Smjernice za dijagnostiku i liječenje bolesnika s vratoboljom – 2. dio

Professional paper - Professional paper

• Title (english): Guidelines for diagnosis and treatment of patients with neck pain – Part 2
• Author: Simeon Grazio
• Author: Darko Perović
• Author: Hana Skala Kavanagh
• Author: Tonko Vlak
• Author: Tea Schnurrer-Luke-Vrbanić
• Author: Frane Grubišić
• Author: Boris Božić
• Author: Neven Kauzlarić
• Author: Vide Bilić
• Author: Dalibor Karlović
• Author: Darko Ledić
• Author: Tatjana Nikolić
• Author: Ana Poljičanin
• Author: Branka Aukst Margetić
• Author: Dražen Kvesić
• Author: Ivan Škoro
• Author: Neven Ištvanović
• Author: Dubravka Sajković
• Author: Stipe Ćorluka
• Author: Diana Balen
• Author: Vanja Bašić Kes
• Author: Lovorka Grgurević
• Author: Karlo Houra
• Author: Marijana Lisak
• Author: Petra Margetić
• Author: Ivan Mikula
• Author: Tomislav Nemčić
• Author: Dijana Zadravec
• Author: Krešimir Rotim
• Author's institution: University of Zagreb; School of Medicine; (Department of Anatomy and Clinical Anatomy)
• Author's institution: University of Zagreb; School of Medicine; (Department of Surgery)
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Basic Medical Sciences; Anatomy
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Surgery

Abstract (croatian)

Vratobolja je jedna od najčešćih mišićnokoštanih bolesti koja rezultira značajnom boli i nesposobnosti te ima velik utjecaj na individualnoj razini, kao i na zdravstveni sustav i društvo u cjelini. Uzroci vratobolje su različiti, a etiološki prevladavaju oni mehanički povezani s degenerativnim promjenama vratne kralježnice. Svjedočimo raznim dijagnostičkim i terapijskim pristupima za ove bolesnike. Hrvatsko vertebrološko društvo Hrvatskoga liječničkog zbora predstavlja sveobuhvatni narativni pregled i smjernice za dijagnozu i liječenje bolesnika s vratoboljom, s naglaskom na najčešće uzroke. Smjernice su rezultat konsenzusa stručnjaka različitih specijalnosti, a temelje se na najboljim dokazima. Prvi dio se odnosi na dijagnostiku, a drugi, njemu komplementarni dio odnosi se na terapiju. Dijagnostički dio smjernica (1. dio) obuhvaća: klinička obilježja i evaluaciju (uključivo strukturirane upitnike), laboratorijsku dijagnostiku, slikovne metode, neurofiziološko testiranje i minimalno invazivne dijagnostičke procedure. Dio smjernica o liječenju (2. dio) uključuje: farmakološko liječenje, tjelesne medicinske vježbe, trakciju, manualnu terapiju, metode fizikalne terapije, primjenu ortoza, minimalno invazivne terapijske intervencije, kirurško liječenje, rehabilitaciju nakon kirurških zahvata i psihijatrijski pristup. Ovo su prve hrvatske smjernice za vratobolju primarno namijenjene liječničkoj profesionalnoj zajednici.

Abstract (english)

Neck pain is one of the most prevalent musculoskeletal diseases which results in considerable pain and disability, and has a great impact on individual level, as well as on health-care system, and overall society. Causes of neck pain are different, and prevailing aetiology are mechanical reasons associated with degenerative changes of cervical spine. We are witnessing various diagnostic and therapeutic approaches for these patients. The Croatian Society for Vertebrology of the Croatian Medical Association is presenting a comprehensive narrative review and guidelines for the diagnosis and treatment of neck pain, focusing on the most prevalent causes. The guidelines are the result of consensus of experts of different background, based on the best available evidence. Part 1 relates to diagnosis, while the complementary Part 2 relates to treatment. For the diagnostic part (Part 1) the guidelines encompass: clinical features and evaluation (including questionnaires), laboratory tests, imaging, neurophysiology tests, and minimally invasive diagnostic procedures. The management part (Part 2) includes: pharmacology treatment, physical exercise, traction, manual therapies, physical therapy modalities, orthotics, minimally invasive therapeutic interventions, surgical treatment, rehabilitation after surgical procedures, and psychiatric approach. These are the first Croatian guidelines for neck pain intended in the first place for the physicians’ professional community.

• Keywords (croatian): VRATOBOLJA – farmakoterapija, kirurgija, rehabilitacija; ANALGETICI – terapijska uporaba; TERAPIJSKE VJEŽBE – metode; FIZIOTERAPIJSKI MODALITETI; MANIPULACIJA KRALJEŽNICE – metode; TRAKCIJA – metode; ORTOZE; VRATNA KRALJEŽNICA – kirurgija, patofiziologija; MINIMALNO INVAZIVNI KIRURŠKI ZAHVATI – metode, rehabilitacija; AKUTNA BOL – liječenje, rehabilitacija; KRONIČNA BOL – liječenje, rehabilitacija; SMJERNICE; HRVATSKA
• Keywords (english): NECK PAIN – drug therapy, rehabilitation, surgery; ANALGESICS – therapeutic use; EXERCISE THERAPY – methods; PHYSICAL THERAPY MODALITIES; MANIPULATION, SPINAL – methods; TRACTION – methods; ORTHOTIC DEVICES; CERVICAL VERTEBRAE – physiopathology, surgery; MINIMALLY INVASIVE SURGICAL PROCEDURES – methods, rehabilitation; ACUTE PAIN – rehabilitation, therapy; CHRONIC PAIN – rehabilitation, therapy; PRACTICE GUIDELINES AS TOPIC; CROATIA
• Language: croatian
• Language: english
• Publication type: Professional paper - Professional paper
• Publication status: Published
• Peer review: Peer review
• Publication version: Published version
• Journal title: Liječnički vjesnik
• Numbering: vol. 143, no. 9-10, pp. 327-348
• p-ISSN: 0024-3477
• e-ISSN: 1849-2177
• DOI: https://doi.org/10.26800/LV-143-9-10-1
• URN:NBN: urn:nbn:hr:105:695329
• Publication: 2021
• Document URL: https://hrcak.srce.hr/264211
• Type of resource: Text
• Access conditions: Open access
• Created on: 2022-01-17 09:01:16