Objective: To evaluate the functional balance of children with sensory impairments submitted to hippotherapy. Methods: 24 children of both genres equally participated in three groups: cerebral palsy (CP), Down syndrome (DS), and intellectual disability (ID) with the respective age groups (10.71 ± 2.69 years), (12.83 ± 2.64 years), and (11 ± 1.69 years).There were 15 attendances in hippotherapy with riding materials specific to each group. The Pediatric Balance Scale (EEP) was used before the 1st and after the 15th hippotherapy session (pre and post moments) to assess functional balance. The data were analyzed using the Shapiro-Wilk tests (normality), Bartlett test (homogeneity), and, between the pre- and post-care times, the paired t-test (intra-groups) and ANOVA with Bonferroni's multiple comparison tests (between groups), with statistical significance for p < 0.05. Results: in the post-attendance, there was an increase in the EEP score for the three groups (intra groups) with significance for children with ID (p = 0.003) and DS (p = 0.033); the CP group had a lower score (inter groups) in both times, pre (p = 0.003) and post (p = 0.002) attendance. Conclusion: hippotherapy contributed to the functional balance of children with distinct sensory impairments, according to the clinical diagnosis and riding material specific to the group, thus being able to be considered a therapeutic method with relevant benefits regarding the sensory aspects of the population.
A Síndrome de Down apresenta alterações biomecânicas e estruturais que resultam em déficit na ativação muscular e consequentemente no equilíbrio. Diante disto, a Realidade Virtual surge como instrumento terapêutico, no qual são apresentadas aos usuários oportunidades de envolvimento em ambientes virtuais, que adiciona um fator motivacional e lúdico à reabilitação. Objetivo: Verificar os efeitos da terapia de Realidade Virtual no equilíbrio e na atividade muscular de membros inferiores de crianças com Síndrome de Down. Métodos: A amostra foi composta por indivíduos com Síndrome de Down com idade média de 10,8 ± 3,4 anos, submetidos a avaliações motoras pré e pós intervenções em terapia de Realidade Virtual por meio do Nintendo Wii. Resultados: O deslocamento medial e lateral (p=0,016), deslocamento anteroposterior (p= 0,056) e atividade muscular do músculo tibial anterior (p=0,001) tiveram melhora significativa após a terapia. Conclusão: A Terapia proposta é eficiente e está indicada para a melhora do equilíbrio e atividade muscular de membros inferiores das crianças com Síndrome de Down.
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