diplomsko delo
Nastja Sojč (Author), Sonja Hlebš (Reviewer), Mojca Divjak (Mentor)

Abstract

Uvod: Herniacija medvretenčne ploščice je ena izmed najpogostejših degenerativnih motenj, ki povzroča bolečine v hrbtu, radikularno bolečino, parestezije in oslabelost mišic v spodnjih udih. Namen: Namen diplomskega dela je predstaviti celostno konzervativno obravnavo pacientke s hernijo diska v ledvenem delu hrbtenice. Metode dela: Diplomsko delo je poročilo o primeru. Fizioterapevtska ocena pacientkinega stanja je vključevala anamnezo, inspekcijo, palpacijo, linearne meritve obsega gibljivosti hrbtenice, orientacijsko testiranje mišične zmogljivosti, meritve obsegov spodnjih udov, oceno površinske senzibilitete po dermatomih, oceno bolečine in drže, test hoje na 10 metrov, 6-minutni test hoje in test stoje na eni nogi. Na podlagi pridobljenih podatkov in anamneze smo izpostavili pacientkine težave in zastavili kratkoročne in dolgoročne cilje. Meritve smo ponovili po zaključeni fizioterapevtski obravnavi in jih primerjali z začetnimi meritvami. Za zdravljenje hernije diska smo izbrali kinezioterapijo, fizikalno terapijo in zdravstveno-vzgojno izobraževanje v kombinaciji z medikamentozno terapijo za lajšanje bolečin. Rezultati: Ob koncu fizioterapevtske obravnave se je izboljšala gibljivost hrbtenice, za 40 mm se je na VAL-IB zmanjšala bolečina, izboljšali so se časi testov hoje na 10 metrov in 6-minutni test hoje ter tudi časi testov stoje na eni nogi z odprtimi in zaprtimi očmi. Razprava in zaključek: Z izbranimi fizioterapevtskimi postopki smo želeli doseči zastavljene cilje, kar nam je na podlagi rezultatov, ki smo jih dobili pri drugem (končnem) ocenjevanju pacientke, uspelo zelo dobro. Pacientko smo v sklopu zdravstveno-vzgojnega izobraževanja seznanili z informacijami za preprečevanje ponovnega nastanka bolečine v križu in o načinih za doseganje dolgoročno zastavljenih ciljev.

Keywords

diplomska dela;fizioterapija;hernija diska;degenerativne spremembe;bolečina v križu;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [N. Sojč]
UDC: 615.8
COBISS: 5544555 Link will open in a new window
Views: 2401
Downloads: 952
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Other data

Secondary language: English
Secondary title: Physiotherapy treatment of patient with herniated disc in the lumbar spine - case report
Secondary abstract: Introduction: Herniated disc is one of the most common degenerative disorders which causes back pain, radicular pain, paraesthesia and weakness in lower limbs. Purpose: The purpose of the diploma work is to present the physiotherapy treatment of the patient with herniated disc in the lumbar spine. Methods: The diploma work is a case report. Physiotherapeutic assessment of patient's condition included anamnesis, inspection, palpation, linear measurements of the spinal's scope of flexibility, orientation test of muscle strength, measurements of lower limbs girth, assessment of superficial sensory according to appropriate dermatomes, assessment of pain and posture, 10 meter walk test, 6 minute walk test and one leg standing test. Based on obtained data and anamnesis, patient's problems were exposed and short term and long-term goals were set. Measures were made before and after physiotherapy treatment and the results were compared. Physiotherapy program included kinesiotherapy, physical therapy and health education combined with medicament therapy to relieve pain. Results: At the end of physiotherapy treatment range of spinal motion was improved, pain reduced on VAL-IB for 40 mm, times of 10 meter walk test, 6 minute walk test and one leg standing tests with eyes open and closed improved. Discussion and conclusion: With selected physiotherapeutically processes we wanted to achieve the goals we had set. Based on the results, that we managed to gather by the second examination of the patient, we did that really well. We informed the patient, as a part of health-raising education, with information to prevent the possibility of returning back pain and the ways of achieving long term goals.
Secondary keywords: diploma theses;physiotherapy;herniated disc;degenerative changes;lower back pain;
Type (COBISS): Bachelor thesis/paper
Study programme: 0
Thesis comment: Univ. v Ljubljani, Zdravstvena fak., Oddelek za fizioterapijo
Pages: 36 str.
ID: 10991281