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Spremembe fiziološke telesne drže v nosečnosti in opravljene meritve telesne drže : diplomsko delo
ID Vovko, Eva (Author), ID Šćepanović, Darija (Mentor) More about this mentor... This link opens in a new window, ID Rugelj, Darja (Reviewer)

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Abstract
Uvod: Nosečnost vodi v številne fiziološke spremembe, ki lahko vplivajo na mišično skeletni sistem in pojav mišično-skeletnih motenj. Med njimi je še posebej pogosta sprememba telesne drže, ki lahko povzroči prekomerno obremenjevanje segmentov telesa, kar pogosto vodi v utrujenost, mikrotravme in bolečino. V obstoječi literaturi so rezultati vpliva nosečnosti na spremembe telesne drže različni in ponekod celo nasprotujoči. Obstaja splošno soglasje, da do sprememb v telesni drži pride, vendar se mnenja o tem, v kakšni obliki so te spremembe, razlikujejo. Namen: Namen diplomskega dela je bil na podlagi pregleda strokovne in znanstvene literature ugotoviti, katere so najpogostejše spremembe fiziološke telesne drže v nosečnosti in katere oblike meritev telesne drže so bile uporabljene v novejših raziskavah. Metode dela: Iskanje strokovne in znanstvene literature je potekalo s pomočjo spletnih podatkovnih baz PubMed, MEDLINE, Cochrane Library in CINAHL. Vključitveni kriteriji za izbrane raziskave so bili slovenski ali angleški jezik; članki, objavljeni v zadnjih 10 letih; članki, ki so vključevali nosečnice in meritve telesne drže; ustrezna vsebina glede na naslov in izvleček in omogočen dostop do celotnega besedila. Rezultati: Pri iskanju literature je bilo danih 531 zadetkov. S pomočjo vključitvenih in izključitvenih kriterijev je bilo v raziskavo izbranih 7 raziskav. Rezultati raziskav kažejo, da do sprememb v telesni drži v nosečnosti pride, vendar so rezultati med avtorji različni. V pregledanih raziskavah so bile ugotovljene spremembe telesne drže, povečana in zmanjšana ledvena lordoza, povečana prsna kifoza, povečana lateralna deviacija hrbtenice, povečan anteriorni nagib medenice, povečana zunanja rotacija kolčnih sklepov, premik središča pritiska posteriorno in premik težišča telesa anteriorno. Uporabljenih je bilo 7 različnih merilnih naprav: topografija, elektromagnetni in 10-kamerni sledilnik gibanja, Spinal Mouse®, digitalni inklinometer, digitalni sistem za analizo drže PAS, digitalne fotografije ter pritiskovna plošča. Razprava in zaključek: Kljub boljši tehnologiji novejše raziskave ne podajajo drugačnih rezultatov. Številne razlike in omejitve raziskav otežujejo primerjavo med njimi, kar nakazuje na potrebo po nadaljnjih večjih presečnih ali longitudinalnih raziskavah. Natančno razumevanje mehanizma in obstoja določenih sprememb v času nosečnosti je namreč izrednega pomena za področje fizioterapije.

Language:Slovenian
Keywords:diplomska dela, fizioterapija, nosečnost, spremembe telesne drže, meritve telesne drže
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:[E. Vovko]
Year:2021
Number of pages:51 str., [8] str. pril.
PID:20.500.12556/RUL-125173 This link opens in a new window
UDC:615.8
COBISS.SI-ID:54176771 This link opens in a new window
Publication date in RUL:06.03.2021
Views:1681
Downloads:376
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Secondary language

Language:English
Title:Changes in physiological posture during pregnancy and posture measurements : diploma work
Abstract:
Introduction: Pregnancy leads to several physiological changes that can affect the musculoskeletal system and the occurrence of musculoskeletal disorders. Among them, changes in physiological posture are especially common, which can cause excessive strain on body segments, often leading to fatigue, microtrauma, and pain. In the existing literature, the results of the influence of pregnancy on postural changes are diverse and in some places even contradictory. There is a general belief that changes in posture occur, but opinions differ as to what form these changes take. Purpose: The purpose of the diploma work was to determine which are the most common changes in physiological posture in pregnancy and which forms of posture measurements have been used in recent research, based on a review of professional and scientific literature. Methods: The search for professional and scientific literature was carried out with the help of online databases PubMed, MEDLINE, Cochrane Library and CINAHL. The inclusion criteria for the selected studies were Slovene or English language; articles published in the last 10 years; articles that included pregnant women and posture measurements; relevant content according to the title and abstract and access to the full text. Results: The search gave 531 results. With the help of inclusion and exclusion criteria, 7 studies were selected for the research. Research shows that changes in posture occur during pregnancy, but the results vary among authors. The reviewed studies showed increased and decreased lumbar lordosis, increased thoracic kyphosis, increased lateral deviation of the spine, increased anterior pelvic tilt, increased external rotation of the hip joints, displacement of the center of pressure posteriorly and displacement of the body center of gravity anteriorly. 7 different measuring devices were used: topography, electromagnetic and 10-camera motion capture system, Spinal Mouse®, digital inclinometer, digital posture analysis system PAS, digital pictures, and pressure plate. Discussion and conclusion: Despite better technology, recent studies do not yield different results. Many differences and limitations of studies make it difficult to compare between them, suggesting the need for further larger cross-sectional or longitudinal studies. An accurate understanding of the mechanism and existence of certain changes in posture during pregnancy is extremely important for the field of physiotherapy.

Keywords:diploma theses, physiotherapy, pregnancy, changes in posture, posture measurements

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