Efeitos do uso de um simulador de equitação terapêutica no equilíbrio e força muscular respiratória de crianças com paralisia cerebral

• Ano de defesa: 2019
• Autor(a) principal: Mello, Enilda Marta Carneiro de Lima
• Orientador(a): Assis, Silvana Maria Blascovi de
• Banca de defesa: Corrêa, Ana Grasielle Dionísio , Fernandes, Susi Mary de Souza , Caromano, Fátima Aparecida , Campos, Denise
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Presbiteriana Mackenzie
• Programa de Pós-Graduação: Distúrbios do Desenvolvimento
• Departamento: Centro de Ciências Biológicas e da Saúde (CCBS)
• País: Brasil
• Palavras-chave em Português: paralisia cerebral; equitação terapêutica; força muscular; pressão máxima respiratória; oximetria; avaliação
• Área do conhecimento CNPq: CNPQ::CIENCIAS DA SAUDE::FISIOTERAPIA E TERAPIA OCUPACIONAL
• Link de acesso: http://dspace.mackenzie.br/handle/10899/24575

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.