Primerjava učinkovitosti udarnih globinskih valov in ultrazvoka pri obravnavi pacientov z lateralnim epikondilitisom komolca - pregled literature

diplomsko delo

Blaž Gvardjančič (Avtor), Miroljub Jakovljević (Recenzent), Sonja Hlebš (Mentor), Marko Macuh (Komentor)

Povzetek

Uvod: Lateralni epikondilitis ali tudi teniški komolec je boleče stanje, ki nastane zaradi prekomerne rabe ekstenzornih mišic zapestja. Težave pacientov se kažejo kot močna bolečina okoli lateralnega epikondila nadlaktnice, kar lahko vpliva na funkcijo in kakovost življenja posameznika. Simptomi se pojavijo med kontrakcijami ali palpacijo ekstenzornih mišic zapestja. Namen: Namen diplomskega dela je bil pri pacientih z lateralnim epikondilitisom komolca s pregledom literature primerjati učinkovitost zdravljenja z udarnimi globinskimi valovi in ultrazvokom. Metode dela: Literatura je bila iskana v podatkovni zbirki Pubmed. Vključene so bile raziskave, ki niso bile starejše od 10 let, so bile prosto dostopne, v angleškem jeziku in v katerih so primerjali izbrana postopka zdravljenja. Literaturo smo iskali v s kombinacijami ključnih besed: »tennis elbow«, »lateral epicondylitis«, »shockwave therapy«, »ultrasound therapy«. Rezultati: V pregled literature je bilo glede na vključitvene kriterije analiziranih šest raziskav. V vseh so primerjali udarne valove z ultrazvokom, vendar so se uporabljeni merilni protokoli razlikovali. Razlikovali so se načini zapisov rezultatov, v dveh raziskavah so uporabili mediano, v štirih povprečje. Obe terapiji sta bili uspešni pri zmanjšanju bolečine, merjeno z vizualno analogno lestvico in algometerom, ekstenzijo zapestja proti uporu, funkcijskim testom, močjo prijema in vprašalniki za oceno funkcionalnosti in kakovosti življenja. Med primerjavo terapij je bilo ugotovljeno, da so udarni valovi uspešnejši kot ultrazvok, predvsem v daljšem časovnem obdobju. Razprava in zaključek: Ker so bili pri terapiji uporabljeni različni parametri in različni merilni protokoli, je bilo raziskave med seboj težko primerjati. Stranski učinki ter denarna dostopnost terapije sta dva dejavnika, za katere menimo, da jih pri izbiri terapije moramo upoštevati. Zaradi nasprotujočih si rezultatov raziskav in nezadostnih podatkov o izbiti optimalnih parametrov za terapijo z udarnimi valovi ali ultrazvokom je za zdravljenje pacientov z lateralnim epikondilitisom komolca potrebno nadaljnje raziskovanje.

Ključne besede

diplomska dela;fizioterapija;teniški komolec;lateralni epikondilitis;udarni valovi;ultrazvok;

Podatki

Jezik:	Slovenski jezik
Leto izida:	2020
Tipologija:	2.11 - Diplomsko delo
Organizacija:	UL ZF - Zdravstvena fakulteta
Založnik:	[B. Gvardjančič]
UDK:	615.8
COBISS:	31790083
Št. ogledov:	699
Št. prenosov:	234
Ocena:	0 (0 glasov)
Metapodatki:

Ostali podatki

Sekundarni jezik:	Angleški jezik
Sekundarni naslov:	Comparison of effectiveness between shockwave therapy and ultrasound therapy in patients with lateral epicondylitis of elbow joint - literature review
Sekundarni povzetek:	Introduction: Lateral epicondylitis, or tennis elbow, is a painful condition, which results from overuse of wrist extensors muscles. Problems manifest as severe pain around the lateral epicondyle of the upper arm, which affects an individual's function and quality of life. Symptoms occur during contractions or palpation of the wrist extensors muscles. Purpose: The purpose of the diploma work was to compare the effectiveness of shock wave and ultrasound treatment in patients with lateral epicondylitis of the elbow joint by reviewing the scientific literature. Methods: Literature was searched in the PubMed online database. Studies that were not older than 10 years, were full freely available, in English language, and compared selected treatment methods were included. We searched the literature with combinations of keywords: "tennis elbow", "lateral epicondylitis", "shockwave therapy", "ultrasound therapy". Results: In the literature review, six studies were analyzed according to inclusion criteria. In all studies, shock waves were compared with ultrasound, but the measurement protocols used differed. Methods of recording results differed, with a median used in two studies and an average in four. Both therapies were successful in reducing pain as measured by a visual analog scale and algometer, wrist extension against resistance, function tests, grip strength, and questionnaires to assess functionality and quality of life. During the comparison of therapies, it was found that shock waves are more successful than ultrasound especially over a longer period of time. Discussion and conclusion: Due to different therapy parameters and different measurement protocols, research is more difficult to compare with each other. Side effects and the affordability of therapy are two things that we believe should be considered when choosing therapy. Due to the contradictory results of other research and insufficient data on the choice of optimal parameters for therapy, additional research should be done in this area.
Sekundarne ključne besede:	diploma theses;physiotherapy;tennis elbow;lateral epicondylitis;shockwave therapy;ultrasound therapy;
Vrsta dela (COBISS):	Diplomsko delo/naloga
Študijski program:	0
Komentar na gradivo:	Univ. v Ljubljani, Zdravstvena fak., Oddelek za fizioterapijo
Strani:	29 str.
ID:	12064895