Vpliv vibracij celotnega telesa na ravnotežje in nadzor drže pri pacientih po rekonstrukciji sprednje križne vezi - pregled literature : diplomsko delo

Štucin, Katja (author), Vauhnik, Renata (mentor), Palma, Polona (comentor), Rugelj, Darja (reviewer)

Uvod: Poškodba sprednje križne vezi je ena izmed najpogostejših poškodb kolenskega sklepa. Rekonstrukcija vezi lahko izboljša mehanično stabilnost kolenskega sklepa, vendar je bilo opaženo, da lahko pri pacientih tudi po rekonstrukciji še vedno prihaja do težav z nadzorom drže in propriocepcijo kolena ter do zmanjšanja mišične zmogljivosti mišic kolenskega sklepa. Dodajanje vadbe z vibracijami celotnega telesa h konvencionalnim oblikam zdravljenja bi lahko vodilo k hitrejši odpravi naštetih deficitov in posledično do učinkovitejšega zdravljenja. Namen: Namen tega diplomskega dela je bil s pregledom obstoječe znanstvene literature ugotoviti, ali vadba na vibracijskih ploščah oziroma vibracije celotnega telesa pripomorejo k izboljšanju nadzora drže in ravnotežja pri pacientih po rekonstrukciji sprednje križne vezi. Metode dela: Uporabljena je bila deskriptivna metoda dela. Iskanje literature je potekalo v podatkovnih zbirkah PubMed, Science Direct in Cohrane Library. Iskanje je potekalo v angleškem jeziku, uporabljene pa so bile naslednje ključne besede in besedne zveze: acl tear, acl reconstruction, whole-body vibrations, vibrations, postural control, balance. Rezultati: Po pregledu člankov so bile glede na vključitvene in izključitvene kriterije v pregled vključene 4 raziskave, ki so preučevale vpliv programa vadbe na vibracijskih ploščah na ravnotežje pri pacientih po rekonstrukciji sprednje križne vezi. V vseh raziskavah je prišlo do statistično značilnega izboljšanja ravnotežja v skupini, ki je izvajala vadbo na vibracijskih ploščah. Pri dveh raziskavah je prišlo do statistično boljših rezultatov eksperimentalne skupine v primerjavi s kontrolno pri vseh meritvah ravnotežja, v eni raziskavi je do statistično značilnih razlik prišlo le pri testih, v katerih so imeli pacienti zaprte oči, pri eni raziskavi pa pri testih, v katerih so imeli pacienti oči odprte (p < 0,05). Razprava in zaključek: Po izpeljanem programu so boljše rezultate dosegli pacienti, ki so vadili na vibracijskih ploščah, zato bi bila vibracijska vadba kot dodatek h konvencionalnemu protokolu zdravljenja lahko učinkovitejša metoda za izboljšanje ravnotežja in nadzora drže pri pacientih po rekonstrukciji sprednje križne vezi kot izvajanje samo konvencionalnih postopkov zdravljenja.

• Language: Slovenian
• Keywords: diplomska dela, fizioterapija, sprednja križna vez, rekonstrukcija sprednje križne vezi, vibracije celotnega telesa, ravnotežje, nadzor drže
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [K. Štucin]
• Year: 2021
• Number of pages: 37 str.
• PID: 20.500.12556/RUL-129573
• UDC: 615.8
• COBISS.SI-ID: 75466499
• Publication date in RUL: 05.09.2021

Secondary language

• Language: English
• Title: Effect of whole-body vibrations on balance and postural control in patients after ACL reconstruction - literature review : diploma work

Abstract

Introduction: Anterior cruciate ligament injury is one of the most common injuries of the knee joint. Ligament reconstruction can improve mechanical stability of the knee joint, but it has been observed that, even after reconstruction, patients may still have problems with postural control, knee proprioception and muscle performance of the knee joint muscles. Adding whole-body vibration training to the conventional treatment could lead to faster elimination of the said deficits and, consequently, to more effective treatment. Purpose: The purpose of this diploma work was to review the existing scientific literature to determine the effect of vibration board training or whole-body vibrations on balance and postural control in patients after anterior cruciate ligament reconstruction. Methods: A descriptive work method was used. A literature search was conducted in PubMed, Science Direct and Cohrane Library databases. The search was carried out in the English language, using the following keywords and phrases: acl tear, acl reconstruction, whole-body vibrations, vibrations, postural control, balance. Results: According to the inclusion and exclusion criteria, 4 studies were included in the review, which examined the effect of the whole-body vibrations training program on balance in patients after anterior cruciate ligament reconstruction. All studies determined a statistically significant improvement in balance in the group performing vibration board exercise. In two studies, statistically better results were achieved by the experimental group compared to the control group in all balance measurements. One study determined statistically significant differences only in tests with patients’ eyes closed and one study in tests with patients’ eyes open (p < 0.05). Discussion and conclusion: At the end of the program, better results were achieved by patients who exercised on vibration boards. Whole-body vibration training as an addition to the conventional treatment protocol could therefore be a more effective method to improve balance and postural control in patients after anterior cruciate ligament reconstruction than conventional treatment methods alone.

• Keywords: diploma theses, physiotherapy, anterior cruciate ligament, anterior cruciate ligament reconstruction, whole-body vibrations, balance, postural control