Zmogljivost mišic gležnja pri posameznikih z nestabilnostjo gležnja - pregled literature : diplomsko delo

Florjančič, Pia (avtor), Vauhnik, Renata (mentor), Hlebš, Sonja (recenzent)

Uvod: Zvini imajo največjo pojavnost med poškodbami spodnjih udov, najpogosteje se zgodijo med športno aktivnostjo. Približno 75% posameznikov po zvinu občuti simptome, kot so bolečina, občutek nestabilnosti, šibkost mišic in otekanje gležnja še vsaj eno leto ali več po poškodbi. Posamezniki s kronično nestabilnostjo gležnja poročajo o bolečini in neprijetnosti med nenadnimi hitrimi spremembami smeri in zaustavljanjem, poročajo tudi o poslabšanem ravnotežju. Nestabilnost gležnja je lahko posledica funkcijskih in mehanskih primanjkljajev ali pa kot kombinacija primanjkljajev zaradi poškodbe kot so slabša propriocepcija, zmanjšana nevromišična kontrola, sprememba v mišični moči in kinematiki sklepa kot tudi degeneracija sklepa zaradi vnetja. Kljub številnim raziskavam obstaja možnost ponovne poškodbe gležnja velika, saj ostajajo razlogi zvinov nejasni, zato je uspešna rehabilitacija težko dosegljiva. Namen: Namen diplomskega dela je na podlagi pregleda literature, predstaviti kakšna je mišična zmogljivost mišic gležnja pri posameznikih z nestabilnostjo gležnja. Metode dela: Literatura je bila iskana v podatkovni bazi PubMed. V analizo so bile vključene raziskave objavljene v angleškem jeziku, v polnem besedilu in v katerih so sodelovale osebe z nestabilnostjo gležnja. Raziskave so bile iskane s kombinacijo ključnih besed ankle instability AND muscle strenght ter ankle injury AND muscle strenght. Rezultati: Po pregledu vseh vključitvenih in izključitvenih kriterijev je bilo v pregled literature vključenih sedem raziskav, v katerih so ugotavljali, kakšna je zmogljivost mišic gležnja pri posameznikih z nestabilnim gležnjem. V dveh raziskavah avtorji niso ugotovili razlik med posamezniki z nestabilnostjo gležnja v primerjavi z zdravimi, v petih pa so ugotovili šibkost mišic pri posameznikih z nestabilnostjo. Razprava in zaključek: Izsledki pregledanih raziskav so pokazali šibkost mišic gležnja pri posameznikih z nestabilnim gležnjem. V prihodnje bi bile potrebne nadaljnje raziskave z večjimi vzorcem preiskovancev, ki bi bili sestavljeni iz različnih starostnih skupin in obeh spolov.

• Jezik: Slovenski jezik
• Ključne besede: diplomska dela, fizioterapija, mišična zmogljivost, nestabilnost gležnja, mišična moč
• Vrsta gradiva: Diplomsko delo/naloga
• Tipologija: 2.11 - Diplomsko delo
• Organizacija: ZF - Zdravstvena fakulteta
• Kraj izida: Ljubljana
• Založnik: [P. Florjančič]
• Leto izida: 2021
• Št. strani: 21 str.
• PID: 20.500.12556/RUL-131815
• UDK: 615.8
• COBISS.SI-ID: 79203587
• Datum objave v RUL: 04.10.2021

Sekundarni jezik

• Jezik: Angleški jezik
• Naslov: Performance of ankle muscels in subjects with ankle instability - literature review : diploma work

Izvleček

Introduction: Sprains have the highest incidence during lower limb injuries, most commonly occurring during sports activity. Approximately 75% of individuals experience symptoms such as pain, feeling of instability, muscle weakness, and swelling of the ankle for at least one year or more after the injury. Individuals with chronical ankle instability report pain and discomfort during sudden rapid changes of direction and stopping, they also report impaired balance. Ankle instability can result from functional and mechanical deficits or as a combination of injury deficits such as poorer proprioception, decreased neuromuscular control, changes in joint muscle strength and kinematics as well as joint degeneration due to inflammation. Despite much research, the possibility of re-injury of the ankle is high, as the causes of sprains remain unclear, making successful rehabilitation difficult to achieve. Purpose: The purpose is, based on a review of the literature, to present the muscle performance of the ankle muscles in individuals with ankle instability. Methods: The literature was searched in the PubMed database. The analysis included studies published in English and in full text, in which participated individuals with ankle instability. The research was searched with a combination of the keywords ankle instability AND muscle strenght, ankle injury AND muscle strenght. Results: After reviewing all inclusion and exclusion criteria, seven studies were included in the literature review to determine the performance of the ankle muscles in individuals with unstable ankles. In two studies, the authors found no differences between individuals with ankle instability compared to healthy ones, and in five, they found muscle weakness in individuals with instability. Discussion and conclusion: The results of the reviewed studies showed ankle muscle weakness in individuals with unstable ankle. In the future, further research would be needed with a larger sample of subjects, consisting of different age groups and both genders.

• Ključne besede: diploma theses, physiotherapy, muscle performance, ankle instability, muscle strenght