Terapijski ultrazvuk u liječenju reumatskih bolesti

master's thesis

• Title (english): Therapeutic ultrasound in the treatment of rheumatic diseases
• Author: Alen Vidas
• Mentor: Porin Perić (mentor)
• Committee member: Nadica Laktašić Žerjavić (predsjednik povjerenstva)
• Committee member: Jasenka Markeljević (član povjerenstva)
• Committee member: Porin Perić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Physical Medicine and General Rehabilitation); Zagreb
• Defense date and country: 2016-07-15, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Physical Medicine and Rehabilitation

Abstract

Od samih početaka razvoja ultrazvuka ubrzo se prepoznao njegov kako dijagnostički, tako i terapijski potencijal. Veoma smo dobro upoznati sa njegovim dijagnostičkim mogućnostima koji osim što je u širokoj primjeni kod gotovo svih organskih sustava, relativno je jednostavan za korištenje i jeftin, što ga čini jednom od prvih u nizu dijagnostičkih metoda za otkrivanje patologije. S druge strane, njegove su terapijske mogućnosti ograničene na uske indikacije i njegovi učinci na organizam su najviše našli primjenu u fizikalnoj medicini kao sredstvo terapije kod reumatskih muskuloskeletnih bolesti. Cilj ovoga rada je evaluacija ultrazvučne terapije kod pojedinih muskuloskeletnih bolesti te njegov učinak na najčešće manifestacije tih bolesti kao što su bol i smanjenje opsega pokreta. S obzirom na to da se razvoj suvremene medicine temelji na dokazima, jako je malo kvalitetnih istraživanja provedeno na temu uspješnosti ultrazvučne terapije u liječenju muskuloskeletnih stanja, a još ih je manje pokazalo klinički vrijedan rezultat, odnosno, relevantnu razliku uspješnosti terapije između pravog i placebo ultrazvuka. Danas je ultrazvuk uvriježena metoda fizikalne terapije, međutim, njegova korist kod liječenja reumatskih muskuloskeletnih bolesti je temeljena na empirijskom iskustvu te nedostaju čvrsti dokazi iz dobro dizajniranih istraživanja.

Abstract (english)

Shortly after the very beginnings of the development of ultrasound, its diagnostic and therapeutic potential was soon recognised. Diagnostic possibilites of ultrasound are very well known and used worldwide not just because it is cheap but also for its easy use which makes it a first in line of many diagnostic methods for pathology detection. On the other hand, its therapeutic possibilities are limited to narrow indications and its effects on the organism have found a frequent use in physical medicine as a method of therapy in rheumatic musculoskeletal conditions. The purpose of this paper is to evaluate ultrasound therapy in specific musculoskeletal disorders and its effect on the common manifestations like pain and joint immobillity. Having in mind that we are living in an era of evidence-based medicine, there are very few high quality studies published on the subject of ultrasound treatment in musculoskeletal conditions. Also, there are only several studies out of these high quality published papers which showed a statistically significant or clinically important difference between true and sham ultrasound. Today, ultrasound is an ingrained method of physical therapy, however, the use of ultrasound in treatment of musculoskeletal disorders is based on empirical experience, but lacks firm evidence from well designed controlled studies.

• Keywords: ultrazvučna terapija; reumatske muskuloskeletne bolesti; bol; opseg pokreta; studije
• Keywords (english): ultrasound therapy; rheumatic musculoskeletal conditions; pain; joint immobility; studies
• Language: croatian
• URN:NBN: urn:nbn:hr:105:514080
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2017-08-11 06:55:41