20.500.12556/RUL-159067 Kratkoročna učinkovitost hipoterapije na funkcijo ravnotežja pri otrocih s cerebralno paralizo - pregled literature diplomsko delo Short-term effects of hippotherapy on balance in children with cerebral palsy - literature review diploma work Uvod: Cerebralna paraliza je nenapredujoča, vendar spreminjajoča se motnja gibanja in drže. Motnje gibanja se lahko odražajo kot spastičnost, diskinezija, distonija, ataksija ali mešana oblika. Najpogostejša je spastična oblika, ki se kaže kot povečan mišični tonus, povečana izzivnost refleksov, tremor in škarjasta hoja. Otrokom s cerebralno paralizo slabša zaznava in šibkosti mišic otežuje opravljanje vsakodnevnih življenjskih dejavnosti in vpliva na njihovo ravnotežje. Hipoterapija se pri pacientih z nevrološkimi motnjami uporablja za izboljšanje nevroloških funkcij in senzoričnih procesov. Konj s svojim tridimenzionalnim gibanjem v eni minuti prenese na jahača od 90 do 110 tridimenzionalnih gibalnih impulzov. Ima ugodne učinke na nadzor drže, ravnotežje, koordinacijo, grobe gibalne funkcije in funkcijsko zmogljivost. Hipoterapijo izvaja fizioterapevt s specialnimi znanji. Namen: Namen diplomskega dela je na podlagi pregleda znanstvene in strokovne literature ugotoviti kratkoročno učinkovitost hipoterapije na ravnotežje pri otrocih s cerebralno paralizo. Metode dela: Literatura je bila iskana v podatkovnih bazah PubMed, PEDro in Science Direct. Pri iskanju smo uporabili sledeče ključne besede v angleškem jeziku in njihove kombinacije: hippotherapy, cerebral palsy in balance. Rezultati: Na podlagi vključitvenih in izključitvenih kriterijev je bilo v pregled literature vključenih šest raziskav, ki so bile objavljene med letoma 2012 in 2020. V raziskavah sta bila skupno vključena 302 preiskovanca. Programi hipoterapije so trajali različno dolgo, od najmanj 8 do največ 12 tednov, enkrat ali dvakrat na teden, od 15 do 45 minut. V štirih raziskavah je pri otrocih s cerebralno paralizo prišlo do ugodnega vpliva hipoterapije na ravnotežje v sedečem položaju. V dveh raziskavah so ugotovili koristne učinke na grobo gibalno funkcijo pri otrocih s cerebralno paralizo. Razprava in zaključek: Ugotovimo lahko, da so v večini raziskav poročali o statistično pomembnih učinkih hipoterapije na izboljšanje ravnotežja, drže in/ali grobo gibalno funkcijo. Kljub temu bi bilo smiselno hipoterapijo kombinirati še z drugimi terapijami. Potrebne bi bile nadaljnje raziskave, ki bi vključevale večje število udeležencev, enotne vključitvene in izključitvene kriterije, enotnejši program intervencije in poenoten način ocenjevanja ravnotežja. Introduction: Cerebral palsy is a non-progressive, yet changing movement and posture disorder. Movement disorders may manifest in spasticity, dyskinesia, dystonia, ataxia or their mixed forms. The most common form is spasticity, manifested in increased muscular tone, increased defiance of reflexes, tremor and scissor gait. Children with cerebral palsy experience impaired perception and muscle weakness, makes it difficult to perform daily life activities and affects their balance. Hippotherapy is used in patients with neurological disorders, with the intention to improve their neurological functions and sensory processes. With its three-dimensional movements, a horse can transfer onto the rider from 90 to 110 three-dimensional movement impulses in one minute. It has beneficial effects on posture control, balance, coordination, gross motor function and functional capability. Hippotherapy is performed by a physiotherapist with special qualifications. Purpose: The purpose of this paper is to determine, based on a recent literature overview, short-term effects of hippotherapy on balance in children with cerebral palsy. Methods: Literature was found in PubMed, Pedro, Science Direct and Google Scholar databases. The following English words and their combinations were used as search criteria: hippotherapy, cerebral palsy and balance. Results: Based on inclusion and exclusion factors, our literature overview included six studies published between 2012 and 2020. The studies comprised in total 302 subjects. The duration of hippotherapy programmes varied, i.e. from at least eight weeks to at most 12 weeks, once or twice a week, and lasted from 15 to 45 minutes. Four studies determined beneficial effects of hippotherapy on balance in children with cerebral palsy when seated. In addition, two studies determined beneficial effects on gross motor function in children with cerebral palsy. Discussion and conclusion: We were able to determine that most studies reported statistically significant effects of hippotherapy on balance, posture and/or the gross motor function. Nonetheless, it would be reasonable to combine hippotherapy with other therapy methods. Additional research would be required, involving greater subject samples, uniform inclusion and exclusion factors, a more uniform intervention programme and an evaluation method. diplomska dela fizioterapija hipoterapija cerebralna paraliza ravnotežje groba gibalna funkcija diploma theses physiotherapy hippotherapy cerebral palsy balance gross motor function true false false [E. Sever] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2024-06-29 07:45:42 2024-06-29 07:45:49 2024-07-10 03:33:17 0000-00-00 00:00:00 2024 0 Ljubljana 0 Ljubljana 28 str. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 615.8 132611 200194563 38370.pdf 38370.pdf 1 72EC658171C58C82F389F64B84292273 87d2108174e7d4eafbbe1afd2360eeb1ab4f09074365ffb6174a7c67e5d805ff d68dfd9b-35da-11ef-860e-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=186856 Zdravstvena fakulteta 0 0 0