20.500.12556/ReVIS-11455 Vpliv telesne drže na pojavnost gastroezofagealne refluksne bolezni in pomen fizioterapevtske obravnave pregled literature diplomsko delo visokošolskega strokovnega študijskega programa prve bolonjske stopnje Fizioterapija Izhodišča: Prisotnost biomehanskih sprememb telesne drže v moderni sedeči družbi, znanih kot zgornji proksimalni križni sindrom, je povezana s pojavom gastroezofagealne refluksne bolezni (GERB). Simptomi vključujejo pekočo bolečino za prsnico, epigastrično bolečino, zgago, regurgitacije in otorinolaringološke težave. Zaradi kompresije živčnih poti n. vagusa in n. frenikusa v vratnem predelu so prizadete osnovne strukture antirefluksne bariere, kar oslabi spodnji ezofagealni sfinkter in mišični del diafragme. GERB je povezan tudi z anatomskimi anomalijami, neskladnostmi mišičnega tonusa in nesorazmerji med pritiski telesnih votlin. Dolgotrajna uporaba farmakoloških terapij povečuje tveganje za osteoporozo, kronično ledvično bolezen, srčna obolenja, gastrično hiperplazijo ter karcinome želodca, požiralnika, trebušne slinavke, danke in debelega črevesja. Metode: Teoretična izhodišča so bila pridobljena z metodo povzemanja in sistematično analizo že obstoječe literature. Empirični del temelji na sekundarni raziskavi, ki vključuje 26 strokovnih del. Ugotovitve smo primerjali z metodo komparacije in preko metode sinteze povezali teoretična izhodišča z ugotovitvami zastavljenih raziskovalnih vprašanj. Rezultate smo predstavili z diagramom PRISMA ter z uporabo načina tabeliranja. Rezultati: Respiratorna terapija preko diafragmalnega dihanja izboljšuje tonus mišičnih krakov lumbalnega dela trebušne prepone in zmanjšuje pogostost refluksa. Miofascialna manualna terapija neposredno vpliva na anatomske strukture antirefluksne pregrade, zmanjšuje hipertenzijo trebušne prepone in modulira hipersenzibilnost gastrointestinalnega trakta. Fizioterapevtske intervencije izboljšajo simptome GERB, kakovost življenja pacientov in zmanjšajo potrebo po farmakološki terapiji. Diskusija: Manualna in respiratorna fizioterapija predstavljata obetavni alternativni metodi zdravljenja GERB, saj sta se izkazali za učinkovit način zmanjševanja simptomov bolezni in izboljšanja kakovosti življenja pacientov. To kaže na možnost njune uporabe kot samostojne oblike ali kot dopolnilne terapije v kombinaciji z osnovnim medikamentoznim zdravljenjem obravnavane bolezni. Background: The presence of biomechanical postural changes in modern sedentary society, known as proximal upper crossed syndrome, is associated with the onset of gastroesophageal reflux disease (GERD). Symptoms include burning pain behind the sternum, epigastric pain, heartburn, regurgitation and otorhinolaryngological problems. Compression of the pathways of the vagus nerve and phrenicus nerve in the cervical region results in impairment of the underlying structures of the antireflux barrier, weakening the lower oesophageal sphincter and the muscular part of the diaphragm. GERD is also associated with anatomical anomalies, muscle tone irregularities and disproportions between the pressures of the body cavities. Long-term use of pharmacological therapies increases the risk of osteoporosis, chronic kidney disease, heart disease, gastric hyperplasia and various cancers of the stomach, oesophagus, pancreas, rectum and colon. Methods: The theoretical background was obtained through a synthesis method and a systematic analysis of existing literature. The empirical part is based on a secondary survey including 26 academic articles. The findings were compared using the method of comparison and, through the method of synthesis, the theoretical starting points were linked to the findings of the research questions. The results were presented using the PRISMA diagram and the use of a table method. Results: Respiratory therapy through diaphragmatic breathing improves the tone of the crural diaphragm and reduces the incidence of reflux. Myofascial manual therapy directly affects the anatomical structures of the antireflux barrier, reduces diaphragmatic hypertension and modulates hypersensitivity of gastrointestinal tract. Physiotherapeutic interventions improve GERD symptoms, patients' quality of life and reduce the need for pharmacological therapy. Discussion: Manual and respiratory physiotherapy are both promising alternative treatments for GERD, as they have been shown to be effective in reducing symptoms and improving quality of life for patients. This suggests that they could be used as stand-alone treatments or as complementary therapies in combination with basic medical treatment of the disease. gastroezofagealna refluksna bolezen manualna terapija diafragmalno dihanje spodnji ezofagealni sfinkter diafragma gastroesophageal reflux disease manual therapy diaphragmatic breathing lower esophageal sphincter diaphragm true false false M. Troha Slovenski jezik Angleški jezik Diplomsko delo/naloga 2025-02-20 09:24:44 2025-02-20 09:24:45 2025-02-21 03:08:12 0000-00-00 00:00:00 2024 0 Maribor 2024 Maribor [7] f., 62 str., [13] f. pril. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 616.329/.33-008.22(043.2) 226747651 DIP_Troha_Manca_2024.pdf DIP_Troha_Manca_2024.pdf 1 D45B52888DFBF5690AAA4B16BFB0102F ef577c21bdb2e3ec3380f7be35425fc37ece4f78531b2d69146d929744bb9378 30661cb7-ef64-11ef-9f1e-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=13156 Troha_Manca_dd_2024.pdf Troha_Manca_dd_2024.pdf 1 9C3D30FA99487B71BE101FD26744D68D d981a3efafa6ae4eb7755b025895e710d13a27a0a49010dcadc608981baa4e06 3e5d0eb3-ef64-11ef-9f1e-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=13158 Univerza Alma Mater Europaea 0 0 0