Análise eletromiográfica durante sessões de equoterapia em praticantes com paralisia cerebral

Espíndula, Ana Paula; Simões, Mayara; Assis, Iramaia Salomão Alexandre de; Fernandes, Mariane; Ferreira, Alex Abadio; Ferraz, Patrícia Fonseca; Cunha, Isabella Cardoso; Ferraz, Mara Lúcia da Fonseca; Souza, Luciane Aparecida Pascucci Sande de; Teixeira, Vicente de Paula Antunes

doi:10.5585/conssaude.v11n4.3276

Cited by 13 publications

(6 citation statements)

References 17 publications

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“…. After shaving and cleaning the skin of the patient with cotton and 70% alcohol, 1 cm disc shaped bipolar surface electrodes (Ag AgCl -1 surface with foam and solid gel) connected to the preamps in center-to-center interelectrode distance of 2 cm (Malek et al, 2006;Espindula et al, 2012) were placed on the following left lower limb muscles: Gluteus Medius, Tensor Fasciae Latae, Rectus Femoris, Vastus medialis, Vastus lateralis, Biceps Femoris, Tibialis Anterior and Gastrocnemius (Lateral Subdivision), and the reference electrode was placed on the left lateral malleolus. All electrodes were positioned in accordance with the recommendations of SENIAM Project (Surface ElectroMyoGraphy for Non-invasive Assessment of Muscles [Seniam], 2012) (Hermens, Freriks, Klug, & Rau, 2000), available for access in http://www.seniam.org/.…”

Section: Methodsmentioning

confidence: 99%

<b>Electromyographic evaluation of the lower limbs of patients with Down syndrome in hippotherapy

Ribeiro

Espíndula

Ferreira

et al. 2017

Acta Sci. Health Sci.

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ABSTRACT. Hippotherapy is a therapeutic method that uses the horse's movement to achieve functional results in practitioners with Down syndrome (DS), who present motor and neurophysiological changes that affect the musculoskeletal system. Evaluating the motor behavior related to the control and the improvement of muscle activation in practitioners with Down syndrome subjected to hippotherapy. 10 practitioners were divided into two groups: Down Group (DG) -practitioners with DS, and Healthy Group (HG) -practitioners with no physical impairment. The muscles gluteus medius, tensor fasciae latae, rectus femoris, vastus medialis, vastus lateralis, biceps femoris, tibialis anterior and gastrocnemius were evaluated by electromyography using gross RMS values, which correspond to muscle activation; the evaluations were performed on the 1 st and 10 th hippotherapy sessions (frequency: once a week), and after 2 months interval without treatment, they were performed on the 1 st and 10 th hippotherapy sessions (frequency: twice a week). It was noted that activation of the studied muscles increased with the passing of sessions, regardless the weekly frequency of attendance; however, the period without treatment resulted in reduction of this effect. Practitioners with DS presented satisfactory changes in muscle activation pattern, in learning and in motor behavior during hippotherapy sessions.Keywords: muscle activation, electromyography, hippotherapy, Down syndrome, equine assisted therapy.Avaliação eletromiográfica dos membros inferiores de pacientes com síndrome de Down na equoterapia RESUMO. Equoterapia é um método terapêutico que utiliza o movimento do cavalo para alcançar resultados funcionais, realizada em praticantes com síndrome de Down (SD), que apresentam alterações neurofisiológicas e motoras que afetam o sistema musculoesquelético. Avaliar o comportamento motor relacionado ao controle e melhora a ativação muscular em praticantes com SD submetidos ao tratamento equoterapêutico. Participaram dez praticantes divididos em dois grupos: grupo Down (GD) -praticantes com SD, e grupo Saudável (GS) -praticantes sem comprometimento físico. Os músculos glúteo médio, tensor da fáscia lata, reto femoral, vasto medial, vasto lateral, bíceps femoral, tibial anterior e gastrocnêmio foram avaliados por meio da eletromiografia, utilizando o valor de RMS bruto que corresponde à ativação muscular, e as avaliações foram realizadas na primeira e décima sessões de equoterapia (frequência: 01 vez por semana); e após intervalo de dois meses sem tratamento, foi realizada na primeira e décima sessões de equoterapia (frequência: 02 vezes por semana). Observou-se que a ativação muscular dos músculos estudados aumentou com o passar das sessões, independente da frequência semanal de atendimento; mas o período sem tratamento resultou em redução deste efeito. Os praticantes com SD apresentaram mudanças satisfatórias no padrão de ativação muscular, na aprendizagem e no comportamento motor no decorrer das sessões de equoterapia.Palavras-chave: ativa...

