Efeitos do uso de um simulador de equitação terapêutica no equilíbrio e força muscular respiratória de crianças com paralisia cerebral
Arquivos
Tipo
Tese
Data de publicação
2019-02-11
Periódico
Citações (Scopus)
Autores
Mello, Enilda Marta Carneiro de Lima
Orientador
Assis, Silvana Maria Blascovi de
Título da Revista
ISSN da Revista
Título de Volume
Membros da banca
Corrêa, Ana Grasielle Dionísio
Fernandes, Susi Mary de Souza
Caromano, Fátima Aparecida
Campos, Denise
Fernandes, Susi Mary de Souza
Caromano, Fátima Aparecida
Campos, Denise
Programa
Distúrbios do Desenvolvimento
Resumo
Cerebral Palsy is characterized by a clinical picture impactful to development,
bringing delay in the acquisition of motor skills, which can be or not, associated with other
functional difficulties, necessitating therapeutic assistance throughout the cycles of life. For
this, different strategies and therapeutic resources have been studied in order to provide
development opportunities. Objectives: Identify the effects of a riding simulator on balance
and respiratory function in a group of children with spastic cerebral palsy. Materials and
Methods: Seventeen COP-affected children between 3 and 12 years of age took part in this
study. The participants were divided into two groups, G1 (classified as GMFCS I and II) and
G2 (GMFCS III and IV). All were evaluated before and after an intervention program with a
therapeutic riding simulator that counted with 10 sessions of thirty minutes, in weekly
frequency. For the assessment of the balance was Loran Engineering® baropodometric
platform was used to analyze pressure spots in seated positions, both with open and closed
eyes, in a stable situation (with footrest) and unstable situation (no support). The
measurements of respiratory muscle strength pressures were made by using an analog
manometer with calibrated WIKA® model, with operating range between 0 and ± 300
cmH2O and equipped with an air exhaust valve, in order to measure MIP and MEP. For pulse
oximetry, a Fingertip Pulse oximeter was used to measure SpO2. Functional classification
system GMFCS was used to functionally classify each child 10 therapy sessions were done
with the riding simulator, for thirty minutes as movements to the step. Results. After
statistical analysis, the effectiveness of the use of the simulator was witnessed in all the
analyzed variables, which demonstrated improvements in the results for the COP X context,
both unstable and stable. Para o COP Y, in the unstable situation with open eyes, there was
statistical significance for the G1. When G2 was evaluated, a statistically significant response
was observed only for COP Y, in the situation with eyes open, unstable and stable, as well as
in variables and oximetry respiratory pressures. A significant difference was observed
between the initial and final SpO2 measurements, in the 5th and 10th sessions, with respective
0.002 and 0.005 p-values. Expressive results in respiratory pressures were also observed,
PImax and PEmax being significantly different in the mean PEmax between the 5th and 10th
riding sessions in G2. Analyzes demonstrate significant intra-group differences in the 5th G1
session and the 5th and 10th G2 sessions. Conclusion: The equitation simulator proved to be
an efficient means of improving balance and respiratory function.
Descrição
Palavras-chave
paralisia cerebral , equitação terapêutica , força muscular , pressão máxima respiratória , oximetria , avaliação
Assuntos Scopus
Citação
MELLO, Enilda Marta Carneiro de Lima. Efeitos do uso de um simulador de equitação terapêutica no equilíbrio e força muscular respiratória de crianças com paralisia cerebral. 2019. 77 f. Tese (Doutorado em Distúrbios do Desenvolvimento) - Universidade Presbiteriana Mackenzie, São Paulo, 2019.