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Title:Vloga fizioterapevta pri obravnavi mišic medeničnega dna v poporodnem obdobju pri ženskah z multiplo sklerozo – pregled literature : diplomsko delo visokošolskega strokovnega študijskega programa prve bolonjske stopnje Fizioterapija
Authors:ID Dolinšek, Hana (Author)
ID Hernja Rumpf, Tadeja (Mentor) More about this mentor... New window
Files:URL https://d.cobiss.net/repository/si/files/269379075/173394/Dolin%C5%A1ek_Hana_dd_2025.pdf
 
.pdf Dolinsek_Hana_dd_2025.pdf (1,88 MB)
MD5: E1E16576033DB304061C52D9688AC13C
 
Language:Slovenian
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:UAMEU - Alma Mater Europaea University
Abstract:Teoretična izhodišča: Multipla skleroza (MS) je vnetna demielinizacijska bolezen, za katero so značilne demielinizacijske lezije, ki povzročijo raznolike nevrološke simptome. Ti simptomi se pojavijo pred 30. letom starosti in to kar trikrat pogosteje pri ženskah kot pri moških. Šibkost mišic medeničnega dna (MMD) privede do pojava urinske ali analne inkontinence (UI), prolapsa in težav s spolno funkcijo. V času nosečnosti se stopnja recidiva zmanjša za več kot polovico, v poporodnem obdobju pa 3x poveča. Namen diplomskega dela je pregledati in ovrednotiti znanstveno literaturo, s poudarkom na fizioterapevtskih pristopih. Metode: Temelj empiričnega dela je kvalitativna metoda raziskovanja, kjer smo uporabili metode deskripcije, kompilacije in komparacije. V pregled literature je bilo vključenih 9 člankov iz različnih podatkovnih baz PubMed, Google Scholar, PEDro in Science Direct. Postopek zbiranja smo prikazali s pomočjo PRISMA diagrama. Nato smo s pomočjo tabele predstavili glavne značilnosti izbranih člankov in odgovorili na raziskovalna vprašanja. Rezultati: Vadba MMD je ključna pri obravnavi MMD pri ženskah z MS v poporodnem obdobju. Kot učinkovite so se izkazale tudi ostale metode, kot je kombinacija vadbe MMD z EMG biofeedbackom ali nevromišično stimulacijo ter perkutana in transkutana stimulacija posteriornega tibialnega živca (PTNS; TTNS). Razprava: Kljub omejitvam smo ugotovili, da ima fizioterapija kar pomembno vlogo pri obravnavi te nevrološke bolezni, saj vpliva na mišično moč in vzdržljivost, izboljšanje simptomov spodnjih sečil in ima posledično velik vpliv na izboljšano samozavest, samostojnost in kakovost življenja.
Keywords:multipla skleroza, mišice medeničnega dna, poporodno obdobje, fizioterapija
Place of publishing:Ljubljana
Place of performance:Ljubljana
Publisher:H. Dolinšek
Year of publishing:2025
Year of performance:2025
Number of pages:48 str.
PID:20.500.12556/ReVIS-13217 New window
COBISS.SI-ID:269379075 New window
UDC:618.6/.7:616.832-004(043.2)
Publication date in ReVIS:23.02.2026
Views:68
Downloads:3
Metadata:XML DC-XML DC-RDF
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Secondary language

Language:English
Abstract:Theoretical background: Multiple sclerosis, (MS) is an inflammatory demyelinating disease characterized by demyelinating lesions that cause a variety of neurological symptoms. These symptoms, appear before the age of 30 and are three times more common in women than in men. Weakness of pelvic floor muscles (PFM), can lead to urinary or anal incontinence (UI), prolapse, and problems with sexual function. During pregnancy, the relapse rate is reduced by more than half, and in the postpartum period, it increases 3 times. The purpose of the thesis is to review and evaluate the scientific literature, with an emphasis on physiotherapeutic approaches. Methods: The basis of the empirical work is a qualitative research method. The literature review included 9 articles from various databases PubMed, Google Scholar, PEDro and Science Direct. The collection process was illustrated using the PRISMA diagram. Then, we presented the main characteristics of the selected articles using the table and answered the research questions. Results: MMD training is a key in the treatment of MMD in women with MS in the postpartum period. Other methods such as the combination of MMD training with EMG biofeedback or neuromuscular stimulation, percutaneous and transcutaneous posterior tibial nerve stimulation (PTNS; TTNS) have also been shown to be effective. Discussion: Despite limitations, we found that physiotherapy plays an important role in the treatment of this neurological disease, as it affects muscle strength and endurance, improves lower urinary tract symptoms, and consequently it has a major impact on improved self-confidence, independence, and quality of life.
Keywords:multiple sclerosis, pelvic floor muscles, postpartum period, physiotherapy


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