20.500.12556/RUL-182469 Sindrom primanjkljaja obsega gibljivosti notranje rotacije v ramenskem sklepu pri športnikih - pregled literature diplomsko delo Syndrome of internal rotation mobility deficiency in the shoulder joint in athletes - a review of the literature diploma work Uvod: Sindrom primanjkljaja notranje rotacije glenohumeralnega sklepa je stanje, pri katerem je zmanjšan obseg notranje rotacije ramenskega sklepa, pogosto ob sočasnem povečanju zunanje rotacije. Pogosto se pojavlja pri športnikih, ki izvajajo ponavljajoče se nadglavne gibe, in povečuje tveganje za poškodbe ramena ter motnje funkcionalne stabilnosti. Namen: Namen pregleda je analizirati patofiziologijo sindroma primanjkljaja notranje rotacije glenohumeralnega sklepa pri športnikih ter oceniti učinkovitost fizioterapevtskih pristopov za njegovo preprečevanje. Metode dela: Iskanje ustrezne literature je bilo izvedeno v podatkovnih zbirkah PubMed in PEDro, pri čemer sta bili uporabljeni ključni besedi »GIRD AND athlete«. Vključitveni kriteriji so zajemali prosto dostopne članke v angleškem jeziku, ki so preiskovali aktivne športnike. Izključitveni kriteriji so bili pregledi literature, metaanalize in opazovalne raziskave. Rezultati: V končni pregled je bilo vključenih pet raziskav, ki so preučevale učinke različnih fizioterapevtskih protokolov na gibljivost, bolečino, mišično zmogljivost in funkcijo ramena. Čeprav so se metodologije in merilni protokoli med raziskavami razlikovali, rezultati kažejo, da strukturirani rehabilitacijski pristopi pomembno prispevajo k izboljšanju obsega gibanja, živčno-mišične kontrole in zmanjšanju bolečine. Razprava in zaključek: Rezultati petih pregledanih raziskav so pokazali, da so ciljno usmerjene fizioterapevtske intervencije, kot so raztezanje posteriornih struktur ramena, mobilizacija in vaje z elastičnim trakom, učinkovite pri izboljšanju gibljivosti, mišične funkcije in živčno-mišične kontrole pri športnikih s sindromom primanjkljaja notranje rotacije ramenskega sklepa. Kljub metodološkim razlikam med raziskavami se zdi, da kombinacija pasivnih tehnik z aktivnimi vajami prinaša najbolj dolgoročne in funkcijsko pomembne izboljšave. Za potrditev dolgoročnih učinkov teh pristopov ter njihovo posploševanje na širšo populacijo športnikov pa so potrebne nadaljnje raziskave z večjimi in heterogenimi vzorci. Introduction: Glenohumeral internal rotation deficit syndrome is a condition in which the range of internal rotation of the glenohumeral joint is reduced, often accompanied by a simultaneous increase in external rotation. It frequently occurs in athletes performing repetitive overhead movements and increases the risk of shoulder injuries as well as functional stability impairments. Purpose: The aim of this review is to analyze the pathophysiology of glenohumeral internal rotation deficit syndrome in athletes and to evaluate the effectiveness of physiotherapy approaches for its prevention. Methods: The search for relevant literature was conducted in the PubMed and PEDro databases using the keywords “GIRD AND athlete.” Inclusion criteria encompassed freely accessible articles in English that investigated active athletes. Exclusion criteria were literature reviews, meta-analyses, and observational studies. Results: Five studies were included in the final review, examining the effects of different physiotherapy protocols on shoulder mobility, pain, muscle strength, and function. Although methodologies and measurement protocols varied between studies, the results indicate that structured rehabilitation approaches significantly contribute to improvements in range of motion, neuromuscular control, and pain reduction. Discussion and conclusion: The results of the five reviewed studies show that targeted physiotherapy interventions, such as stretching of posterior structures, mobilization, and elastic band exercises, are effective in improving mobility, muscle function, and neuromuscular control in athletes with glenohumeral internal rotation deficit syndrome. Despite methodological differences between studies, it appears that combining passive techniques with active exercises provides the most lasting and functionally meaningful improvements. Further research with larger and more heterogeneous samples is needed to confirm the long-term effects of these approaches and to generalize them to a broader athletic population. diplomska dela fizioterapija omejena notranja rotacija sindrom primanjkljaja notranje rotacije GIRD fizioterapevtski pristopi športniki diploma theses physiotherapy reduced internal rotation glenohumeral internal rotation deficit GIRD physiotherapy approaches athletes true false false [R. Orešek] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2026-05-13 07:45:37 2026-05-13 07:45:52 2026-05-14 04:41:30 0000-00-00 00:00:00 2026 0 Ljubljana 0 Ljubljana 21 str. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 615.8 159744 277938691 58951.pdf 58951.pdf 1 89A1F06FAB1FDD1CB6613412CDD1BC94 6fdebfb0daa59630ef167f18b54178414643d7c91a424feb77014a2f062eb206 b2a80db6-4e8e-11f1-b0ab-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=233766 Zdravstvena fakulteta 0 0 0