Kratkoročna učinkovitost razvojno nevrološke obravnave v kombinaciji s terapijo s pomočjo psa na ravnotežje otrok z razvojnimi motnjami : diplomsko delo

Pignar, Lara (author), Kovačič, Tine (mentor), Grapar Žargi, Tina (reviewer)

Uvod: Otroci z razvojnimi motnjami imajo pogosto težave z ravnotežjem, kar vpliva na njihovo gibanje in kakovost življenja. Za izboljšanje teh težav se uporabljajo tradicionalne terapije, kot je razvojno nevrološka obravnava, v zadnjem času pa se raziskuje tudi vpliv terapije s pomočjo psa, ki naj bi dodatno spodbujala otroke k sodelovanju pri terapiji. Pozitivni učinki se kažejo tudi v izboljšanju grobih gibalnih sposobnosti, fine motorike in telesne drže. Kljub pozitivnim učinkom, je ta oblika terapije pri nas redko uporabljena. Namen: Namen diplomskega dela je bil z retrospektivno analizo rezultatov funkcijskih testov ravnotežja preiskovancev z razvojnimi motnjami, ki so bili vključeni v pilotsko raziskavo z uporabo protokola randomizirane klinične raziskave, ovrednotiti kratkoročno učinkovitost razvojno nevrološke obravnave v kombinaciji s terapijo s pomočjo psa na ravnotežje preiskovancev. Metode dela: V retrospektivno analizo smo vključili rezultate testiranj 30 otrok z razvojnimi motnjami (cerebralna paraliza, Downov sindrom, motnja avtističnega spektra), ki so bili glede na protokol raziskave naključno razvrščeni v dve skupini. Kontrolna skupina je bila v obdobju 5 mesecev deležna samostojne razvojno nevrološke obravnave 2-krat tedensko po 60 minut, raziskovalna skupina pa je bila v enakem časovnem obdobju deležna razvojno nevrološke obravnave 2-krat tedensko po 60 minut v kombinaciji s terapijo s pomočjo psa 1-krat tedensko po 60 minut. Preiskovanci so bili pred in po izvedbi raziskave vključeni v testiranje ravnotežja, ki so ga sestavljali test tandemske stoje, test stoje na eni nogi z odprtimi in zaprtimi očmi, časovno merjeni test vstani in pojdi ter test funkcijskega dosega naprej in lateralno. Rezultati: Rezultati so pokazali statistično značilno izboljšanje ravnotežja pri raziskovalni skupini v primerjavi s kontrolno skupino. Razprava in zaključek: Na podlagi statistične analize rezultatov uporabljenih funkcijskih testov ugotavljamo, da je kombinacija razvojno nevrološke obravnave in terapije s pomočjo psa kratkoročno učinkovita metoda za izboljšanje ravnotežja pri otrocih z razvojnimi motnjami. Kombinirana terapija povečuje motivacijo in pripravljenost za sodelovanje, kar pripomore k učinkovitejšemu terapevtskemu procesu. Potrebne so še nadaljnje raziskave, ki bi uporabljale večji vzorec in ugotavljale dolgoročne učinke tovrstne terapije, saj bi z njimi omogočili potencialne izboljšave dopolnilnih terapevtskih pristopov v Sloveniji.

• Language: Slovenian
• Keywords: diplomska dela, fizioterapija, ravnotežje, terapija s pomočjo psa, razvojno nevrološka obravnava, otroci z razvojnimi motnjami
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [L. Pignar]
• Year: 2024
• Number of pages: 40 str., [2] str. pril.
• PID: 20.500.12556/RUL-164346
• UDC: 615.8
• COBISS.SI-ID: 212582915
• Publication date in RUL: 23.10.2024

Secondary language

• Language: English
• Title: Short-term effectiveness of neurodevelopmental treatment in combination with dog-assisted therapy on balance in children with developmental disorders : diploma work

Abstract

Introduction: Children with developmental disorders often experience balance issues, which affect the child's movement and quality of life. Conventional therapies, such as neurodevelopmental treatment, are most used to address these issues, and recently, the impact of dog-assisted therapy, which is believed to further encourage participation in therapy, has been explored. Positive effects are observed in the improvement of gross and fine motor skills and posture. Despite positive effects, this form of therapy is rarely used in our country. Purpose: The aim of this thesis was to evaluate the short-term effectiveness of neurodevelopmental treatment in combination with dog-assisted therapy on the balance of children with developmental disorders through a retrospective analysis of balance functional test results from the pilot study using a randomized clinical trial protocol. Methods: The retrospective analysis included test results from 30 children with developmental disorders (cerebral palsy, Down syndrome, autism spectrum disorder), who were randomly assigned to two groups according to the study protocol. The control group received standard neurodevelopmental treatment twice a week for 60 minutes over a period of 5 months, while the study group received the same treatment combined with dog-assisted therapy once a week for 60 minutes over the same time period. Results: The results showed a statistically significant improvement in balance in the study group compared to the control group. Discussion and conclusion: Based on the statistical analysis of the functional test results, we conclude that the combination of neurodevelopmental treatment and dog-assisted therapy is an effective short-term method for improving balance in children with developmental disorders. Combined therapy increases motivation and willingness to participate, contributing to a more effective therapeutic process. Further research using larger samples and determining long term effects of such therapy is needed to enable potential improvements in complementary therapeutic approaches in Slovenia.

• Keywords: diploma theses, physiotherapy, balance, dog-assisted therapy, neurodevelopmental treatment, children with developmental disorders