20.500.12556/RUL-170996 Fizioterapevtski pristopi za zdravljenje zamrznjenega ramena: pregled literature diplomsko delo Physiotherapeutic approaches to the treatment of frozen shoulder: a literature review diploma work Uvod: Adhezivni kapsulitis, pogosto imenovan tudi zamrznjena rama, je bolezensko stanje nejasnega izvora, za katerega sta značilna bolečina ter postopno zmanjšanje aktivne in pasivne gibljivosti ramenskega sklepa. Za tem stanjem trpijo približno 2–3 % splošne populacije, pri čemer so večinoma prizadete starejše ženske. To negativno vpliva na njihovo delovno sposobnost in kakovost življenja. Namen: Namen pregleda je analizirati fizioterapevtske pristope za zdravljenje adhezivnega kapsulitisa (zamrznjenega ramena) in oceniti njihovo učinkovitost pri zmanjšanju bolečine ter izboljšanju gibljivosti ramena. Metode dela: Iskanje ustreznih člankov je bilo izvedeno v podatkovni bazi PubMed, pri čemer so bile uporabljene ključne besede “Physiotherapy AND adhesive capsulitis”. Vključitveni kriteriji so zajemali prosto dostopne klinične in randomizirane kontrolirane klinične raziskave v angleškem jeziku, ki so preučevale fizioterapevtske pristope za zdravljenje adhezivnega kapsulitisa. Izključitveni kriteriji so bili pregledi literature in metaanalize. Rezultati: Po uporabi vključitvenih in izključitvenih kriterijev je bilo v končni pregled vključenih šest raziskav. V teh raziskavah so avtorji proučevali učinke različnih fizioterapevtskih protokolov na bolečino, gibljivost, moč in funkcijo. Kljub variabilnosti metodologij raziskav je mogoče sklepati, da strukturirani rehabilitacijski protokoli bistveno prispevajo k zmanjšanju bolečine in izboljšanju obsega sklepne gibljivosti. Razprava in zaključek: Rezultati so pokazali, da so vsi preučevani fizioterapevtski pristopi učinkoviti pri zmanjševanju bolečine in izboljšanju obsega sklepne gibljivosti, čeprav so se metode in merilna orodja med raziskavami razlikovala. Izsledki nakazujejo, da je kombinacija različnih terapevtskih pristopov ključna za optimizacijo zdravljenja zamrznjenenega ramena in za individualizirano obravnavo preiskovancev. Kljub pozitivnim rezultatom so za potrditev dolgoročnih učinkov teh metod potrebne nadaljnje raziskave z večjimi vzorci in daljšim obdobjem spremljanja. Introduction: Adhesive capsulitis, commonly known as frozen shoulder, is a condition of unclear origin, characterized by pain and progressive reduction in both active and passive range of motion in the shoulder joint. Approximately 2–3% of the general population is affected by this condition, with older women being predominantly impacted. This significantly affects their ability to work and reduces their quality of life. Purpose: The aim of this review is to analyze physiotherapy approaches for the treatment of adhesive capsulitis (frozen shoulder) and to assess their effectiveness in reducing pain and improving shoulder mobility. Methods: A literature search was conducted using the PubMed database with the keywords “Physiotherapy AND adhesive capsulitis.” Inclusion criteria were freely accessible clinical and randomized controlled clinical trials published in English that investigated physiotherapy approaches for treating adhesive capsulitis. Exclusion criteria included literature reviews and meta-analyses. Results: Based on the inclusion and exclusion criteria, six studies were selected for final review. These studies examined the effects of different physiotherapy protocols on pain, range of motion, strength, and functionality. Despite variability in methodologies, the results suggest that structured rehabilitation protocols significantly contribute to reducing pain and improving range of motion. Discussion and Conclusion: The results showed that all studied physiotherapy approaches were effective in reducing pain and improving range of motion, although the methods and measurement tools varied between studies. The findings suggest that a combination of different therapeutic approaches is key to optimizing the treatment of frozen shoulder and providing individualized patient care. Despite the positive results further research with larger sample sizes and longer follow-up periods is needed to confirm the long-term effects of these methods. diplomska dela fizioterapija Adhezivni kapsulitis fizioterapevtski pristopi zmanjšan obseg giba bolečina učinkovitost diploma theses physiotherapy Adhesive capsulitis physiotherapy approaches reduced range of motion pain effectiveness true false false [K. Tomasino] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2025-07-25 13:27:39 2025-07-25 13:27:39 2025-07-28 08:52:27 0000-00-00 00:00:00 2025 0 Ljubljana 0 Ljubljana 24 str. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 615.8 147450 243980547 50610.pdf 50610.pdf 1 88E1F7E4B7A79AE9E405ED823781BB0C 7302a239ac4ca3d89052d883dff025b39d578b11e4926c689c8f18e5e5c72bb7 598ae5ad-694a-11f0-9328-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=213317 Zdravstvena fakulteta 0 0 0