20.500.12556/ReVIS-12214 Popolna ruptura m. supraspinatus primerjava konzervativnega in operativnega zdravljenja na obseg gibljivosti v ramenskem sklepu – pregled literature diplomsko delo visokošolskega strokovnega študijskega programa prve bolonjske stopnje Fizioterapija Uvod: M. supraspinatus je najpogosteje poškodovana mišica rotatorne manšete. Po mehanizmu nastanka je popolna ruptura m. supraspinatus lahko akutnega, akutno degenerativnega ali degenerativnega izvora. Akutne rupture v večini zdravimo operativno, medtem ko pri degenerativnih rupturah najprej poskusimo s konzervativno obravnavo. Namen: V diplomskem delu smo z analizo strokovne literature želeli ugotoviti, kateri pristop k zdravljenju popolne rupture m. supraspinatus, konzervativni ali operativni, je učinkovitejši pri povečanju obsega gibljivosti v ramenskem sklepu. Metode dela: Zbrane rezultate smo predstavili s pomočjo deskriptivne metode in metode komparacije rezultatov. Primerno literaturo smo iskali v podatkovnih zbirkah PubMed, Google Scholar, PEDro in ScienceDirect s ključnimi besedami: »m. supraspinatus full-thickness tear«, »surgical and non-surgical interventions«, »shoulder joint ROM«. V pregled smo vključili le raziskave tujih avtorjev, napisane med letoma 2015 in 2025. Rezultati: Po prvotnem iskanju v podatkovnih zbirkah smo dobili 785 zadetkov. S pomočjo PRIZMA diagrama smo v končni pregled vključili 11 raziskav. Razprava in zaključek: Po pregledu izbranih raziskav rezultati nakazujejo, da je operativni pristop učinkovitejši pri povečevanju obsega gibljivosti v ramenskem sklepu. Rezultati so neenotni, saj so v nekaterih primerih raziskovalci s konzervativnim pristopom dosegli primerljive ali celo boljše rezultate kakor po operativnem pristopu. Na podlagi zgoraj navedenih dejstev težko podamo sklep, kateri pristop je boljši. Ne glede na izbran pristop predstavlja fizioterapevtska obravnava temeljni del rehabilitacije. Treba bo dodatno raziskati standardizirane pristope zdravljenja in poenotiti merilna orodja, da bi lahko razvili najboljše strategije zdravljenja za posamezne paciente. Introduction: The m. supraspinatus is the most frequently injured muscle of the rotator cuff. Based on the mechanism of injury, a full-thickness rupture of the supraspinatus muscle can be of acute, acute-degenerative or degenerative origin. Acute ruptures are mostly treated surgically, whereas degenerative ruptures are initially managed conservatively. Aim: The aim of this paper was to determine, through an analysis of scientific literature, which treatment approach, conservative or surgical, is more effective in improving the range of motion (ROM) in the shoulder joint following a full-thickness rupture of the m. supraspinatus. Methods: The results were presented using descriptive and comparative methods. Relevant literature was searched in the PubMed, Google Scholar, PEDro and Science Direct databases, using the following keywords: »m. supraspinatus full-thickness tear«, »surgical and non-surgical interventions« and »shoulder joint ROM«. Only studies by foreign authors published between 2015 and 2025 were included in the review. Results: The initial search in the databases yielded 785 results. Using a PRISMA diagram, 11 studies were ultimately included in the review. Discussion and conclusion: After a review of the selected studies, the results suggest that the surgical approach is more effective in increasing the range of motion in the shoulder joint. However, the results are inconsistent, as in some cases, researchers using a conservative approach achieved comparable or even better outcomes than those following the surgical approach. Based on the facts mentioned above, it is difficult to draw a definitive conclusion as to which approach is superior. Regardless of the chosen method, physiotherapeutic treatment represents a fundamental part of rehabilitation. Given such varied results, further research is needed with standardized treatment protocols and uniform measurement methods, in order to develop the best treatment strategies for individual patients. popolna ruptura m. supraspinatus operativni pristop konzervativni pristop obseg gibljivosti v ramenskem sklepu full-thickness supraspinatus tear surgical approach conservative approach shoulder joint range of motion true false false R. Majcen Slovenski jezik Angleški jezik Diplomsko delo/naloga 2025-09-18 09:25:13 2025-09-18 09:25:14 2025-09-19 03:24:22 0000-00-00 00:00:00 2025 0 Maribor 2025 Maribor 51 str. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 615.82(043.2) 249393411 DIP_Majcen_Rok_2025.pdf DIP_Majcen_Rok_2025.pdf 1 290EE727C4C3F81466F8CEEF4DCE67C3 ce0ab52b8c9ceb0be1a352d536f48241c65823ee81d7e0c6984cd821701948f8 a816ad08-9460-11f0-9bb7-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=14243 Univerza Alma Mater Europaea 0 0 0