Title Krioterapija u rehabilitaciji reumatoidne šake Title (english) Cryotherapy in hand rehabilitation in rheumatoid arthritis Author Emina Hrkić Mentor Nadica Laktašić Žerjavić (mentor)Committee member Porin Perić (predsjednik povjerenstva)Committee member Jasenka Markeljević (član povjerenstva)Committee member Nadica Laktašić Žerjavić (član povjerenstva)Granter University of Zagreb Defense date and country 2019-07-12, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract Reumatoidni artritis (RA) je sustavna upalna bolest vezivnog tkiva gdje je osnovni patofiziološki proces sinovitis, a najočitije se promjene zbivaju na malim zglobovima šaka i stopala gdje uzrokuju teška anatomska oštećenja koja u velikoj mjeri onesposobljuju bolesnika, ne samo za rad, već i za aktivnost svakodnevnog života i uzrokuju jedan od najtežih oblika lokomotorne invalidnosti. Krioterapija, kao metoda liječenja lokalnom ili sustavnom primjenom niskih temperatura, se pokazala kao vrlo učinkovito terapijsko sredstvo u liječenju RA radi analgetskog i protuupalnog učinka.
Osnovni cilj ovog istraživanja bio je utvrditi kratkoročne učinke terapije hladnim zrakom i terapije masaže ledom šake na bol i snagu stiska šake u bolesnika s RA, te usporediti učinkovitosti ove dvije metode krioterapije.
U istraživanje je uključeno 30 bolesnika koji boluju od RA, s područja Republike Hrvatske, koji su liječeni na odjelu Klinike za reumatske bolesti i rehabilitaciju, KBC Zagreb. Među ispitanicima je bilo 26 (86,7%) žena i 4 (13,3%) muškarca prosječne dobi 63,73 godine. Bolesnici su nasumce podijeljeni u dvije skupine po 15 bolesnika. Prva skupina dobila je terapiju hladnim zrakom, a druga skupina masažu ledom na šake. Izvršeno je inicijalno mjerenje boli neposredno prije krioterapije pomoću VAS skale boli te snage stiska šake pomoću hidrauličkog dinamometra u kilogramima za svaku šaku posebno. Bol i snaga stiska šake ponovno su izmjereni neposredno po završetku krioterapije te zatim 30 minuta i 60 minuta nakon krioterapije.
Rezultati pokazuju da učinak oba oblika krioterapije na smanjenje boli nastupa neposredno po primjeni krioterapije i održan je do sat vremena nakon primjenjene krioterapije te je statistički značajan. Oba oblika krioterapije poboljšavaju snagu stiska šake, više na lijevoj ruci, no taj učinak nije statistički značajan. Nije utvrđena statistički značajna razlika učinkovitosti terapije hladnim zrakom i kriomasaže ledom u umanjenju boli te poboljšanju snage stiska šake u sva tri vremena mjerenja, niti su zabilježene nuspojave. Rezultati ovog istraživanja su pokazali da obje metode krioterapije reumatoidne šake, i terapija hladnim zrakom i terapija ledom, mogu biti učinkovito i sigurno fizioterapijsko sredstvo za smanjenje boli i u manjoj mjeri za povećanje snage stiska šake kod bolesnika s RA, što prema dosadašnjim istraživanjima pridonosi poboljšanju funkcije šake i smanjenju korištenja analgetika.
Abstract (english) Rheumatoid arthritis is a systemic inflammatory disease of connective tissue. The inflammatory process takes place in the entire body, but the most obvious changes occur on the joints of the arms and legs where they cause severe anatomic and functional impairments that greatly disable the patient not only for work but also for the activity of everyday life and cause one of the most difficult forms of locomotor disability. Cryotherapy, as a method of local or global low-temperature treatment, has been shown to be a highly effective therapeutic agent for the treatment of rheumatoid arthritis for its analgesic and anti-inflammatory effects.
The main aim of this study was to determine the short-term effects of cold air therapy and ice therapy on the pain and strength of handshake in patients with RA and to compare the efficacy of these two cryotherapy methods.
The study included 30 patients with RA, from the Republic of Croatia, who were treated at the Department of Rheumatic Diseases and Rehabilitation, KBC Zagreb. There were 26 (86.7%) women and 4 (13.3%) men of average age 63.73. Patients are randomly divided into two groups of 15 patients. The first group received cold air therapy, and the other group massage with ice on their hands. Initial pain measurements were performed immediately prior to cryotherapy using VAS scales of pain and force of handshake using hydraulic dynamometer in kilograms for each shot in particular. Pain and force of the handshake were re-measured immediately after cryotherapy was completed and then 30 minutes and 60 minutes after cryotherapy.
The results showed that the effect of both forms of cryotherapy on pain reduction occurs immediately after cryotherapy and is maintained for up to one hour after the administration of cryotherapy and is statistically significant. Both forms of cryotherapy improve the strength of the handshake, more on the left hand, but this effect is not statistically significant. There was no statistically significant difference in the effectiveness of cold air therapy and ice therapy in reducing pain and improving the strength of the handshake in all three measurement times, and no side effects were observed. The results of this study have shown that both methods of cryotherapy, cold air therapy and ice therapy can be an effective and safe physiotherapeutic agent for pain reduction and, to a lesser extent, to increase the strength of handshake in
patients with RA, which, according to previous research, contributes to the improvement of hand function and reducing the use of analgesics.
Keywords
krioterapija
reumatoidni artritis
rehabilitacija
Keywords (english)
cryotherapy
rheumatoid arthritis
rehabilitation
Language croatian URN:NBN urn:nbn:hr:105:699929 Study programme Title: Medicine Type of resource Text File origin Born digital Access conditions Open access Terms of use Public note Pohranitelj objekta unio ključne riječi. Created on 2019-10-23 11:03:53
