Rehabilitacija bolesnika sa subakromijalnim sindromom sraza primjenom metoda fizikalne terapije

professional thesis

• Title (english): Rehabilitation of patients with subacromial impingement syndrome using methods of physical therapy
• Author: Anita Kanižaj
• Mentor: Simeon Grazio (mentor)
• Granter: University of Zagreb; School of Medicine; Zagreb
• Defense date and country: 2018-10-31, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Physical Medicine and Rehabilitation

Abstract

Subakromijalni sindrom sraza (SAIS) je jedan od najčešćih uzroka poremećaja ramena u odraslih. Definira se kao mehanička kompresija subakromijalnih struktura između korakoakromijalnog luka i glave humerusa za vrijeme aktivne elevacije ruke iznad razine ramena. Postoji nekoliko metoda konzervativnog načina liječenja kao što su: nesteroidni antireumatici, lokalna infiltracija glukokortikoida, fizikalna terapija (npr. direktna elektroterapija, ultrazvuk, LASER, izvantjelesni udarni val), manualna terapija i/ili akupunktura. Fizikalna terapija smatra se prvim izborom u konzervativnom načinu liječenja. Medicinske vježbe i ostali oblici terapije koji se temelje na vježbanju su najvažniji oblik liječenja za bolesnike sa SAIS. Postoje brojni programi vježbi koji smanjuju bol i nesposobnost te povećavaju opseg pokreta. Terapijski postupci koji uključuju vježbe i neke duge modalitete terapije imaju bolji učinak od samih vježbi. Ostali oblici rehabilitacije pokazali su djelomičnu učinkovitost ili neučinkovitost u tih bolesnika. Prema dosadašnjim rezultatima potrebna su daljnja istraživanja učinka izvantjelesnog udarnog vala i terapijskog ultrazvuka. Postoje umjereni dokazi da su manualna terapija i akupunktura učinkovite, dok nema dokaza da je kirurško liječenje učinkovitije od konzervativnog načina liječenja kroz kratkoročno i dugoročno praćenje. Daljnja istraživanja su potrebna kako bi se utvrdilo koje od navedenih rehabilitacijskih intervencija su bolje u odnosu na druge u dugoročnom ishodu.

Abstract (english)

Subacromial impingement syndrome (SAIS) is one of the commonest causes of shoulder disorders in adults. It is defined as the mechanical compression of subacromial structures between the coracoacromial arch and the humerus during active elevation of the arm above shoulder height. There are several methods of conservative treatment such as nonsteroidal anti-inflammatory drugs, corticosteroid injections, physical therapy (i.e. direct electrotherapy, ultrasound, LASER, extracorporeal shockwave therapy), manual therapy and/or acupuncture. Physical therapy is considered to be the first choice in conservative treatment methods. Medical exercise and other exercise-based therapies are the most important treatment options for SAIS patients. There are various types of exercise programs that reduce pain and disability while increasing the range of movements. Treatment options that are composed of exercise plus other therapies have better effects than exercise alone. Other methods of rehabilitation have shown partial efficiency or inefficiency in the results of treatment. According to previous research, further clinical trials are needed to determine the effect of extracorporeal shockwave therapy and ultrasound therapy There is some evidence that manual therapy and acupuncture are effective. However, there are no data showing that surgical treatment is more effective than conservative short-term and long-term treatment. Further trials are needed to investigate these rehabilitation interventions in order to find out

• Keywords: subakromijalni sindrom sraza; rehabilitacija; konzervativno liječenje; medicinske vježbe
• Keywords (english): subacromial impingement syndrome; rehabilitation; conservative treatment; medical exercise
• Language: croatian
• URN:NBN: urn:nbn:hr:105:296800
• Study programme: Title: Physical medicine and rehabilitation; Study programme type: university; Study level: postgraduate specialist; Academic / professional title: sveučilišni/a magistar/magistra fizikalne medicine i rehabilitacije (sveučilišni/a magistar/magistra fizikalne medicine i rehabilitacije)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2021-05-07 08:44:42