diplomsko delo
Ana Perovšek (Avtor), Polona Palma (Recenzent), Tine Kovačič (Mentor)

Povzetek

Uvod: Multipla skleroza je avtoimunska, progresivna in neozdravljiva bolezen centralnega živčnega sistema, ki se najpogosteje pojavi med 20. in 40. letom. Pri multipli sklerozi pride do nezmožnosti sinteze mielina. S celostnim zdravljenjem lahko zmanjšamo posledice in simptome bolezni ter s tem izboljšamo bolnikovo kakovost življenja. Med uspešne terapije spada tudi hidroterapija. Namen: Namen diplomskega dela je bil pregledati literaturo in analizirati učinkovitost hidroterapije na ravnotežje pri osebah z multiplo sklerozo. Metode dela: Raziskovalne članke smo iskali v elektronskih zbirkah PEDro, PubMed in CINAHL. Glede na vključitvene kriterije smo v pregled literature vključili raziskave v angleškem jeziku, v katerih so na različnih vzorcih preiskovancev ugotavljali učinke vadbe v vodi na ravnotežje pri osebah z multiplo sklerozo. Rezultati: Na podlagi vključitvenih in izključitvenih kriterijev je bilo v pregled literature vključenih šest raziskav, ki so bile objavljene med letoma 2011 in 2021. Število preiskovancev v raziskavah je bilo od 11 do 57, obdobja obravnav preiskovancev pa so trajala od 5 do 12 tednov. Štiri raziskave so vsebovale eksperimentalno in kontrolno skupino. V eni raziskavi so bile vključene tri skupine. V tej raziskavi so primerjali učinke pilatesa in vadbe v vodi ter jih primerjali z rezultati kontrolne skupine. V pilotni raziskavi so, zaradi odsotnosti kontrolne skupine, primerjali le rezultate meritev pred in po izvedenem programu vadbe v vodi. Pri vseh analiziranih raziskavah je v skupinah, kjer so posamezniki izvajali vadbo v vodi, prišlo do statistično značilnega izboljšanja nadzora drže in ravnotežja (p < 0,05). Zaradi povečanja upora in zmanjšanja strahu pred padci pri izvajanju vadbe v vodi so preiskovanci pridobili na mišični zmogljivosti spodnjih udov (p < 0,05). S tem so izboljšali tudi čas hoje (p < 0,05), kar pomembno vpliva na samostojno in kvalitetno izvedbo vsakodnevnih aktivnosti. Razprava in zaključek: Pregledane raziskave kažejo pozitiven učinek hidroterapije na ravnotežje, nadzor drže, zmogljivost spodnjih udov in kvaliteto izvedbe vsakodnevnih dejavnosti pri bolnikih z multiplo sklerozo. Dodatne raziskave z enotnejšim obdobjem obravnave in trajanjem vadbe v bazenu ter ugotavljanjem dolgoročnih učinkov bi pripomogle k bolj jasnim izsledkom o učinkovitosti vadbe v vodi, dodane standardni fizioterapiji oseb z multiplo sklerozo.

Ključne besede

diplomska dela;fizioterapija;multipla skleroza;hidroterapija;terapija v vodi;ravnotežje;

Podatki

Jezik: Slovenski jezik
Leto izida:
Tipologija: 2.11 - Diplomsko delo
Organizacija: UL ZF - Zdravstvena fakulteta
Založnik: [A. Perovšek]
UDK: 615.8
COBISS: 207573251 Povezava se bo odprla v novem oknu
Št. ogledov: 72
Št. prenosov: 17
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: Effects of hydrotherapy on balance in people with multiple sclerosis – literature review
Sekundarni povzetek: Introduction: Multiple sclerosis is an autoimmune, progressive and incurable disease of the central nervous system, most commonly occurring between the ages of 20 and 40. Multiple sclerosis is caused by an inability to synthesise myelin. Integrated rehabilitation can reduce the effects and symptoms of the disease, thereby improving the patient's quality of life. Successful therapies include hydrotherapy. Purpose: The purpose of this thesis was to review the literature and determine the effectiveness of hydrotherapy on balance in people with multiple sclerosis Methods: Research articles were searched in the electronic databases PEDro, PubMed and CINAHL. According to the inclusion criteria, we included studies in English that investigated the effects of hydrotherapy on balance in people with multiple sclerosis were investigated in different samples of subjects. Results: Based on the inclusion and exclusion criteria, six studies published between 2011 and 2021 were included in the literature review. The number of subjects in the studies ranged from 11 to 57 and the treatment periods of the subjects ranged from 5 to 12 weeks. The four studies included an experimental group and a control group. One study included three groups. In this study, the effects of pilates and hydrotherapy were compared and contrasted with the results of the control group. In the pilot study, due to the absence of a control group, only the results of the measurements before and after the aquatic exercise programme were compared. In all the studies analysed, there was a statistically significant improvement in postural control and balance in the groups where individuals exercised in water (p < 0.05). The subjects gained lower limb muscle capacity (p < 0.05) due to the increase in resistance and the reduction in fear of falling during the water exercise (p < 0.05). This also improved walking time (p < 0.05), which has a significant impact on the independent and quality performance of daily activities. Discussion and conclusion: The research reviews show a positive effect of hydrotherapy on balance, postural control, lower limb strength and the quality of performance of activities of daily living in patients with multiple sclerosis. In the future, high quality randomised controlled trials with a larger number of subjects participating over a longer period of time are needed. Additional research with more homogenous treatment period and duration of pool exercise, and to determine long-term effects, would help to provide clearer findings on the effectiveness of aquatic exercise added to standard physiotherapy for people with multiple sclerosis.
Sekundarne ključne besede: diploma theses;physiotherapy;multiple sclerosis;hydrotherapy;aquatic therapy;balance;
Vrsta dela (COBISS): Diplomsko delo/naloga
Študijski program: 0
Konec prepovedi (OpenAIRE): 1970-01-01
Komentar na gradivo: Univ. v Ljubljani, Zdravstvena fak., Oddelek za fizioterapijo
Strani: 39 str.
ID: 24910876