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[{"key": "dc.contributor.advisor", "value": "Munukka, Matti", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.advisor", "value": "Holopainen, Riikka", "language": null, "element": "contributor", "qualifier": "advisor", "schema": "dc"}, {"key": "dc.contributor.author", "value": "Lukkaroinen, Anne-Mari", "language": "", "element": "contributor", "qualifier": "author", "schema": "dc"}, {"key": "dc.date.accessioned", "value": "2024-01-08T07:08:50Z", "language": null, "element": "date", "qualifier": "accessioned", "schema": "dc"}, {"key": "dc.date.available", "value": "2024-01-08T07:08:50Z", "language": null, "element": "date", "qualifier": "available", "schema": "dc"}, {"key": "dc.date.issued", "value": "2023", "language": null, "element": "date", "qualifier": "issued", "schema": "dc"}, {"key": "dc.identifier.uri", "value": "https://jyx.jyu.fi/handle/123456789/92549", "language": null, "element": "identifier", "qualifier": "uri", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Hippotherapy is a form of rehabilitation that utilizes the movements produced by a horse to elicit sensory and motor responses. Hippotherapy is commonly used in the rehabilitation of neurological diseases and disorders, and in Finland it is eligible for reimbursement by the Social Insurance Institution of Finland (Kela). Hippotherapy is widely employed in the rehabilitation of individuals with multiple sclerosis (MS) due to its potential positive effects on walking, balance, and spasticity, as supported by research findings. The aim of this Master's thesis is to explore the experiences of individuals with MS regarding hippotherapy and to enhance understanding of the significance of these experiences. This qualitative study was conducted as an interview study, utilizing a hermeneutic phenomenological methodology. The research data was collected by interviewing six (n=6) individuals with MS their experiences with hippotherapy. The interviews were conducted as semi-structured interviews through the Zoom conferencing application. The transcribed data\nfrom the interviews was analyzed using the hermeneutic phenomenological analysis method known as Interpretative Phenomenological Analysis (IPA).\nThe results of the study revealed three overarching themes: factors influencing the accessibility of hippotherapy, psychological and physical effects of hippotherapy on wellbeing and meaningfulness of hippotherapy as a rehabilitation modality. Under these overarching themes, eight subthemes emerged. Applying for hippotherapy was perceived as challenging, and there was a negative atmosphere surrounding the application process. Additionally, those who received hippotherapy felt fortunate as it is a difficult-to-access form of therapy. The limited number of therapists offering hippotherapy and the resources they offer were also perceived as factors affecting accessibility. Hippotherapy was perceived to bring psychological and physical well-being, allowing individuals to escape from everyday concerns and thoughts related to reduced functional abilities. It provided nature experiences, increased a sense of empowerment, and its benefits extended to other aspects of life as well. The physical effects of hippotherapy were most notably observed in walking ability, balance, posture, and it also had perceived\nimpacts on improving spasticity and bladder control. Hippotherapy was considered a meaningful form of rehabilitation and a targeted treatment for the symptoms of MS, and according to the experiences of the interviewees, it cannot be replaced by other therapeutic methods. It was also perceived as a more effective form of rehabilitation, and when combined with physiotherapy, complements the rehabilitation process of individuals with MS. Therapy horses were experienced as meaningful and essential components of equine therapy, and the dimension brought by their living presence in therapy cannot be replaced by mechanical means. The results of this study contribute to the understanding of how individuals with MS perceive hippotherapy, and