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Klara Žust (Author), Sonja Hlebš (Reviewer), Darija Šćepanović (Mentor)

Abstract

Uvod: V nosečnosti različne telesne spremembe pogosto vodijo k mišično-skeletnim problemom. Eden pogostejših je bolečina v medeničnem obroču. Nosečnice so zaradi nje omejene pri izvajanju vsakodnevnih aktivnosti, nemalo posameznic zaradi teh težav potrebuje bolniški stalež. Potrebna je posebna obravnava s strani strokovnjakov, največkrat so napotene na fizioterapijo. Namen: Namen diplomskega dela je prikazati fizioterapevtsko obravnavo nosečnice z bolečino v medeničnem obroču v kombinaciji z aplikacijo elastičnih lepilnih trakov, ugotoviti vpliv na simptome in aktivnosti, omejene zaradi bolečine, ter ali je ta vpliv odvisen od prisotnosti elastičnega lepilnega traku. Metode dela: Obravnava, sestavljena iz petih obiskov, je potekala osem tednov. Obravnavali smo 33-letno pacientko v 19. tednu prve nosečnosti z bolečino v medeničnem obroču. Pacientko smo ocenili ob začetku, med potekom in ob koncu obravnave. Ocenjevali smo intenziteto bolečine, izvedli fizikalni pregled in klinične teste za ugotavljanje prisotnosti bolečine v medeničnem obroču. Izpolnila je vprašalnik o medeničnem obroču in Oswestryjev indeks nezmožnosti. Obravnava je temeljila na podajanju informacij o problemu in ergonomskih nasvetov, učenju stabilizacijskih vaj in aplikaciji elastičnega lepilnega traku. Rezultati: Intenziteti stalne in najhujše bolečine, merjeni z vizualno analogno lestvico, sta se precej zmanjšali. Hitrost hoje se je normalizirala, čas faze opore na eno in drugo nogo se je izenačil. Gibljivost v smeri predklona in zaklona se je izboljšala in ni povzročala bolečin. Ob koncu se je število pozitivnih kliničnih testov povečalo za enega, rezultat testa aktivnega dviga stegnjenega spodnjega uda od podlage se je izboljšal s 3 na 1. Izboljšal se je tako rezultat Oswestryjevega indeksa nezmožnosti (s težke na minimalno nezmožnost), kot tudi rezultat vprašalnika o medeničnem obroču (z 52,8 % na 4 %). Razprava in sklep: Obravnava je bila zelo uspešna pri izboljšanju stanja, a je treba poudariti vpliv bolniškega staleža na rezultate. Ob ocenjevanju stanja tekom terapije smo ugotovili, da je bilo stanje boljše ob prisotnosti elastičnega lepilnega traku. Zaključili smo, da je fizioterapevtska obravnava v kombinaciji z elastičnim lepilnim trakom uspešna pri obvladovanju bolečine v medeničnem obroču. Posledično priporočamo vključitev elastičnih lepilnih trakov kot dopolnilno intervencijo v splošno obravnavo tega problema.

Keywords

diplomska dela;fizioterapija;bolečina v medeničnem obroču;nosečnost;elastični lepilni trakovi;fizioterapevtska obravnava;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [K. Žust]
UDC: 615.8
COBISS: 5378923 Link will open in a new window
Views: 1617
Downloads: 818
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Other data

Secondary language: English
Secondary title: Physiotherapy treatment of pregnant patient with pelvic girdle pain in combination with application of kinesiology tape
Secondary abstract: Introduction: There are many different physical changes during pregnancy. These often lead to musculoskeletal problems, and pelvic girdle pain is a common one. It negatively effects daily activities of pregnant women and many of them consequently need to take a sick leave. A special management from different health professionals is needed, and pregnant women are frequently referred to a physiotherapist. Purpose: To show a physiotherapy management of a pregnant woman with pelvic girdle pain in combination with a kinesiology tape application; to find out effects on symptoms and affected activities, and whether these effects depend on the presence of the kinesiology tape. Methods: The physiotherapy management lasted eight weeks and consisted of five appointments. Patient was a 33-year-old in her 19th week of pregnancy (first one) with pelvic girdle pain. We evaluated her at the beginning, during and at the end of the management. Pain intensity was measured, a physical examination and clinical tests for identifying the pelvic girdle pain were carried out. The patient filled in The Pelvic Girdle Questionnaire and Oswestry Disability Index. The management included information, ergonomic advice, stability exercises and application of the kinesiology tape. Results: Intensity of constant and the worst pain, measured with visual analogue scale, has decreased. Walking speed normalized and stance phase was equal on both sides. Bending forward and backward were not restricted and painful anymore. The amount of positive clinical tests increased for one, but the active straight test improved from 3 to 1. Results of both questionnaires improved – The Pelvic Girdle Questionnaire from 52,8 % to 4 %, and Oswestry Disability Index from severe to minimal disability. Discussion and conclusion: Physiotherapy management considerably improved patient’s condition. However, it is important to stress the influence of sick leave on obtained results. As we evaluated patient’s condition during physiotherapy management, we noticed that the condition was better in presence of the kinesiology tape. We conclude that physiotherapy management in combination with application of the kinesiology tape is successful at relieving pelvic girdle pain. Therefore, we recommend its use in general physiotherapy management of pelvic girdle pain as a supplementary intervention.
Secondary keywords: diploma theses;physiotherapy;pelvic girdle pain;pregnancy;kinesiology tape;physiotherapy management;
Type (COBISS): Bachelor thesis/paper
Study programme: 0
Thesis comment: Dipl. delo (bolonjski študij), Univ. v Ljubljani, Zdravstvena fak., Oddelek za fizioterapijo
Pages: 5 str., [34] str. pril.
ID: 10915161