Guerino Marcelo R, Briel Alysson F, Araújo Maria das Graças Rodrigues
Department of Physical Therapy, UFPE-Federal University of Pernambuco, Brazil.
Department of Physical Therapy, UNOPAR, Brazil.
J Phys Ther Sci. 2015 Mar;27(3):959-62. doi: 10.1589/jpts.27.959. Epub 2015 Mar 31.
[Purpose] Hippotherapy is a therapeutic resource that uses the horse as a kinesiotherapy instrument to elicit motor and cognitive improvements in individuals with special needs. [Subjects and Methods] This research evaluated two women aged 18 and 21 years, who had suffered sexual violence when they were children between the ages of 6 and 7 years old. The subjects did not have mental dysfunction but they were regular students registered at a school of special education. The patients presented severe motor limitation, difficulty with coordination, significant muscular retractions, thoracic and cervical kyphosis, cervical protrusion wich was basically a function of the postures they had adopted when victims of the sexual violence suffered in childhood. The patients performed twenty sessions of 30 minutes of hippotherapy on a horse. The activities were structured to stimulate coordination, proprioception, the vestibular and motor-sensorial systems for the improvement of posture, muscle activity and cognition. [Results] The activities provided during the hippotherapy sessions elicited alterations in postural adjustment resulting in 30% improvement, 80% improvement in coordination in, 50% improvement in corporal balance and in sociability and self-esteem. [Conclusion] Hippotherapy proved to be an effective treatment method for coordination, balance and postural correction, and also improved the patients' self-esteem that had suffered serious emotional stress.
[目的] 马术疗法是一种治疗手段,它将马作为运动疗法工具,以促进有特殊需求个体的运动和认知能力提升。[对象与方法] 本研究评估了两名分别为18岁和21岁的女性,她们在6至7岁儿童时期遭受过性暴力。受试者无精神功能障碍,但均为一所特殊教育学校的在读学生。患者存在严重的运动受限、协调困难、明显的肌肉挛缩、胸椎和颈椎后凸,颈椎前凸主要是童年遭受性暴力成为受害者时所采取姿势的结果。患者在马背上进行了20次每次30分钟的马术疗法。活动设计旨在刺激协调、本体感觉、前庭和运动感觉系统,以改善姿势、肌肉活动和认知。[结果] 马术疗法疗程中的活动引发了姿势调整的改变,姿势改善30%,协调能力改善80%,身体平衡改善50%,社交能力和自尊也有所提升。[结论] 马术疗法被证明是一种有效的治疗方法,可用于改善协调、平衡和姿势矫正,还能提升遭受严重情感压力患者的自尊。