diplomsko delo
Andraž Furlan (Avtor), Nina Hiti (Recenzent), Miroljub Jakovljević (Mentor), Marko Macuh (Komentor)

Povzetek

Uvod: Poškodbe v dimljah sodijo med ene izmed pogostejših poškodb pri športu. Pri nogometu predstavljajo od 8 % do 18 % vseh poškodb pri moških. Večino poškodb v dimljah predstavljajo poškodbe adduktornih mišic, najverjetneje zaradi velikih ekscentričnih sil, ki delujejo na te mišice med sunkovitimi gibi. Najpomembnejši dejavniki tveganja za poškodbo v dimljah so zmanjšana zmogljivost adduktornih mišic, predhodne poškodbe v dimljah, višji nivo tekmovanja in nespecifičnost vadbe glede na šport. Pri osebah z bolečinami v dimljah je bil opažen deficit v ekscentrični zmogljivosti adduktornih mišic, kar nakazuje na potencialno učinkovitost preventivnih vadbenih programov, usmerjenih v povečanje zmogljivosti teh mišic. Namen: Na podlagi pregleda literature ugotoviti učinkovitost preventivnih vadbenih programov za preprečevanje poškodb v dimljah pri nogometaših. Metode dela: Primerna literatura je bila iskana v elektronskih podatkovnih zbirkah podatkov PubMed in PEDro, v časovnem okviru od 2001 do 2021. Vključene so bile randomizirane nadzorovane raziskave o preventivnih vadbenih programih, v katerih so bili preiskovanci nogometaši in so beležili poškodbe. Raziskave so bile analizirane glede na lastnosti preiskovancev, značilnosti raziskav, merjene izide in učinkovitost vadbenih programov. Rezultati: V analizo je bilo zaradi omejene literature in zagotavljanja relativne primerljivosti vključenih le šest raziskav. Pri eni raziskavi je bila intervencija copenhagenska vaja addukcije, pri dveh set šestih vaj, pri preostalih treh pa različica FIFA 11+ programa. Vadbene programe so nogometaši izvajali eno sezono, enkrat do štirikrat tedensko. Glavna mera izida je bila število poškodb v dimljah. Le pri copenhagenski vaji addukcije so prišli do statistično značilnih rezultatov, in sicer do 41 % zmanjšanja števila poškodb v dimljah. Pri drugih raziskavah pa rezultati niso bili statistično značilni oziroma le-tega niso izračunali za dimeljske mišice. Doslednost rednega izvajanja programov je bila v večini raziskav nizka, z razponom od 32,7 % do 83,0 %. Razprava in zaključek: Na podlagi pregledane literature težko dokončno sklepamo o učinkovitosti preventivnih vadbenih programov za preprečevanje poškodb v dimljah, saj je bila dokazano učinkovita le copenhagenska vaja addukcije. Druge raziskave so imele več omejitev, ki so onemogočile postavljanje zaključkov. Eden glavnih razlogov za nespecifičnost rezultatov je gotovo neredno izvajanje programa, kar je vidno skoraj pri vseh raziskavah. Kljub vsemu rezultati večine raziskav kažejo v smer, da izvajanje preventivnih vadbenih programov zmanjša pojavnost poškodb v dimljah, vendar bodo za oprijemljive rezultate potrebne nadaljnje raziskave, v katerih bodo odpravljene izpostavljene pomanjkljivosti.

Ključne besede

diplomska dela;fizioterapija;dimlje;poškodbe;preprečevanje;FIFA;

Podatki

Jezik: Slovenski jezik
Leto izida:
Tipologija: 2.11 - Diplomsko delo
Organizacija: UL ZF - Zdravstvena fakulteta
Založnik: [A. Furlan]
UDK: 615.8
COBISS: 92404739 Povezava se bo odprla v novem oknu
Št. ogledov: 244
Št. prenosov: 80
Ocena: 0 (0 glasov)
Metapodatki: JSON JSON-RDF JSON-LD TURTLE N-TRIPLES XML RDFA MICRODATA DC-XML DC-RDF RDF

Ostali podatki

Sekundarni jezik: Angleški jezik
Sekundarni naslov: Efficacy of exercise programs for groin injuries prevention in male football players - literature review
Sekundarni povzetek: Introduction: Groin injuries are one of the most common injuries in sports. They represent from 8 % to 18 % of all injuries in male football (soccer). Most of groin injuries are adductor muscles injuries, probably because of great eccentric forces that these muscles endure during quick and powerful movements. The most important groin injury risk factors are reduced adductor muscles strength, previous groin injury, higher level of play and lower levels of sport-specific training. A deficit of eccentric adductor muscles strength was observed in players with groin pain, which indicates the potential efficiency of exercise programs, which would focus to improve the strength of these muscles. Purpose: The objective was to determine the efficacy of specific exercise programs in preventing groin injuries in football players. Methods: English literature published between 2001 and 2021 was searched for in PubMed and PEDro databases. Only randomized controlled trials about exercise prevention programs, in which the subjects were footballers and injuries were reported, were included. The literature was analyzed based upon characteristics of subjects, properties of studies, outcome measures and efficacy of exercise programs. Results: Due to limited available literature and to ensure relative comparability, only six studies were included in the analysis. One of the exercise programs included Copenhagen adduction exercise, two included a specific set of six exercises and the other three used a variant of the FIFA 11+ program. The program was implemented one to four times a week for a whole season. The main outcome measure was the number of groin injuries. Only the Copenhagen adduction exercise produced statistically significant results, lowering the groin injury incidence by 41 %. The rest of the studies did not produce statistically significant results or they did not calculate the statistics for the groin injuries. Compliance with the program was low in most of the studies, ranging from 32.7 % to 83.0 %. Discussion and conclusion: Based on the current literature we cannot conclude about the efficacy of the exercise programs in preventing groin injuries, because only the Copenhagen adduction exercise was proved to be effective. The other studies had more limitations, which prevent us from drawing conclusions. One of the main reasons for the indefinite results is surely the low compliance with the programs, which is reported in most of the studies. Despite everything, the results from most of the studies do show a positive potential, that doing this exercise programs regularly can lower the groin injury incidence, though further research in which the drawbacks of these current studies will be eliminated, is required in order to acquire tangible results.
Sekundarne ključne besede: diploma theses;physiotherapy;groin;injuries;prevention;FIFA;
Vrsta dela (COBISS): Diplomsko delo/naloga
Študijski program: 0
Komentar na gradivo: Univ. v Ljubljani, Zdravstvena fak., Oddelek za fizioterapijo
Strani: 31 str., [6] str. pril.
ID: 14240288