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Delovnoterapevtske intervencije pri otrocih s cerebralno paralizo v domačem okolju : diplomsko delo
ID Buh, Anja (Author), ID Gričar, Nevenka (Mentor) More about this mentor... This link opens in a new window, ID Šuc, Lea (Reviewer)

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Abstract
Uvod: Cerebralna paraliza je skupek trajnih motenj, ki vplivajo na razvoj gibanja in drže ter povzročijo omejitve pri izvajanju dejavnosti. Vzrok je nenapredujoča trajna okvara možganov, ki je nastala v razvijajočih plodovih ali dojenčkovih možganih. Pri DT obravnavi v domačem okolju otrok izvaja terapevtske aktivnosti skupaj z delovnim terapevtom, ob podpori staršev. Delovnoterapevtske intervencije v domačem okolju so lahko učinkovit dodatek k rednim obravnavam v rehabilitacijskih ustanovah. Predstavljajo edinstveno priložnost za neprestano izvajanje specifičnih dejavnosti v relevantnem kontekstu. Namen: Namen pregleda literature je preučiti, kaj je znanega o delovnoterapevtskih intervencijah v domačem okolju pri otrocih in mladostnikih s cerebralno paralizo. Metode dela: Naredili smo sistematičen pregled znanstvene in strokovne literature v angleškem in slovenskem jeziku. Iskanje virov je potekalo v podatkovnih bazah CINAHL, PubMed, Web of Sience in COBISS. V končno analizo je bilo vključenih 16 člankov. Rezultati: V tematski analizi so bile iz pregleda člankov oblikovane štiri glavne teme: vrste delovnoterapevtskih intervencij, učinkovitost delovnoterapevtskih intervencij v domačem okolju (podteme: z omejevanjem spodbujajoča terapija, virtualna terapija in trening soročnih aktivnosti) in izkušnje staršev ter izkušnje delovnih terapevtov. Razprava in zaključek: V pregledu literature smo ugotovili, da so najpogosteje uporabljene delovnoterapevtske intervencije za otroke s cerebralno paralizo: modificirana z omejevanjem spodbujajoča terapija ter z omejevanjem spodbujajoča terapija, virtualna resničnost, trening soročnih aktivnosti, vadba namenskih aktivnosti, vadba ožjih in širših dnevnih aktivnosti, aktivnosti za krepitev fine motorike, aktivnosti za povečanje aktivnega obsega giba, vodenje in usposabljanje staršev, konceptualni model kognitivni pristop k učenju izbranih aktivnosti ter terapija senzorne integracije in Bobath pristop. Obstajajo dokazi, ki potrjujejo učinkovitost delovnoterapevtskih intervencij v domačem okolju za otroke s cerebralno paralizo. Delovni terapevti si želijo predvsem več podpore s strani vodstva in standardizirane ocenjevalne inštrumente pri izvedbi delovnoterapevtske obravnave v domačem okolju, medtem ko pri starših raziskave zaznavajo povečano stopnjo stresa in pomanjkanje motivacije ter časa za redno izvajanje terapij z otrokom.

Language:Slovenian
Keywords:diplomska dela, delovna terapija, pregled literature, rehabilitacija, otroci s posebnimi potrebami, terapija na domu, CIMT, virtualna resničnost, vadba soročnih aktivnosti, izkušnje staršev, izkušnje delovnih terapevtov
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:[A. Buh]
Year:2024
Number of pages:30 str., [30] str. pril.
PID:20.500.12556/RUL-162851 This link opens in a new window
UDC:615.851
COBISS.SI-ID:209410819 This link opens in a new window
Publication date in RUL:28.09.2024
Views:120
Downloads:21
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Secondary language

Language:English
Title:Occupational therapy interventions for children with cerebral palsy in home environment : diploma work
Abstract:
Introduction: Cerebral palsy is a group of permanent disorders that affect the development of movement and posture, leading to activity limitations. It is caused by a non-progressive permanent brain injury that occured in the developing brains of fetuses or infants.During occupational therapy in the home environment, the child performs thearpeutic activities together with an occupational therapist, supported by the parent. Occupational therapy interventions in the home setting can be an effective supplement to regular treatments in rehabilitation facilities. They represent a unique opportunity for continuous implementation of specific activities in a relevant context. Purpose: The purpose of this literature review is to examine what is known about occupational therapy interventions in the home environment for children and adolescents with CP. Methods: A systematic review of scientific and professional literature in English and Slovenian language was conducted. Sources were searched in the bibliographics databases CINAHL, PubMed, Web of Sience and COBISS. Sixteen articles were included in the final analysis. Results: In the thematic analysis, 4 main topics were made from the review of articles: types of occupational therapy interventions, effectiveness of occupational therapy interventions in the home environment (sub-themes: Constraint-Induced Movement Therapy, virtual therapy and bimanual training) and experiences of parents and occupational therapists. Discussion and conclusion: The literature review found that the most commonly used occupational therapy interventions for children with cerebral palsy include: modified Constraint-Induced Movement Therapy and Constraint-Induced Movement Therapy, virtual reality, bimanual training, practice of goal oriented activities, performing activities of daily living, activities to strengthen fine motor skills, activities to increase active range of motion, coaching, conceptual model Cognitive Orientation to Daily Occupational Performance, sensory integration therapy and Bobath approach. Evidence supports the effectiveness of home-based occupational therapy interventions for children with cerebral palsy. Occupational therapists primarly seek more support from management and standardized assessment instruments when performing occupational therapy in the home environment, while research among parents indicates increased levels of stress and lack of motivation and time for regular therapy with their child.

Keywords:diploma theses, occupational therapy, literature review, rehabilitation, children with disabilities, home-based therapy, CIMT, virtual reality, bimanual training, parent experiences, OTs expreiences

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