diplomsko delo
Aleš Strajnar (Author), Sonja Hlebš (Reviewer), Mojca Divjak (Mentor)

Abstract

Uvod: Kronične bolečine v križu prispevajo velik del ogromnemu socioekonomskemu bremenu, ki ga globalno povzročajo kronične bolečine, definirane kot bolečine, ki trajajo več kot 12 tednov. Tako strokovnjaki, kot tudi osebe, ki trpijo kronične bolečine v križu, za obravnavo tega stanja poleg obstoječih metod iščejo nove, ki bi z minimalno stranskih učinkov v čim krajšem času kar najbolj zmanjšale bolečino. Ena od fizioterapevtskih metod obravnave bolečine je terapija z uporabo elastičnih lepilnih trakov, katere analgetični mehanizmi niso jasni, nekateri raziskovalci dvomijo vanje in to terapijo enačijo s placebom. Najpomembnejši pogoji pri posegih s placebom in nocebom v fizioterapiji so zajeti v 5 glavnih značilnosti, ki naj bi se jih fizioterapevti zavedali za spodbujanje placeba in izogibanje nocebu v kliničnem okolju: intervencijsko okolje, odnos med pacientom in terapevtom, zdravljenje, terapevtove in pacientove značilnosti. Namen: Želeli smo ugotoviti ali je terapija z uporabo elastičnih lepilnih trakov učinkovita metoda analgezije ali je poročano olajšanje bolečine zgolj posledica placeba. Metode dela: Preko oddaljenega dostopa smo našli 8 s placebom nadzorovanih randomiziranih raziskav, objavljenih med letoma 2010 in 2020, ki so raziskovale analgetične učinke terapije z uporabo elastičnih lepilnih trakov pri osebah s kronično bolečino v križu. Rezultati: Udeleženci kar šestih od osmih raziskav so poročali o klinično pomembnem izboljšanju bolečine, od tega vse raziskave, ki so vključile dodatne fizioterapevtske postopke. Razprava in zaključek: Vključene raziskave so se med seboj razlikovale v mnogih dejavnikih, zaradi česar je bila natančna primerjava nemogoča. Obstaja možnost, da trakovi, nanešeni brez elastičnosti, že zagotavljajo dovolj nevrološke stimulacije in olajšanja bolečine, tako bi bili izsledki vključenih raziskav netočni, saj bi bile zasnovane na neprimerni izbiri placeba. Tako na bolečino, ki je subjektivna izkušnja, kot na placebo odziv, ki je pri vsakem posamezniku edinstven, njegovi mehanizmi pa še niso popolnoma jasni, močno vplivajo številni psihosocialni dejavniki. Zato kljub prisotnosti kontrolne skupine (naravni potek) nismo mogli oceniti, v kolikšni meri je pri lajšanju bolečin s terapijo z elastičnimi lepilnimi trakovi pri osebah s kronično bolečino v križu udeležen placebo učinek. Kljub temu pa rezultati, ki izkazujejo klinično izboljšanje, govorijo v korist terapiji z uporabo elastičnih lepilnih trakov pri osebah s kronično bolečino v križu, sploh kot dopolnilni terapiji k že uveljavljenim fizioterapevtskim postopkom.

Keywords

diplomska dela;fizioterapija;bolečina;elastični lepilni trakovi;placebo;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [A. Strajnar]
UDC: 615.8
COBISS: 45574659 Link will open in a new window
Views: 459
Downloads: 91
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Other data

Secondary language: English
Secondary title: ǂThe ǂeffect of placebo on chronic low back pain in kinesiotaping therapy
Secondary abstract: Introduction: Chronic low back pain contributes much to the enormous socioeconomic burden caused globally by chronic pain, defined as pain lasting more than 12 weeks. Professionals and people suffering from chronic low back pain are looking for new methods to treat this condition which would minimize pain with minimal side effects as fast as possible. One of the physiotherapeutic methods of treating pain is kinesiotaping therapy, the analgesic mechanisms of which are not yet clear, some researchers doubt them, and equate this therapy with placebo. The most important conditions for placebo and nocebo interventions in physiotherapy are covered in 5 main characteristics that physiotherapists should be aware of to promote placebo and avoid nocebo in the clinical setting: intervention environment, patient-therapist relationship, treatment, therapist and patient characteristics. Purpose: We wanted to determine whether therapy using elastic adhesive tapes was an effective method of analgesia or whether the reported pain relief was solely due to placebo. Methods: Using search engines and databases due to remote access, we found 8 placebo-controlled randomized trials published between 2010 and 2020 that investigated the analgesic effects of kinesiotherapy in chronic low back pain. Results: Participants in as many as six of the eight studies reported clinically significant improvement in pain, which includes all studies that contained additional physiotherapy procedures. Discussion and conclusion: The intervention protocols varied a lot among the included studies, making the comparison impossible or inaccurate. There is a possibility that the strips applied without elasticity already provide sufficient neurological stimuli and pain relief, so the results of the included studies could be biased by the improper selection of placebo. Experts don't yet have a clear understanding regarding mechanisms of pain, which is a subjective experience, and the placebo response, which is unique to each individual, both of which are strongly influenced by a number of psychosocial factors. Therefore, despite the presence of a control group (natural flow), we were unable to assess the extent to which placebo was involved in pain relief with kinesiotherapy in chronic low back pain. Nevertheless, the results, which show clinical improvement, are in favor of kinesiotherapy in chronic low back pain, especially as adjunctive therapy to established physiotherapy procedures.
Secondary keywords: diploma theses;physiotherapy;pain;kinesio tape;placebo;
Type (COBISS): Bachelor thesis/paper
Study programme: 0
Embargo end date (OpenAIRE): 1970-01-01
Thesis comment: Univ. v Ljubljani, Zdravstvena fak., Oddelek za fizioterapijo
Pages: 36 str., [4] str. pril.
ID: 12315859