Analysis of strength and electromyographic activity of lower limbs of individuals with down syndrome assisted in physiotherapy and hippotherapy.

Autor: Bevilacqua Junior DE; Universidade Federal do Triângulo Mineiro, Uberaba, Minas Gerais, Brazil; Associação de Pais e Amigos dos Excepcionais de Uberaba, Minas Gerais, Brazil., Mello EC; Universidade Federal do Triângulo Mineiro, Uberaba, Minas Gerais, Brazil; Faculdade de Odontologia de Ribeirão Preto da Universidade de São Paulo, São Paulo, Brazil., Lage JB; Universidade Federal do Triângulo Mineiro, Uberaba, Minas Gerais, Brazil; Associação de Pais e Amigos dos Excepcionais de Uberaba, Minas Gerais, Brazil., Ribeiro MF; Universidade Federal do Triângulo Mineiro, Uberaba, Minas Gerais, Brazil; Faculdade de Patos de Minas, Pato de Minas, Minas Gerais, Brazil., Ferreira AA; Associação de Pais e Amigos dos Excepcionais de Uberaba, Minas Gerais, Brazil., Teixeira VPA; Universidade Federal do Triângulo Mineiro, Uberaba, Minas Gerais, Brazil., Espindula AP; Universidade Federal do Triângulo Mineiro, Uberaba, Minas Gerais, Brazil; Associação de Pais e Amigos dos Excepcionais de Uberaba, Minas Gerais, Brazil. Electronic address: ana.espindula@uftm.edu.br.
Jazyk: angličtina
Zdroj: Journal of bodywork and movement therapies [J Bodyw Mov Ther] 2023 Oct; Vol. 36, pp. 83-88. Date of Electronic Publication: 2023 Jun 06.
DOI: 10.1016/j.jbmt.2023.05.009
Abstrakt: Introduction: one of the characteristics of Down Syndrome (DS) is muscle hypotonia. Different therapeutic approaches have a positive influence, between them Physiotherapy applications with different therapeutic approaches such as Hippotherapy have a positive effect on the physical health and quality of live of individuals with DS.
Objective: to evaluate the effects of both treatments on the strength and electromyographic activity of the lower limbs of children and adolescents with DS.
Methods: fourteen individuals, aged between 10 and 18 years, participated in two groups: Physiotherapy group (n = 5) and Hippotherapy group (n = 9). Thirty interventions were performed for each type of therapy, once a week, lasting 30 min. Pre and post-interventions, the 30-Second Chair Stand Test (30s-CST) was used to assess the strength of the lower limbs and the surface electromyography equipment (EMG 800RF) to assess the lower limb myoelectric activity.
Results: there was a reduction in the post-intervention electromyographic values for both treatments (p˂0.001), with significantly less myoelectric activity in Hippotherapy compared to Physiotherapy for all evaluated muscles (p˂0.001) and a significant increase in muscle strength for the Hippotherapy, post-intervention group (p = 0.0007).
Conclusion: Physiotherapy and Hippotherapy are interventions that promote positive changes in the myoelectric activities of individuals with DS. However, only hippotherapy promoted an increase in strength of the lower limbs.
Competing Interests: Declaration of competing interest No conflict of interest
(Copyright © 2023 Elsevier Ltd. All rights reserved.)
Databáze: MEDLINE
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