Benefícios da equitação em crianças e adolescentes neurotípicos: revisão de escopo
Benefits of Horseback riding for neurotypical children and adolescents: a scoping review
Flaviana Gomes da Silva; Danielle Diniz de Paula; Luciana Mendonça Alves; Juliana Nunes Santos
Resumo
Palavras-chave
Abstract
Purpose To investigate evidence of horse riding in the development of language, cognition, social, emotional, and behavioral aspects in neurotypical children and adolescents.
Research strategies Search in the databases of LILACS, MEDLINE, Web of Science, EMBASE, Scopus, and grey literature, without date or language restrictions. Registration in the Open Science Framework (OSF), under number DOI 10.17605/OSF.IO/32ETZ. For search strategies: “Equine-Assisted Therapy”, “Child or Adolescent Development”, Cognition, Socialization, and “Child Behavior”.
Selection criteria Randomized clinical trials and non-randomized experimental before-and-after studies, case series, and prospective observational studies of neurotypically developing people up to 18 years old. Studies with people with disabilities and neurodevelopmental disorders were excluded. Interventions researched: horse riding and animal-assisted therapy.
Data analysis Two judges identified primary studies independently by reading the titles and abstracts, considering the inclusion criteria; a third judge was consulted to resolve divergences. The risk of bias was assessed using the ROBINS-I and ROBINS 2 tools.
Results Altogether, 131 studies were obtained, and duplicates (27) were removed. Subsequently, 104 studies were analyzed and 77 were excluded. Of the 27 studies evaluated in full text, 21 were excluded. Six studies were eligible for this review – four non-randomized clinical studies and two randomized clinical trials.
Conclusion The non-randomized studies showed significant improvements in cognitive functions and behavioral and emotional aspects. The randomized studies, on the other hand, found significant gains in social competence.
Keywords
Referencias
1 Roessler M, Rink B. Esportes Hípicos. In: Dacosta L, editor. Atlas do esporte no Brasil. Rio de Janeiro: Conselho Federal de Educação Física; 2006.
2 CBH: Confederação Brasileira de Hipismo. O Hipismo no Brasil e a CBH. Rio de Janeiro: CBH; 2012 [citado em 2024 Feb 11]. Disponível em:
3 Associação Nacional de Equoterapia. Parecer Conselho Federal de Medicina, 06/97. Brasília: Associação Nacional de Equoterapia; 1997.
4 Wickert H. O cavalo como instrumento cinesioterapêutico. Equoterapia. 1999;3(3):7-14.
5 Prieto A, Ayupe KMA, Gomes LN, Saúde AC, Gutierres P Fo. Effects of equine-assisted therapy on the functionality of individuals with disabilities: systematic review and meta-analysis. Physiother Theory Pract. 2020;38(9):1091-106.
6 Hyun GJ, Jung TW, Park JH, Kang KD, Kim SM, Son YD, et al. Changes in gait balance and brain connectivity in response to equine-assisted activity and training in children with attention deficit hyperactivity disorder. J Altern Complement Med. 2016;22(4):286-93.
7 Matsuura A, Maruta H, Iwatake T, Kumagai T, Nakanowatari T, Hodate K. The beneficial effects of horse trekking on autonomic nervous activity in experienced rider with no disability. Anim Sci J. 2017;88(1):173-9.
8 Gilboa Y, Helmer A. Self-Management intervention for attention and executive functions using equine- assisted occupational therapy among children aged 6-14 diagnosed with attention deficit/hyperactivity disorder. J Altern Complement Med. 2020;26(3):239-46.
9 Niehues JR, Niehues MR. Equoterapia no Tratamento de Transtorno de Déficit de Atenção e Hiperatividade (TDAH): implicações Pedagógicas. Rev Neurocienc. 2014;22(1):121-6.
10 Maresca G, Portaro S, Naro A, Crisafulli R, Raffa A, Scarcella I, et al. Hippotherapy in neurodevelopmental disorders: a narrative review focusing on cognitive and behavioral outcomes. Appl Neuropsychol Child. 2020;11(3):553-60.
11 Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372(71):n71.
12 Sterne JAC, Hernán MA, Reeves BC, Savović J, Berkman ND, Viswanathan M, et al. ROBINS-I: a tool for assessing risk of bias in non-randomized studies of interventions. BMJ. 2016;355:i4919.
13 Sterne JAC, Savović J, Page MJ, Elbers RG, Blencowe NS, Boutron I, et al. RoB 2: a revised tool for assessing risk of bias in randomised trials. BMJ. 2019;366:l4898.
14 Silva FG, Alves LM, Celeste LC, De Paula DD, Passamani JD, Santos JN. Os efeitos da equitação nas funções cognitivas de crianças e adolescentes. Psicopedagogia. 2023;40(123):324-33.
