diplomsko delo
Manca Oblak (Author), Miroljub Jakovljević (Reviewer), Sonja Hlebš (Mentor)

Abstract

Uvod: Zožitev hrbteničnega kanala v ledvenem delu je pogosta patologija pri starejših odraslih. Povzroča bolečino v ledvenem delu hrbtenice in nogah ter omejuje posameznikovo funkcionalnost. Zaradi pomanjkanja dokazov o konservativnem zdravljenju, se veliko pacientov odloči za operacijo, ki pa za starejše odrasle predstavlja morebitno tveganje. Namen: Namen diplomskega dela je bil na podlagi pregleda literature ugotoviti učinkovitost fizioterapevtskih postopkov pri obravnavi oseb z zožitvijo hrbteničnega kanala v ledvenem delu. Metode dela: Iskana je bila literatura v angleškem jeziku, objavljena v obdobju med leti 2011 in 2020. Uporabljene ključne besede so bile: »lumbar spinal stenosis«, »physiotherapy«, »nonsurgical treatment«, »management« in »older adults«. Iskali smo v naslednjih podatkovnih bazah: PEDro, CINAHL, ScienceDirect, PubMed in Web of Science. Rezultati: Dobili smo 78 zadetkov. Analiziranih je bilo šest raziskav. V dveh raziskavah so primerjali tri načine konservativnega zdravljenja med seboj in sicer v eni zdravstveno oskrbo, skupinsko vadbo in manualno terapijo/individualizirano vadbo, v drugi pa zdravljenje z zdravili, terapevtskimi vajami in akupunkturo. V drugih raziskavah so učinkovitost nadzorovane fizioterapije primerjali z epiduralnimi injekcijami steroidov, z operacijo in z domačo vadbo. Izsledki pregledanih raziskav so pokazali, da različni fizioterapevtski postopki privedejo do zmanjšanja bolečine in telesnih omejitev, zmanjšanja ravni prisotnih simptomov ter do izboljšanja psihičnih in telesnih funkcij. Razprava in zaključek: Na podlagi dobljenih rezultatov smo ugotovili, da raziskave ne podajo točnega odgovora na to, kateri je najbolj optimalen konservativen postopek za zdravljenje te bolezni. Vsi omenjeni fizioterapevtski postopki se zdijo razumna možnost zdravljenja za paciente, ki se ne odločijo za operativni poseg. V prihodnosti bi bilo smiselno spremljati dolgoročne učinke uporabljenih fizioterapevtskih postopkov ter v raziskave vključiti več preiskovancev.

Keywords

diplomska dela;fizioterapija;zožitev hrbteničnega kanala;bolečina;zmanjšana sposobnost hoje;konservativno zdravljenje;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [M. Oblak]
UDC: 615.8
COBISS: 15798531 Link will open in a new window
Views: 500
Downloads: 138
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Other data

Secondary language: English
Secondary title: ǂThe ǂefficiency of physiotherapeutic techniques in older adults with a lumbar spinal stenosis - literature review
Secondary abstract: Introduction: Lumbar spinal stenosis is a common pathology in older adults. It causes pain in the lumbar spine and legs and impairs functional ability in individuals. Due to the lack of evidence in favour of the nonsurgical treatment, many patients decide for surgery, which is identified as potential risk in older adults. Objective: The objective of the diploma thesis was to review the existing literature on this topic and to identify efficacy of physiotherapeutic treatment of patients with lumbar spinal stenosis. Methods: English literature published between 2011 and 2020 was searched using keywords were: lumbar spinal stenosis, physiotherapy, nonsurgical treatment, management in older adults. The following databases were used: PEDro, CINAHL, ScienceDirect, PubMed and Web of Science. Results: We got 78 results. The analysis was made based on six studies. Three types of nonsurgical treatment were compared among each other in two studies: medical treatment, group exercise and manual therapy/individual therapy in the first study and treatment with medication, therapeutic exercises and acupuncture in the second one. In other studies, the efficacy of supervised physiotherapy was compared with epidural injections of steroids, surgery and individual exercise. Results of the analysis showed that different physiotherapeutic treatments lead to pain reduction and less body restraints, to reduced level of symptoms and to better psychological and body functions. Discussion and conclusion: Based on the obtained results, it could be concluded that studies do not provide a precise answer to which nonsurgical treatment is the most optimal for this condition. All the above-mentioned physiotherapeutic treatments seem to be a rational option for patients who do not decide for surgery. It would be valuable for future research to monitor long-term effects of the chosen physiotherapeutic treatments and to include even more patients in the studies.
Secondary keywords: diploma theses;physiotherapy;spinal stenosis;pain;reduced walking ability;nonsurgical treatment;
Type (COBISS): Bachelor thesis/paper
Study programme: 0
Thesis comment: Univ. v Ljubljani, Zdravstvena fak., Oddelek za fizioterapijo
Pages: 26 str.
ID: 11699526