diplomsko delo
Manca Groznik (Author), Urška Puh (Reviewer), Alan Kacin (Mentor), Tina Grapar Žargi (Co-mentor)

Abstract

Uvod: Cerebralna paraliza je nenapredujoča kronična encefalopatija, ki vodi do nevroloških motenj in je najpogostejša motorična motnja otrok. Pri otrocih s cerebralno paralizo so lahko prisotne različne oblike okvarjene mišične funkcije, kot so spastičnost, mišična oslabelost in izguba hotene kontrole gibanja. Vse te oblike okvarjene mišične funkcije ovirajo izvedbo vsakodnevnih dejavnosti in sodelovanja pri otrocih s cerebralno paralizo. Za izboljšanje mišične zmogljivosti pri otrocih s cerebralno paralizo so v uporabi različne metode, med katere sodi progresivna vadba proti uporu. Namen: Namen diplomskega dela je s pregledom literature ugotoviti vpliv vadbe proti uporu na mišično zmogljivost in funkcijske aktivnosti otrok s cerebralno paralizo. Metode dela: Izvedli smo sistematični pregled randomiziranih kontroliranih poskusov po podatkovnih zbirkah Cinahl, Medline, Cochrane in PEDro. Rezultati: Na podlagi izločitvenih kriterijev je bilo v pregled vključenih sedem randomiziranih kontroliranih raziskav. V petih raziskavah so avtorji kot metodo uporabili vadbo proti uporu, v dveh raziskavah pa kombinacijo vadbe proti uporu in aerobne vadbe na sobnem kolesu. V šestih raziskavah so ugotovili statistično pomembno izboljšanje mišične jakosti med skupinama, v dveh raziskavah so poročali o pomembnem izboljšanju parametrov hoje. Avtorji raziskav niso poročali o pomembnih učinkih na premičnost, grobo gibalno funkcijo ali vzdržljivost med skupinama. Vse raziskave so učinke vadbe primerjale s kontrolno skupino, ki je v vmesnem času obiskovala običajno fizioterapijo. Razprava in zaključek: Vadbo proti uporu lahko pri otrocih s cerebralno paralizo na podlagi izsledkov raziskav označimo kot učinkovito sredstvo za povečanje mišične jakosti, ne pa tudi za izboljšanje drugih funkcijskih sposobnosti, ki so za preiskovance ključne. Za prenos učinkov izboljšanja mišične jakosti na funkcijske sposobnosti bi vadba morala biti bolj usmerjena v funkcijo in vključevati več komponent, ki so pri posameznikih s cerebralno paralizo pogosto okvarjene. Za bolj zanesljive sklepe bi bilo potrebno izvesti več raziskav, ki bi učinke spremljale tudi dolgoročno. Med izvajanjem raziskav avtorji niso poročali o škodljivih učinkih, kot sta spastičnost in zmanjšanje gibljivosti.

Keywords

diplomska dela;fizioterapija;cerebralna paraliza;vadba proti uporu;otroci;mišična jakost;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [M. Groznik]
UDC: 615.8
COBISS: 5476715 Link will open in a new window
Views: 1065
Downloads: 333
Average score: 0 (0 votes)
Metadata: JSON JSON-RDF JSON-LD TURTLE N-TRIPLES XML RDFA MICRODATA DC-XML DC-RDF RDF

Other data

Secondary language: English
Secondary title: ǂThe ǂeffect of resistance training on performance of children with cerebral palsy - literature review
Secondary abstract: Introduction: Cerebral palsy is an unprogressive chronic encephalopathy that leads to neurological disorders and is the most common childhood motor disability. Children with cerebral palsy suffer from impaired muscle function, such as spasticity, muscle weakness and loss in voluntary motor control which affects activity and social participation. Studies use various types and combinations of strength training, one of which is progressive resistance exercise. Purpose: The purpose of this study is to determine the effect of resistance training on muscle performance and functional activities of children with cerebral palsy. Methods: A systematic review of randomized controlled trials was conducted in databases Cinahl, Medline and PEDro. Results: According to exclusion criteria seven randomized controlled studies were included in the analysis. Five studies used progressive resistance exercise, while two studies used a combination of resistance exercise and aerobic exercise of stationary cycling. Six studies reported significant improvement in muscle strength between groups, two studies reported significant improvement in parameters of walking. Studies did not report any significant effects on mobility, gross motor function or endurance between groups. All studies compared the effects of exercise to a control group, which continued with their usual physiotherapy during the time of study. Discussion and conclusion: Evidence suggest resistance training is an effective method of muscle strengthening in children with cerebral palsy, but it is not so effective when improving other functional abilities which are important for participants. To improve complex functional abilities the exercise plan should be more task oriented and reach more components that are often impaired in individuals with cerebral palsy. To reach more substantial conclusions further studies that would evaluate long-term effects are needed. While participating in the programme, no adverse effects like spasticity or impaired flexibility were reported.
Secondary keywords: diploma theses;physiotherapy;cerebral palsy;resistance training;children;muscle strength;
Type (COBISS): Bachelor thesis/paper
Study programme: 0
Thesis comment: Univ. v Ljubljani, Zdravstvena fak., Oddelek za fizioterapijo
Pages: 34 str., [2] str. pril.
ID: 10958769