Abstract:Today, there are great opportunities for students in high school to be able to combine their elite investment in sports with their studies in high school. This education is called NIU and RIG. In the Equestrian world we often talk about equestrian feel, it is a word that is often used in the training of riders. Equestrian feeling is a term that can be defined as a speechless communication between horse and rider (Game,2001).This master thesis in science of Education has as a study area to gain a greater understanding of how equestrian feeling fits into the subject of sports specialization and how students experience getting grades in riding. This study builds on Antonovsky (2005) theory about KASAM ‘’Feeling of context’’. and how the KASAM concept is seen in relation to equestrian feeling and students' experience of getting grades in sport- specialization Sports does not only influence the schools agenda through norms, cultures and unwritten rules - but also the grade assessment themselves in comparisons made between athlete and results within the sports specialization. (Ferry, 2014; Hedberg, 2014; Larneby, 2020).Students and teachers alike believe sports specialization as an education lacks clarity in its assessment criteria. This is evident in the students who seem unable to distinguish whether they are being judged on the basis of their performance or their personality. The results of this study shows that stronger guidelines from the school system, and sports federations are needed on how these assessments should be undertaken. For the moment the experience (shared by coaches, teachers and students) that grading is too fluid endures. The meaning of the term equestrian feeling, on the other hand, do not have a great impact on the assessment in the subject, according to the teachers who were interviewed.The students' experience of comprehensibility, manageability and meaningfulness become important components to take into account in the assessment in Sports Specialization. Their4sense of connection in the relationship, riding and school, is important for the student's elite commitment and further education.Keyword: Equestrian Sport, Equestrian feel, Nationally approved sports (NIU), Sport specialization

Bakgrund: Patellofemoral smärta (PFS) är vanligt förekommande hos idrottsaktiva barn och ungdomar vilket kan leda till långvariga besvär och till att barn slutar vara fysiskt aktiv. Individuell fysioterapeutisk behandling används ofta inom primärvården för att tackla detta problem. Syftet med denna studie var att undersöka vad individuell fysioterapeutisk behandling innebär och granska evidensen för detta samt relatera prevalensen av PFS relaterat till tidig sportspecialisering.   Metod: Systematisk litteraturstudie. Sökning gjordes i databaserna PubMed och PEDro. Evidensgradering bedömdes med PEDro, SBUs GRADE och modifierade GRADE. Åtta studier inkluderades i litteraturstudien. En studie undersökte prevalensen av PFS relaterat till tidig specialisering. Sex studier undersökte en multimodal behandling med biopsykosociala faktorer för förbättrad knäsmärta samt självupplevd funktion hos barn och unga både kort- och långsiktigt. En studie undersökte effekten av knä- och höft-träning med gummiband.    Resultat: En studie kom fram till att tidig specialisering ökar risken för PFS 1.5 gånger. Sex studier visade på goda effekter av multimodal behandling med biopsykosociala faktorer för knäsmärta samt självupplevd funktion hos barn och unga både kort- och långsiktigt, dock bedömdes den gemensamma evidensen som otillräcklig enligt GRADE. En studie med hög evidens visade att knä- och höft-träning med gummiband gav minskad knäsmärta samt ökad muskelstyrka.    Konklusion: Tidig specialisering medför en ökad risk för PFS, detta bör kliniker vara uppmärksamma på vid behandling. Behandling för PFS bör inte enbart fokusera på styrketräning för knä- och höft-muskulatur utan även involvera en patientutbildning kring biomekanik av strukturer runt knät och smärthantering samt modifiera de aktiviteter som medför smärta. / Background: Patellofemoral pain (PFP) is common in children and adolescents that are physically active, if untreated it may lead to persistent inconvenience and an abrupt end to adolescents involvement in sports. Individual physiotherapeutic treatment is commonly used in primary care to assess this problem. The purpose of this study was to investigate the concept individual physiotherapeutic treatment in PFP while assessing their evidence and to investigate the prevalence of PFP related to early sport specialisation.   Method: Systematic review. The search was conducted in databases PubMed and PEDro. Eight studier were included in the study. These studies were assessed to evidence quality according to PEDro-scale, SBUs regular- and modified GRADE. One study investigated the prevalence of PFS related to early sports specialization (ESS). Six studies investigated a multimodal treatment involving biopsychological factors. One study investigated the effect of knee- and hip-training with Theraband.    Results: Early sport specialization increased the risk for PFP 1.5 times. Six studies showed promising results on factors as knee pain and self-assessed function within the population using a multimodal treatment, the combined evidence was estimated as insufficient. One study with high evidence concluded that knee- and hip-training with Theraband decreased knee pain and increased muscle strength.    Conclusion: ESS is associated with an increased risk of developing PFP, this could be a factor that clinicians should be aware of when treating PFP. An intervention treating PFP should include musclestrenghtening and involve psycosocial factors, one method could be through patient education.