20.500.12556/RUL-175954 Takojšnji učinki hipoterapije na ravnotežje oseb z Downovim sindromom magistrsko delo The immediate effects of hippotherapy on the balance of people with Down syndrome master thesis Uvod: Downov sindrom (DS) je genetska motnja, za katero sta značilna mišična hipotonija in slabše razvite posturalne strategije. Redna fizioterapevtska obravnava je ključna pri preprečevanju padcev in spodbujanju funkcijske neodvisnosti pri osebah z DS. Hipoterapija, ki izkorišča tri razsežnostno gibanje v kombinaciji s fizioterapevtskimi tehnikami, se uveljavlja kot dopolnilna tehnika, ki ugodno vpliva na ravnotežje otrok z razvojnimi motnjami. Namen: V magistrskem delu smo želeli oceniti takojšnji vpliv 30-minutne hipoterapije na ključne parametre statičnega ravnotežja pri osebah z DS. Metode dela: V kvantitativno eksperimentalno raziskavo je bilo vključenih 17 oseb z DS. Izvedli smo stabilometrijo pred in po 30-minutni hipoterapiji, pri čemer smo beležili gibanje središča pritiska v štirih senzoričnih pogojih (trda oz. mehka podlaga v kombinaciji z odprtimi oz. zaprtimi očmi). Podatke o povprečni hitrosti gibanja središča pritiska, dolžini poti središča pritiska (v x in y smeri) ter ploščini stabilograma (FAO, PCA) smo obdelali s parametričnimi oziroma neparametričnimi statističnimi testi (p ? 0,05). Rezultati: Najbolj enotno izboljšanje po hipoterapiji smo zaznali pri parametru povprečne hitrosti in poti v y smeri, kjer sta bila oba parametra statistično značilno nižja v vseh pogojih. Ploščina stabilograma, ocenjena s PCA, se je znižala v treh pogojih (razen pri najlažjem merjenem pogoju odprtih oči in trde podlage). Pot v x smeri se je po hipoterapiji statistično značilno zmanjšala le pri dveh zahtevnejših pogojih (mehka podlaga z odprtimi in zaprtimi očmi), medtem ko je bila ploščina stabilograma, ocenjena s FAO statistično značilno manjša le pri najtežjem pogoju (mehka podlaga, zaprte oči). Velikosti učinkov so bile večinoma srednje do velike, najizrazitejše v zahtevnejših pogojih. Razprava in zaključek: Rezultati nakazujejo, da hipoterapija vpliva na takojšnje izboljšanje nekaterih vidikov nadzora drže pri osebah z DS, še posebej v zahtevnejših senzoričnih pogojih, hkrati pa je lahko koristna kot del celostne fizioterapevtske obravnave oseb z DS za izboljšanje ravnotežja. Vpliv se ni izkazal kot enoten pri vseh stabilometričnih kazalnikih, kar poudarja potrebo po nadaljnjih raziskavah z večjim vzorcem, nadzorovano zasnovo in daljšim opazovalnim obdobjem, da bi lažje ocenili trajnost učinkov in njihove klinične implikacije. Introduction: Down syndrome (DS) is a genetic disorder characterized by muscle hypotonia and poorly developed postural strategies. Continuous physical therapy is therefore essential for preventing falls and fostering functional independence in individuals with DS. Hippotherapy, which utilizes three-dimensional movements in combination with physiotherapy techniques, is emerging as a complementary technique that has a beneficial effect on the balance of children with developmental disorders. Purpose: The purpose of this master's thesis was to assess the immediate impact of a single 30-minute hippotherapy session on static balance parameters in individuals with DS. Methods: In a quantitative experimental study with a pre-post design without a control group, 17 people with DS who met the inclusion criteria were included in the study. We performed stabilometry before and after 30 minutes of hippotherapy, recording the movement of the center of pressure under four sensory conditions (hard or soft surface combined with open or closed eyes). Data were analyzed using parametric and nonparametric statistical tests, depending on their distribution. Results: The most consistent improvement after hippotherapy was detected in the parameter of average velocity and path length in the y direction, both of which were statistically significantly lower in all conditions. The stabilogram area, assessed using PCA, decreased in three conditions (except in the easiest measured condition: eyes open, hard surface). The path length in the x direction decreased statistically significantly after hippotherapy only in two demanding conditions (soft surface with open and closed eyes), while the stabilogram area calculated with FAO was statistically significantly smaller only in the most difficult condition (soft surface, closed eyes). The effect sizes were mostly moderate to large, with the most pronounced effects observed under the more challenging conditions. Discussion and conclusion: The results suggest that hippotherapy has an immediate effect on improving certain aspects of postural control in individuals with DS, particularly under more demanding sensory conditions, and it may be beneficial as part of a comprehensive physiotherapy treatment for enhancing balance in individuals with DS. The effects were not uniform across all stabilometric indicators, highlighting the need for further research with a larger sample, controlled design and longer observation period to better assess the durability of the effects and their clinical implications. magistrska dela fizioterapija Downov sindrom hipoterapija ravnotežje posturalni nadzor stabilometrija master's theses physiotherapy Down syndrome hippotherapy balance postural control stabilometry true false false [S. Vatovec] Slovenski jezik Angleški jezik Magistrsko delo/naloga 2025-11-14 08:38:22 2025-11-14 08:38:30 2025-12-16 03:58:02 0000-00-00 00:00:00 2025 0 Ljubljana 0 Ljubljana 43 str., [9] str. pril. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 615.8 154940 257416963 57153.pdf 57153.pdf 1 58DBE61ECE5A04D631BFB1808F47A3DD 99128ca42a8baf9d080af502d9bb19a9efedbc11c7f2339d2b3da3b1c57ee717 93e29e36-c12c-11f0-9328-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=221931 Zdravstvena fakulteta 0 0 0