Objective: To evaluate the efficacy of horse ridding simulator on the sitting postural control of children with spastic diplegia. Method: Forty children were randomly divided in a group using the simulator (RS) and a group performing conventional physical therapy (CT). FScan/Fmat equipment was used to register maximal displacement in anteroposterior (AP) and medio-lateral (ML) directions with children in sitting position. At the pre and post intervention stage both groups were classified according to the Gross Motor Function Classification System (GMFCS) and, after intervention, by the AUQEI questionnaire (Autoquestionnaire Qualité de vie Enfant Image). Results: Comparison between groups disclosed statistically significant pos-intervention improvement both in the AP (p<0.0001) as in the ML (p<0.0069) direction in the RS group. Conclusion: The horse ridding simulator produced significant improvement in the postural control of children in sitting position, additionally showing a higher motor functionality and a better acceptance of the therapeutic intervention. Key words: cerebral palsy, spastic diplegia, postural balance, horseback riding therapy.Efeitos terapêuticos de um simulador de equitação em crianças portadoras de paralisia cerebral RESUMO Objetivo: Avaliar os efeitos terapêuticos de um simulador de equitação no controle postural sentado de crianças portadoras de diplegia espástica. Método: Quarenta crianças foram aleatoriamente divididas em dois grupos: 20 utilizaram o simulador (GS) e 20 realizaram fisioterapia convencional (TC). Foi efetuado o registro dos deslocamentos máximos na direção ântero-posterior (AP) e médio-lateral (ML) com a criança sentada, utilizando-se o sistema FScan/Fmat. Antes e após intervenção as crianças foram classificadas pelo Gross Motor Function Classification System (GMFCS) e, após intervenção, pelo AUQEI (Autoquestionnaire Qualité de vie Enfant Image). Resultados: Melhora estatisticamente significativa dos deslocamentos máximos foi observada após intervenção tanto na direção AP (p<0,0001) quanto na ML (p<0,0069) no grupo GS quando comparado ao grupo TC. Conclusão: O simulador de equitação produziu melhora significativamente maior no controle postural da criança sentada, aliada a maior funcionalidade motora e melhor aceitação da intervenção terapêutica. Palavras-Chave: paralisia cerebral, diplegia espástica, equilíbrio postural, equitação terapêutica.
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