diplomsko delo
Jana Knavs (Author), Urška Puh (Reviewer), Darja Rugelj (Mentor), Tina Grapar Žargi (Co-mentor)

Abstract

Uvod: Hipoterapija kot terapevtsko sredstvo uporablja gibanje konja. Je fizioterapevtska in vzgojna metoda, ki uporablja konja v okviru interdisciplinarnega pristopa na področju zdravja, izobraževanja in v jahalne namene, cilj pa je psihosocialni razvoj ljudi z gibalnimi motnjami ali posebnimi potrebami. Koncept hipoterapije temelji na podobnostih v gibanju med človekom in konjem. Konj predstavlja dinamično podlago, zato je odlično terapevtsko orodje za izboljšanje ravnotežja, nadzora in moči trupa bolnikov. Namen: Namen diplomskega dela je pregledati rezultate raziskav o učinkovitosti hipoterapije pri pacientih po možganski kapi in pri multipli sklerozi. Metode dela: Metoda dela je pregled literature. Angleška literatura je bila iskana v podatkovnih bazah PubMed, PEDro in Cochrane library. Rezultati: Vključenih je bilo šest raziskav. Vse raziskave so vključevale eksperimentalno in kontrolno skupino. V treh raziskavah so preučevali učinke hipoterapije na hojo, ravnotežje in drugo pri osebah po možganski kapi, v treh pa učinke na osebe z multiplo sklerozo. Pri osebah z multiplo sklerozo je bilo po hipoterapiji opaziti pozitivne učinke na zmanjšanje časa koraka. Izboljšalo se je tudi ravnotežje in kakovost življenja. Zmanjšali sta se utrujenost in spastičnost. Pri osebah po možganski kapi se je po koncu hipoterapije povečala hitrost hoje, zmanjšala se je asimetrija dolžine koraka. Opaziti je pozitivne učinke na ravnotežje. Razprava in zaključek: Poleg raznolikosti intervencij se zdi smiselno v nadaljnjih raziskavah preučiti učinke hipoterapije na mišično moč, natančneje oceniti učinke na spastičnost, senzibiliteto in aktivnosti vsakodnevnega življenja ter povečati število vključenih preiskovancev. Iz pregleda literature lahko zaključimo, da je hipoterapija koristna komplementarna terapevtska metoda pri bolnikih po možganski kapi in z multiplo sklerozo, vendar so za trdnejše zaključke potrebne dodatne raziskave.

Keywords

diplomska dela;fizioterapija;hipoterapija;možganska kap;multipla skleroza;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [J. Knavs]
UDC: 615.8
COBISS: 5414763 Link will open in a new window
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Downloads: 761
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Other data

Secondary language: English
Secondary title: ǂThe ǂeffects of hypotherapy on gait and balance patients after stroke and multiple sclerosis - literature review
Secondary abstract: Introduction: Hypotherapy uses the movement of the horse. It is a physiotherapeutic and educational method that uses horse in the framework of an interdisciplinary approach in the field of health, education and riding purposes, aimed at the psychosocial development of people with motor disabilities or special needs. The concept of hypotherapy is based on the similarities in movement between man and horse. The horse represents a dynamic basis, which makes it an excellent therapeutic tool for improving the balance, control and strength of the patients trunk. Purpose: The purpose of this thesis is to examine the results of research on the effectiveness of hypotherapy on patients after stroke and with multiple sclerosis. Methods: The working method is a literature review. English literature has been searched using the PubMed, PEDro and Cochrane library databases. Results: : The review includes 6 studies. All studies included an experimental and control group. In three studies, the effect of hypotherapy on gait, balance and the like on people after stroke was studied, and in three, the impact on people with multiple sclerosis. People with multiple sclerosis, after hypotherapy had positive effects on the reduction of the step time. Balance and quality of life have also improved. Fatigue and spasticity have been reduced. People after stroke increased walking speed and the step length asymmetry was reduced in the end of hypotherapy. There are positive effects on balance. Discussion and conclusion: In addition to the variety of interventions, makes sense in further research to study the impact of hypotherapy on muscular strength, to assess the impact on spasticity, sensitivity, activities of daily living, and to increase the number of subjects involved. From the literature review, it can be concluded that hypotherapy is a useful complementary therapeutic method for patients after stroke and with multiple sclerosis, but for more solid conclusions, additional research is needed.
Secondary keywords: diploma theses;physiotherapy;hypotherapy;stroke;multiple sclerosis;
Type (COBISS): Bachelor thesis/paper
Study programme: 0
Embargo end date (OpenAIRE): 1970-01-01
Thesis comment: Univ. v Ljubljani, Zdravstvena fak., Oddelek za fizioterapijo
Pages: 31 str.
ID: 10918519