Arquivos de Neuro-Psiquiatria
versão impressa ISSN 0004-282X
BEINOTTI, Fernanda; CORREIA, Nilzete; CHRISTOFOLETTI, Gustavo e BORGES, Guilherme. Use of hippotherapy in gait training for hemiparetic post-stroke. Arq. Neuro-Psiquiatr. [online]. 2010, vol.68, n.6, pp. 908-913. ISSN 0004-282X. http://dx.doi.org/10.1590/S0004-282X2010000600015.
OBJECTIVE: To evaluate the hippotherapy influence on gait training in post-stroke hemiparetic individuals. METHOD: The study was constituted of 20 individuals divided into two groups. Group A performed the conventional treatment while group B the conventional treatment along with hippotherapy during 16 weeks. The patients were evaluated by using the Functional Ambulation Category Scale, Fugl-Meyer Scale, only the lower limbs and balance sub items, Berg Balance Scale, and functional assessment of gait (cadence) in the beginning and end of the treatment. RESULTS: Significant improvements were observed in the experimental group including motor impairment in lower limbs (p=0.004), balance, over time (p=0.007) but a significant trend between groups (p=0.056). The gait independence, cadence and speed were not significantly in both groups (p=0.93, 0.69 and 0.44). CONCLUSION: Hippotherapy associated with conventional physical therapy demonstrates a positive influence in gait training, besides bringing the patients' gait standard closer to normality than the control group.
Palavras-chave : stroke; hemiplegy; hippotherapy; gait; horseback riding therapy.