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Title:Učinek tehnik proprioceptivne nevromuskularne facilitacije pri rehabilitaciji subakromialnega utesnitvenega sindroma – pregled literature : diplomsko delo visokošolskega strokovnega študijskega programa prve bolonjske stopnje Fizioterapija
Authors:ID Sotošek, Brina (Author)
ID Kos, Nataša (Mentor) More about this mentor... New window
Files:.pdf Sotosek_Brina_dd_2026.pdf (737,58 KB)
MD5: 14DD373B596273A5EFF9B400B85208DF
 
Language:Slovenian
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:UAMEU - Alma Mater Europaea University
Abstract:Teoretična izhodišča: Subakromialni utesnitveni sindrom predstavlja enega najpogostejših vzrokov bolečine v ramenskem sklepu, zato je izbira ustreznega rehabilitacijskega pristopa ključnega pomena. Vse pogosteje se uporablja fizioterapevtski pristop proprioceptivne nevromuskularne facilitacije (PNF), ki temelji na uporabi diagonalnih in spiralnih gibalnih vzorcev ter tehnik. S pregledom literature smo želeli proučiti učinke tehnik PNF pri rehabilitaciji bolnikov s subakromialnim utesnitvenim sindromom in opredeliti najpogosteje uporabljene tehnike. Metode: Izveden je bil sistematičen pregled strokovne literature, kamor so bile vključene štiri randomizirane kontrolirane raziskave z oceno ≥ 5/10 na lestvici PEDro. Raziskave smo izbrali na podlagi vključitvenih in izključitvenih kriterijev ter so obravnavale uporabo tehnik PNF pri bolnikih s subakromialnim utesnitvenim sindromom. Literaturo smo iskali v podatkovnih bazah PubMed, PEDro, ProQuest in COBISS objavljene med letoma 2016 in 2026. Rezultati: Vključitev tehnik PNF v terapevtski program pomembno prispeva k zmanjšanju bolečine, povečanju obsega gibljivosti in izboljšanju funkcionalne sposobnosti zgornjega uda. V raziskavah, kjer so bile uporabljene tehnika ritmični začetek, tehniki zadrži–sprosti in napni–sprosti ter tehnike obratov v diagonalnih vzorcih zgornjega uda, so bile izboljšave večje kot pri terapevtskih programih brez teh tehnik. Največji učinki so bili doseženi pri terapevtskih programih, kjer je bila tehnika PNF vključena kot dodatek h konvencionalni fizioterapiji. Razprava: Na podlagi analizirane literature lahko zaključimo, da tehnike PNF predstavljajo učinkovit in klinično pomemben del rehabilitacije bolnikov s subakromialnim utesnitvenim sindromom. Kljub pozitivnim učinkom pa razlike v trajanju terapevtskih programov, pogostosti obravnav in uporabljenih merskih instrumentih omejujejo neposredno primerjavo rezultatov in poudarjajo potrebo po nadaljnjih raziskavah z enotnejšimi protokoli.
Keywords:subakromialni utesnitveni sindrom, proprioceptivna nevromuskularna facilitacija, PNF, bolečina v rami, rehabilitacija
Place of publishing:Maribor
Place of performance:Maribor
Publisher:B. Sotošek
Year of publishing:2026
Year of performance:2026
Number of pages:39 str.
PID:20.500.12556/ReVIS-14297 New window
COBISS.SI-ID:285051395 New window
UDC:616.728.2-009.7:615.82(043.2)
Publication date in ReVIS:16.07.2026
Views:20
Downloads:0
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Secondary language

Language:English
Abstract:Theoretical background: Subacromial impingement syndrome is one of the most common causes of shoulder pain. Selecting an appropriate rehabilitation approach is of crucial importance. Among contemporary physiotherapy methods, proprioceptive neuromuscular facilitation (PNF) is increasingly used. It is based on diagonal and spiral movement patterns and techniques. Through a literature review, we aimed to examine the effects of PNF techniques in the rehabilitation of patients with subacromial impingement syndrome and to identify which techniques are most frequently used. Methods: A systematic review of the scientific literature was conducted, including four randomized controlled trials with a PEDro score ≥ 5/10. The studies were selected according to predefined inclusion and exclusion criteria and addressed the use of PNF techniques in patients with subacromial impingement syndrome. The literature search was performed in the PubMed, PEDro, ProQuest, and COBISS databases for studies published between 2016 and 2026. Results: The inclusion of PNF techniques in therapeutic programs significantly contributes to pain reduction, an increase in range of motion, and improved upper limb function. In studies where rhythmic initiation, hold–relax, contract–relax, and reversal techniques were applied within diagonal upper limb patterns, improvements were greater compared to therapeutic programs that did not include these techniques. The most pronounced effects were observed in therapeutic programs where PNF was added to conventional physiotherapy. Discussion and Conclusion: Based on the analyzed literature, it can be concluded that PNF techniques represent an effective and clinically significant component of rehabilitation in patients with subacromial impingement syndrome. Despite the positive effects observed, differences in the duration of therapeutic programs, the frequency of treatment sessions, and the measurement instruments used across studies limit direct comparison of results and indicate the need for further research with more standardized protocols.
Keywords:subacromial impingement syndrome, proprioceptive neuromuscular facilitation, PNF, shoulder pain, rehabilitation


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