20.500.12556/ReVIS-12484 RAZVOJ GROBIH MOTORIČNIH SPOSOBNOSTI PRI OTROCIH S CEREBRALNO PARALIZO IN VPLIV FIZIOTERAPEVTSKE OBRAVNAVE Development of gross motor skills in children with cerebral palsy and the impact of physiotherapeutic treatment Uvod in namen: Cerebralna paraliza (CP) je najpogostejša oblika gibalne oviranosti otrok. Fizioterapevtska obravnava igra ključno vlogo pri spodbujanju gibalnega razvoja, zlasti v zgodnjem obdobju, ko je plastičnost živčevja največja. Namen je oceniti učinkovitost različnih fizioterapevtskih metod in tehnik na izboljšanje grobe motorike ter oblikovati priporočila za fizioterapevtsko obravnavo otrok s CP. Metode: Uporabljena je bila deskriptivna metoda v obliki pregleda literature, objavljene med 2015 in 2025, v podatkovnih bazah PubMed, PEDro in Cochrane Library. Vključene so raziskave v angleškem jeziku, z vzorcem manjšim od 20 preiskovancev, ki obravnavajo otroke, stare do 18 let. Rezultati: Analiza 25 raziskav kaže, da individualizirana in kombinirana fizioterapevtska obravnava pomembno prispeva k izboljšanju grobih motoričnih sposobnosti otrok s CP. Ključni dejavniki ki vplivajo na učinkovitost so intenzivnost in trajanje obravnave, starost otroka in stopnja gibalne prizadetosti. Največji terapevtski učinek je viden pri funkcionalno-usmerjeni vadbi z visoko intenzivnostjo (30 do 45 minut, 3 do 5-krat tedensko) in trajanjem 8 do 12 tednov. Uporabnost: Rezultati zaključnega dela lahko služijo kot strokovna podlaga pri oblikovanju fizioterapevtske obravnave otrok s CP, glede na stopnjo prizadetosti in starost, kar prispeva k bolj ciljno usmerjeni in učinkoviti terapevtski praksi. Omejitve: Raziskave z majhnim vzorcem preiskovancev, heterogenost pristopov in pomanjkanje dolgoročnih spremljanj učinkov terapij. Introduction and purpose: Cerebral palsy (CP) is the most common motor disability in children. Early physiotherapeutic intervention plays a key role in promoting gross motor development, particularly in the early stages when neural plasticity is at its highest. The aim is to evaluate the effectiveness of physiotherapeutic methods and techniques in improving the gross motor skills of children with CP. Methods: A descriptive approach was employed through a literature review, examining studies published between 2015 and 2025 in the PubMed, PEDro, and Cochrane Library databases. Only English-language studies with fewer than 20 participants, focusing on children up to the age of 18, were included. Results: Analysis of 25 studies reveals that individualized and combined physiotherapy treatments significantly improve the gross motor skills of children with CP. The key factors affecting the effectiveness are the intensity and duration of treatment, the age of the child, and the degree of motor impairment.The most significant therapeutic benefits are observed in functionally oriented, high-intensity exercise (30 to 45 minutes, 3 to 5 times per week) for a duration of 8 to 12 weeks. Usability: The results of the final work provide a basis for developing individualized physiotherapy programmes, adapted to age and functional level, enhancing the precision and effectiveness of clinical practice. Limitations: The main limitations of the reviewed studies include small sample sizes, heterogeneity in therapeutic approaches, and a lack of long-term follow-up. Cerebralna paraliza groba motorika gibalni razvoj otroci fizioterapija. Cerebral palsy gross motor motor development children physiotherapy true false false Slovenski jezik Angleški jezik Diplomsko delo/naloga 2025-10-22 10:21:49 2025-10-22 10:21:49 2025-10-30 14:18:00 0000-00-00 00:00:00 2025 0 0 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 4644 255388419 2604$$tajda_spahic_diplomsko_delo.pdf 2604$$tajda_spahic_diplomsko_delo.pdf 1 5996C294AE9A56CF53D84CF0AABD89B0 a1faaf78f69303152709f108a3ccaa401f0dd6165e1aeb24d40a8dd5f10b6f4b 280f89c8-af20-11f0-9bb7-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=14624 Visokošolski zavod Fizioterapevtika 0 0 0