Vpliv vibracijske vadbe celega telesa pri bolnikih s kronično obstruktivno pljučno boleznijo – pregled literature : diplomsko delo

Bajramović, Anita (author), Jakovljević, Miroljub (mentor), Kacin, Alan (reviewer)

Uvod: Izraz kronična obstruktivna pljučna bolezen se nanaša na bolezensko stanje, za katero je značilna obstrukcija dihalnih poti. Je pogosta, preprečljiva in ne popolnoma ozdravljiva bolezen, za katero so značilni vztrajni respiratorni simptomi in omejen pretoka zraka. Pri bolnikih sta oteženo dihanje in pogosta poslabšanja stanja, ključna dejavnika pri omejevanju vsakodnevne telesne dejavnosti. Vibracijska vadba celega telesa je nova oblika vadbe, ki se izvaja na vibrirajoči plošči in izzove številne koristne učinke. Namen: Na podlagi pregleda literature ugotoviti, kakšne učinke ima vibracijska vadba na bolnike s kronično obstruktivno pljučno boleznijo. Metode dela: Uporabljena je bila deskriptivna metoda raziskovanja. Iskali smo v podatkovnih bazah PubMed, PEDro in COBISS+. V pregled smo vključili randomizirane kontrolirane raziskave v angleškem jeziku, v katerih so preučevali vplive vibracijske vadbe na bolnike s kronično obstruktivno pljučno boleznijo in so bile objavljene od leta 2014 naprej. Kakovost člankov smo vrednotili s PEDro ocenjevalno lestvico. Primerjali smo vzorec preiskovancev, vključitvene in izključitvene kriterije, ocenjevalna in merilna orodja, lastnosti terapevtskih vadb in rezultate raziskav, učinke vibracijske vadbe in varnost same vadbe. Rezultati: V analizo smo vključili 6 raziskav, ki smo jih ovrednotili s povprečno oceno 5 po PEDro ocenjevalni lestvici. Ugotovljeni pozitivni učinki vibracijske vadbe so bili izboljšanje aerobne zmogljivosti (šestminutni test hoje: ?15,4 %; test petih vstajanj: ?13,1 %) ter mišične zmogljivosti (sila, moč in vzdržljivost), statičnega ravnotežja (absolutna dolžina poti: ?20,9 %) in izboljšanje pljučne funkcije ter posledično tudi izboljšanje kakovosti življenja. Razprava in zaključek: Rezultati kažejo, da je vibracijska vadba varna v vseh stopnjah bolezni. Lahko se uporablja kot dodatek k konvencionalni vadbi za izboljšanje telesne in mišične zmogljivosti ter statičnega ravnotežja. Za trdnejše dokaze o vključitvi vibracijske vadbe v rehabilitacijo bolnikov s kronično obstruktivno pljučno boleznijo, bi bilo potrebno natančno definirati parametre vibracijske vadbe. Predlagamo frekvenco vadbe vsaj 3-krat/teden z vadbeno enoto, ki ni daljša od 60 minut. Frekvenca vibracij in a

• Language: Slovenian
• Keywords: diplomska dela, fizioterapija, kronična obstruktivna pljučna bolezen, vibracijska vadba, telesna zmogljivost, pljučna rehabilitacija
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [A. Bajramović]
• Year: 2020
• Number of pages: 47 str.
• PID: 20.500.12556/RUL-117387
• UDC: 615.8
• COBISS.SI-ID: 22176003
• Publication date in RUL: 09.07.2020

Secondary language

• Language: English
• Title: Effects of whole-body vibration training in patients with chronic obstructive pulmonary disease – a literature review : diploma work

Abstract

Introduction: The term chronic obstructive pulmonary disease refers to a condition characterized by an airway obstruction. It is a common, preventable and not completely curable disease characterized by persistent respiratory symptoms and limited air flow. In patients, increased respiratory rate and frequent exacerbations are key factors for limited daily physical activity. Whole-body vibration training is a new form of exercise, which is performed on a vibrating plate and has many beneficial effects. Purpose: To determine the effects of whole-body vibration training in patients with chronic obstructive pulmonary disease based on a literature review. Methods: A descriptive method of research was used. We searched in PubMed, PEDro, and COBISS + databases. We included randomized controlled trials in English language, published in 2014 or later and those investigating the effects of whole-body vibration in patients with chronic obstructive pulmonary disease. The quality of the articles was evaluated using the PEDro rating scale. We compared the sample of subjects, the inclusion and exclusion criteria, the assessment and measurement tools, the characteristics of therapeutic training and research results, the effects of whole-body vibration and the safety. Results: We included 6 studies in the analysis, which were evaluated with an average score of 5 on the PEDro rating scale. Positive effects of whole-body vibration training were found to improve exercise capacity (6-minute walk test: Δ15,4 %; five time sit to stand test: Δ13,1 %) and muscular performance (strength, explosive power and endurance), static balance (absolute path length: Δ20,9 %), improvement in lung functions and, consequently, improving the quality of life. Discussion and conclusion: The results show that whole-body vibration training is safe in all stages of the disease. It can be used as an adjunct to conventional exercise to improve exercise capacity, muscular performance and static balance. More robust evidence of the involvement of whole-body vibration in the rehabilitation of patients with chronic obstructive pulmonary disease would require the precise setting of parameters. We recommend an exercise frequency 3 times/week with an exercise unit no longer than 60 minutes. The vibration frequency and the amplitude should be lower at first, and with time gradually increased.

• Keywords: diploma theses, physiotherapy, chronic obstructive pulmonary disease, vibration training, exercise capacity, pulmonary rehabilitation