20.500.12556/RUL-176413 Kratkoročna učinkovitost v ravnotežje usmerjene vadbe v kombinaciji s hipoterapijo na ravnotežje pri osebah z Downovim sindromom diplomsko delo Short term effectiveness of balance training combined with hippotherapy on balance in individuals with Down syndrome diploma work Uvod: Downov sindrom (DS) je genetska motnja, ki jo povzroča prisotnost dodatnega kromosoma 21 in vodi do razvojnih in motoričnih težav, zmanjšanega mišičnega tonusa ter slabše koordinacije. Osebe z DS se pogosto soočajo z omejenim ravnotežjem, kar povečuje tveganje za padce. Kombinacija v ravnotežje usmerjene vadbe in hipoterapije spodbuja propriocepcijo ter izboljšuje statično in dinamično ravnotežje. Namen: Namen diplomskega dela je bil z uporabo statistične analize funkcijskih testov ravnotežja ovrednotiti kratkoročne učinke balance-orientiranega fizioterapevtskega programa v kombinaciji s hipoterapijo na statične in dinamične vidike ravnotežja pri osebah z Downovim sindromom. Metode dela: V randomizirani nadzorovani raziskavi je sodelovalo 45 preiskovancev, ki smo jih naključno razvrstili po principu stratificirane randomizacije v dve raziskovalni skupini (R1: 1× tedensko hipoterapija, R2: 2× tedensko hipoterapija) in kontrolno skupino, da bi zagotovili homogenost skupin. Pred in po izvedbi raziskave so bili udeleženci vključeni v testiranje ravnotežja pod okriljem zdravstvenega programa FUNfitness Specialne olimpiade Slovenije. Oceno ravnotežja smo izvedli z Y testom in modificiranim mini BESTestom. Rezultati: Pred začetkom programa so bile skupine medsebojno primerljive (p > 0,05). Po intervenciji je R2 dosegla statistično značilno izboljšanje v vseh parametrih Y testa (p ? 0,001) in modificiranega mini BESTesta, R1 je pokazala izboljšave, vendar niso bile statistično značilne. Kontrolna skupina je napredovala le pri nekaterih nalogah. Večja pogostost hipoterapije je bila povezana z večjim napredkom v funkcionalnem ravnotežju. Razprava in zaključek: Kombinacija ravnotežne vadbe in hipoterapije učinkovito izboljšuje statično in dinamično ravnotežje pri osebah z Downovim sindromom. Rezultati poudarjajo pomembnost intenzivnosti terapije in nudijo dragocene podatke za klinično prakso ter nadaljnje visokokakovostne raziskave. Introduction: Down syndrome (DS) is a genetic disorder caused by the presence of an extra chromosome 21, leading to developmental and motor impairments, reduced muscle tone, and poorer coordination. Individuals with DS often experience limited balance, which increases their risk of falls. A combination of balance-focused exercise and hippotherapy promotes proprioception and improves both static and dynamic balance. Purpose: The aim of this thesis was to evaluate, using statistical analysis of functional balance tests, the short-term effects of a balance-oriented physiotherapy program combined with hippotherapy on the static and dynamic components of balance in individuals with Down syndrome. Methods: In a randomized controlled trial, 45 participants were included and randomly assigned, using the principle of stratified randomization, into two experimental groups (R1: hippotherapy once per week, R2: hippotherapy twice per week) and a control group, in order to ensure group homogeneity. Before and after the intervention, participants underwent balance testing as part of the FUNfitness health program of Special Olympics Slovenia. Balance was assessed using the Y Balance Test and the modified Mini-BESTest. Results: At baseline, the groups were comparable (p > 0.05). After the intervention, R2 demonstrated statistically significant improvements in all Y-Balance Test parameters (p ≤ 0.001) and the modified Mini-BESTest, while R1 showed improvements that were not statistically significant. The control group showed progress only in selected tasks. Greater frequency of hippotherapy was associated with more pronounced improvements in functional balance. Discussion and conclusion: The combination of balance-oriented exercise and hippotherapy effectively improves static and dynamic balance in individuals with Down syndrome. The results highlight the importance of therapy intensity and provide valuable data for clinical practice and future research. diplomska dela fizioterapija Downov sindrom ravnotežje hipoterapija Y test modificirani mini BESTest diploma theses physiotherapy Down syndrome balance hippotherapy Y-Balance Test modified Mini-BESTest true false false [M. Grujić] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2025-11-30 07:46:02 2025-11-30 07:46:14 2025-12-21 04:03:02 0000-00-00 00:00:00 2025 0 Ljubljana 0 Ljubljana 56 str., [11] str. pril. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 615.8 155129 259287555 57093.pdf 57093.pdf 1 999953C256D26DB80E5130B4B86498FC bd1ca3cbb0fb8f57bb5bc1af749c253495d00a526ae9f5635f8f868fa0fd6b78 e3dc8b22-cdb7-11f0-9328-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=222740 Zdravstvena fakulteta 0 0 0