J. B. Lage, M. F. Ribeiro, V. Teixeira, R. Rosa, A. A. Ferreira, Ana Paula Espindula
{"title":"骑马器材对马辅助治疗中躯干和下肢肌肉活动的影响","authors":"J. B. Lage, M. F. Ribeiro, V. Teixeira, R. Rosa, A. A. Ferreira, Ana Paula Espindula","doi":"10.4025/actascihealthsci.v42i1.52739","DOIUrl":null,"url":null,"abstract":"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). 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引用次数: 2
摘要
马辅助疗法利用马对唐氏综合症(SD)、脑瘫(PC)和智力残疾(DI)等人进行康复和/或教育。在这种情况下,康复计划和骑马设备应该根据每个人的具体特点来使用,在寻求卓越的马辅助治疗计划中成为一个盟友。目的是评估马辅助治疗中使用的骑马设备对SD、PC和DI患者躯干和下肢肌肉活动的影响。研究纳入15例个体,平均分为SD、PC和DI组,平均年龄分别为16.2(±1.10)岁、16(±1.22)岁和16(±0)岁。通过表面肌电图分析肌肉活动,使用四种不同的骑马设备:有和没有脚支撑在马镫上的马鞍,有和没有脚支撑在马镫上的毯子。采用Sigma Stat 3.5软件进行统计分析。数据的正态性采用夏皮罗·威尔克检验,方差的齐性采用巴特利特检验,非正态分布的重复测量采用Kruskal-Wallis检验。差异有统计学意义,p < 0.05。SD组与DI组相比(H = 8.302, p = 0.040),有毯子装备的躯干和下肢肌肉活动更大(H = 15.078, p = 0.002),而PC组则是有鞍具,有马镫支撑的脚(H = 11.137, p = 0.011)。在马辅助治疗中使用的骑马设备的选择,根据从业者的病理过程,对躯干和下肢肌肉激活的模式有不同的干扰。在计划治疗时,这应该是一个重要的考虑因素。
Effect of horse riding equipment in activity of trunk and lower limb muscles in equine-assisted therapy
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.