Ribeiro Mariane Fernandes, Espindula Ana Paula, Lage Janaine Brandão, Bevilacqua Júnior Domingos Emanuel, Diniz Luanna Honorato, Mello Ednéia Corrêa de, Ferreira Alex Abadio, Ferraz Mara Lúcia Fonseca, Teixeira Vicente de Paula Antunes
Federal University of Triangulo Mineiro (UFTM), Uberaba-MG, Brazil; Faculty Patos de Minas, Patos de Minas, MG, Brazil.
Federal University of Triangulo Mineiro (UFTM), Uberaba-MG, Brazil; Association of Parents and Friends of Intellectually Disabled Children of Uberaba (APAE), Uberaba-MG, Brazil.
J Bodyw Mov Ther. 2019 Jan;23(1):39-47. doi: 10.1016/j.jbmt.2017.12.007. Epub 2017 Dec 9.
Investigation of the effects of hippotherapy treatment on lower limb muscle activity and gross motor function in subjects with cerebral palsy (CP), comparing them to a group of subjects with adequate motor development.
Evaluation was made of seven individuals with spastic diparetic CP, average age 9.3 (±3.3) years (CP group), Gross Motor Function Classification System (GMFCS) levels I and II, and eight individuals with adequate motor development, average age 10.9 (±3.2) years (control group). The groups were submitted to 25 sessions of hippotherapy, each lasting 30 min, on a weekly basis, and the muscle activity of the lower limbs was evaluated using surface electromyography during the 1st, 10th, 20th, and 25th sessions. For the CP group, Gross Motor Function Measurement (GMFM-88) was performed before and after hippotherapy treatment.
There was higher muscle activity in the 10th session, compared to the other sessions, with greater activity of the tibialis anterior muscles, for both groups studied. After treatment, the CP group showed significant improvement in the GMFM total score, and in the scores for dimensions D and E.
Hippotherapy sessions improved the muscle responses in both groups, and improved the gross motor function of the subjects with CP.
研究马术疗法对脑瘫（CP）患者下肢肌肉活动和粗大运动功能的影响，并与一组运动发育正常的受试者进行比较。
对7名痉挛性双侧瘫脑瘫患者进行评估，平均年龄9.3（±3.3）岁（脑瘫组），粗大运动功能分类系统（GMFCS）为I级和II级，以及8名运动发育正常的个体，平均年龄10.9（±3.2）岁（对照组）。两组患者每周接受25次马术疗法治疗，每次持续30分钟，并在第1、10、20和25次治疗期间使用表面肌电图评估下肢肌肉活动。对于脑瘫组，在马术疗法治疗前后进行粗大运动功能测量（GMFM-88）。
与其他治疗阶段相比，第10次治疗时两组的肌肉活动均较高，且胫骨前肌的活动更强。治疗后，脑瘫组的GMFM总分以及维度D和E的得分均有显著改善。
马术疗法治疗可改善两组患者的肌肉反应，并改善脑瘫患者的粗大运动功能。
