Resumo: Introdução: Um dos principais acometimentos crônicos que ocorrem na infância é a Paralisia Cerebral (PC), que tem como proposta terapêutica de atendimento, entre outras, a terapia assistida com cavalo, que no Brasil recebe o nome de Equoterapia. Objetivo: Este estudo se propôs a verificar o papel da Equoterapia na reabilitação da função motora em indivíduos com paralisia cerebral por meio de uma revisão sistemática de ensaios clínicos. Método: Foram utilizadas as bases PUBMed (MEDLINE), Cochrane,
Improvement in rider mobility represents an important functional gain for people with disabilities undergoing hippotherapy. However, there is no validated measuring instrument to track and document the rider's progress in riding activities. In this study, we aimed to develop and establish validity evidence for an instrument to assess hippotherapy participants’ mobility on horseback. We report on this development through the stages of: (a) content validation, (b) construct validation, (c) inter- and intra-rater reliability and (d) internal consistency analysis. We evaluated its factor structure with exploratory factor analyses, calculated values for inter- and intra-rater reliability using the intra-class correlation coefficient, and calculated its internal consistency using Cronbach's alpha. We followed recommendations by the Guidelines for Reporting Reliability and Agreement Studies. We found good inter-rater reliability (intra-class correlation coefficient – ICC = 0.991–0.999) and good intra-rater reliability (ICC = 0.997–1.0), and there was excellent internal consistency (Cronbach's α = 0.937–0.999). The instrument’s factor structure grouped its three domains into one factor. As this instrument is theoretically consistent and has been found to be appropriate and reliable for its intended use, it is now available for the measurement of horseback mobility among hippotherapy riders.
Objective: Verify therapeutic intervention efficacy in children between the ages of 0 to 12, with cerebral palsy, evaluated by Thick Motor Function Measure. Method: PUBMed (MEDLINE), Cohrane, Web of Science, Scopus, Lilacs and PEDro. During phase 1, titles and abstracts of all identified references were independently displayed to 2 investigators. In phase 2, the same researchers applied the inclusion criteria for complete articles text. Key data from each of the included studies were extracted, such as author, year of publication, sample size, relevant characteristics, and conclusions on therapeutic interventions in children with cerebral palsy. Results: 15 articles were combined for qualitative analysis. Total scores for methodological quality ranged from 5 to 9 points. Covering the included articles for qualitative analysis, 14 studies were included in meta-analysis. Results demonstrated a significant variation when compared to conventional therapy performed through physical therapy in total scores and subgroup training, but not in hippotherapy, activity tasks and other therapies. Conclusion: Commonly therapies applied to children with CP when integrated with functional tasks appear to have better results when only compared to conventional physiotherapy.
1R=First reviewer (Study conceptualization and design/ Search and selection/ Data collection/ Data analysis/ Manuscript preparation). 2R=Second Reviewer (Search and selection/ Data collection/ Data analysis/ Manuscript preparation).. E=Expert (Study conceptualization and design/ Data analysis). C=Coordinator (Study conceptualization and design/ Data analysis).
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