15 Fonseca RP, de Salles JF, Parente MAMP. Development and content validity of the Brazilian Brief Neuropsychological Assessment Battery Neupsilin. Psychol Neurosci. 2008;1(1):55-62.
16 Salles JF, Fonseca RP, Cruz-Rodrigues C, Mello CB, Barbosa T, Miranda MC. Desenvolvimento do Instrumento de Avaliação Neuropsicológica Breve Infantil NEUPSILIN-INF. Psico-USF. 2011;16(3):297-305.
17 Norwood MF, Lakhani A, Maujean A, Downes M, Fullagar S, Barber B, et al. The Horse as a Therapist: effects of an equine program without “therapy” on the attention and behavior of youth disengaged from traditional school. J Altern Complement Med. 2021;27(8):1-22.
18 Gioia GA, Isquith PK, Guy SC, Kenworthy L. Behavior rating inventory of executive function. Child Neuropsychol. 2000;6(3):235-8.
19 Goodman R. Psychometric properties of the strengths and difficulties questionnaire. J Am Acad Child Adolesc Psychiatry. 2001;40(11):1337-45.
20 Tsantefski M, Briggs L, Griffiths J, Tidyman A. An open trial of equine-assisted therapy for children exposed to problematic parental substance use. Health Soc Care Community. 2017;25(3):1247-56.
21 Bachi K, Terkel J, Teichman M. Equine-facilitated psychotherapy for at-risk adolescents: the influence on self-image, self-control and trust. Clin Child Psychol Psychiatry. 2012;17(2):298-312.
22 Offer D, Ostrov E, Howard KI. The Offer self image questionnaire for adolescents, a manual. J Youth Adolesc. 1977;6(3):265-80.
23 Rosenbaum M. A schedule for assessing self-controlled behavior: preliminary findings. Behav Ther. 1980;11(1):109-21.
24 Hochreich DJ. A children’s scale to measure interpersonal trust. Dev Psychol. 1973;9(1):141.
25 Huebner ES. Initial development of the student’s life satisfaction scale. Sch Psychol Int. 1991;12(3):231-40.
26 Pendry P, Carr AM, Smith AN, Roeter SM. Improving adolescent social competence and bahavior: a randomized trial of an 11-week equine facilited learning prevention program. J Prim Prev. 2014;35(4):281-93.
27 LeBuffe PA, Shapiro VB, Naglieri JA. The Devereux Student Strengths Assessment (DESSA): assessment, technical manual and user’s guide. Charlotte: Apperson,Inc.; 2009.
28 Chandler C. Animal assisted therapy in counseling. New York: Routledge; 2005.
29 Hauge H, Kvalem IL, Berget B, Enders-Slegers MJ, Braastad BO. Equine-assisted activities and the impact on perceived social support, self-esteem and self-efficacy among adolescents- an intervention study. Int J Adolesc Youth. 2014;19(1):1-21.
30 Hjemdal O, Aune T, Reinfjell T, Stiles TC, Friborg O. Resilience as a predictor of depressive symptoms: A correlational study with young adolescents. Clin Child Psychol Psychiatry. 2007;12(1):91-104.
31 Rudasill KM, Callahan CM. Psychometric characteristics of the Harter self-perception profiles for adolescents and children for use with gifted populations. Gift Child Q. 2008;52(1):70-86.
32 Luszczynska A, Scholz U, Schwarzer R. The general self-efficacy scale: multicultural validation studies. J Psychol. 2005;139(5):439-57.
33 Traeen B, Wang CE. Perceived gender attribution, self-esteem, and general selfefficacy in female horseback riders. J Equine Vet Sci. 2006;26(10):439-44.
34 Klostermann F, Krugel LK, Ehlen F. Functional roles of the thalamus for language for language capacities. Front Syst Neurosci. 2013;16:7-32.
35 Mourão CA Jr, Melo LBR. Integração de três conceitos: função executiva, memória de trabalho e aprendizado. Psicol, Teor Pesqui. 2011;27(3):309-14.
36 Diamond A, Lee K. Interventions shown to aid executive function development in children 4 to 12 years old. Science. 2011;333(6045):959-64. http://doi.org/10.1126/science.1204529.
37 Melby-Lervåg M, Lyster SAH, Hulme C. Phonological skills and their role in learning to read: a meta-analytic review. Psychol Bull. 2012;138(2):322-52.
38 Martins-Reis VO, Pedroso DAA, Almeida LM, Pereira ES, Alves LM, Celeste LC. A fluência e compreensão leitora como indicador de desempenho no 3o ano do Ensino Fundamental. CoDAS. 2023;35(6):e20210251. PMid:37672411.
