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Title:Fizioterapevtska obravnava akutnega lateralnega zvina gležnja: mirovanje ali zgodnja mobilizacija? : pregled literature
Authors:ID Jereb, Ema (Author)
ID Hernja Rumpf, Tadeja (Mentor) More about this mentor... New window
Files:URL https://d.cobiss.net/repository/si/files/256163331/166622/Jereb_Ema_dd_2025.pdf
 
.pdf Jereb_Ema_dd_2025.pdf (946,89 KB)
MD5: 96C1B683CAB0A0665D663C4647083DEF
 
Language:Slovenian
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:UAMEU - Alma Mater Europaea University
Abstract:Teoretična izhodišča: Gleženj povezuje distalni del golenice s stopalom. Predstavlja pomembno vlogo v lokomotornem sistemu človeka, saj sodeluje pri skoraj vsakem gibanju. Lateralni zvin gležnja predstavlja eno izmed najpogostejših poškodb spodnje ekstremitete. Povzroči lahko dolgotrajne posledice, kot sta zmanjšana gibljivost in nestabilnost gležnja. Ustrezen terapevtski pristop je zato ključen za uspešno rehabilitacijo. V akutni fazi se poslužujemo protokolov, ki zagovarjajo imobilizacijo in mirovanjeali zgodnjo mobilizacijo. Metoda: V diplomskem delu smo izvedli pregled literature. Uporabili smo kvalitativni raziskovalni pristop. Podatke smo iskali s pomočjo ključnih besed v bazi podatkov PubMed, PEDro, Science Direct, ProQuest, COBISS in Google scholar. Končni izbor člankov, ki smo jih vključili v raziskavo, smo naredili na podlagi vključitvenih kriterijev. Rezultati: V pregled literature smo vključili 12 raziskav, ki smo jih izbrali na podlagi vključitvenih kriterijev. Vse raziskave so obravnavale pristop rehabilitacije po akutnem lateralnem zvinu gležnja. Prav tako so vključevale vsaj eno komponento protokolov, ki zagovarjajo mirovanje, ali protokolov, ki zagovarjajo zgodnjo mobilizacijo. Razprava: Pri sistematičnem pregledu literature smo protokole, ki zagovarjajo mirovanje, primerjali s protokoli, ki zagovarjajo zgodnjo mobilizacijo po akutnem lateralnem zvinu gležnja. Ugotovili smo, da med protokoli ni bistvenih razlik pri zmanjšanju bolečine in povečanju gibljivosti. Ugotavljamo, da ima uspešno zmanjšanje bolečine v akutni fazi vpliv na hitrejše izboljšanje gibljivosti. Kot bolj učinkovit pristop k povečanju stabilnosti sklepa pa se je izkazal protokol z zgodnjo mobilizacijo, ki je pokazal tudi pozitivne učinke na dolgoročno funkcionalnost sklepa.
Keywords:zvin gležnja, PRICE protokol, akutna faza, zgodnja mobilizacija
Place of publishing:Maribor
Place of performance:Maribor
Publisher:E. Jereb
Year of publishing:2025
Year of performance:2025
Number of pages:38 str.
PID:20.500.12556/ReVIS-12534 New window
COBISS.SI-ID:256163331 New window
UDC:615.82:617.585(043.2)
Publication date in ReVIS:06.11.2025
Views:39
Downloads:0
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Secondary language

Language:English
Abstract:Theoretical Background: The ankle connects the distal part of the tibia with the foot. It plays an important role in the human locomotor system, as it participates in almost every movement. Lateral ankle sprain is one of the most common injuries of the lower extremity. It can cause long-term consequences, such as reduced mobility and ankle instability. An appropriate therapeutic approach is therefore crucial for successful rehabilitation. In the acute phase, treatment protocols either advocate immobilization and rest or early mobilization. Method: In this thesis, we conducted a literature review. A qualitative research approach was used. Data were searched using keywords in the databases PubMed, PEDro, Science Direct, ProQuest, COBISS, and Google Scholar. The final selection of articles included in the study was based on the following inclusion criteria. Results: A total of 12 studies were included in the literature review, selected according to the inclusion criteria. All studies addressed rehabilitation approaches after acute ankle sprain. They also included at least one component of either rest-based protocols or early mobilization protocols. Discussion: Through a systematic literature review, we compared protocols advocating rest with those supporting early mobilization in acute lateral ankle sprain. We found no significant differences between the protocols in reducing pain and improving range of motion. Wefound that successful pain reduction in the acute phase has an influenceon faster improvement of mobility. However, early mobilization proved to be a more effective approach for increasing joint stability and also showed positive effects on the long-term functionality of the ankle.
Keywords:ankle sprain, PRICE protocol, acute phase, early mobilization


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