Hipoterapie v ergoterapii u dětí předškolního věku s neurovývojovými poruchami

• Thesis title in Czech: Hipoterapie v ergoterapii u dětí předškolního věku s neurovývojovými poruchami
• Thesis title in English: Hippotherapy in occupational therapy for preschool children with neurodevelopmental disorders
• Key words: hiporehabilitace; hipoterapie; neurovývojové poruchy; dětská mozková obrna; děti v předškolním věku
• English key words: equine assisted therapy; hippotherapy; neurodevelopmental disorders; cerebral palsy; preschool children
• Academic year of topic announcement: 2022/2023
• Thesis type: Bachelor's thesis
• Thesis language: čeština
• Department: Department of Rehabilitation Medicine First Faculty of Medicine Charles University and General University Hospital in Prague (11-00640)
• Supervisor: MUDr. Markéta Janatová, Ph.D.
• Author: hidden - assigned by the advisor
• Date of registration: 03.02.2023
• Date of assignment: 26.04.2024
• Date and time of defence: 10.06.2024 13:00
• Date of electronic submission: 29.04.2024
• Date of proceeded defence: 10.06.2024
• Course: Oral Defence of the Final Thesis (B01225)
• Opponents: Mgr. Marianna Kačeňáková

References

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Preliminary scope of work

Hiporehabilitace je rehabilitační metoda, která usiluje o zlepšení zdravotního stavu pacienta prostřednictvím jeho přímého kontaktu s koněm. Kůň je v této rehabilitační metodě hlavním nástrojem pro dosažení terapeutických cílů, který ovlivňuje nejen pohybový aparát pacienta, ale také jeho psychický stav. Pro děti s neurovývojovou poruchou může být vhodnou motivací pro správný pohyb a podporou jejich psychomotorického vývoje, který bývá u dětských pacientů s těmito poruchami často opožděný. Cílem bakalářské práce je zmapovat možnosti využití prvků hipoterapie v ergoterapeutické intervenci u dětí předškolního věku s neurovývojovými poruchami. Práce je rozdělena na teoretickou část a praktickou část. Teoretická část je věnována popisu a principům metody hiporehabilitace a jejího oboru hipoterapie ve fyzioterapii a ergoterapii (HTFE). Věnuje se ale také aktuálním problémům s ověřováním efektivity této metody a s její standardizací. Praktická část je zaměřena na tři vybrané dětské pacienty předškolního věku s dětskou mozkovou obrnou, která narušuje průběh jejich každodenního života. Pro tyto vybrané pacienty jsou popsány krátkodobé i dlouhodobé přínosy hipoterapeutických intervencí na základě stanovených cílů. Zatímco dlouhodobé cíle byly naplněny u všech tří pacientů, krátkodobé cíle se u jednoho z pacientů naplnit nepodařilo. Kromě oblastí zahrnutých ve stanovených cílech, byly pozorovány změny ve zdravotním stavu dětí i v dalších oblastech. Zjištěné výsledky poukazují na to, že tato metoda rehabilitace může být s výhodou použita pro zlepšení celkového zdravotního stavu dětí předškolního věku s neurovývojovou poruchou.

Preliminary scope of work in English

Hipporehabilitation is a rehabilitation method that aims to improve the health of the patient through direct contact with the horse. In this rehabilitation method, the horse is the main tool for achieving therapeutic goals, which affects not only the patient's locomotor systém but also his psychological state. For children with neurodevelopmental disorders, it can be a suitable motivation for proper movement and support for their psychomotor development, which is often delayed in pediatric patients with these disorders. The aim of the bachelor's thesis is to map the possibilities of using elements of hippotherapy in occupational therapy intervention for children of preschool age with neurodevelopmental disorders. The work is divided into a theoretical part and a practical part. The theoretical part is devoted to the description and principles of the hipporehabilitation method and its field of hippotherapy in physiotherapy and occupational therapy (HTFE). But it also deals with current problems with the verification of the effectiveness of this method and with its standardization. The practical part is focused on three selected children of preschool age with cerebral palsy, which disrupts the course of their daily lives. For these selected patients, the short-term and long-term benefits of hippotherapeutic interventions are described based on the established goals. While long-term goals were met in all three patients, short-term goals were not achieved for one of the patients. In addition to the pre-determined goal areas, changes in the health status of children were also observed in other areas. The obtained results indicate that this method of rehabilitation can be advantageously used to improve the overall health status of preschool children with neurodevelopmental disorders.