20.500.12556/ReVIS-12500 Fizioterapevtska obravnava pacientov s stanjem protruzije disca intervertebralis ledvenega segmenta hrbtenice – pregled literature in prikaz primera diplomsko delo visokošolskega strokovnega študijskega programa prve bolonjske stopnje Fizioterapija Uvod: Bolečine v ledvenem delu hrbtenice predstavljajo enega izmed glavnih javno zdravstvenih problemov 21. stoletja. V povprečju prizadenejo 65–85% svetovnega prebivalstva, medtem, ko sama prevalenca trenda ne kaže nobenih znakov upada. V diplomskem delu smo želeli ugotoviti, kateri fizioterapevtski pristopi so najučinkovitejši pri obravnavi pacientov s protruzijo intervertebralnega diska ledvenega segmenta hrbtenice in predstaviti omenjeno patologijo s pomočjo prikaza primera pacienta. Metode: Uporabljene so bile metode povzemanja, opisovanja, kvalitativne analize dokumentov in komparacije. Diplomsko delo vključuje 7 študij, ki so obravnavale najučinkovitejše fizioterapevtske pristope pri zdravljenju pacientov s protruzijo intervertebralnega diska ledvenega segmenta hrbtenice. V sklopu prikaza primera smo z namenom postavitve fizioterapevtske ocene stanja uporabili ustrezen instrumentarij fizioterapevtskih testov in meritev. Rezultati: Proučevanje literature je pri obravnavi pacientov s protruzijo intervertebralnega diska ledvenega dela hrbtenice pokazalo visoko efektivnost fizioterapevtskih pristopov, kot so izvedba manualnih tehnik, fascialne manipulacije hrbtenice, vadbene terapije stabilizacijskih vaj lumbo-sakralnega predela, ter aplikacije fizikalnih dejavnikov, kot so radialni udarni valovi (rESWT) in visoko intenzivna laserska terapija (HILT). Razprava: Fizioterapevtski program obravnave pacientov s protruzijo intervertebralnega diska ledvenega dela hrbtenice, kljub raznim pristopom, sledi specifičnim smernicam, usmerjenim v zmanjševanje vnetne bolečine, tenzije mehkih tkiv, kompresijske sile medvretenčnih prostorov in zagotavljanje stabilnosti hrbtenice, s katero smo dokazano učinkovito dosegli izboljšanje končne funkcionalnosti in kakovosti življenja pacienta. To smo potrdili s prikazom primera, ki dokazuje učinkovitost kombinacije pristopov individualne obravnave fizioterapije, s katero smo dosegli dokazano izboljšanje. Introduction: Low back pain represents one of the major public health problems of the 21st century. On average, it affects 65–85% of the global population, with no signs of a declining trend in prevalence. In this thesis, we aimed to identify the most effective physiotherapy approaches for treating lumbar intervertebral disc protrusion and to present this pathology through a patient case study. Methods: Methods of summarization, description, qualitative document analysis, and comparison were used. The thesis includes 7 studies that investigated the most effective physiotherapy approaches for treating lumbar intervertebral disc protrusion. As part of the case study, appropriate physiotherapy testing and measurement tools were used to establish a physiotherapy assessment. Results: The literature review demonstrated high effectiveness of physiotherapy approaches for treating lumbar intervertebral disc protrusion, including manual therapy techniques, spinal fascial manipulation, stabilization exercise therapy for the lumbo-sacral region, and the application of physical agents such as radial extracorporeal shockwave therapy (rESWT) and high-intensity laser therapy (HILT). Discussion: The physiotherapy program for treating lumbar intervertebral disc protrusion, despite various approaches, follows specific guidelines aimed at reducing inflammatory pain, soft tissue tension, compressive forces in intervertebral spaces, and ensuring spinal stability. These approaches have been proven effective in improving the patient’s functional outcomes and quality of life. This was confirmed through the case study, which demonstrates the effectiveness of combined individualized physiotherapy approaches, resulting in proven improvement. fizioterapija ledveni segment protruzija intervertebralnega diska bolečina v križu physiotherapy lumbar segment intervertebral disc protrusion lower back pain true false false J. M. Pečnik Slovenski jezik Angleški jezik Diplomsko delo/naloga 2025-10-27 13:55:34 2025-10-27 13:55:34 2025-10-28 03:33:13 0000-00-00 00:00:00 2025 0 Maribor 2025 Maribor 50 str., [3] f. pril. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 615.82:616.711(043.2) 254907139 https://d.cobiss.net/repository/si/files/254907139/166044/Pe%C4%8Dnik_Jan_Mark_dd_2025.pdf 1 3abec730-b334-11f0-9bb7-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=14649 Pecnik_Jan_Mark_dd_2025.pdf Pecnik_Jan_Mark_dd_2025.pdf 1 B48B6DAA3D2117E3230360B4D62AE1FF a3f2f4c1d463a72e4d6ce3157ac80d0fffc9b4576ec0359d24d02b6e9d4bfed4 43c7b7e1-b334-11f0-9bb7-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=14650 Univerza Alma Mater Europaea 0 0 0