Abstract | Kineziološke aktivnosti koje se koriste u radu s osobama s intelektualnim teškoćama (mentalnom retardacijom) u funkciji su medicinske i psihosocijalne rehabilitacije jer imaju terapijski učinak na opće psihofizičko zdravlje. Cilj ovog rada je planiranje, programiranje i provedba kineziterapijskog tretmana u trajanju od 6 tjedana kod osobe s intelektualnim teškoćama baziran na povećanje opsega pokreta u ramenom zglobu. U tretmanu je sudjelovala osoba s intelektualnim teškoćama, smještena u domu za osobe s posebnim potrebama. Planiranje i programiranje tretmana temeljilo se na analizi posture, raspona pokreta, manualnih mišićnih testova i funkcionalne pokretljivosti ispitanice. U skladu s dobivenim rezultatima tretman je provođen 4 do 5 puta tjedno, najčešće u trajanju od 45 minuta, a sastojao se od opuštanja mišića rollerom, vježbi mobilnosti, vježbi jačanja i istezanja mišića ramenog pojasa, uključujući i tehnike PNF istezanja, vježbi za uspostavu kinestetičke svjesnosti o pokretima kralježnice, vježbi stabilnosti, s posebnim naglaskom na jačanje mišića trupa pomoću tehnike abdominalnog disanja. Rezultati finalnih testiranja pokazuju kako su se uz povećanje raspona opsega pokreta, poboljšale i ispitaničine funkcionalne sposobnosti, kao i samo držanje tijela, a zabilježena su i poboljšanja u psihološkom statusu. Dobiveni rezultati, koje potvrđuju i dosadašnja istraživanja, upućuju na to da se uz sudjelovanje u odgovarajućem programu kineziterapije osoba s intelektualnim teškoćama osjeća zadovoljnije i ispunjenije te da ovakav tip terapije indirektno utječe i na sve osobe koje s njom imaju direktan ili indirektan kontakt. |
Abstract (english) | Kinesiotherapy treatment curriculum for persons with mental disabilities The kinesiological activities applied in the work with mentally challenged individuals have the purpose of medical and psychosocial rehabilitation because they have a therapeutic effect on the general psychophysical and well-being. The aim of this thesis is to plan, strategize and apply the kinesiotherapy treatments in the period of six weeks, for the person with mental disabilities, focusing on increasing the mobility of circular motions in the shoulders. One person with mental disability, residing in the special needs institution, was participating in the treatment as the subject. The planning of the curriculum was based on the posture analysis, the range of movement, manual muscle tests and functional mobility of the subject. According to the results, the treatment was carried out four to five times per week, with the duration of 45 min. The exercise contained muscle relaxation with a roller, mobility exercises, strength exercises, and stretching the shoulder area, including PNF stretching technique, exercises for achieving the kinesthetic awareness of spine movements, stability exercises, with special emphasis on strengthening the thoracic muscles by abdominal breathing technique. The final results show that with the increased range of movement, the subject improved her functional abilities, as well as the whole body posture, and there were noted improvements in her psychological state. The results, which confirm the current research, point to the fact that by participating in an appropriate kinesiotherapy program, a person with mental disability will feel more content and fulfilled, and that this type of therapy indirectly affects the other people with whom the participant has direct or indirect contact. |