Učinkovitost fizioterapevtske obravnave pacientov z amiotrofično lateralno sklerozo
Uvod in namen: Amiotrofična lateralna skleroza (ALS) je najpogostejša oblika bolezni motoričnega nevrona, ki prizadene tako spodnji kot zgornji motorični nevron. Obravnava pacientovz ALS je kompleksna, multidisciplinarni tim pa lahko s simptomatskim zdravljenjem pozitivno vpliva na kakovost in podaljšanje življenja pacientov. Namen diplomske naloge je pregled literature o učinkovitosti fizioterapevtske obravnave pacienta z ALS. Poudariti želimo pomembno vlogo fizioterapije za izboljšanje pacientove samostojnosti in izkoriščanje polnega potenciala kljub kronični in hitro napredujoči bolezni. Metode: Sistematični pregled literature o učinkovitosti fizioterapije pri pacientih z ALS je zajemal podatkovne baze Google Scholar, PubMed, ScienceDirect, Cochrane library ter PEDro. Vključena literatura je obsegala obdobje objav med leti 2010 in 2021. Rezultati: Na podlagi 19 vključenih študij smo ugotovili, da nekatere tehnike kinezioterapije, respiratorne fizioterapije in protibolečinske terapije kažejo pozitiven vpliv na izboljšanje funkcije, zmanjšanje respiratorne disfunkcije, povečanje pacientove samostojnosti, izboljšanje kakovosti življenja in podaljšanje življenjske dobe pacientov z ALS. Uporabnost: Predstavitev nabora učinkovitih fizioterapevtskih metod in tehnik, primernih za obravnavo pacientov z ALS. Omejitve: Omejitvene dejavnike pripisujemo nenatančnemu in neenotnemu definiranju uporabljenih protokolov, majhnemu številu preiskovancev v študijah in njihovemu osipu.
Introduction and purpose: Amyotrophic lateral sclerosis (ALS) is the most common form of motor neuron disease, affecting both lower and upper motor neuron. Treatment of patients with ALS is complex and a multidisciplinary team can make a positive impact on the quality and prolongation of patients’ lives through symptomatic treatment. The aim of this thesis is to review the literature on the effectiveness of physiotherapeutic treatment in ALS patients. We want to emphasize the important role of physiotherapy in improving the patient's independence and exploiting their full potential despite a chronic and rapidly progressive disease. Methods: A systematic review of the literature on the effectiveness of physiotherapy in ALS patients was conducted using Google Scholar, PubMed, ScienceDirect, Cochrane library and PEDro databases. The literature included was published between 2010 and 2021. Results: Based on 19 included studies we have found that certain techniques of kinesiotherapy, respiratory physiotherapy and pain relief therapy show a positive effect on improving function, reducing respiratory dysfunction, increasing patient's independence, improving quality of life and prolonging the life expectancy of ALS patients. Usability: Presentation of a set of effective physiotherapeutic methods and techniques suitable for the treatment of ALS patients. Limitations: Limitations are attributed to imprecise and non-uniform definition of used protocols, small number of subjects and their drop-out.
2022
2022-07-06 18:16:01
1060
amiotrofična lateralna skleroza, fizioterapija, vadba, respiratorna terapija, bolečina.
amyotrophic lateral sclerosis, physiotherapy, exercise, respiratory therapy, pain.
mb11
Tina
Vintar
70
Gregor
Omejec
991
VisID
16
3194
COBISS_ID
3
116739843
1364$$als_vintar_tina_diploma_pdf.a.pdf
988814
Predstavitvena datoteka
2022-07-06 18:16:02