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Lokalna vibracija in njen učinek na ravnotežje pri starejših odraslih - pregled literature : diplomsko delo
ID Brundič, Nives (Author), ID Rugelj, Darja (Mentor) More about this mentor... This link opens in a new window, ID Weber, Daša (Comentor), ID Vauhnik, Renata (Reviewer)

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Abstract
Uvod: Sposobnost ohranjanja ravnotežja je tesno povezana s funkcionalnim statusom in varnostjo. To je še posebej zaskrbljujoče pri starejših odraslih, pri katerih pogosto pride do motenj ravnotežja zaradi sprememb v živčno-mišičnem, mišično-skeletnem in senzoričnem sistemu. Lokalna vibracija je opredeljena kot uporaba lokalne mehanske vibracije na tetivo ali telo mišice in se ponuja kot možna terapevtska metoda za izboljšanje ravnotežja pri starejših odraslih. Namen: Na osnovi pregleda strokovne in znanstvene literature je namen analizirati učinkovitost lokalne vibracije na ravnotežje pri starejših odraslih. Metode dela: Uporabljena je bila deskriptivna metoda s pregledom literature. Iskanje literature je potekalo v podatkovni zbirki PubMed in je bilo omejeno na obdobje od leta 2009 do 2022. Rezultati: V pregled literature je bilo na podlagi vključitvenih in izključitvenih kriterijev vključenih šest raziskav. V štirih raziskavah so poročali o zmanjšanju površine gibanja telesnega težišča. Boljše rezultate testov ravnotežja so zdravi starejši odrasli dosegli med pogojem z odprtimi očmi, medtem ko je pri starejših odraslih z visoko stopnjo tveganja za padec prišlo do izboljšanja med pogojem z zaprtimi očmi. V pregledanih raziskavah se je izkazala kot najučinkovitejša frekvenca lokalne vibracije med 80 in 100 Hz in amplituda med 0,20 in 0,50 mm. Lokalna vibracija se je izkazala učinkovitejša, kadar aplikacija vibracij traja dlje časa, vsaj 10 min, z vmesnimi odmori, aplicirana na plantarno območje. Razprava in zaključek: Glede na rezultate preglednih raziskavah bi lahko bila lokalna vibracija učinkovita metoda za izboljšanje ravnotežja pri starejših odraslih zgodnjega starostnega obdobja. Lokalne vibracije namreč izboljšajo obdelavo somatosenzoričnih informacij in uravnavanje drže, kar privede do boljšega ravnotežja. V prihodnjih raziskavah bi bilo potrebno vključiti večji vzorec, predvsem moških, tako bi lahko rezultate posplošili na celotno populacijo. Priporočajo se tudi nadaljnje raziskave z enotnim protokolom obravnave, mestom in naprave lokalne vibracije.

Language:Slovenian
Keywords:diplomska dela, fizioterapija, lokalna vibracija, ravnotežje, starejši odrasli, padci
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:[N. Brundič]
Year:2022
Number of pages:26 str.
PID:20.500.12556/RUL-141718 This link opens in a new window
UDC:615.8
COBISS.SI-ID:125094403 This link opens in a new window
Publication date in RUL:06.10.2022
Views:885
Downloads:77
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Secondary language

Language:English
Title:Local vibration and its effect on balance in elderly adults - literature review : diploma work
Abstract:
Introduction: The ability to maintain balance is closely related to functional status and safety. This is of particular concern in older adults, who often experience balance disturbances due to changes in the neuromuscular, musculoskeletal, and sensory systems. Local vibration is defined as the application of local mechanical vibration to the tendon or body of a muscle and is offered as a potential therapeutic method to improve balance in older adults. Purpose: Based on a review of professional and scientific literature, to analyze the effectiveness of local vibration on balance in older adults. Methods: A descriptive method with a literature review was used. The literature search was conducted in the PubMed database. The literature search was limited to the period from 2009 to 2022 Results: Six studies were included in the literature review based on the inclusion and exclusion criteria. Four studies reported a reduction in the center of pressure. Healthy older adults scored better on balance tests during the eyes-open condition, while older adults at high risk of falling improved during the eyes-closed condition. In the reviewed research, a local vibration frequency between 80 and 100 Hz and an amplitude between 0.20 and 0.50 mm proved to be the most effective. Local vibration proved to be more effective when the application of vibrations lasts for a long time, at least 10 min, with intermediate breaks, applied to the plantar area. Discussion and conclusion: According to the results of a review, local vibration could be an effective method for improving balance in older adults of early age. Namely, local vibrations improve the processing of somatosensory information and the regulation of posture, which leads to better balance. In future research, it would be necessary to include a larger sample, especially men, so that the results could be generalized to the entire population. Further research with a same treatment protocol, site, and local vibration device is also recommended. Keywords: local

Keywords:diploma theses, physiotherapy, local vibration, balance, older adults, falls

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