Electromyographic analysis of children with intellectual disability during hippotherapy compared to independent gait
DOI:
https://doi.org/10.18316/sdh.v10i3.8664Palabras clave:
Intellectual disability, Electromyography, Equine-Assisted Therapy.Resumen
Aim: analyze the electrical activity of muscles of trunk and lower limbs of children with Intellectual disability (ID) during hippotherapy compared to independent gait before and after 15 sessions. Materials and Methods: eight children with ID and mean age of 11 ± 1.69 years participated. Hippotherapy sessions were performed for 30 minutes, once a week, with horse riding equipment blanket without foot support in the stirrups. The surface electromyography was used to access muscles activity during hippotherapy and gait and between pre- and post- 15 sessions. Results: when comparing hippotherapy to gait, there was greater muscle activity during gait, regardless of the moment analyzed, pre- or post-session (p<0.05). However, when comparing pre- to post-sessions moments, during gait there was a significant decrease in muscle activity (p<0.05) after sessions, while, in hippotherapy was observed a significant increase (p<0.05) after sessions. Conclusion: the electromyographic activity of trunk and lower limbs of children with ID is greater during gait compared to hippotherapy, regardless of the moment, reporting the beneficial effects of hippotherapy from the integration of musculoskeletal, sensory and neural systems on muscle behavior during independent gait.
Citas
AAIDD. American Association Intellectual Developmental Disabilities. Definition of Intellectual Disability. 2010. Retrieved from: http://www.aaidd.org/media/PDFs/DSMV.pdf/. Accessed march 19, 2020.
Wechsler, D. Escala Wechsler abreviada de inteligência – WASI: manual. Adaptação e padronização brasileira de Clarissa Marceli Trentini, Denise Balem Yates, Vanessa StumpfHeck; [tradução Ana Lucia Leitão Carraro, Flávia Wagner]. São Paulo: Casa do Psicólogo; 2014.
WHO. World Health Organization. World report on disability. 2011. Retrieved from: http://www.larchetoronto.org/wordpress/wp-content/uploads/2012/01/launch-of-World-Report-on-Disability-Jan-27-121.pdf/. Accessed may 03, 2020.
IBGE. Instituto Brasileiro de Geografia e Estatística. Censo Demográfico 2010. Características gerais da população, religião e pessoas com deficiência. 2010. Retrieved from: https://biblioteca.ibge.gov.br/visualizacao/periodicos/94/cd_2010_religiao_deficiencia.pdf/. Accessed february 05, 2020.
APA. American Psychiatric Association. Manual Diagnóstico e Estatístico de Transtornos Mentais. DSM-5. Porto Alegre: Artmed; 2014.
WHO. World Health Organization. Classifications. International Classification of Diseases 10 (ICD-10). 2010. Retrieved from: www.who.int/. Accessed march 09, 2020.
Gusmão, ECR, Matos, GS, Alchieri, JC, Chianca, TCM. Social and conceptual adaptive skills of individuals with Intellectual Disability. Revista da Escola de Enfermagem da USP. 2019; 53: e03481. http://dx.doi.org/10.1590/S1980-220X2018014903481
Van Damme, T, Simons, J, Sabbe, B, Van West, D. Motor abilities of children and adolescents with a psychiatric condition: A systematic literature review. World Journal of Biological Psychiatry. 2015; 5(3): 315-329. 10.5498/wjp.v5.i3.315.
Rezende, LMT, Moreira, OC, Torres, JO. Desempenho motor de pessoas com deficiência da Associação de Pais e Amigos dos Excepcionais de uma cidade do interior de Minas Gerais. Revista Brasileira de Prescrição e Fisiologia do Exercício. 2014; 8(49): 686-694.
Mauerberg-Decastro, E. Atividade Física Adaptada. 2. ed. Ribeirão Preto, SP: Novo Conceito; 2011.
Picq, L, Vayer, P. Educação psicomotora e retardo mental: Aplicação aos diferentes tipos de inadaptação. 4 ed. São Paulo: Manole; 1988.
Shumway-Cook, A, Woollacott, MH. Controle motor: Teoria e aplicações práticas. 3 ed. São Paulo: Manole; 2010.
ANDE-Brasil. Associação Nacional de Equoterapia. 2020. Retrieved from: http://equoterapia.org.br/. Accessed march 19, 2020.
Taufkirchen, E. A good seat on the horse: a requirement for an effective hippotherapy. Therapeutic Riding: Germany; 1999.
Taufkirchen, E. Kinder-Hippotherapie. In: STRAUSS, I. (Ed.). Hippotherapie, neurophyisiologische Behandlung mit und auf dem Pferd. Stuttgart: Hippokrates; 2000.
Espindula, AP, Fernandes, M, Ferraz, MLF, Ferreira, AA, Cavelanni, CL, Ferraz, ZPF, et al. Flexibilidade muscular em indivíduos com deficiência intelectual submetidos à Equoterapia - Estudo de casos. Revista Ciência em Extensão. 2012; 8: 125-133.
Wickert, H. O cavalo como instrumento cinesioterapêutico. Revista Equoterapia. 1999; 3: 03-14.