39 Seabra AG, Dias NM. Reconhecimento de palavras e compreensão de leitura : dissociação e habilidades linguístico-mnemônicas preditoras. Revista Neuropsicologia Latinoamericana. 2012;4(1):43-56.
40 Song S, Su M, Kang C, Liu H, Zhang Y, McBride-Chang C, et al. Tracing children’s vocabulary development from preschool through the school-age years: an 8-year longitudinal study. Dev Sci. 2015;18(1):119-31.
41 Dias NM, Bueno JOS, Pontes JM, Mecca TP. Linguagem oral e escrita na Educação Infantil: relação com variáveis ambientais. Psicol Esc Educ. 2019;23:e178467.
42 Zequinão MA, Cardoso AA, Silva JL, Medeiros P, Silva MAL, Pereira B, et al. Academic performance and bullying in socially vulnerable students. J Hum Growth Dev. 2017;27(1):19-27.
43 Prestes DB, Weiss S, Araujo JCO. A equoterapia no desenvolvimento motor e autopercepção de escolares com dificuldade de aprendizagem. Ciências & Cognição. 2010;15(3):192-203.
44 Arrigo IV. Avaliação da conectividade efetiva cerebral da fluência verbal semântica de ressonância magnética [dissertação]. Ribeirão Preto: Universidade de São Paulo, Faculdade de Filosofia, Ciências e Letras de Ribeirão Preto; 2020
45 Medeiros M, Dias E. Equoterapia: bases e fundamentos. Rio de Janeiro: Revinter; 2002.
46 Uchiyama H, Ohtani N, Ohta M. Three-dimensional analysis of horse and human gaits in therapeutic riding. Appl Anim Behav Sci. 2011;135(4):271-6.
47 Barbosa GO, van Munster MA. O efeito de um programa de equoterapia no desenvolvimento psicomotor de crianças com indicativos de transtorno de deficit de atenção e hiperatividade. Rev Bras Educ Espec. 2014;20(1):69-84.
48 Jang B, Song J, Kim J, Kim S, Lee J, Shin H-Y, et al. Equine-assisted activities and therapy for treating children with attention-deficit/hyperactivity disorder. J Altern Complement Med. 2015;21(9):546-53.
49 Oh Y, Joung Y-S, Jang B, Yoo JH, Song J, Kim J, et al. Efficacy of hippotherapy versus pharmacotherapy in attention-deficit/hyperactivity disorder: a randomized clinical trial. J Altern Complement Med. 2018;24(5):463-71.
50 Trotter KS, Chandler CK, Goodwin-Bond D, Casey J. A comparative study of the efficacy of group equine assisted counseling with at-risk children and adolescents. J Creativity Ment Health. 2008;3(3):1-42. http://doi.org/10.1080/15401380802356880.
51 Elias LCS, Amaral MV. Habilidades Sociais, Comportamentos e Desempenho Acadêmico em escolares antes e após intervenção. Psico-USF. 2016;21(1):49-61.
52 Holmes CMP, Goodwin D, Redhead ES, Goymour KL. The benefits of equine-assisted: an exploratory study. Child Adolesc Social Work J. 2012;29:111-22.
53 Wilkie KD, Germain S, Theule J. Evaluating the efficacy of equine therapy among at-risk youth: a meta-analysis. Anthrozoos. 2016;29(3):377-93.
54 Alfonso SV, Alfonso LA, Llabre MM, Fernandez MI. Project Stride: an equine-assisted intervention to reduce symptoms of social anxiety in young women. Explore (NY). 2015;11(6):461-7.
55 Galvão TF, Pereira MG. Avaliação da qualidade da evidência de revisões sistemáticas. Epidemiol Serv Saude. 2015;24(1):173-5.
56 Pendry P, Smith NA, Roeter SM. Randomized trial examines effects of equine facilitated learning on adolescent’s basal cortisol levels. Hum Anim Interact Bull. 2014;2(1):80-95.
57 Miranda VSG, Marcolino MAZ, Rech RS, Barbosa LR, Fischer GB. Fonoaudiologia baseada em evidências: o papel das revisões sistemáticas. CoDAS. 2019;31(2):e20180167.
58 Silva JRA, Lima FG, Silva CS, Ribeiro ACS. Effects of equotherapy on balance, spasticity and body symmetry of children with cerebral palsy: systematic review. Arch Health Sci. 2022;29(1):31-5.
59 Lopes J, Camilo AO, Nascimento DK, Mattos GP, Stockler GA, Mazur TB, et al. Effectiveness of hippotherapy in autism spectrum disorder approach: a systematic review of clinical trials. Braz J Health Rev. 2021;4(6):27627-41.
Submitted date:
30/03/2024
Accepted date:
14/10/2024
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