Show document

A+ | A- | SLO | ENG

Title: USPEŠNOST ZDRAVLJENJA PETNEGA TRNA S POMOČJO UDARNIH VALOV Authors: Kolar, Aleš (Author) Pavlič Založnik, Simona (Mentor) More about this co-author... Language: Slovenian Work type: Bachelor thesis/paper Tipology: 2.11 - Undergraduate Thesis Organization: FIZIOTERAPEVTIKA - PHYSIOTHERAPEUTICA Abstract: Stopalo spada med mehansko najbolj obremenjene dele telesa. Sestavljeno je iz šestindvajsetih kosti, od tega je sedem tarzalnih. Petnica je od sedmih tarzalnih kosti najmočnejša in največja ter tvori prominenco pete. Petnica sestavlja glavni del skeleta stopala in zagotavlja posteriorni steber za stopalne loke. Stopalni loki omogočajo podporo telesu, nudijo zaščito za žile in živce. Vsako patološko stanje v stopalu je odraz nepravilnosti in neskladnosti telesnih struktur. Zelo pogosti vzrok bolečine v peti je trn v peti, ki predstavlja 15 % vseh težav, povezanih s stopali. Trn v peti je opisan kot koščeni izrastek, ki ga najdemo na calcaneusu anteriorno od medialnega tuberkla calcaneusa. Nekateri avtorji so mnenja, da se lahko trn v peti pojavi iz stopalnih mišic in ne iz plantarne fascije. Bolečina je največkrat prisotna na medialnem tuberklu kalkaneusa in na medialnem vzdolžnem loku. Za paciente je lahko zelo neprijetna in otežuje njihove vsakodnevne dejavnosti, včasih v tolikšni meri, da opustijo poklicno življenje. Obstaja več hipotez nastanka trna v peti. Domneva se tudi, da je povezan s plantarnim fascitisom, saj je prisoten pri 45–85 % pacientov s to diagnozo. Zdravljenje trna v peti naj bo usmerjeno v zdravljenje vnetja in zmanjšanja napetosti na plantarno fascijo. UGV so se izkazali za učinkovite pri zdravljenju težav bolečega trna v peti. V pregledanih raziskavah so bili uporabljeni FUGV in RUGV. RUGV delujejo na večjem območju zdravljenja in so bolj uporabni za površinske lezije, delovanje FUGV pa je bolj globinsko in usmerjeno na žariščno točko. Vseeno obe vrsti valov dajeta podobne klinične rezultate. Rezultati pregledanih raziskav so pokazali, da UGV učinkujejo protibolečinsko in zmanjšujejo znake vnetja. Znaki izboljšanja po uporabi terapije UGV so bili prisotni še štiriindvajset mesecev od zadnje prejete terapije. Keywords: udarni globinski valovi, trn v peti, bolečina v peti, fizioterapija. Year of publishing: 2020 COBISS_ID: 26302211  VisID: 1940 Views: 2940 Downloads: 188 Files:  490$$kolar_ales,_diplomsko_delo_koncna_verzija.pdf (1,29 MB)   Metadata:

Average score: (0 votes) Your score: Voting is allowed only for logged in users. Hover the mouse pointer over a document title to show the abstract or click on the title to get all document metadata.

Secondary language

Language:	English
Title:	THE SUCCESS OF TREATING THE HEEL SPUR WITH THE HELP OF SHOCK WAVES
Abstract:	The foot is one of the most heavily loaded parts of the body. It consists of 26 bones, seven of which are tarsal. The calcaneus is the strongest and largest of the seven tarsal bones and forms the prominence of the heel. The calcaneus forms the main part of the foot skeleton and provides a posterior column for the foot arches. Foot arches provide support to the body, provide protection for veins and nerves. Any pathological condition in the foot is a reflection of the irregularities and inconsistencies of the body structures. A very common cause of heel pain is a heel spur, which accounts for 15 % of all foot-related problems.The heel spur is described as a bony outgrowth found on the calcaneus anterior to the medial tubercle of calcaneus. Some authors believe that a heel spur may occur from the foot muscles and not from the plantar fascia. Pain is most often present on the medial tubercle of the calcaneus and on the medial longitudinal arch. It can be very uncomfortable for patients and make their day-to-day activities difficult, sometimes to the extent that they abandon their working lives. There are several hypotheses for the formation of a heel spur. It is also thought to be associated with plantar fascitis, as it is present in 45-85% of patients with plantar fascitis. The treatment of the heel spur should be aimed at treating inflammation and reducing tension on the plantar fascia. ESWT have proven effective in treating heel spur. fESWT and rESWT were used in the reviewed studies. rESWT operate over a larger area of treatment and are more useful for superficial lesions, and fESWT activity is more deep and focal point oriented, but both types of waves give similar clinical results. The results of the studies reviewed showed that they have an anti-pain effect and reduce the signs of inflammation. Signs of improvement after the use of ESWT therapy were present for 24 months from the last treatment received.
Keywords:	Extracorporeal shockwave therapy, heel spur, heel pain, physiotherapy

Back