recognition significance of hippotherapy as a meaningful rehabilitation modality. The research results may be utilized in the development of the rehabilitation pathway for individuals with MS, as well as in improving the implementation and accessibility of hippotherapy.", "language": "en", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.abstract", "value": "Ratsastusterapia on kuntoutusmuoto, jossa kuntoutuja, hevonen ja ratsastusterapeutti pyrkiv\u00e4t yhdess\u00e4 terapian kautta saavuttamaan kuntoutujalle yksil\u00f6llisesti asetetut tavoitteet. Ratsastusterapiaa k\u00e4ytet\u00e4\u00e4n yleisesti neurologisten sairauksien ja h\u00e4iri\u00f6iden kuntoutuksessa, ja Suomessa se on Kela-korvattavaa kuntoutusta. Ratsastusterapiaa hy\u00f6dynnet\u00e4\u00e4n etenkin multippeliskleroosia (MS-tautia) sairastavien kuntoutuksessa, sill\u00e4 tutkimustiedon valossa ratsastusterapialla voidaan saada positiivisia vaikutuksia MS-tautia sairastavien k\u00e4velyyn, tasapainoon, uupumukseen, el\u00e4m\u00e4nlaatuun sek\u00e4 spastisuuteen. T\u00e4m\u00e4n pro gradu -tutkielman tarkoituksena oli kuvata, millaisia kokemuksia MS-tautia sairastavilla on ratsastusterapiasta, sek\u00e4 lis\u00e4t\u00e4 ymm\u00e4rryst\u00e4 tutkittavasta ilmi\u00f6st\u00e4 ja t\u00e4ydent\u00e4\u00e4 jo\nolemassa olevaa tutkimustietoa. Tutkielma toteutettiin haastattelututkimuksena hy\u00f6dynt\u00e4en fenomenologis-hermeneuttista tutkimusotetta. Tutkimusaineisto ker\u00e4ttiin haastattelemalla kuutta (n=6) MS-tautia sairastavaa henkil\u00f6\u00e4 heid\u00e4n kokemuksistaan ratsastusterapiasta. Haastattelut olivat noin yhden (1) tunnin mittaisia, ja ne toteutettiin puolistrukturoituina haastatteluina verkkov\u00e4litteisesti. Haastatteluista litteroitu aineisto analysoitiin fenomenologishermeneuttista analyysimenetelm\u00e4n IPA:n (Interpretative Phenomenological Analysis)\nmukaisesti. Tutkielman tuloksissa esiin nousi kolme kattoteemaa: ratsastusterapian saatavuuteen vaikuttavat tekij\u00e4t, ratsastusterapian koetut vaikutukset psyykkiseen ja fyysiseen hyvinvointiin sek\u00e4 ratsastusterapian merkityksellisyys kuntoutusmuotona. Kattoteemojen alle muodostui viel\u00e4 yhteens\u00e4 kahdeksan alateemaa. Tuloksissa ratsastusterapian saatavuus koettiin haasteellisena, ja sen hakemisen ymp\u00e4rill\u00e4 koettiin olevan negatiivinen ilmapiiri. Ratsastusterapiaa saaneet kokivat olevansa onnekkaita, sill\u00e4 he ovat saaneet vaikeasti saatavaa\nterapiaa, ja ratsastusterapeuttien m\u00e4\u00e4r\u00e4 ja resurssit vaikuttivat saatavuuteen. Ratsastusterapian koettiin tuovan psyykkist\u00e4 ja fyysist\u00e4 hyvinvointia, jolloin ratsastusterapia mahdollisti irtautumisen arkihuolista sek\u00e4 heikentyneeseen toimintakykyyns\u00e4 liittyvist\u00e4 ajatuksista. Se mahdollisti luontokokemuksia, lis\u00e4si valtaistumisen tunnetta sek\u00e4 sen tuoma positiivisuus heijastui my\u00f6s muuhun el\u00e4m\u00e4\u00e4n. Ratsastusterapian fyysisi\u00e4 vaikutuksia koettiin eniten k\u00e4velykyvyn, tasapainon, vartalonhallinnan ja ryhdin osalta, sek\u00e4 vaikutuksia koettiin my\u00f6s\nspastisuuden ja rakon hallinnan kohentumisessa. Ratsastusterapia koettiin merkitykselliseksi kuntoutusmuodoksi, joka toimi t\u00e4sm\u00e4hoitona MS-taudin ilmeneviin oireisiin, eik\u00e4 sit\u00e4 ole haastateltavien kokemusten mukaan mahdollista korvata muilla terapiakeinoilla. Se koettiin my\u00f6s vaikuttavampana kuntoutusmuotona, jonka rinnalla fysioterapia tukee kuntoutusta, sek\u00e4 terapiahevoset koettiin merkityksellisiksi ja v\u00e4ltt\u00e4m\u00e4tt\u00f6miksi osaksi ratsastusterapiaa, eik\u00e4 niiden el\u00e4v\u00e4n olennon tuomaa ulottuvuutta terapiassa voi korvata mekaanisin keinoin. T\u00e4m\u00e4n tutkielman tulokset lis\u00e4\u00e4v\u00e4t ymm\u00e4rryst\u00e4 siit\u00e4, miten MS-tautia sairastavat kokevat ratsastusterapian, sek\u00e4 auttaa ymm\u00e4rt\u00e4m\u00e4\u00e4n ratsastusterapiaa merkityksellisen\u00e4 kuntoutusmuotona. Tutkimustuloksia voidaan hy\u00f6dynt\u00e4\u00e4 MS-tautia sairastavien kuntoutuspolun sek\u00e4 ratsastusterapian toteutuksen ja saatavuuden