Tek kot dejavnik tveganja za razvoj osteoartroze v kolenu - pregled literature : diplomsko delo

Tavčar, Gaja (author), Hiti, Nina (mentor), Palma, Polona (co-mentor), Vauhnik, Renata (reviewer)

Uvod: Tek ima veliko ugodnih zdravstvenih učinkov, lahko pa privede tudi do preobremenitvenih poškodb, ki prizadenejo mišice, tetive, ligamente in kosti v spodnjih udih. Osteoartroza je najpogostejša oblika bolezni sklepov, ki nastane kot posledica obrabe sklepnega hrustanca, zaradi česar so lahko kosti v neposrednem stiku druga z drugo, kar povzroča bolečino in otrdelost. Predpostavlja se, da se osteoartroza razvije po prekomerni fiziološki obremenitvi zdravih sklepnih struktur ali normalni obremenitvi poškodovanih ali oslabelih sklepnih struktur. Namen: Namen diplomskega dela je na osnovi pregleda literature ugotoviti, ali je lahko tek dejavnik tveganja za razvoj osteoartroze v kolenu. Metode dela: Iskanje literature je potekalo v podatkovnih zbirkah PubMed, PEDro, Science Direct in CINAHL. Uporabljene so bile naslednje besede in besedne zveze v angleškem jeziku: running, osteoarthritis, running and osteoarthritis, running causes osteoarthritis, running and cartilage. Raziskave so bile izbrane na podlagi vključitvenih in izključitvenih kriterijev. Rezultati: V pregled literature je bilo vključenih sedem raziskav, ki so proučevale odziv kolenskega sklepa na tek. Vadbeni protokoli so v treh raziskavah vključevali enkratno izvedbo 30 min teka po zmožnostih posameznega preiskovanca. Druge raziskave so proučevale, kako tek v primerjavi s skakanjem z višine 73 cm vpliva na sklepni hrustanec, kako se sklepni hrustanec odziva na 5, 10 in 20 km teka ter kako 10 in 12 tednov treniranja teka v primerjavi z drugimi športnimi dejavnostmi vpliva na sklepni hrustanec. Rezultati šestih pregledanih raziskav so pokazali, da se po teku zmanjšajo debelina in/ali volumen ter T2-vrednosti kolenskega hrustanca. V eni raziskavi so ugotovili, da 10 tednov treniranja teka poveča vsebnost glukozaminoglikanov v hrustancu. Razprava in zaključek: Šest raziskav je pokazalo, da ima tek vpliv na zmanjšanje debeline in/ali volumna sklepnega hrustanca. Ena raziskava je pokazala, da ima tek zaščitni učinek na kolenski sklep, saj povečuje količino glukozaminoglikanov v sklepnem hrustancu. Zaradi majhnega števila raziskav, razmeroma majhnega števila preiskovancev v raziskavah in različnih metodologij raziskav ne moremo z gotovostjo zaključiti, da je tek dejavnik tveganja za razvoj osteoartroze v kolenu.

• Language: Slovenian
• Keywords: diplomska dela, fizioterapija, tek, koleno, kolenski sklep, osteoartroza, sklepni hrustanec
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [G. Tavčar]
• Year: 2020
• Number of pages: 24 str., [2] str. pril.
• PID: 20.500.12556/RUL-117388
• UDC: 615.8
• COBISS.SI-ID: 22163971
• Publication date in RUL: 09.07.2020

Secondary language

• Language: English
• Title: Running as a risk factor for developing knee osteoarthritis - literature review : diploma work

Abstract

Introduction: Running has many beneficial health effects, but it can also lead to overload injuries affecting the muscles, tendons, ligaments, and bones in the lower limbs. Osteoarthritis is the most common form of joint disease that occurs as a result of wear and tear of the articular cartilage, which can cause the bones to be in direct contact with each other, causing pain and stiffness. Osteoarthritis is thought to develop after excessive physiological loading of healthy joint structures or normal loading of damaged or weakened joint structures. Purpose: The purpose of the thesis is to determine, based on a review of the literature, whether running can be a risk factor for the development of osteoarthritis in the knee. Methods: The literature search was conducted in the PubMed, PEDro, Science Direct and CINAHL databases. Key words: running, osteoarthritis, running and osteoarthritis, running causes osteoarthritis, running and cartilage. The research was selected on the basis of inclusion and exclusion criteria. Results: Seven studies examining the response of the knee joint to running were included in the literature review. Training protocols in three studies included a single 30-minute run according to the abilities of each subject. Other research has looked at how running affects the articular cartilage compared to jumping from a height of 73 cm, how articular cartilage responds to 5, 10 and 20 km of running, how 10 and 12 weeks of running training compared to other sports activities affects articular cartilage. The results of six reviewed studies showed that the thickness and/or volume and T2 values of the knee cartilage decreased after running. One study found that 10 weeks of running training increased the content of glucosaminoglycans in knee cartilage. Discussion and Conclusion: Six studies have shown that running reduces the thickness and/or volume of articular cartilage. One study showed that running has a protective effect on the knee joint as it increases the amount of glucosaminoglycans in the joint cartilage. Due to the small number of studies, the relatively small number of subjects in the studies and the different research methodologies, we cannot conclude with certainty that running is a risk factor for the development of osteoarthritis in the knee.

• Keywords: diploma theses, physiotherapy, running, knee, knee joint, osteoarthritis, knee cartilage