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Section: Methodsmentioning

confidence: 99%

<b>Electromyographic evaluation of the lower limbs of patients with Down syndrome in hippotherapy

Ribeiro

Espíndula

Ferreira

et al. 2017

Acta Sci. Health Sci.

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“…A ativação dos músculos do tronco pode proporcionar um melhor alinhamento postural, uma vez que as alterações presentes no controle postural são devidas à dificuldade de ativação da musculatura de forma adequada 29 . Este é um dado importante para que o tratamento seja traçado de forma mais eficaz em relação aos pacientes que dispõem de déficits de equilíbrio ou algum desalinhamento pélvico, assim como para a criança da presente pesquisa.…”

Section: Relato De Casounclassified

Influence of Bobath’s Concept on muscle function of the spastic tetraplegia cerebral palsy

Firmino

Lima

Almeida³

et al. 2015

RNC

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“…Among the horse riding equipment, the saddle and the blanket stand out with possibilities of variations with regard to the positioning of the feet supported or not in the stirrups (Espindula et al, 2014;2012a), as proposals for the development of an hippotherapy plain of excellence. The Australian-style saddle has been the research model for having a hand strap that allows the practitioner to keep the upper limbs supported (Espindula et al, 2012a).…”

Section: Introductionmentioning

confidence: 99%

Effect of horse riding equipment in activity of trunk and lower limb muscles in equine-assisted therapy

Lage

Ribeiro

Teixeira

et al. 2020

Acta Sci. Health Sci.

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Equine-assisted therapy uses the horse in rehabilitation and/or education of people, such as Down syndrome (SD), cerebral palsy (PC) and intellectual disability (DI). In context, the rehabilitation program and horse riding equipment should be used according to the specific characteristics of each individual, becoming an ally in the quest for excellence in equine-assisted therapy programs. The aim was to evaluate the effect of riding equipment used in equine-assisted therapy on the muscular activity of trunk and lower limb of individuals with SD, PC and DI. The study included 15 individuals equally assigned to each group: SD, PC and DI with a mean age of 16.2 (± 1.10), 16 (± 1.22) e 16 (±0) years, respectively. The analysis of muscle activity was performed through surface electromyography, using four variations of horse riding equipment: saddle with and without feet supported on the stirrups and blanket with and without feet supported on the stirrups. Sigma Stat 3.5® software was used for statistical analysis. The Shapiro Wilk’s test was used for normality of the data, the Bartlett test for homogeneity of the variances and the Kruskal-Wallis test for repeated measures with no normal distribution. Statistically significant differences were observed for p < 0.05. The SD group presented a greater muscular activity of trunk and lower limbs with blanket equipment without the feet supported in the stirrups (H = 15.078, p = 0.002), as in the DI group (H = 8.302, p = 0.040), while in PC group was the saddle with feet supported in the stirrups (H = 11.137, p = 0.011). The choice of riding equipment used in equine-assisted therapy interferes differently in the pattern of muscular activation of the trunk and the lower limbs, according to the pathological processes of the practitioners. It should be an important aspect to consider when planning a treatment.

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Análise eletromiográfica durante sessões de equoterapia em praticantes com paralisia cerebral

Cited by 13 publications

References 17 publications

<b>Electromyographic evaluation of the lower limbs of patients with Down syndrome in hippotherapy

<b>Electromyographic evaluation of the lower limbs of patients with Down syndrome in hippotherapy

Influence of Bobath’s Concept on muscle function of the spastic tetraplegia cerebral palsy

Effect of horse riding equipment in activity of trunk and lower limb muscles in equine-assisted therapy

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