kehitt\u00e4misess\u00e4.", "language": "fi", "element": "description", "qualifier": "abstract", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Submitted by Paivi Vuorio (paelvuor@jyu.fi) on 2024-01-08T07:08:50Z\nNo. of bitstreams: 0", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.description.provenance", "value": "Made available in DSpace on 2024-01-08T07:08:50Z (GMT). No. of bitstreams: 0\n Previous issue date: 2023", "language": "en", "element": "description", "qualifier": "provenance", "schema": "dc"}, {"key": "dc.format.extent", "value": "97", "language": "", "element": "format", "qualifier": "extent", "schema": "dc"}, {"key": "dc.language.iso", "value": "fin", "language": null, "element": "language", "qualifier": "iso", "schema": "dc"}, {"key": "dc.rights", "value": "In Copyright", "language": "en", "element": "rights", "qualifier": null, "schema": "dc"}, {"key": "dc.title", "value": "\u2019'Se on semmoinen juttu, mit\u00e4 odottaa\u2019\u2019 : MS-tautia sairastavien kokemuksia ratsastusterapiasta", "language": "", "element": "title", "qualifier": null, "schema": "dc"}, {"key": "dc.type", "value": "master thesis", "language": null, "element": "type", "qualifier": null, "schema": "dc"}, {"key": "dc.identifier.urn", "value": "URN:NBN:fi:jyu-202401081052", "language": null, "element": "identifier", "qualifier": "urn", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Master\u2019s thesis", "language": "en", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.type.ontasot", "value": "Pro gradu -tutkielma", "language": "fi", "element": "type", "qualifier": "ontasot", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Faculty of Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.faculty", "value": "Liikuntatieteellinen tiedekunta", "language": "fi", "element": "contributor", "qualifier": "faculty", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Sport and Health Sciences", "language": "en", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.department", "value": "Liikunta- ja terveystieteet", "language": "fi", "element": "contributor", "qualifier": "department", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "University of Jyv\u00e4skyl\u00e4", "language": "en", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.contributor.organization", "value": "Jyv\u00e4skyl\u00e4n yliopisto", "language": "fi", "element": "contributor", "qualifier": "organization", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Physiotherapy", "language": "en", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "dc.subject.discipline", "value": "Fysioterapia", "language": "fi", "element": "subject", "qualifier": "discipline", "schema": "dc"}, {"key": "yvv.contractresearch.funding", "value": "0", "language": "", "element": "contractresearch", "qualifier": "funding", "schema": "yvv"}, {"key": "dc.type.coar", "value": "http://purl.org/coar/resource_type/c_bdcc", "language": null, "element": "type", "qualifier": "coar", "schema": "dc"}, {"key": "dc.rights.copyright", "value": "\u00a9 The Author(s)", "language": null, "element": "rights", "qualifier": "copyright", "schema": "dc"}, {"key": "dc.rights.accesslevel", "value": "openAccess", "language": null, "element": "rights", "qualifier": "accesslevel", "schema": "dc"}, {"key": "dc.type.publication", "value": "masterThesis", "language": null, "element": "type", "qualifier": "publication", "schema": "dc"}, {"key": "dc.subject.oppiainekoodi", "value": "50422", "language": null, "element": "subject", "qualifier": "oppiainekoodi", "schema": "dc"}, {"key": "dc.subject.yso", "value": "fenomenologia", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "MS-tauti", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "ratsastusterapia", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.subject.yso", "value": "kokemukset", "language": null, "element": "subject", "qualifier": "yso", "schema": "dc"}, {"key": "dc.rights.url", "value": "https://rightsstatements.org/page/InC/1.0/", "language": null, "element": "rights", "qualifier": "url", "schema": "dc"}]
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