Uchiyama, H, Ohtani, N, Ohta, M. Three-dimensional analysis of horse and human gaits in therapeutic riding. Applied Animal Behaviour Science. 2011; 135(4): 271-276. https://doi.org/10.1016/j.applanim.2011.10.024
Spink, J. Developmental riding therapy: a team approach to assessment and treatment. Tucson: Therapy Skill Builders; 1993.
Lopes, J, Prieto, AV, Santos, JAT, Smaili, SM, Gutierres Filho, PJB. Efetividade da equoterapia na marcha de crianças com paralisia cerebral: revisão sistemática de ensaios clínicos. Revista Brasileira de Neurologia. 2019; 55(1): 25-34.
Prieto, AV, Silva, FC, Silva, R, Santos, JAT, Gutierres Filho, PJB. A equoterapia na reabilitação de indivíduos com paralisia cerebral: uma revisão sistemática de ensaios clínicos. Cadernos Brasileiros de Terapia Ocupacional. 2018; 26(1): 207-218. http://dx.doi.org/10.4322/2526-8910.ctoAR1067
Lage, JB, Ribeiro, MF, Teixeira, VPA, Rosa, RC, Ferreira, AA, Espindula, AP. Effect of horse riding equipment in activity of trunk and lower limb muscles in equine-assisted therapy. Acta Scientiarum. Health Sciences. 2020; 42(e52739): 1-8. 10.4025/actascihealthsci.v42i1.52739
SENIAM. Surface ElectroMyoGraphy for the Non-Invasive Assessment of Muscles. SENIAM Project. 2020. Retrieved from: http://www. seniam.org/. Accessed april 21, 2020.
Aoyama, M, Suzuki, Y, Onishi, J, Kuzuya, M. Physical and functional factors in activities of daily living that predict falls in community-dwelling older women. Geriatrics & Gerontology International. 2011; 11(3): 348–357. https://doi.org/10.1111/j.1447-0594.2010.00685.x
Kisner, C, Colby, LA. Exercícios Terapêuticos: Fundamentos e técnicas. 6. ed. São Paulo: Manole; 2015.
Flores, FM, Dagnese, F, Mota, CB, Copetti, F. Parameters of the center of pressure displacement on the saddle during hippotherapy on different surfaces. Brazilian Journal of Physical Therapy. 2015; 19(3): 211-217. http://dx.doi.org/10.1590/bjpt-rbf.2014.0090
Janura, M, Dvorakova, T, Peham, C, Svoboda, Z, Elfmark, M. The influence of walking speed on equine back motion in relation to hippotherapy. Wiener Tierärztliche Monatsschrift – Veterinary Medicine. 2010; 97: xxx – xxx. 10.4112-10-97
Janura, M, Peham, C, Dvorakova, T, Elfmark, M. An assessment of the pressure distribution exerted by a rider on the back of a horse during hippotherapy. Human Movement Science. 2009; 28: 387–393. 10.1016/j.humov.2009.04.001
Ribeiro, MF, Espindula, AP, Bevilacqua Júnior, DE, Tolentino, JA, Silva, CFR, Araújo, MF, et al. Activation of lower limb muscles with diferente types of mount in hippotherapy. Journal of bodywork and movement therapies. 2018; 22: 52-56. http://dx.doi.org/10.1016/j.jbmt.2017.03.020
Nobre, AL, Silva, DO, Fonseca, DM, Martin, DG, Sousa, DM, Pitzer Neto, VE. Análise eletromiográfica dos músculos posturais em diferentes angulações de estribos na Equoterapia. Bioterra. 2016; 16(1): 65-70.
Garner, BA, Rigby, BR. Human pelvis motions when walking and when riding a therapeutic horse. Human Movement Science. 2015; 39: 121–137. http://dx.doi.org/10.1016/j.humov.2014.06.011
Willoughby, KL, Dodd, KJ, Shields, N, Foley, S. Efficacy of partial body weight-supported treadmill training compared with overground walking practice for children with cerebral palsy: A randomized controlled trial. Archives of Physical Medicine and Rehabilitation. 2010; 91: 333–339.
Damiano, DL. Activity, activity, activity: Rethinking our physical therapy approach to cerebral palsy. Physical Therapy. 2006; 86(11): 1534–1540. https://doi.org/10.2522/ptj.20050397
Giagazoglou, P, Arabatzi, F, Kellis, E, Liga, M, Karra, C, Amiridis I. Muscle reaction function of individuals with intellectual disabilities may be improved through therapeutic use of a horse. Research in Developmental. Disabilities. 2013; 34: 2442–2448. http://dx.doi.org/10.1016/j.ridd.2013.04.015
Descargas
Publicado
Número
Sección
Licencia
Los autores que presenten sus manuscritos para su publicación en esta revista están de acuerdo con los siguientes términos:
Autores conservan los derechos de autor y conceden el derecho de diario de la primera publicación de la obra a la vez bajo una Licencia Creative Commons Reconocimiento-que permite compartir el trabajo con el reconocimiento de su publicación inicial en esta revista.
En virtud de los artículos que aparecen en esta revista de acceso abierto, los artículos son de uso gratuito, con la debida atribución, en el educativo y no comercial.
