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Effects of hippotherapy on postural balance, functional mobility, self-perceived fatigue, and quality of life in people with relapsing-remitting multiple sclerosis: Secondary results of an exploratory clinical trial.
Moraes, Andréa Gomes; Neri, Silvia G R; Motl, Robert W; Tauil, Carlos Bernardo; von Glehn, Felipe; Corrêa, Éber Castro; de David, Ana Cristina.
Afiliação
  • Moraes AG; Laboratory of Human Motion Analysis, Faculty of Physical Education, University of Brasilia, Brasilia, DF, Brazil. Electronic address: andreafisiounb@gmail.com.
  • Neri SGR; Laboratory of Human Motion Analysis, Faculty of Physical Education, University of Brasilia, Brasilia, DF, Brazil; Estácio University Center of Brasilia, Brazil.
  • Motl RW; Department of Physical Therapy, University of Alabama at Birmingham, Birmingham, AL, USA.
  • Tauil CB; Faculty of Medicine, University of Brasília (UnB), DF, Brazil.
  • von Glehn F; Department of Internal Medicine, Faculty of Medicine, University of Brasilia (UnB), Brasilia, DF and Department of Immunology, University of Campinas (Unicamp), SP, Brazil.
  • Corrêa ÉC; Clinen, Neurology and Endocrinology Clinic, Brasilia, DF, Brasil.
  • de David AC; Laboratory of Human Motion Analysis, Faculty of Physical Education, University of Brasilia, Brasilia, DF, Brazil.
Mult Scler Relat Disord ; 52: 102948, 2021 Jul.
Article em En | MEDLINE | ID: mdl-33940496
ABSTRACT

BACKGROUND:

Multiple sclerosis (MS) results in worsening of postural balance, functional mobility, and self-perceived fatigue as influences of quality of life.

OBJECTIVE:

To examine the effects of hippotherapy on postural balance, functional mobility, self-perceived fatigue, and quality of life in people with MS.

METHODS:

Participants were assigned into a hippotherapy intervention group (n= 17) or a control group (n= 16). The intervention included 16 sessions of 30-minutes of hippotherapy conducted twice a week whereas the control group was maintained their therapeutic routine. Postural balance was evaluated as CoP speed (cm/s) and CoP 95% elliptical area (cm2) using a force platform under 4 experimental conditions stable surface/ eyes open, stable surface/ eyes closed, foam surface/ eyes open, and foam surface/ eyes closed. Functional mobility was evaluated by the Timed Up and Go (TUG) test. The Fatigue Severity Scale (FSS) and Modified Fatigue Impact Scale (MFIS) measured perceived fatigue, and the Functional Assessment of Multiple Sclerosis (FAMS) measured quality of life. The data were examined using mixed model ANOVA with Bonferroni post hoc.

RESULTS:

CoP speed and CoP 95% elliptical area (p < .05) significantly decreased across all testing conditions for the intervention group compared with control. The TUG improved over time in the intervention group (p = .001) as did the FSS (p < .001). In addition, there was also an improvement for the score and all the MFIS domains (p < .005) for the intervention group compared with control and for FAMS improved over time in the intervention group (p < .05).

CONCLUSION:

Hippotherapy improved postural balance, functional mobility, fatigue, and quality of life in people with relapsing-remitting MS. This suggests that hippotherapy may be a useful approach for complimentary treatment among people with MS.
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Texto completo: 1 Base de dados: MEDLINE Assunto principal: Esclerose Múltipla Recidivante-Remitente / Terapia Assistida por Cavalos / Esclerose Múltipla Idioma: En Ano de publicação: 2021 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Esclerose Múltipla Recidivante-Remitente / Terapia Assistida por Cavalos / Esclerose Múltipla Idioma: En Ano de publicação: 2021 Tipo de documento: Article