment Measurements were taken from 32 SCIs

29 Conclusions We show that hippotherapy has an alleviating short term effect on spasticity of the lower extremities in SCI patients. In 32 patients such an effect could be shown with the help of the Ashworth Scale There was a significant difference between the spasticity before and after treatment (P<0.001)

30 CASE STUDY 2 Improvements in Muscle Symmetry in Children with Cerebral palsy After Equine- Assisted Therapy(Hippotherapy) We have thus chosen to study the effects of hippotherapy on muscle activity of children with spastic cerebral palsy utilizing telemetered surface EMG to determine changes in symmetry of postural muscle groups (1)To determine if there are any changes in muscle activity after a short hippotherapy session (2)To compare the effects of symmetrical sitting practice on a stationary barrel to symmetrical sitting practice on a rhythmically moving horse

31 Hippotherapy protocol and Barrel protocol 및평가문항정리

32 Methods 15 children ranging from 4 to 12 years of age diagnosed with spastic cerebral palsy All subjects were randomized to either hippotherapy(treatment), or sitting astride a barrel(control) using a balanced design Pretest/post-test protocol Each child was instructed to sit quietly on a bench with both feet on the ground during which time a 10-second EMG recording of all muscle groups was collected

34 Conclusions The highest asymmetry score of each child for the muscle group most affected during the pretest activity. All children showed greatest asymmetry when actively engaging their muscles The mean change in asymmetry scores was 55.5 for the children in the hippotherapy protocol, and 11.9 for the children in the barrel protocol The mean change in percentage improvement from pretest to post-test was 64.6% for the children in the hippotherapy protocol, and -12.8% for the children in the barrel protocol

EAT is directed and/or Provided by a human/health service professional with specific

35 Equine Assisted Therapy A goal directed intervention in which a specially trained equine is an integral part of the treatment process. EAT is directed and/or Provided by a human/health service professional with specific expertise and within the scope of their practice EAT EAP (Equine Assisted Psychotherapy) EAL (Equine Assisted Learning)

36 Focus on individual-family Individual/Family empowerment Short-term, intense program Long-term relationship Works with individual/families EAP Catalyst for change Behavior drives assessment Need to know psychology

37 Focus on individual-organization Change must occur In the system Short-term Works with existing group Or co-workers EAP Changing the organization s culture Formal assessment Need to know organization

Case 연구대상 실험집단 통제집단 A B A B C D E K-CBCL 62 61 60 53 62 63 71 ADHD Self Test 14 8 7 6 8 9 6

38 Case 연구대상 실험집단 통제집단 A B A B C D E K-CBCL ADHD Self Test Self-Rting Depre ssion Scale CDI SEI

39 재활승마치료프로그램 Session 목표 Session 1 Session 2 Session 3 Session 4 Session 5 Session 6 Session 7 Session 8 Rapport형성및흥미유발 Rapport형성및흥미유발 Attachment 형성 Attachment 및긍정적상호작용자기탐색자기탐색및행동변화행동변화및통제감획득변화된행동의일상행동적용

40 치료결과 실험집단의사전사후행동변화 사전 사후 M(SD) M(SD) t-test 비고 K-CBCL 61.5(0.707) 49.5(0.71) p<0.003 CDI 33.0(1.41) 21.5(2.12) 6.38 p<0.099 SEI 19.0(1.41) 14.0(1.41) 3.54 p<0.072

41 치료결과 실험집단의사전사후검사결과비교

42 Furthering more

43 The Commercialization of Horse Residual Products Cosmetics A Study on the Development of Cosmetics for Patients with Atopic Dermatitis using Horse Oil Food The Development of Health Foods and Processed Products using Horse meat Others -Jewelry -Clothes

Propionibacterium acnes control Horse oil con con oil

Staphylococcus aureus TNF-α IL-1α control Horse oil

Propionibacterium acnes and Staphylococcus aureus by

44 A Study on the Development of Cosmetics for Patients with Atopic Dermatitis using Horse Oil 24 h 48 h Propionibacterium acnes control Horse oil con con oil (DMSO) con con oil (DMSO) IL-6 IL-8 IL-10 Staphylococcus aureus TNF-α IL-1α control Horse oil IL-1β COX 2 GAPDH Growth inhibition of Propionibacterium acnes and Staphylococcus aureus by horse oil. Up-regulation of IL-10 mrna expression in HaCaT cells by RT-PCR analysis

45 About SDC related to Horse

46 연구하는대학 - 성덕대학주요사업현황 재활승마사업 1. 설립목적 - 재활승마분야의교육프로그램개발 - 재활승마프로그램의치료적활용제고및확대 - 재활승마치료사인재양성 - 승마치료관련전문인력양성을위한신직업교육모델제시 2. 사업추진실적 년 09 월경북의말발전을위한세미나경북도청과공동개최 년 10월 성덕 Horse Therapy 연구소개소식 년 11월 말산업클러스터사업참여, 세계스페셜올림픽참가 ( 재활승마부문 ) 년 01 월재활승마연구소정기세미나 년 02 월일본구마모토말산업기관연수, 일본오이다승마학교연수및 Supervision 제주하이테크진흥원방문상호교류협정추진 년 03 월재활승마연구원미국재활승마치료사자격증취득 년 04월 영천운주산승마장과 MOU 체결 년 05월 한국마사회교관양성과정수료, 승마교관자격증취득

47 연구하는대학 - 성덕대학주요사업현황 관련사진자료

48 Thank you

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