Učinkovitost vadbe v vodi pri starejših odraslih z osteoartrozo kolena – pregled literature : diplomsko delo

Kubot, Barbara (author), Hlebš, Sonja (mentor), Jakovljević, Miroljub (reviewer)

Uvod: S povečanjem števila starejše populacije po vsem svetu se posledično povečuje tudi razširjenost nenalezljivih in kroničnih bolezni, kamor spada tudi osteoartroza. To je degenerativna bolezen sinovijskih sklepov, za katero je značilna prezgodnja in prehitra izguba strukture in funkcije sklepnega hrustanca s preoblikovanjem in sklerozo subhondralne kosti ter tvorbo subhondralnih cist in osteofitov. Bolezen je neozdravljiva, zdravljenje pa je usmerjeno v blaženje simptomov in upočasnitev napredovanja stanja. Vadba v vodi je ena od možnosti konservativnega zdravljenja. Namen: Namen diplomskega dela je bil na podlagi pregleda znanstvene literature predstaviti učinke vadbe v vodi pri starejših odraslih z osteoartrozo kolena. Metode dela: Iskanje literature, objavljene med letom 2011 in 2022, je potekalo po podatkovnih zbirkah PubMed, PEDro in CINAHL preko oddaljenega dostopa. Rezultati: Po pregledu vključitvenih in izključitvenih meril je bilo v pregled literature vključenih osem raziskav, v katerih so ugotavljali učinkovitost vadbe v vodi za zdravljenje osteoartroze kolena v primerjavi z zdravim življenjskim slogom brez terapije/izobraževanjem/vadbo na kopnem. Avtorji so z uporabo različnih merilnih orodij v različnih časovnih obdobjih ocenjevali bolečino, funkcijsko zmogljivost, mišično moč, obseg gibov, parametre hoje, ravnotežje, kakovost življenja in prisotnost simptomov depresije. Razprava in zaključek: Na podlagi pregleda literature lahko sklepamo, da je vadba v vodi učinkovita pri lajšanju bolečine, zmanjšanju obremenitve, togosti in otekanja sklepa; vzdrževanju ali povečanju obsega gibanja v sklepu in mišične moči; izboljšanju funkcijske zmogljivosti, sposobnosti hoje in ravnotežja. Za potrditev dobljenih rezultatov bi bile potrebne nadaljnje raziskave z večjim številom preiskovancev.

• Language: Slovenian
• Keywords: diplomska dela, fizioterapija, osteoartroza kolena, starejši odrasli, vadba v vodi
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [B. Kubot]
• Year: 2022
• Number of pages: 30 str., [9] str. pril.
• PID: 20.500.12556/RUL-138468
• UDC: 615.8
• COBISS.SI-ID: 118714371
• Publication date in RUL: 22.07.2022

KUBOT, Barbara, 2022, Učinkovitost vadbe v vodi pri starejših odraslih z osteoartrozo kolena – pregled literature : diplomsko delo [online]. Bachelor’s thesis. Ljubljana : B. Kubot. [Accessed 14 June 2025]. Retrieved from: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=eng&id=138468

Secondary language

• Language: English
• Title: Effectiveness of aquatic exercise in older adults with knee osteoarthritis – literature review : diploma work

Abstract

Introduction: As the older population increases worldwide, so does the prevalence of non-communicable and chronic diseases, including osteoarthritis. It is a degenerative disease of the synovial joints characterised by premature and precipitous loss of structure and function of articular cartilage with remodelling and sclerosis of the subchondral bone and formation of subchondral cysts and osteophytes. The disease is incurable and treatment is aimed at alleviating symptoms and slowing the progression of the condition. Aquatic exercise is one of the conservative treatment options. Purpose: The aim of this thesis was to review the scientific literature and present the effects of aquatic exercise in older adults with osteoarthritis of the knee. Methods: Literature published between 2011 and 2022 was searched in the PubMed, PEDro and CINAHL databases by remote access. Results: After reviewing inclusion and exclusion criteria, eight studies were included in the literature review to determine the effectiveness of water exercise for the treatment of osteoarthritis of the knee compared with healthy lifestyle without therapy/education/land-based exercise. The authors assessed pain, functional capacity, muscle strength, range of motion, gait parameters, balance, quality of life and the presence of depressive symptoms using different measurement tools at different time points. Discussion and conclusion: Based on the literature review, it can be concluded that aquatic exercise is effective in relieving pain, reducing joint strain, stiffness and swelling; maintaining or increasing joint range of motion and muscle strength; and improving functional capacity, walking ability and balance. Further research with a larger number of subjects would be needed to confirm the results obtained.

• Keywords: diploma theses, physiotherapy, osteoarthritis of the knee, older adults, aquatic exercise