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Title:Učinkovitost fizioterapevtske obravnave pacienta z utesnitvenim sindromom ramenskega sklepa
Authors:ID Kobilca, Taja (Author)
ID Pavlič Založnik, Simona (Mentor) More about this mentor... New window
Files:.pdf 1278$$diplomska_naloga_taja_kobilca.pdf (1,15 MB)
MD5: 3C695A78E1487C69175A67AF6B6FB509
 
Language:Slovenian
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:FIZIOTERAPEVTIKA - PHYSIOTHERAPEUTICA
Abstract:Bolečina v rami je ena izmed najpogostejših težav mišično-skeletnega sistema. Mednje spada tudi utesnitveni sindrom, ki predstavlja tretjino vseh bolečin v rami. Vzrokov za njegov nastanek je več. Najpogostejši razlog za bolečino in utesnitev ramenskega sklepa je tetiva mišice supraspinatus, ki poteka pod korakoakromialnim lokom. Zaradi zmanjšanja subakromialnega prostora pride do trenja. Za pojav utesnitve so bolj dovzetni atleti, ki se ukvarjajo s športom nad glavo, kot so košarka, rokomet, odbojka, plavanje, in posamezniki, katerih delo zahteva veliko aktivnosti nad glavo. Značilni simptomi utesnitvenega sindroma so bolečina pri gibih nad višino glave, bolečina pri ležanju na prizadeti strani in bolečinski lok. Bolečinski lok se pojavi med 60 in 120 stopinjami abdukcije. Klinično diagnozo postavimo s pomočjo specialnih testov in anamneze. Za potrditev diagnoze se uporabi slikovna diagnostika. Zdravljenje se začne z zmanjševanjem bolečine, nadaljuje pridobivanje obsega gibljivosti in konča s povrnitvijo mišične moči, ki je usmerjena predvsem v mišično ravnovesje. Poznamo konzervativni in operativni način zdravljenja. Med konzervativne metode zdravljenja spadajo kinezioterapija, elektroterapija, manualna terapija, kineziotaping, akupunktura, injekcije kortizona ter nesteroidna proti vnetna zdravila. Pri analizi člankov smo ugotovili, da je kinezioterapija najpogostejša metoda zdravljenja, zato lahko rečemo, da je tudi najučinkovitejša. Zelo pogosta kombinacija zdravljenja utesnitvenega sindroma je kinezioterapija z manualno terapijo, ki prikazuje pozitivne učinke zdravljenja. Kinezioterapiji, ki predstavlja vitalni del rehabilitacije, se dodajata tudi elektroterapija in aplikacija kinezioloških trakov. Za takojšnje zmanjšanje bolečine se uporabljajo tudi nesteroidna protivnetna zdravila in injekcije kortikosteroidov. Izbiro fizioterapevtskih metod je treba prilagoditi posamezniku, njegovim vzrokom za pojav utesnitve in znanju fizioterapevta. Sestava fizioterapevtske obravnave je odvisna od strokovnega znanja, opreme in pripomočkov, ki jih ima fizioterapevt na razpolago. V primeru neučinkovitega konzervativnega zdravljenja se priporoča operativni poseg.
Keywords:utesnitveni sindrom, ramenski sklep, rehabilitacija, fizioterapija, konzervativno zdravljenje
Year of publishing:2022
PID:20.500.12556/ReVIS-8868 New window
COBISS.SI-ID:111014403 New window
Publication date in ReVIS:03.06.2022
Views:1964
Downloads:123
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Secondary language

Language:English
Title:The effectiveness of physiotherapeutic treatment in a patient with shoulder impingement syndrome
Abstract:Shoulder pain is one of the most common musculoskeletal problems. These include impingement syndrome, which represents one-third of all shoulder pain. There are several reasons for its occurrence. The most common cause of pain and tightness of the shoulder joint is the supraspinatus tendon, which runs below the coracoacromial arch. Due to the reduction of subacromial space, friction occurs. Athletes who play overhead sports, such as basketball, handball, volleyball, swimming, and individuals whose work requires a lot of overhead activity, are more susceptible to the occurrence of impingement syndrome. Typical symptoms of impingement are pain when moving above head height, pain when lying on the affected side, and a painful arc. The pain arc occurs between 60 and 120 degrees of abduction. The clinical diagnosis is made of special tests and anamnesis. Imaging diagnostics is used to confirm the diagnosis. Treatment begins with reducing pain, continues with incrising range of motion, and ends with regaining muscle strength, which is focused primarily on muscle balance. There are two types o reatment; the conservative and operative way of treatment. Conservative treatment methods include kinesiotherapy, electrotherapy, manual therapy, kinesiotaping, acupuncture, cortisone injections, and nonsteroidal anti-inflammatory drugs. After analyzing the articles, we found that kinesiotherapy is the most common method of treatment, so we can say that it is also the most effective. A very common combination of treatment for impingement syndrome is kinesiotherapy with manual therapy, which shows the positive effects of treatment. Electrotherapy and the application of kinesiology tapes are also added to kinesiotherapy, which is a vital part of rehabilitation. Nonsteroidal anti-inflammatory drugs and corticosteroid injections are also used to reduce pain immediately. The choice of physiotherapeutic methods must be adapted to the individual, his causes of impingement and the knowledge of the physiotherapist. The structure of physiotherapy treatment depends on the expertise, equipment and aids that the physiotherapist has at his disposal. In case of ineffective conservative treatment, surgery is recommended.
Keywords:impingement syndrome, shoulder joint, rehabilitation, physiotherapy, conservative treatment


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