diplomsko delo
Povzetek
Uvod: Mišično-kostna obolenja ali okvare perifernih sklepov lahko zdravimo z različnimi
manualnimi postopki, eden izmed postopkov je mobilizacija z gibanjem po Mulliganu.
Mobilizacija z gibanjem se izvaja med pacientovim aktivnim gibom, tako da terapevt
uporablja zunanjo silo, ki ne sme biti boleča, z namenom zagotavljanja pravilne
artrokinematike obravnavanega perifernega sklepa ali gibalnega segmenta. Namen: Namen
diplomskega dela je na osnovi pregleda literature predstaviti učinke mobilizacije z gibanjem
pri utesnitvenem sindromu ramenskega sklepa, lateralnem epikondilitisu, osteoartrozi kolka,
osteoartrozi kolena, zvinu in kronični nestabilnosti gležnja. Metode dela: Literaturo,
objavljeno med leti 2006 in 2021, smo iskali v podatkovnih zbirkah MEDLINE in CINAHL,
Cochrane, Web of Science, SPORTDiscus, PEDro, PubMed in Google Scholar. Pregled je
zajemal raziskave, v katerih so sodelovali pacienti z mišično-kostnimi obolenji na zgornjih ali
spodnjih udih in so bili obravnavani z mobilizacijo z gibanjem po Mulliganu. Rezultati: V
analizo je bilo vključenih 12 randomiziranih kontrolnih poskusov. V vseh so dokazali
pozitiven učinek mobilizacije z gibanjem na izboljšanje funkcije in zmanjšanje bolečine.
Dokazan je bil boljši učinek mobilizacije z gibanjem v primerjavi z nekaterimi drugimi
postopki, in sicer z nihajnimi vajami v kombinaciji z vadbo za izboljšanje obsega gibljivosti
in v primerjavi s transkutano električno živčno stimulacijo. Razprava in zaključek:
Mobilizacija z gibanjem pri pacientih z različnimi mišično-kostnimi obolenji na perifernih
sklepih je bila učinkovitejša kot zdravljenje s placebo učinkom, ali če pacienti niso prejemali
nobene terapije. Vendar ne moremo potrditi, da je mobilizacija z gibanjem učinkovitejša v
primerjavi z drugimi manualnimi postopki, kot so manipulacija, vadba za izboljšanje obsega
gibljivosti ali zdravljenje s kortikosteroidnimi zdravili. Potrebno je nadaljnje raziskovanje za
dokazovanje kratko- in dolgoročnih učinkov mobilizacije z gibanjem.
Ključne besede
diplomska dela;fizioterapija;mobilizacija z gibanjem;mobilizacija;Mulligan;periferni sklepi;
Podatki
Jezik: |
Slovenski jezik |
Leto izida: |
2021 |
Tipologija: |
2.11 - Diplomsko delo |
Organizacija: |
UL ZF - Zdravstvena fakulteta |
Založnik: |
[L. Petek] |
UDK: |
615.8 |
COBISS: |
91023107
|
Št. ogledov: |
190 |
Št. prenosov: |
27 |
Ocena: |
0 (0 glasov) |
Metapodatki: |
|
Ostali podatki
Sekundarni jezik: |
Angleški jezik |
Sekundarni naslov: |
ǂThe ǂeffectiveness of Mulligan's mobilisation with movement on peripheral joints in musculoskeletal impairments – literature review |
Sekundarni povzetek: |
Introduction: Musculoskeletal disorders of the peripheral joints can be treated with various
manual procedures; one of these is mobilization with movement according to Mulligan.
Mobilization with motion is performed while the patient active motion, so that the therapist
applies an external force, which may not be painful, to ensure proper arthrokinematics of the
peripheral joint or segment motion. Purpose: The purpose of the thesis is to present the
effects of mobilization with motion in shoulder impingement syndrome, lateral epicondylitis,
hip osteoarthritis, knee osteoarthritis, ankle sprains and chronic ankle instability. Methods:
Literature published between 2006 and 2021 was searched in MEDLINE and CINAHL,
Cochrane, Web of Science, SPORTDiscus, PEDro, PubMed and Google Scholar databases.
The review included studies involving subjects with musculoskeletal disorders of the upper or
lower limbs treated by Mulligan mobilization with movement. Results: Twelve randomized
control trials were included in the analysis. They all showed the positive effect of
mobilization with motion on improving function and reducing pain. A better effect of
mobilization with motion was demonstrated in comparison with some other procedures,
namely with pendular exercises combined with exercise to improve range of motion and
transcutaneous electrical nerve stimulation. Discussion and conclusion: Mobilization with
motion in patients with various musculoskeletal disorders at the peripheral joints was more
effective than treatment with a placebo effect, or if patients were not receiving any therapy.
However, we cannot confirm that mobilization with movement is more effective compared to
other manual procedures such as manipulation, exercise to improve range of motion, or
treatment with corticosteroid medications. Further research is needed to demonstrate the
short- and long-term effects of mobilization with movement. |
Sekundarne ključne besede: |
diploma theses;physiotherapy;mobilization with movement;mobilization;Mulligan;peripheral joints; |
Vrsta dela (COBISS): |
Diplomsko delo/naloga |
Študijski program: |
0 |
Komentar na gradivo: |
Univ. v Ljubljani, Zdravstvena fak., Oddelek za fizioterapijo |
Strani: |
26 str., [6] str. pril. |
ID: |
14196150 |