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Title:Fizioterapevtska obravnava motenj ravnotežja pri bolnikih z multiplo sklerozo - pregled literature : diplomsko delo visokošolskega strokovnega študijskega programa prve bolonjske stopnje Fizioterapija
Authors:ID Ocvirk, Teja (Author)
ID Koprivnik, Matej (Mentor) More about this mentor... New window
ID Magdič, Jožef (Comentor)
Files:.pdf Ocvirk_Teja_dd_2025.pdf (1,81 MB)
MD5: 0C284FF8E8DCF68243C7332B6DE4F5B7
 
Language:Slovenian
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:UAMEU - Alma Mater Europaea University
Abstract:Uvod: Multipla skleroza (MS) sodi med najpogostejše vnetne bolezni osrednjega živčnega sistema. Je bolezen s številnimi simptomi, med katerimi so pogoste motnje ravnotežja in hoje, ki pomembno zmanjšujejo kakovost bolnikovega življenja. S sistematičnim pregledom znanstvene literature se je želelo ugotoviti, katere oblike obravnave se uporabljajo za izboljšanje ravnotežja pri bolnikih z MS ter preveriti njihovo učinkovitost in vpliv. Metode: Uporabljen je bil kvalitativni raziskovalni pristop, v katerega je bilo vključenih 16 raziskav, ki so bile pridobljene s pomočjo podatkovnih baz. Za oceno metodološke kakovosti je bila uporabljena PEDro ocenjevalna lestvica. Vključene raziskave so prikazane z diagramom PRISMA. Rezultati: Raziskave, ki so poročale o učinkovitosti, so vključevale kombinacijo metode DNS in učenja diafragmalnega dihanja, vadbo za krepitev abdominalnih mišic, kombinacijo vadbe v zaprti kinetični verigi, trening hoje in krepitve mišic spodnjih udov z napravo Telko, kombinacijo vadbe mišične moči, vzdržljivosti in ravnotežja, kombinacijo vadbe za stabilnost in ravnotežje, kombinacijo vadbe za stabilnost trupa, dvojnih nalog in senzorne strategije, kombinacijo vestibularne terapije in aerobne vadbe, aerobno vadbo, kombinacijo vadbe za izboljšanje gibljivosti, mišične moči in ravnotežja, kombinacijo vadbe senzorne integracije in ravnotežja, konvencionalno fizioterapevtsko vadbo kinezioterapije, vadbo ravnotežja z uporabo navidezne resničnosti, fizioterapevtsko pilates vadbo, kombinacijo nevrokognitivne vadbe in konvencionalne fizioterapevtske vadbe za držo, mišično moč in ravnotežje, kombinacijo aerobne vadbe in vadbe za mišično moč ter kombinacijo vadbe dvojnih nalog in hoje. Zaključek: Izboljšanje ravnotežja pri bolnikih z MS lahko dosežemo z različnimi terapevtskimi postopki. Potrebno je metodološko natančnejše raziskovanje, ki bo omogočilo določitev smernic za obravnavo tega, za bolnike z MS zelo pomembnega področja.
Keywords:multipla skleroza, rehabilitacija, ravnotežje, fizioterapija, obravnava
Place of publishing:Maribor
Place of performance:Maribor
Publisher:T. Ocvirk
Year of publishing:2025
Year of performance:2025
Number of pages:44 str.
PID:20.500.12556/ReVIS-14057 New window
COBISS.SI-ID:282036227 New window
UDC:616.832-004:615.82(043.2)
Publication date in ReVIS:18.06.2026
Views:32
Downloads:3
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Secondary language

Language:English
Abstract:Introduction: Multiple sclerosis (MS) is one of the most common inflammatory diseases of the central nervous system. It is a disease with numerous symptoms, often including balance and gait disorders, which significantly reduce the patient's quality of life. Through a systematic review of the scientific literature, we aimed to identify which treatment approaches are used to improve balance in patients with MS and to assess their effectiveness and impact. Methods: We used a qualitative research approach, including 16 studies. The studies were obtained using databases such as PubMed, ResearchGate, PEDro, and Google Scholar. The PEDro rating scale was used to assess methodological quality. The included studies were displayed using a PRISMA diagram. Results: Studies that reported effectiveness used: a combination of the DNS method and training of diaphragmatic breathing, abdominal muscle strengthening exercise, a combination of closed kinetic chain exercise, gait training and lower limb muscle strengthening with the Telko device, a combination of muscle strength, endurance and balance training, a combination of stability and balance training, a combination of core stability training, dual tasks and sensory strategy, a combination of vestibular therapy and aerobic exercise, aerobic exercise, a combination of exercise to improve mobility, muscle strength and balance, a combination of sensory integration and balance training, conventional physiotherapy kinesiotherapy exercise, balance training using virtual reality, physiotherapy pilates exercise, a combination of neurocognitive exercise and conventional physiotherapy for posture, muscle strength and balance training, a combination of aerobic exercise and muscle strength training and a combination of dual tasks and gait training. Conclusion: Improving balance in patients with MS can be achieved through various therapeutic approaches. However, more methodologically precise research is needed to establish guidelines for addressing this very important area for patients with MS.
Keywords:multiple sclerosis, rehabilitation, balance, physiotherapy, treatment


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