Darbe atlikta teorinė hipoterapijos sampratos, istorijos, pasaulinės reabilitacijos praktikoje atliktų tyrimų analizė. Supažindinama su hipnoterapijos metodo panaudojimo neįgaliesiems galimybėmis, raitelio ir žirgo tarpusavio sąveika. Iškelta hipotezė, kad žirgui judant, trimatėje erdvėje atliekami judesiai tuo pačiu metu sukelia atsakomuosius raitelio judesius, dėl ko lavėja kūno judesių funkcijos. Lavėjant kūno judesių funkcijoms, gerėja asmens psicho-emocinė būsena jojimo metu, dėl ko tobulėja jojimo įgūdžiai. Testavimo, kiekybinio stebėjimo ir kokybinio eksperimento (su kiekybiniais elementais) metodais atliktas tyrimas, kurio tikslas - gerinti vaikų, turinčių fizinių ir judėjimo sutrikimus, sutrikusias kūno judesių funkcijas, psicho-emocinę būseną ir mokyti jojimo įgūdžių, taikant hipoterapijos ir jojimo terapijos užsiėmimus. Atlikta statistinė (deskriptyvinė dažnių, vidurkių, Spearman‘o koreliacijos koeficiento) duomenų analizė. Tyrime dalyvavo šeši vaikai, turintys fizinių ir judėjimo sutrikimų (cerebrinis paralyžius, įgimta stuburo smegenų išvarža). Empirinėje dalyje nagrinėjami kūno judesių funkcijų, psicho-emocinės ir jojimo įgūdžių pokyčiai, taikant hipoterapijos ir jojimo terapijos užsiėmimus. Svarbiausios empirinio tyrimo išvados: 1. Tyrimo pradžioje kelta hipotezė apie žirgo trimatėje erdvėje sukeliamus atsakomuosius raitelio judesius pasitvirtino. Tyrimo rezultatai parodė, kad jojimo terapijos dėka pagerėjo tiriamųjų KJF. Pirmos tiriamosios KJF patobulėjo 1,3%... [toliau žr. visą tekstą] / The present work displays the fields of horse usage in rehabilitation and sozialization. An experiment where six children with physical and motion disorders (spina bifida and cerebral palsy) at age of 2.5 14 years took parts presented. duration of participation in the experiment of the investigated children varies from 3 months up to 2 years. After applying therapy of horse-riding, functions of body movements of children have improved, they have become more mobile. The hypothesis raised at the beginning of the research concerning responsive movements of a rider caused by a horse in a three-dimensional space was proved. The research results showed that due to horse-riding therapy functions of body movements of the investigated had improved. Data obtained during assessment and quantitative observation of funktions of body movements allows us drawing a conclusion that the higher funtions of body movements of the investigated child, the more stabile psycho-emotional state during horse-riding is. Assessment of functions of body movements and data obtained during quantitative observation allow us drawing the conclusion that the more functions of body movements are higher the faster the investigated master horse-riding skills. However, it was noticed that changes of horse-riding skills of the investigated were influenced by their age, psycho-emotional state, personal features, too. Data obtained during the experiment showed that change of horse-riding skills during horse-riding... [to full text] / In der vorliegenden Arbeit wurde eine theoretische Analyse des Hippotherapiebegriffs und der Hippotherapiegeschichte sowie der praktisch durchgeführten Untersuchungen gemacht. In der Arbeit wurde ebenfalls darauf eingegangen, wie man das Hyppotherapieverfahren für die physisch Behinderten anwenden kann, sowie besprochen, wie ein Reiter und ein Ross zusammenwirken. Es wurde eine Hypothese entworfen, dass beim Bewegen eines Rosses im dreidimensionalen Raum seine Bewegungen in demselben Moment entsprechende Bewegungen des Reiters hervorrufen, was die Funktionen der Körperbewegungen (KBF) verbessert. Indem sich die Funktionen der Körperbewegungen verbessern, wird der psycho-emotionale Zustand des Menschen auch besser, was zu besseren Reitfertigkeiten führt. Es wurde aufgrund der Teste, der quantitativen Beobachtung sowie des qualitativen Experiments (zusammen mit quantitativen Elementen) eine Untersuchung durchgeführt, deren Ziel war, den psycho-emotionalen Zustand der Kinder, die physische - und Bewegungsbehinderungen sowie beeinträchtigte Funktionen der Körperbewegungen haben, zu verbessern und Reitfertigkeiten mit Hilfe von Hippotherapie und Reittherapie einzubringen. Es wurde eine statistische Analyse der Dateien ausgeführt. An der Untersuchung haben sechs Kinder teilgenommen, die physische - und Bewegungsprobleme haben (Zerebralparalyse, angeborene Rückenmarkbruch). In dem empirischen... [der volle Text, siehe weiter]

