Different horse’s paces during hippotherapy on spatio-temporal parameters of gait in children with bilateral spastic cerebral palsy: A feasibility study

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• 作者：Fabiane Nunes Antunes^a ; Alexandre Severo do Pinho^b ; ^c ; Ana Francisca Rozin Kleiner^d ; Ana Paula Salazar^b ; ^c ; ^e ; Giovana Duarte Eltz^a ; Alcyr Alves de Oliveira Junior^a ; Fernanda Cechetti^a ; Manuela Galli^d ; ^f ; Aline Souza Pagnussat^a ; ^b ; ^c ; ^{alinespagnussat@gmail.com" class="auth_mail" title="E-mail the corresponding author} ; ^{alinesp@ufcspa.edu.br" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Rehabilitation ; Physiotherapy ; Ecological evaluation ; Equine-assisted therapy ; Accelerometer
• 刊名：Research in Developmental Disabilities
• 出版年：2016
• 出版时间：December 2016
• 年：2016
• 卷：59
• 期：Complete
• 页码：65-72
• 全文大小：490 K

文摘

Hippotherapy is often carried out for the rehabilitation of children with Cerebral Palsy (CP), with the horse riding at a walking pace. This study aimed to explore the immediate effects of a hippotherapy protocol using a walk-trot pace on spatio-temporal gait parameters and muscle tone in children with Bilateral Spastic CP (BS-CP). Ten children diagnosed with BS-CP and 10 healthy aged-matched children (reference group) took part in this study. The children with BS-CP underwent two sessions of hippotherapy for one week of washout between them. Two protocols (lasting 30 min) were applied on separate days: Protocol 1: the horse’s pace was a walking pace; and Protocol 2: the horse’s pace was a walk-trot pace. Children from the reference group were not subjected to treatment. A wireless inertial measurement unit measured gait spatio-temporal parameters before and after each session. The Modified Ashworth Scale was applied for muscle tone measurement of hip adductors. The participants underwent the gait assessment on a path with surface irregularities (ecological context). The comparisons between BS-CP and the reference group found differences in all spatio-temporal parameters, except for gait velocity. Within-group analysis of children with BS-CP showed that the swing phase did not change after the walk pace and after the walk-trot pace. The percentage of rolling phase and double support improved after the walk-trot. The spasticity of the hip adductors was significantly reduced as an immediate result of both protocols, but this decrease was more evident after the walk-trot. The walk-trot protocol is feasible and is able to induce an immediate effect that improves the gait spatio-temporal parameters and the hip adductors spasticity.