diplomsko delo
Hana Slomić (Author), Renata Vauhnik (Reviewer), Polona Palma (Mentor)

Abstract

Uvod: Artroza je najpogostejša kronična degenerativna bolezen sklepov, ki prizadene sinovialne sklepe. Telefizioterapija je del telemedicine, ki vključuje izvajanje fizioterapevtskih storitev na daljavo, z uporabo informacijsko-komunikacijske tehnologije, ko sta izvajalec in prejemnik storitve ločena glede na kraj in/ali čas. Telekovčing je oblika telefizioterapije in se uporablja za zagotavljanje podpore in spodbude uporabnikom nadomu, z uporabo sodobne telekomunikacijske tehnologije, preko motivacijskih sporočil ali telefonskega svetovanja. Namen: Namen diplomskega dela je bil, s pregledom literature, ugotoviti vpliv uporabe telefizioterapije na zmanjšanje bolečine in izboljšanje funkcije spodnjih udov pri pacientih z artrozo kolena med izvajanjem terapevtske vadbe doma. Metode dela: Iskanje literature je potekalo v podatkovni zbirki PubMed in PEDro. Samostojno ali v kombinaciji so bile uporabljene naslednje ključne besede in besedne zveze v angleškem jeziku: knee osteoarthritis, telerehabilitation, telehealth, internet-based rehabilitation. Rezultati: Ob uporabi vključitvenih in izključitvenih kriterijev je bilo v podrobno analizo vključenih 7 raziskav. V raziskavah je sodelovalo od najmanj 36 in donajveč 415 preiskovancev. Najnižja starostna meja je bila 45 let. Terapevtski vadbeni programi so trajali od 6 tednov do 2 leti. V eksperimentalnih skupinah so vsi vadbeni programi vključevali vaje za krepitev mišic spodnjih udov in različne oblike telekovčinga. Medtem ko so v kontrolnih skupinah preiskovanci v večini prejeli splošno zdravstvenooskrbo brez dodatne podpore na daljavo. V dveh raziskavah so med skupinama ugotovili statistično pomembne razlike pri zmanjšanju bolečine v kolenu. V eni raziskavi je prišlo do statistično pomembnega zmanjšanja bolečin znotraj kontrolne skupine po 8 tednih. V treh raziskavah je prišlo do statistično pomembne razlike v izboljšanju funkcije med skupinama. V eni raziskavi je prišlo do statistično značilnega izboljšanja funkcije znotraj eksperimentalne skupine po 8 tednih. Razprava in zaključek: Rezultati raziskav so pokazali, da uporaba telefizioterapije v kombinaciji s terapevtsko vadbo pri posameznikih z artrozo kolena dosega pozitivne rezultate pri zmanjšanju bolečine in izboljšanju funkcije. Do največjih sprememb pri zmanjšanju bolečine in izboljšanju funkcije pride v začetnem obdobju zdravljenja. V prihodnje bi bilo smiselno izvesti več raziskav, ki bi preučevale dolgotrajne učinke telefizioterapije in terapevtske vadbe doma pri artrozi kolena s primerljivimi vadbenimi protokoli.

Keywords

diplomska dela;fizioterapija;artroza kolena;telefizioterapija;telekovčing;bolečina;funkcija spodnjih udov;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [H. Slomić]
UDC: 615.8
COBISS: 241295875 Link will open in a new window
Views: 123
Downloads: 28
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 ǂeffectiveness of telephysiotherapy during home-based therapeutic exercises in patients with knee arthrosis - literature review
Secondary abstract: Introduction: Osteoarthritis is the most common chronic degenerative joint disease that affects the synovial joints. Telephysiotherapy is a part of telemedicine that involves the remote delivery of physical therapy services using information and communication technology where the provider and recipient of the service are separated by location and/or time. Telecoaching is a form of telephysiotherapy and is used to provide support and encouragement to users at home, using modern telecommunications technology, through motivational messages or telephone counseling. Purpose: The purpose of the thesis was to determine, through a literature review, the effect of telephysiotherapy on reducing pain and improving the function of lower limbs in patients with knee osteoarthritis while performing home-based therapeutic exercises. Methods: The literature search was conducted in the PubMed and PEDro databases. The following key words and phrases in English were used alone or in combination: knee osteoarthritis, telerehabilitation, telehealth, internet-based rehabilitation. Results: Using inclusion and exclusion criteria, 7 studies were included in the detailed analysis. The studies involved between 36 and 415 participants. The minimum age limit was 45 years. Therapeutic exercise programs lasted from 6 weeks to 2 years. In the experimental groups, all exercise programs included exercises to strengthen the muscles of the lower limbs and various forms of telecoaching. In the control groups, subjects mostly received general medical care, with no additional remote support. Statistically significant differences in knee pain reduction were found between the groups in two studies. One study showed a statistically significant reduction in pain within the control group after 8 weeks. Three studies showed a statistically significant difference in improvement of function between the groups. One study showed a statistically significant improvement in function within the experimental group after 8 weeks. Discussion and conclusion: Research results have shown that the use of telephysiotherapy in combination with therapeutic exercise in individuals with knee arthrosis achieves promising results in reducing pain and improving function. The greatest changes in pain reduction and improvement of function occur in the initial period of treatment. In the future, it would make sense to conduct more research to study the long-term effects of telephysiotherapy and therapeutic exercise at home in knee arthrosis with comparable exercise protocols.
Secondary keywords: diploma theses;physiotherapy;knee osteoarthritis;telephysiotherapy;telecoaching;pain;function of the lower limbs;
Type (COBISS): Bachelor thesis/paper
Study programme: 0
Thesis comment: Univ. v Ljubljani, Zdravstvena fak., Oddelek za fizioterapijo
Pages: 39 str.
ID: 26712129