Fisioterapia e Terapia Assistida por Animais com cão: Single Subject Designs com crianças com paralisia cerebral
Data
2024-09-27
Autores
Nascimento, Anice Maria Calil 
Orientadores
Carvalho, Raquel de Paula
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
A Terapia Assistida por Animais (TAA) com Cães na Fisioterapia é uma das modalidades de Intervenções Assistidas por Animais (IAA), que incorpora cães especialmente selecionados e treinados em planos terapêuticos/intervenções direcionados a objetivos, que são projetados para promover o aprimoramento físico, cognitivo, psicossocial, comportamento, e/ou emocional. O objetivo foi investigar os efeitos da implantação de um protocolo de TAA com cães para duas crianças com Paralisia Cerebral (PC), de 7 anos de idade, GMFCS II e III com foco na funcionalidade, considerando-a como uma interação dinâmica entre os fatores ambientais, pessoais e a condição de saúde. Método: Ensaio clínico do tipo SingleSubject Design, em desenho de modelo A1BA2, em três fases de investigação: linha base (A1), 12 sessões de intervenção baseada TAA com cão (B) e uma segunda fase de observação (A2). Duas crianças com paralisia cerebral, com 7 anos de idade, GMFCS II e III, concluíram a coleta de dados e foram avaliadas repetidamente nas três fases pelo Gross Motor Funtion Classification System (GMFM 88), Participation and Environment Measure for Children and Youth (PEMCY), Pediatric Reach Test (PRT), Time Up and Go Test (TUG), Teste de Caminhada de 10m (TC10m) e classificadas pela CIF (core-set- CJ). Resultados: Os resultados obtidos no GMFM 88 e o PEM-CY demonstraram melhora entre as fases A1-B-A2, indicando melhora na atividade e participação em casa, na escola e na comunidade, para as duas crianças, com a intervenção da TAA em fisioterapia com cão. Foram adotados métodos estatísticos definidos na literatura para os testes semanais aplicados (TUG, TC 10m lento, TC 10m rápido e PRT), os quais não demonstraram significância estatística da intervenção, para ambas as crianças. Conclusão: A TAA com cão é uma intervenção complementar com resultados favoráveis para melhora em atividade e participação de duas crianças com PC, com 7 anos de idade, GMFCS II e III, necessitando de mais estudos que confirmem esses resultados.
The Animal-Assisted Therapy (AAT) with Dogs in Physiotherapy is one of the modalities of Animal-Assisted Interventions (AAI), which incorporates specially selected and trained dogs in therapeutic plans/interventions directed to objectives, that are designed to promote physical, cognitive, psychosocial, behavioral, and/or emotional enhancement. The objective was to investigate the effects of implementing a AAT protocol with dogs for two children with Cerebral Palsy (CP), 7 years old, GMFCS II and III focusing on functionality, considering it as a dynamic interaction between environmental factors, personal and health condition. Method: Single-Subject Design clinical trial, in model design A1BA2, in three research phases: baseline (A1), 12 intervention sessions based on AAT with dog (B) and a second observation phase (A2). Two children with cerebral palsy, aged 7 years old, GMFCS II and III, completed data collection and were evaluated repeatedly in the three phases by the Gross Motor Funtion Classification System (GMFM 88), Participation and Environment Measure for Children and Youth (PEM-CY), Pediatric Reach Test (PRT), Time Up and Go Test (TUG), 10m Walk Test (WT10m) and rated by the CIF (core-set- CY). Results: The results obtained in GMFM 88 and PEM-CY showed improvement between phases A1- B-A2, indicating improvement in activity and participation at home, school and community for both children with the intervention of AAT with dog in physiotherapy. Statistical methods defined in the literature were adopted for the weekly tests (TUG, WT10m slow, WT10m fast and PRT), which did not demonstrate statistical significance of the intervention for both children. Conclusion: TAA with dog is a complementary intervention with favorable results for improvement in activity and participation of two children with CP, aged 7 years old, GMFCS II and III, requiring more studies to confirm these results.
The Animal-Assisted Therapy (AAT) with Dogs in Physiotherapy is one of the modalities of Animal-Assisted Interventions (AAI), which incorporates specially selected and trained dogs in therapeutic plans/interventions directed to objectives, that are designed to promote physical, cognitive, psychosocial, behavioral, and/or emotional enhancement. The objective was to investigate the effects of implementing a AAT protocol with dogs for two children with Cerebral Palsy (CP), 7 years old, GMFCS II and III focusing on functionality, considering it as a dynamic interaction between environmental factors, personal and health condition. Method: Single-Subject Design clinical trial, in model design A1BA2, in three research phases: baseline (A1), 12 intervention sessions based on AAT with dog (B) and a second observation phase (A2). Two children with cerebral palsy, aged 7 years old, GMFCS II and III, completed data collection and were evaluated repeatedly in the three phases by the Gross Motor Funtion Classification System (GMFM 88), Participation and Environment Measure for Children and Youth (PEM-CY), Pediatric Reach Test (PRT), Time Up and Go Test (TUG), 10m Walk Test (WT10m) and rated by the CIF (core-set- CY). Results: The results obtained in GMFM 88 and PEM-CY showed improvement between phases A1- B-A2, indicating improvement in activity and participation at home, school and community for both children with the intervention of AAT with dog in physiotherapy. Statistical methods defined in the literature were adopted for the weekly tests (TUG, WT10m slow, WT10m fast and PRT), which did not demonstrate statistical significance of the intervention for both children. Conclusion: TAA with dog is a complementary intervention with favorable results for improvement in activity and participation of two children with CP, aged 7 years old, GMFCS II and III, requiring more studies to confirm these results.
Descrição
Citação
NASCIMENTO, Anice Maria Calil. Fisioterapia e Terapia Assistida por Animais com cão: Single Subject Designs com crianças com paralisia cerebral. 2024. 173 f. Dissertação (Mestrado Interdisciplinar em Ciências da Saúde) - Universidade Federal de São Paulo, Instituto de Saúde e Sociedade, Santos, 2024.