20.500.12556/RUL-190783 Vključevanje konja v terapijo pri osebah z multiplo sklerozo diplomsko delo Incorporating horses into therapy for people with multiple sclerosis diploma work Uvod: Multipla skleroza je kronična avtoimunska nevrološka bolezen osrednjega živčnega sistema, ki zaradi raznolikih simptomov, kot so: utrujenost, spastičnost in motnje ravnotežja, močno vpliva na posameznikovo samostojnost. Pri obravnavi oseb z multiplo sklerozo ima ključno vlogo delovni terapevt znotraj multidisciplinarnega tima. Kot alternativna oziroma dopolnilna metoda rehabilitacije se pri obvladovanju teh simptomov vedno bolj uveljavlja hipoterapija. Ta oblika nevroterapije izkorišča tridimenzionalno gibanje konja ter dokazano vpliva na izboljšanje motoričnih in senzoričnih funkcij uporabnika. Namen: Namen diplomskega dela je bil s pregledom literature raziskati učinke in značilnosti hipoterapije pri obravnavi oseb z multiplo sklerozo ne glede na strokovnega izvajalca terapije. Metode dela: Uporabljena je bila deskriptivna metoda dela, in sicer pregled znanstvene literature. Iskanje virov je potekalo v marcu 2026 v elektronskih podatkovnih bazah CINAHL Ultimate, PubMed in Web of Science. Vključeni so bili recenzirani članki v angleškem jeziku, objavljeni med letoma 2015 in 2026, ki so obravnavali uporabo terapije s konjem pri odraslih osebah z multiplo sklerozo. Po pregledu je bilo v končno analizo in sintezo vključenih deset člankov. Rezultati: Vključene študije kažejo, da ima vključevanje konja v obravnavo oseb z multiplo sklerozo pozitivne učinke na njihovo klinično sliko. Tovrstna intervencija bistveno izboljša statično in dinamično ravnotežje, zmanjša mišično spastičnost, ublaži bolečino in pomembno zmanjša občutek utrujenosti. Meritve kažejo opazen napredek pri hitrosti, dolžini in pri kakovosti hoje ter izboljšanje funkcionalne mobilnosti. Poleg fizičnih koristi uporabniki poročajo o izboljšanem psihološkem počutju, večji samoučinkovitosti in o višji splošni kakovosti življenja. Razprava in zaključek: Terapija s pomočjo konja, s poudarkom na hipoterapiji, se je izkazala za izjemno učinkovito dopolnilno metodo, ki jo je v rehabilitaciji treba jasno ločiti od terapevtskega jahanja. Z zmanjševanjem primarnih simptomov bolezni se neposredno krepi samostojnost uporabnikov pri vsakodnevnih aktivnostih. Kljub spodbudnim rezultatom pa v raziskavah ostajajo metodološke omejitve, kot so majhni vzorci. Prav tako je opazno izrazito pomanjkanje poglobljenih raziskav, ki bi natančneje preučevale neposredno povezanost in vlogo delovne terapije znotraj hipoterapevtskega procesa, kar nakazuje jasno potrebo po nadaljnjem raziskovanju. Introduction: Multiple sclerosis is a chronic autoimmune neurological disease of the central nervous system that significantly affects an individual’s independence due to a variety of symptoms, such as fatigue, spasticity, and balance disorders. Occupational therapists play a key role within a multidisciplinary team when treating individuals with multiple sclerosis. Hippotherapy is becoming increasingly established as an alternative or complementary rehabilitation method for managing these symptoms. This form of neurotherapy utilizes the three-dimensional movement of the horse and has been shown to improve the user’s motor and sensory functions. Purpose: The purpose of this thesis was to investigate, through a review of the literature, the effects and characteristics of hippotherapy in the treatment of individuals with multiple sclerosis, regardless of the professional providing the therapy. Methods: A descriptive research method was used, specifically a review of the scientific literature. The literature search was conducted in March 2026 in the electronic databases CINAHL Ultimate, PubMed, and Web of Science. The study included peer-reviewed articles in English, published between 2015 and 2026, that addressed the use of equine-assisted therapy in adults with multiple sclerosis. Following the review, ten articles were included in the final analysis and synthesis. Results: The included studies show that incorporating horses into the treatment of people with multiple sclerosis has positive effects on their clinical condition. This type of intervention significantly improves static and dynamic balance, reduces muscle spasticity, alleviates pain, and significantly reduces feelings of fatigue. Measurements show noticeable progress in walking speed, stride length, and gait quality, as well as improvements in functional mobility. In addition to the physical benefits, participants report improved psychological well-being, greater self-efficacy, and a higher overall quality of life. Discussion and Conclusion: Equine-assisted therapy, with an emphasis on hippotherapy, has proven to be an exceptionally effective complementary method that must be clearly distinguished from therapeutic riding in rehabilitation. By reducing the primary symptoms of the disease, the independence of participants in daily activities is directly enhanced. Despite these encouraging results, methodological limitations, such as small sample sizes, remain in the research. There is also a marked lack of in-depth studies that would examine in greater detail the direct relationship and role of occupational therapy within the hippotherapy process, indicating a clear need for further research. diplomska dela delovna terapija hipoterapija vsakodnevne aktivnosti diploma theses occupational therapy hippotherapy daily activities true false false [S. Kaliope] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2026-11-04 07:46:17 2026-11-04 07:46:28 2026-11-06 04:29:18 0000-00-00 00:00:00 2026 0 Ljubljana 0 Ljubljana IX, 34 str., [5] str. pril. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 615.851 171200 303829251 66185.pdf 66185.pdf 1 F87E8EFA1A21BD02CD263497B5385BF0 1d6580c6eabb2f2761ee227dd483529fa551605f733a32715282adbafc459d40 65051213-d81b-11f1-aea2-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=252419 Zdravstvena fakulteta 0 0 0