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Title: Analiza uspešnosti rehabilitacije pacienta z endoprotezo kolenskega sklepa Authors: Kajzer, Maruša (Author) Pavlič Založnik, Simona (Mentor) More about this co-author... Language: Slovenian Work type: Bachelor thesis/paper Tipology: 2.11 - Undergraduate Thesis Organization: FIZIOTERAPEVTIKA - PHYSIOTHERAPEUTICA Abstract: Kolenski sklep je največji sinovialni sklep v človeškem telesu. Poleg travmatičnih poškodb ga prizadenejo tudi degenerativne spremembe. Najpogostejša večvzročna degenerativna bolezen sinovialnih sklepov je osteoartroza. Njeni glavni simptomi in klinični znaki so stalno prisotne bolečine, kratkotrajna jutranja okorelost, zmanjšanje funkcije, krepitacija, omejena gibljivost in kostne zadebelitve sklepa. Ob neuspelem konservativnem zdravljenju se odločimo za operativni poseg. Vstavitev totalne endoproteze (v nadaljevanju: TEP) je ena izmed najpogostejših operacij v ortopediji. Pomembno vlogo pri rehabilitaciji po protetiki sklepa imata predoperativna in pooperativna priprava pacienta. V diplomski nalogi smo želeli analizirati uspešnost pooperativne rehabilitacije pacienta s TEP kolena. Zanimala nas je povezava med bolečino in ITM ter vpliv gibljivosti kolenskega sklepa glede na čas, po katerem so pacienti prišli na rehabilitacijo. Raziskavo, v kateri je sodelovalo 50 pacientov, smo izvedli v Medicinsko-rehabilitacijskem centru Zreče. Pacienti so skupaj s fizioterapevti izpolnili vprašalnik Knee Society Score pred štirinajstdnevnim rehabilitacijskim procesom in po njem. Po končani rehabilitaciji smo podatke statistično analizirali. Ugotovili smo, da je korelacija med ITM telesne teže in stopnjo bolečine v kolenskem sklepu negativna in nizka (r = 0,336). Rezultati so pokazali, da je bil regresijski model statistično značilen (p = 0,017). Variabilnost indeksa telesne mase je pojasnila 9,4- odstotno točkovanje bolečin v kolenu. Za vsak dodaten kg/m2 se je bolečina v kolenu zmanjšala za 0,612 točke (p(t) = 0,017). Dokazali smo tudi, da se je gibljivost po koncu rehabilitacije statistično značilno izboljšala za 14 stopinj (p < 0,001). Med časom, ki je pretekel od operacije do pričetka rehabilitacije, in izboljšanjem gibljivosti je bila korelacija negativna, neznatna in statistično neznačilna (rho = –0,195; p = 0,174). Ugotovili smo, da se je kolenski rezultat po štirinajstdnevni rehabilitaciji statistično značilno izboljšal za 15 točk (p < 0,001). Keywords: endoproteza kolenskega sklepa, osteoartroza, rehabilitacija endoproteze, vprašalnik Knee Society Score Year of publishing: 2022 COBISS_ID: 127657987   VisID: 3280 Views: 705 Downloads: 78 Files:  1398$$pdfa-_diplomska_naloga-_marusa_kajzer.pdf (1,16 MB)   Metadata:

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Secondary language

Language:	English
Title:	Rehabilitation performance analysis of a patient with knee endoprosthesis
Abstract:	The knee joint is the largest synovial joint in the human body. In addition to traumatic injuries, it is also affected by degenerative changes. The most common multi-cause degenerative disease of the synovial joints is osteoarthritis. Its main symptoms and clinical signs are persistent pain, short-term morning stiffness, decreased function, crepitation, limited mobility and bone thickening of the joint. The insertion of a total endoprosthesis (hereinafter: TKE) is one of the most common operations in orthopedics. Preoperative and postoperative preparation of the patient play an important role in rehabilitation after joint prosthetics. In the diploma thesis, we analyze the success of postoperative rehabilitation of a patient with knee TKE. We are interested in the relationship between pain and BMI. Furthermore, the impact of knee joint mobility with respect to the time of patient arrival to rehabilitation is closely examined. The study, in which 50 patients participated, is conducted at the Medical Rehabilitacion Center Zreče. Patients completed a Knee Society Score questionnaire with physiotherapists before and after the fourteen-day rehabilitation process. We found the correlation between BMI of body weight and the degree of pain in the knee joint to be negative and low (r = 0.336). The results showed that the regression model was statistically significant (p = 0.017). The variability of the body mass index explained 9.4 percent of the variation related to knee pain. For each additional kg / m2, knee pain was reduced by 0.612 points (p (t) = 0.017). We also demonstrated that mobility improved significantly by 14 degrees (p <0.001) after rehabilitation. Between the time elapsed from surgery to the start of rehabilitation and improvement in mobility, the correlation was negative, insignificant, and statistically insignificant (rho = −0.195; p = 0.174). We found significant knee score improvement after the fourteen day rehabilitation period. On average, the results improved by 15 points (p <0.001).
Keywords:	knee endoprosthesis, osteoarthrosis, endoprothesis rehabilitation, Knee Society score questionnaire

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