Dissertação
Trajetória do centro de pressão de crianças com paralisia cerebral durante o andar a cavalo: implicações terapêuticas
Fecha
2020-09-24Autor
Meincke, Natiéle de Moraes
Institución
Resumen
Cerebral Palsy (CP) is the most common cause of physical disability in childhood,
whose greatest difficulties faced is obtaining adequate posture control. Among the
rehabilitation strategies for postural control, Hippotherapy stands out, whose essence
focuses on the task of riding a horse, which produces a therapeutic effect through the
locomotor and sensory impulses transmitted by the horse's back to the patient,
demanding postural control. Objectives: To verify if the trajectory of the pressure
center (COP) on the saddle in a seated position changes over the 30 minutes of horse
riding in children with CP, beyond to verify if the proprioceptive sensory manipulation
of the static sitting position on the horse demands greater postural control than the
same situation on the table, immediately before and after the horse riding activity.
Methods: Descriptive research, composed of 18 children with CP, from 4 to 12 years
old, with experience in horse riding. The dynamic assessments of the COP were
measured over the 30 minutes of horse riding, in the minutes: 1, 5, 10, 15, 20, 25 and
30. Static assessments of the COP were carried out with the children sitting quietly on
a table and mounted before and after riding the horse. Results: In the dynamic
analysis, there were no significant differences over the 30 minutes in any of the
investigated variables. In static evaluations sitting quietly, when compared on the table
and mounted on the pre-walking horse, they showed significant differences, COPap,
COPml, COPvel, RMSap and COParea greater on the horse, p ≤ 0.004, p ≤ 0.032, p
≤0.053, p ≤0.009 and p ≤≤ 0.001, respectively, in addition to also finding COPvelap p
≤ 0.035 and COParea p ≤ 0.013 larger post-gait riding on the horse. Conclusion: The
children investigated demonstrated the ability to maintain postural control unchanged
throughout the activity of horse riding. Greater oscillations in static assessments in the
sitting condition occurred when the support base was manipulated, being greater on the horse.