Vpliv osemtedenske hipoterapije na mišični tonus, gibljivost, hitrost hoje in premičnost pri pacientki s cerebralno paralizo - poročilo o primeru : diplomsko delo

Loverčič, Hana (avtor), Puh, Urška (mentor), Palma, Polona (komentor)

Uvod: Hipoterapija je ena izmed podpornih terapij za zdravljenje otrok s cerebralno paralizo, ki vključuje ritmično gibanje, mobilizacijo sklepov, spodbuja vzravnalne in ravnotežne reakcije ter simetrijo drže in gibanja in naj bi regulirala mišični tonus. Namen: Ugotoviti vpliv osemtedenske hipoterapije na mišični tonus in zmogljivost mišic spodnjih udov, hojo ter obseg gibljivosti v kolčnem in kolenskem sklepu pri pacientki s cerebralno paralizo. Metode dela: Enajstletna deklica z diagnozo cerebralna paraliza z razvojnim zaostankom in spastično diparezo je bila enkrat tedensko vključena v 30-minutno hipoterapevtsko obravnavo. V prvem delu smo pred začetkom ter po koncu 8 tednov trajajoče hipoterapevtske obravnave izmerili obseg pasivne gibljivosti v kolčnem in kolenskem sklepu, izvedli V-test dosega sede, L-test, test hoje na 10 metrov, test petkratnega vstajanja s stola ter ocenili mišični tonus spodnjih udov po Ashworthovi lestvici. Drugi del meritev je potekal pred in po vsaki hipoterapevtski obravnavi in je vključeval V-test dosega sede ter L-test. Rezultati: Največji napredek je bil opazen pri meritvah pasivnega obsega gibljivosti kolčnega in kolenskega sklepa, kjer je v večini smeri gibanja prišlo do normalizacije vrednosti pasivnega obsega giba. Do znatnega napredka je prišlo pri izvedbi testa hoje na 10 metrov (povprečno 0,14 m/s hitreje pri sproščeni hoji ter 0,3 m/s hitreje pri hitri hoji) in L-testa (povprečno 1,02 s manj po hipoterapiji). Razprava in sklep: Rezultati kažejo, da je osemtedenska hipoterapija pri deklici s cerebralno paralizo vplivala na povečanje obsega gibljivosti v kolčnem in kolenskem sklepu, izboljšanje hitrosti hoje ter premičnosti.

• Jezik: Slovenski jezik
• Ključne besede: hipoterapija, cerebralna paraliza, hoja, obseg gibljivosti, mišični tonus
• Vrsta gradiva: Diplomsko delo/naloga
• Organizacija: ZF - Zdravstvena fakulteta
• Leto izida: 2018
• PID: 20.500.12556/RUL-101323
• COBISS.SI-ID: 5435499
• Datum objave v RUL: 29.05.2018

LOVERČIČ, Hana, 2018, Vpliv osemtedenske hipoterapije na mišični tonus, gibljivost, hitrost hoje in premičnost pri pacientki s cerebralno paralizo - poročilo o primeru : diplomsko delo [na spletu]. Diplomsko delo. [Dostopano 11 april 2025]. Pridobljeno s: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=slv&id=101323

Sekundarni jezik

• Jezik: Angleški jezik
• Naslov: The effects of eight-week hippotherapy on muscle tone, range of motion, gait velocity and mobility of a patient with cerebral palsy - case report : diploma work

Izvleček

Introduction: Hippotherapy is one of the supportive therapies for the treatment of children with cerebral palsy, which includes rhythmic movement, mobilization of the joints, stimulation of the straightening and equilibrium reactions, symmetry of posture and movement and is supposed to regulate muscle tone. Purpose: The purpose was to determine the effects of 8-week hippotherapy on muscle tone and muscle performance of the lower limbs, walking and range of motion in the hip and knee joint of a patient with cerebral palsy. Methods: An 11-year-old girl diagnosed with cerebral palsy with developmental delay and spastic diparesis was included in a 30-minute hippotherapy once a week. In the first phase of the measurements, before and after 8 weeks of on-going hippotherapy, we used the following tests were used: the passive range of motion in the hip and knee joint, the V-sit reach flexibility test, the L-test, the 10-metre walk test, the 5 times sit to stand test and the assessment of the muscle tone of lower limbs according to the Ashworth scale. The second phase of the measurements took place immediately before and after each hippotherapy and included the V-sit reach flexibility test and the L-test. Results: The greatest progress can be seen in the measurements of the passive range of motion in the hip and knee joint, where the range of motion in almost all directions was normalized. Significant progress can be seen in the 10-metre walk test (average 0.14 m/s faster at relaxed walking and 0.3 m/s faster at fast walking). Discussion and conclusion: According to the results, we can assume that the 8-week hippotherapy influenced the improvement of the range of motion in the hip and knee joint, walking velocity and mobility of a girl with cerebral palsy.

• Ključne besede: hippotherapy, cerebral palsy, gait, range of motion, muscle tone