20.500.12556/ReVIS-14365 Fizioterapevtska obravnava nestabilnosti ledvene hrbtenice – pregled literature diplomsko delo visokošolskega strokovnega študijskega programa prve bolonjske stopnje Fizioterapija Uvod: Bolečina v križu je pogosta zdravstvena težava, pri kateri ima lahko pomembno vlogo tudi nestabilnost ledvene hrbtenice. Namen diplomskega dela je bil preučiti, kateri fizioterapevtski pristopi so učinkoviti pri zmanjševanju bolečine v križu in pri restabilizaciji nestabilnega segmenta ledvene hrbtenice. Posebno pozornost smo namenili učinkom stabilizacijskih vaj ter vlogi predoperativne fizioterapevtske obravnave. Metode: Uporabili smo kvalitativni pristop s pregledom znanstvene in strokovne literature. Iskanje literature je potekalo v podatkovnih bazah PubMed, PEDro, ScienceDirect in Google Učenjak. Vključili smo članke v angleškem jeziku, objavljene med letoma 2015 in 2025, ki so obravnavali bolečino v križu, ledveno segmentalno oziroma klinično nestabilnost, fizioterapevtsko obravnavo, stabilizacijske vaje ter predoperativno fizioterapijo oziroma prehabilitacijo. V končni pregled literature smo vključili 27 virov. Rezultati: Pri obravnavi bolečine v križu in nestabilnosti ledvene hrbtenice imajo pomembno vlogo aktivni fizioterapevtski pristopi, zlasti stabilizacijske vaje, vadba motoričnega nadzora, pilates, vadba v zanki, aerobna vadba in multimodalni rehabilitacijski programi. Stabilizacijske vaje se izkazujejo kot učinkovit pristop za zmanjševanje bolečine, izboljšanje funkcionalne sposobnosti, povečanje mišične vzdržljivosti in izboljšanje nadzora gibanja. Ugotovitve kažejo tudi, da lahko predoperativna fizioterapevtska obravnava prispeva k zmanjšanju bolečine, izboljšanju funkcionalnega stanja ter boljši pripravi pacienta na operacijo. Razprava: Ugotavljamo, da je pri obravnavi nestabilnosti ledvene hrbtenice ključen individualno prilagojen in aktiven fizioterapevtski pristop. Za oblikovanje zanesljivejših strokovnih priporočil so potrebne dodatne visokokakovostne raziskave. Introduction: Low back pain is a common health problem in which lumbar spine instability may also play an important role. The aim of this bachelor’s thesis was to examine which physiotherapy approaches are effective in reducing low back pain and in restabilizing an unstable lumbar spinal segment. Particular attention was given to the effects of stabilization exercises and to the role of preoperative physiotherapy management. Methods: A qualitative approach based on a review of scientific and professional literature was used. The literature search was conducted in the databases PubMed, PEDro, ScienceDirect, and Google Scholar. Articles published in English between 2015 and 2025 were included if they addressed low back pain, lumbar segmental or clinical instability, physiotherapy management, stabilization exercises, and preoperative physiotherapy or prehabilitation. A total of 27 sources were included in the final literature review. Results: Active physiotherapy approaches play an important role in the management of low back pain and lumbar spine instability, particularly stabilization exercises, motor control training, Pilates, sling exercise, aerobic exercise, and multimodal rehabilitation programmes. Stabilization exercises appear to be an effective approach for reducing pain, improving functional ability, increasing muscular endurance, and enhancing movement control. The findings also indicate that preoperative physiotherapy management may contribute to pain reduction, improved functional status, and better preparation of the patient for surgery. Discussion: The findings suggest that an individually tailored and active physiotherapy approach is essential in the management of lumbar spine instability. Additional high-quality studies are needed in order to develop more reliable professional recommendations. bolečina v križu ledvena segmentalna nestabilnost fizioterapija stabilizacijske vaje prehabilitacija low back pain lumbar segmental instability physiotherapy stabilization exercises prehabilitation true false false U. Kuhar Slovenski jezik Angleški jezik Diplomsko delo/naloga 2026-07-31 15:52:15 2026-07-31 15:52:16 2026-08-01 03:07:12 0000-00-00 00:00:00 2026 0 Maribor 2026 Maribor 60 str. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 615.82:616.711(043.2) 286628099 Kuhar_Urban_dd_2026.pdf Kuhar_Urban_dd_2026.pdf 1 44087AA535B425160189913DB131996B 8879cb357f8fd5b71e7d9c4ec7a08978c6178f570fcd6d7fac1e31c8502eab2d 3480fe46-8ce7-11f1-8c31-001a4af901a5 https://revis.openscience.si/Dokument.php?lang=slv&id=17428 Univerza Alma Mater Europaea 0 0 0