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Title: Fizioterapevtske metode pri obravnavi artroze kolčnega sklepa Authors: Ponebšek, Ana (Author) Kresal, Friderika (Mentor) More about this co-author... Language: Slovenian Work type: Bachelor thesis/paper Tipology: 2.11 - Undergraduate Thesis Organization: FIZIOTERAPEVTIKA - PHYSIOTHERAPEUTICA Abstract: Artroza je degenerativno stanje, ki nastane kot posledica mehanskih preobremenitev sklepa. Artroza kolčnega sklepa prizadene sklepni hrustanec, ki počasi izginja in se lušči. Pojavi se jutranja okorelost in bolečine v področju dimelj ter zadnjice. Kasneje se bolečina poveča med telesno dejavnostjo in zmanjša ob počitku. Običajno se pojavi pri starejših odraslih. Artroza pa povzroča tudi spremembe subhondralne kosti, ligamentov in sklepne ovojnice. Za diplomsko nalogo smo izvedli pregled literature in med seboj primerjali že izvedene raziskave. Raziskave smo iskali v digitalnih virih in v knjižnicah Zdravstvene in Medicinske fakultete Univerze v Ljubljani ter Visokošolskega zavoda Fizioterapevtika. Vključili smo 26 raziskav, na podlagi katerih smo skušali ugotoviti, katere fizioterapevtske metode so najučinkovitejše pri zdravljenju artroze kolčnega sklepa. Terapevtske vaje, zdravstveno ozaveščanje bolnikov ter izguba telesne mase so trenutno priporočene smernice za zdravljenje artroze kolčnega sklepa. Vendar smo med pisanjem diplomske naloge ugotovili, da je tudi manualna terapija v kombinaciji s terapevtskimi vajami učinkovita fizioterapevtska metoda pri obravnavi bolnikov z OA kolčnega sklepa. Priporočena je uporaba tehnike sklepne mobilizacije z gibanjem, saj z njo dosežemo pravilnejše artrokinematično gibanje v sklepu, s tem med drugim vzpostavimo pravilnejše obremenitve sklepnega hrustanca in zaviramo nastanek degenerativnih sprememb. Prav tako je priporočena uporaba tehnike pasivne mobilizacije pri bolnikih z OA kolčnega sklepa. Nekaj zaključkov raziskav, vključenih v diplomsko nalogo, je ugotovilo, da ima tudi vadba v vodi kratkotrajne pozitivne učinke. Ko pripravimo fizioterapevtski program za obravnavo artroze kolčnega sklepa, ga predstavimo bolnikom, upoštevamo njihovo mnenje in ga med rehabilitacijo spremenimo in prilagodimo posamezniku, če ne dosežemo rezultatov. Keywords: osteoartroza kolčnega sklepa, osteoartritis, menedžment artroze kolčnega sklepa, terapevtske vaje za osteoartritis kolčnega sklepa, mednarodna priporočila za zdravljenje artroze. Year of publishing: 2021 COBISS_ID: 86377219  VisID: 3083 Views: 1161 Downloads: 201 Files:  985$$diplomska_naloga__ana_ponebsek_.pdf (714,20 KB)   Metadata:

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Secondary language

Language:	English
Title:	Physiotherapy methods of treatment of hip osteoarthritis
Abstract:	Arthrosis is a degenerative condition and is a result of mechanical joint overload. Hip arthrosis affects joint cartilage, leading to eventual loss and peeling of the cartilage. Patients feel morning stiffness as well as groin and buttock pain. The pain later increases during activities and wears off during a rest. This normally appears in the elderly. Arthrosis also causes changes to subchondral bones, ligaments and joint capsules. In this paper, we made a literature review, comparing existing studies. The studies were found online and in the libraries of the Faculty of Health Sciences, the Faculty of Medicine and the Higher Education Institution of Physiotherapy. The paper includes 26 studies. With their help, we tried to determine which physiotherapy techniques are the most effective in hip osteoarthrosis treatment. The currently recommended guidelines for hip arthrosis treatment are therapeutic exercises, patient education and weight loss. However, while writing this paper, we realized that manual therapy in combination with therapeutic exercises is also an effective physiotherapy technique for hip osteoarthritis treatment. Joint mobilization with movement is recommended, as it helps achieve a more proper arthrokinetic movement in the hip. With this technique, load is distributed more properly on joint cartilage, thereby preventing degenerative changes. In addition, passive mobilization is recommended for patients with hip osteoarthritis. Furthermore, some studies reviewed in the paper concluded that water exercise also has positive short-term effects. Once the physiotherapy hip arthrosis treatment program is prepared, it must be presented to patients. In doing so, we have to consider their opinion and change or adjust the program during rehabilitation if the desired results are not achieved.
Keywords:	Hip osteoarthrosis, osteoarthritis, management of hip osteoarthritis, therapeutic exercises for hiposteoarthritis, international recommendations for management of hip osteoarthritis.

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