Analysis of the electromiographic activity of lower limb and motor function in hippotherapy practitioners with cerebral palsy

Ribeiro, Mariane Fernandes; Espíndula, Ana Paula; Lage, Janaine Brandão; Júnior, Domingos Emanuel Bevilacqua; Diniz, Luanna Honorato; Mello, Edneia Corrêa de; Ferreira, Alex Abadio; Ferraz, Mara Lúcia Fonseca; Teixeira, Vicente de Paula Antunes

doi:10.1016/j.jbmt.2017.12.007

Cited by 24 publications

(28 citation statements)

References 28 publications

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“…Hippotherapy has been regarded as a field of rehabilitation therapy to enhance muscle tone, balance, and coordination through horseback riding, as well as the client's motivation and willingness for participation in the activity . Regarding the benefit of hippotherapy on children with CP, there are some data to suggest an improvement of postural control and lower muscle responses as well as gross motor function . However, its effect on gait symmetry is unclear.…”

Section: Introductionmentioning

confidence: 99%

“…1,2 Regarding the benefit of hippotherapy on children with CP, there are some data to suggest an improvement of postural control and lower muscle responses as well as gross motor function. [3][4][5][6] However, its effect on gait symmetry is unclear. Recently, we reported gait analysis using a novel portable motion recorder equipped with a tri-axial accelerometer in patients with CP.…”

Section: Introductionmentioning

confidence: 99%

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Effect of hippotherapy on gait symmetry in children with cerebral palsy: A pilot study

Mutoh

Tsubone

et al. 2019

Clin Exp Pharma Physio

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Summary We aimed to investigate the effect of hippotherapy on gait symmetry in children with cerebral palsy (CP). Twelve children with Gross Motor Function Classification System (GMFCS) levels II−IV received weekly hippotherapy lesson for 1 year. Gait analyses were performed during a 5‐m walking test, using a portable, tri‐axial accelerometer‐based motion recorder. The baseline symmetry index derived from the Lissajous index (LI) figure before hippotherapy was greater than the LI in age‐matched normal subjects (P < 0.01). Hippotherapy was associated with a decreased LI (−10.4 ± 4.9%, P = 0.018) and an improved GMFCS score (−0.6 ± 0.7, P = 0.02). These data suggest that hippotherapy has a beneficial effect on symmetry of the trunk movement in children with CP.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effect of hippotherapy on gait symmetry in children with cerebral palsy: A pilot study

Mutoh

Tsubone

et al. 2019

Clin Exp Pharma Physio

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“…The increase in the muscular activity of lower limbs shows upward behavior during the course of ten session of equine-assisted therapy, decreasing until the 25 th session. This fact, according to authors, infers that there was a motor learning from the tenth session on (Ribeiro et al, 2019).…”

Section: Resultsmentioning

confidence: 95%

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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“…ty muscle activity in children with cerebral palsy. 25 Another previous study reported that horse riding training can have a positive effect on gait ability through the improvement of pelvic movements. 24 In addition, a study on the impact of horse riding training in children with cerebral palsy reported that horse riding training reduces muscle spasticity in lower limbs in children with cerebral palsy.…”

Section: J Kptmentioning

confidence: 98%

Effects of Virtual Reality Horse Riding Simulator Training Using a Head-Mounted Display on Balance and Gait Functions in Children with Cerebral Palsy: A Preliminary Pilot Study

2019

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The purpose of this study was to investigate the effects of three-dimensional virtual reality horse riding simulator training using a head-mounted display on gait and balance in children with cerebral palsy. Methods: Ten children with cerebral palsy were randomly assigned to the horse riding simulator (HRS) group (n= 5) or the horse riding simulator with virtual reality (HRSVR) group (n= 5). To evaluate balance, center of gravity (COG) sway velocity and total sway distance of each group were assessed using the Wii balance board, and gait speed and stride length of each group were assessed using a gait analysis system. Results: Intra-group comparisons between pre-and post-intervention measures revealed that there were significant changes in all gait and balance variables such as stride length, gait velocity, COG sway velocity and COG sway distance in the HRSVR group (p< 0.05). In the HRS group, there were significant changes in all variables except stride length (p< 0.05). In addition, inter-group comparisons showed significant differences between the two groups in stride length, gait velocity and COG sway distance except COG sway velocity (p< 0.05). Conclusion: The findings of this study suggest that horse riding simulator training combined with 3D virtual reality can be a new positive therapeutic approach for improving functional performance in children with cerebral palsy.

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Analysis of the electromiographic activity of lower limb and motor function in hippotherapy practitioners with cerebral palsy

Cited by 24 publications

References 28 publications

Effect of hippotherapy on gait symmetry in children with cerebral palsy: A pilot study

Effect of hippotherapy on gait symmetry in children with cerebral palsy: A pilot study

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

Effects of Virtual Reality Horse Riding Simulator Training Using a Head-Mounted Display on Balance and Gait Functions in Children with Cerebral Palsy: A Preliminary Pilot Study

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