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Title:Učinkovitost fizioterapije pri konservativnem zdravljenju poškodb glenoidalnega labruma – pregled literature : diplomsko delo visokošolskega strokovnega študijskega programa prve bolonjske stopnje Fizioterapija
Authors:ID Povše Tašić, Timon (Author)
ID Arko, Živa Vida (Mentor) More about this mentor... New window
Files:.pdf DIP_Povse_Tasic_Timon_2025.pdf (1,40 MB)
MD5: 2D23740765E4A337278F7C23BE8DEAEC
 
Language:Slovenian
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:UAMEU - Alma Mater Europaea University
Abstract:Teoretična izhodišča: Glenoidalni labrum je triangularno oblikovana vezivno-hrustančna struktura in je eden ključnih stabilizatorjev ramenskega sklepa. Zdravljenje poškodb glenoidalnega labruma poteka konservativno ali operativno. Pri konservativi igra temeljno vlogo prekrvavljenost labruma in sámo mesto poškodbe. V teoretičnem delu diplomske naloge je predstavljena anatomija in biomehanika ramenskega sklepa, nestabilnost ramena ter funkcija glenoidalnega labruma, glavne poškodbe, vzroki za nastanek le-teh in ustrezna diagnostika. Na koncu je opredeljeno konservativno zdravljenje in fizioterapevtske intervencije pri rehabilitaciji. Namen diplomske naloge je s pomočjo pregleda in analize znanstvenih ter strokovnih člankov raziskati in preučiti učinkovitost fizioterapije pri konservativnem zdravljenju poškodb glenoidalnega labruma. Metoda: Diplomsko delo temelji na teoretični raziskavi s kvalitativno metodologijo. Strokovno in znanstveno literaturo smo iskali v podatkovnih bazah PubMED, PEDro, Science Direct, Cochrane Library in s pomočjo iskalnika Google Scholar. Pri iskanju literature smo uporabili ključne besede »glenoid labrum«, »SLAP tear«, »shoulder instability«, »Bankart tear«. Rezultati: V analizo empiričnega dela smo vključili 10 raziskav, ki smo jih izbrali na osnovi vključitvenih in izključitvenih kriterijev ter omejitev v določenih podatkovnih bazah. Razprava: Fizioterapija kot konservativni pristop pri rehabilitaciji je zelo učinkovita; omogoča individualizirano, progresivno in funkcijsko usmerjeno zdravljenje poškodb glenoidalnega labruma. Izboljša stabilnost, neinvazivno in ugodno vpliva na celjenje prizadetih struktur ter omogoča varen povratek v izvajanje željenih vsakodnevnih ali športno specifičnih aktivnosti. Ključnega pomena je strukturirana in posamezniku prilagojena kinezioterapevtska vadba. Poleg celovite kinezioterapevtske rehabilitacije je priporočljiva kombinacija z ostalimi fizioterapevtskimi agensi, še posebej v akutni fazi rehabilitacije, z LASER-jem, TECAR-jem, UGV terapijo in manualnimi tehnikami za doseganje optimalnega rezultata zdravljenja.
Keywords:poškodbe glenoidalnega labruma, nestabilnost ramenskega sklepa, SLAP lezija, Bankart lezija, konservativno zdravljenje poškodb glenoidalnega labruma
Place of publishing:Maribor
Place of performance:Maribor
Publisher:T. Povše Tašić
Year of publishing:2025
Year of performance:2025
Number of pages:51 str.
PID:20.500.12556/ReVIS-12095 New window
COBISS.SI-ID:247060227 New window
UDC:615.82:616-08(043.2)
Publication date in ReVIS:29.08.2025
Views:42
Downloads:0
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Secondary language

Language:English
Abstract:Background: The glenoid labrum is a triangular-shaped fibro-cartilaginous structure, and one of the key stabilisers of the shoulder joint. The treatment of glenoid labrum injuries is either conservative or operative, where in conservative treatment the primarily role is the vascularization of the labrum and the site of the injury itself. In the theoretical part of the thesis we present the anatomy and biomechanics of the shoulder joint, shoulder instability and function of the glenoid labrum, the main injuries, their causes and the appropriate diagnosis of the injuries. Lastly we define conservative treatment and physiotherapeutic interventions in rehabilitation. The aim of the thesis was to investigate and study the effectiveness of physiotherapy in conservative treatment of glenoid labrum injuries by reviewing and analysing scientific and academic articles. Methods: The thesis is based on a theoretical research with a qualitative methodology. The scientific and academic literature was searched using PubMED, PEDro, Science Direct, Cochrane Library, and Google Scholar databases. In the literature search we used the keywords "glenoid labrum", "SLAP tear", "shoulder instability", "Bankart tear". Results: We included 10 studies in the analysis of the empirical work, which were selected on the basis of inclusion and exclusion criteria and the limitations of specific scientific databases. Discussion: Physiotherapy as a conservative approach in treatment is very effective, enabling individualized, progressive, and functionally oriented rehabilitation. It improves joint stability, is non-invasive, positively influences the healing of affected structures, and allows a safe return to desired daily or sport-specific activities. A key element is structured and personalized kinesiotherapy programme. For achieving optimal results it’s recommended to combine it with other physiotherapeutic interventions, especially in the acute phase of rehabilitation, such as LASER, TECAR, extracorporeal shock wave therapy, and manual therapy techniques.
Keywords:glenoid labrum tear, shoulder instability, SLAP tear, Bankart tear, conservative treatment of glenoid labrum lesion


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