Pasaulyje, jau seniai egzistuoja daugiau nei 100 hipoterapijos centrų, o Lietuvoje šis terapijos metodas net nėra įteisintas. Hipoterapiją, kaip alternatyvios terapijos rūšį būtų galima panaudoti siekiant fizinės, psichologinės, socialinės ir pedagoginės naudos sveikatos sutrikimų turintiems žmonėms. Labai svarbu išsiaiškinti Lietuvos žirgininkų požiūrį į hipoterapiją ir sužinoti kiek jų sutiktų būti šios terapijos komandos nariais. Teorinėje darbo dalyje apibendrinta hipoterapijos nauda žmogaus fizinei ir psichinei būklei, trumpai aptariama jos panaudojimo galimybės ir aprašyti pagrindiniai reikalavimai hipoterapijos vykdymui. Tyrimo objektas – žirgininkų požiūris. Tyrimo tikslas – ištirti Lietuvos žirgininkų požiūrį į dalyvavimą hipoterapijoje. Tyrimas atliktas žirgų konkūrų varžybose, jojimo sporto klube „Miražas“. Duomenys buvo renkami taikant apklausą raštu. Tyrimo instrumentas – anketa. Apklausoje dalyvavo 30 respondentų. / All over the world there exist more than 100 hippotherapy centres for a long time, and in Lithuania this therapeutic method is not even validated. Hippotherapy as an alternative kind of therapy could be used gaining physical, psychological, social, and pedagogical benefit in people with health disorders. It is very important to find out Lithuanian horse breeders’ approach to hippotherapy and learn how many of them would agree to become members of this therapy team. The theoretical part summarizes the hippotherapy benefits on a person’s physical and mental status, briefly discusses its usage possibilities and describes the main requirements for carrying out hippotherapy. The subject of the study – horse breedersapproach. The objective of the study is to investigatehorse-breeders approach to participation in hippotherapy.The study was carried out in the horse show jumping competitions, and in the riding sports club “Miražas”. The data were collected by written survey. 30 respondents participated in the survey.

Orientador: Antonio Guilherme Borges Neto / Dissertação (mestrado) - Universidade Estadual de Campinas, Faculdade de Ciências Médicas / Made available in DSpace on 2018-08-16T05:06:26Z (GMT). No. of bitstreams: 1 Beinotti_Fernanda_M.pdf: 9201808 bytes, checksum: d609b11e7e91baf9efe4ad77f7a31d67 (MD5) Previous issue date: 2010 / Resumo: O objetivo deste estudo foi avaliar a influência da Hipoterapia no treino de marcha em indivíduos hemiparético pós-AVC. O estudo constou de 20 indivíduos divididos em dois grupos (A e B), o grupo A realizou tratamento convencional e o grupo B, tratamento convencional e Hipoterapia, durante 16 semanas. Os pacientes foram avaliados pela Escala Modificada de Aswhorth, Escala de Fugl-Meyer, Escala de Equilíbrio de Berg, Escala de Deambulação Funcional, a Cadência e o Questionário genérico de Qualidade de Vida -SF36, no início e no final do tratamento. Nos resultados melhoras significativas foram observadas no grupo experimental incluindo melhora do tônus apenas dos flexores plantares (p=0,0268), comprometimento motor em membros inferiores (p= 0,004), o equilíbrio, em relação ao tempo (p= 0,007) e a independência na marcha apresentou uma tendência à significância (p = 0.0519). A cadência e a velocidade não apresentaram relevância estatística em ambos os grupos (p = 0,69 e 0,44). Em relação à qualidade de vida, no total da pontuação da escala, houve significância entre os grupos. O experimental melhorou significativamente (p=0,007), já o controle não (p-valor= 0,80). Nos itens Capacidade Funcional, Aspectos Físicos e Saúde Mental houve diferença entre os grupos (p= 0,0273; 0,0156 e 0,0410). No grupo experimental houve melhora significativa nos Aspectos Físicos (p= 0,0019), no item Saúde Mental houve uma tendência a significância (p=0,0619) e na Capacidade Funcional não existiu melhora (p= 0,08). No controle não houve melhora significativa na Capacidade Funcional (p= 0,1828) e nos Aspectos Físicos e Saúde Mental houve piora, porém sem significância (p= 0,3078 e 0,4297). Os domínios, Dor, Estado Geral de Saúde, Vitalidade, Aspectos Sociais e Limitação por Aspecto Emocional não apresentaram melhoras significativas. Com os achados no estudo conclui-se, que a Hipoterapia associada à fisioterapia convencional mostrou ser um bom recurso para a melhora da marcha e da qualidade de vida dos indivíduos hemiparéticos / Abstract: the objective of this study was to evaluate the influence of Hippotherapy in gait training in post-stroke hemiparetic individuals. The study consisted of 20 individuals divided into two groups (A and B). Group A performed a conventional treatment, and group B a conventional treatment along with Hippotherapy, during 16 weeks. The patients were evaluated by the Modified Scale of Aswhorth, Fugl-Meyer Scale, only the lower limbs and balance sub items, Balance Scale of Berg, Functional Ambulation Category Scale, Cadence and the Medical Outcomes Study 36-item Short-Form Health Survey - SF-36, in the beginning and end of treatment. In the results, significant improvements were observed in the experimental group including spasticity improvement, only in the plantar flexors (p=0,0268), motor impairment in lower limbs (p = 0.004), balance, over time (p = 0.007), the gait independence showed a significant trend over time (p = 0.0519). The cadence and speed were not significantly in both groups (p = 0.69 and 0.44). As to life quality, there was significance between groups in scale score total. The experimental group improved significantly (p=0.007), yet the control group not (p= 0.80). In the Functional Capacity, Physical Aspects and Mental Health item there was a difference between the groups (p= 0.0273; 0.0156 e 0.0410). In the experimental group there was a significant improvement in Physical Aspects (p= 0.0019), the Mental Health item showed a significant trend (p=0.0619) and Functional Capacity did not present significant improvements (p= 0.08). In the control group the Functional Capacity item did not show significant improvements (p= 0.1828) and Physical Aspects and Mental Health items presented worsening, but not significant (p= 0.3078 e 0.4297). The domains Pain, General Health State, Vitality, Social Aspects and Limitation by Emotional Aspect did not present significant improvements. With the findings of this study, it is possible to conclude that Hippotherapy associated to conventional physical therapy proved to be a good resource to improve gait and the quality of life of hemiparetic individuals / Mestrado / Ciencias Biomedicas / Mestre em Ciências Médicas

The purpose of this study is to provide an overview of the science' state of unconventional physical therapies, such as yoga therapy (YT) and equine-assisted therapy (EAT), in the treatment of the Autistic Spectrum Disorder (ASD) in children and young adolescents. The aim of this systematic review is to highlight the effects of unconventional physiotherapy in autism. Data from 12 randomized controlled trials (RCTs) were retrieved and analyzed to help with the making of this review. Physical, cognitive and social functions were measured in approximately 530 children and adolescents with autism, always partaking in either case or control group. Results indicate that the above mentioned therapies have an overall positive impact in the treatment of autism by reducing the stereotypical behaviors and increasing the cognitive and social functions. Participants vary from 4 to 16 years of age. There is still a gap of knowledge when it comes to all the direct effects and action mechanisms of such therapies in the lives of these children. Therefore a lot of space for further studies is present and also recommended. Future RCTs are needed to better refine treatment choices, in order to come up with new and better ways of dealing with such disorder. Keywords: physiotherapy; yoga therapy; horse riding therapy;...

