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| Author(s): |
Fernanda Beinotti
Total Authors: 1
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| Document type: | Master's Dissertation |
| Press: | Campinas, SP. |
| Institution: | Universidade Estadual de Campinas (UNICAMP). Faculdade de Ciências Médicas |
| Defense date: | 2010-06-22 |
| Examining board members: |
Antonio Guilherme Borges Neto;
Fernando Copetti;
Alberto Cliquet Junior
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| Advisor: | Antonio Guilherme Borges Neto |
| Abstract | |
the objective of this study was to evaluate the influence of Hippotherapy in gait training in post-stroke hemiparetic individuals. The study consisted of 20 individuals divided into two groups (A and B). Group A performed a conventional treatment, and group B a conventional treatment along with Hippotherapy, during 16 weeks. The patients were evaluated by the Modified Scale of Aswhorth, Fugl-Meyer Scale, only the lower limbs and balance sub items, Balance Scale of Berg, Functional Ambulation Category Scale, Cadence and the Medical Outcomes Study 36-item Short-Form Health Survey - SF-36, in the beginning and end of treatment. In the results, significant improvements were observed in the experimental group including spasticity improvement, only in the plantar flexors (p=0,0268), motor impairment in lower limbs (p = 0.004), balance, over time (p = 0.007), the gait independence showed a significant trend over time (p = 0.0519). The cadence and speed were not significantly in both groups (p = 0.69 and 0.44). As to life quality, there was significance between groups in scale score total. The experimental group improved significantly (p=0.007), yet the control group not (p= 0.80). In the Functional Capacity, Physical Aspects and Mental Health item there was a difference between the groups (p= 0.0273; 0.0156 e 0.0410). In the experimental group there was a significant improvement in Physical Aspects (p= 0.0019), the Mental Health item showed a significant trend (p=0.0619) and Functional Capacity did not present significant improvements (p= 0.08). In the control group the Functional Capacity item did not show significant improvements (p= 0.1828) and Physical Aspects and Mental Health items presented worsening, but not significant (p= 0.3078 e 0.4297). The domains Pain, General Health State, Vitality, Social Aspects and Limitation by Emotional Aspect did not present significant improvements. With the findings of this study, it is possible to conclude that Hippotherapy associated to conventional physical therapy proved to be a good resource to improve gait and the quality of life of hemiparetic individuals (AU) | |