diplomsko delo
Enej Zrimšek (Author), Renata Vauhnik (Reviewer), Alan Kacin (Mentor)

Abstract

Uvod: Utesnitveni sindrom rame je najpogostejša okvara (44–65 %) rame. Terapevtska vadba je najučinkovitejši konzervativni terapevtski postopek zdravljenja tega preobremenitvenega sindroma, njena kombinacija z ostalimi terapevtskimi postopki pa pripelje do boljših izidov obravnave kot vadba sama. Kot podporna terapija se pogosto uporabljajo elastični lepilni trakovi, vendar njihov dodaten terapevtski učinek ni jasen. Namen: Namen diplomskega dela je analizirati objavljene znanstvene dokaze o učinkih elastičnih lepilnih trakov v kombinaciji s terapevtsko vadbo pri pacientih z utesnitvenim sindromom rame. Metode dela: Iskanje literature je potekalo s pregledom podatkovnih zbirk PubMed in PEDro. Rezultati: Na podlagi vključitvenih in izključitvenih kriterijev je bilo v pregled zajetih sedem randomiziranih kontroliranih raziskav. Rezultati raziskav glede primerjave med skupinami preiskovancev z različnimi terapevtskimi intervencijami so heterogeni, zato trdnih zaključkov o dodatnem terapevtskem učinku elastičnih lepilnih trakov ni mogoče podati. Njihova uporaba skupaj s terapevtsko vadbo je učinkovitejša kot vadba sama in manj učinkovita kot injiciranje kortikosteroida in lokalnega anestetika subakromialno. Razprava in zaključek: Izsledki vključenih raziskav ne podpirajo uporabe elastičnih lepilnih trakov kot samostojne terapije, temveč zgolj kot podporo terapevtski vadbi in ostalim fizioterapevtskim postopkom pri obravnavi pacienta z utesnitvenim sindromom rame. Za oblikovanje trdnih zaključkov so potrebne dodatne raziskave z višjo kakovostjo in bolj poenoteno raziskovalno metodologijo.

Keywords

diplomska dela;fizioterapija;elastični lepilni trakovi;utesnitveni sindrom rame;terapevtska vadba;pregled literature;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [E. Zrimšek]
UDC: 615.8
COBISS: 120220419 Link will open in a new window
Views: 89
Downloads: 12
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Other data

Secondary language: English
Secondary title: Effects of elastic taping in combination with therapeutic exercise in patients with shoulder impingement syndrome - literature review
Secondary abstract: Introduction: Shoulder impingement syndrome is the most common (44–65 %) shoulder impairment. Therapeutic exercise is the most effective conservative therapeutic intervention to treat this overload syndrome while combining it with other therapeutic interventions leads to better treatment outcomes than exercise alone. Elastic tapes are often used as supportive therapy, however, their added therapeutic effect is not clear. Purpose: The purpose of this diploma work is to analyse published scientific evidence on the effects of elastic taping in combination with therapeutic exercise in patients with shoulder impingement syndrome. Methods: Literature was searched in PubMed and PEDro databases. Results: Based on the inclusion and exclusion criteria, seven randomized controlled trials were included in this review. Studies report heterogenous results regarding comparison of patient groups with various therapeutic interventions, thus no firm conclusions about additional therapeutic effect of elastic taping can be drawn. Elastic taping in combination with therapeutic exercise tends to be more effective than therapeutic exercise alone and less effective than corticosteroid and local anaesthetic injections. Discussion and conclusion: The results of reviewed studies do not support use of elastic taping as a stand-alone intervention when treating a patient with shoulder impingement syndrome, but rather as an addition to therapeutic exercise and other physiotherapeutic interventions. Additional studies with higher methodological quality and more standardized research methodology are needed to reach more definite conclusions.
Secondary keywords: diploma theses;physiotherapy;elastic taping;shoulder impingement syndrome;therapeutic exercise;literature review;
Type (COBISS): Bachelor thesis/paper
Study programme: 0
Thesis comment: Univ. v Ljubljani, Zdravstvena fak., Oddelek za fizioterapijo
Pages: 32 str., [3] str. pril.
ID: 16345583