Bakgrund: Hästunderstödd terapi, HUT, är en sedan länge existerande vårdform för allehanda besvär. Evidensen för HUT som vårdverktyg har framtill nyligen dock varit svag, men allt fler studier har visat att HUT är en effektiv träningsform för balans och gångförmåga hos barn och ungdomar med CP-skador, förmågor som är tätt förknippade med människors livskvalitet. En diagnos som är lik CP och ofta ger liknande symtom är stroke. Trots likheterna mellan stroke och CP finns inte alls samma mängd evidens för effekten av HUT vid stroke som vid CP. Samtidigt råder det brist på effektiv strokerehabilitering i vissa delar av Sverige. Det är därför av intresse att utvärdera huruvida HUT kan vara ännu ett verktyg att använda vid just strokerehabilitering. Syfte: Att systematiskt granska forskningen och gradera evidensen för effekten av HUT på balans, gångförmåga och livskvalitet hos patienter som tidigare drabbats av en stroke. Metod: Systematisk litteraturstudie av randomiserade kontrollerade studier Resultat: Åtta studier hittades och de visade en förbättrande effekt av HUT på de undersökta områdena. Fem av studierna var av tillräckligt hög kvalitet för att graderas via GRADEstud. Graderingen visade att evidensvärdet var mycket låg för effekt av HUT på gångförmåga, låg för effekt av HUT på livskvalitet, och måttligt hög för effekt av HUT på balans.  Konklusion: På grund av begränsat antal studier och begränsade mätmetoder i dem kan ingen fast slutats dras, mer forskning behövs för att svara på frågeställningarna. / Background: Horse-Assisted Therapy, HAT, has since a long time been used as a health-care-tool for an assorted group of problems. The evidence for HAT as a health-care-tool has until recently been weak, however an increasing number of studies has shown HAT to be an effective way to train balance and gait in children and youths with cerebral palsy, abilities that are closely linked to a persons quality of life. A diagnosis that is similar to CP and often gives similar symptoms is stroke. Despite the similarities between stroke and CP there is far less evidence for the effects of HAT on stroke than there is for that on CP. At the same time some parts of Sweden are lacking in0 ways to rehabilitation-train after a stroke, therefore it is of interest to evaluate whether HAT can be yet another tool to use in stroke-rehabilitation.  Purpose: To systematically review and evaluate the evidence for the effect of Horse-Assisted Therapy on balance, gait and quality of life in patients who earlier has suffered a stroke.  Result: Eight studies were found and showed that HAT has an enhancing effect on the examined values. Five studies were of high enough quality to be graded using GRADEstud. The evidence grading showed a very low evidence grade for the effect of HAT on gait, low for the effect on quality of life, and moderately high for the effect on balance.  Conclusion: Due to a limited number of studies, and limitations in the ways to measure the effect no conclusion can be drawn, more research is needed in order to answer the issues in question.

Thesis (MA)--Stellenbosch University, 2015 / ENGLISH ABSTRACT : The present research set out to explore parents‟ perceptions of therapeutic horseback riding as an activity for their children with multiple disabilities. It was designed to explore their vicarious experiences of the activity as well as their perceptions of their children‟s experiences of the activity. In order to achieve this, a semi-structured interview was set up with 12 parents whose children participate in therapeutic horseback riding at the South African Riding for the Disabled Association (SARDA) in Constantia, Cape Town. The children ranged in age from 6-17 years and had a range of disabilities including physical and intellectual disabilities. Upon completion of the interviews, the data was transcribed by the researcher and analysed using thematic analysis. Following thematic analysis, three themes emerged: the effects of therapeutic horseback riding on the children, parents‟ personal experiences of therapeutic horseback riding and SARDA, and parents‟ perceived reasons for the improvements in their children. These results are supported by results in existing literature. The results however also address a gap in the existing literature regarding parents‟ perceptions of therapeutic horseback riding and their children‟s experiences of the activity. Stellenbosch University https://scholar.sun.ac.za / AFRIKAANSE OPSOMMING : Die huidige navorsing het ten doel om ouers se persepsie ten opsigte van terapeutiese perdry as aktiwiteit vir hul kinders met verskillende vorms van gestremdheid te ondersoek. Daar is gepoog om sowel die ouers as die kinders se ondervinding van die aktiwiteit te bepaal. Ten einde die doelwit te bereik is semi-gestruktureerde onderhoude gereël met twaalf ouers wie se kinders aan die terapeutiese perdry by die South African Riding for the Disabled Association (SARDA) in Constantia, Kaapstad deelneem. Die kinders se ouderdomme het gewissel tussen 6 en 17 jaar en hulle het 'n verskeidenheid van gestremdhede gehad wat beide fisiese en intellektuele gestremdhede ingesluit het. Na afhandeling van die onderhoude, is die data opgeteken deur die navorser en verwerk deur gebruik te maak van tematiese analise. Uit die tematiese analise het die volgende drie patrone duidelik geword: Die effek van terapeutiese perdry op die kinders, ouers se persoonlike ondervinding van terapeutiese perdry en SARDA en ouers se persepsie van die redes vir verbetering in hul kinders. Hierdie resultate word ondersteun deur bestaande literatuur. Die resultate vul ook „n gaping in bestaande literatuur aan ten opsigte van die ouers se persepsie van terapeutiese perdry en ook ouers en hul kinders se ervaring van die aktiwiteit.