Vpliv vibracije celotnega telesa na ravnotežje po rekonstrukciji sprednje križne vezi in pri artrozi kolena - pregled literature : diplomsko delo

Javornik, Blaž (author), Rugelj, Darja (mentor), Weber, Daša (comentor), Vauhnik, Renata (reviewer)

Uvod: Med najpogostejše poškodbe in bolezni kolenskega sklepa sodita pretrganje sprednje križne vezi in artroza kolena. Oba pojava v kolenskem sklepu močno vplivata na ravnotežje posameznika. Vibracija celotnega telesa je že večkrat dokazana terapija, ki pozitivno vpliva na ravnotežje, držo telesa, mišično zmogljivost in funkcijske sposobnosti. Napravam za vibracijo celotnega telesa se v zadnjem času namenja precej pozornosti, saj se te zdijo enostavne in varne za uporabo v kliničnem okolju. Namen: Namen diplomskega dela je na podlagi pregleda literature predstaviti in primerjati učinke vibracije celotnega telesa na ravnotežje pri osebah po rekonstrukciji sprednje križne vezi in pri osebah z artrozo kolenskega sklepa. Metode dela: Pregled strokovne literature je s pomočjo analize člankov potekal po podatkovnih zbirkah PubMed, Science Direct, PEDro in Cobbis. Literatura je bila iskana v angleškem jeziku s ključnimi besedami whole body vibration AND acl ter whole body vibration AND osteoarthrosis. Izključili smo članke, starejše od 10 let. Rezultati: V pregled literature je bilo vključenih osem raziskav. Štiri raziskave so preučevale osebe po rekonstrukciji sprednje križne vezi in štiri osebe z artrozo kolena. Rezultati vseh raziskav so pokazali pozitivne učinke vibracije celotnega telesa na ravnotežje. Štiri raziskave so preučevale samo vadbo s pomočjo vibracije celotnega telesa, medtem ko so druge vključevale še druge programe vadbe. Tri raziskave, ki so preučevale osebe po rekonstrukciji sprednje križne vezi, so pokazale pomembno izboljšanje ravnotežja. Statistično značilnih učinkov vibracije celotnega telesa niso uspeli dokazati samo v eni raziskavi. Ravnotežje se je pomembno izboljšalo v vseh raziskavah, osredotočenih na osebe z artrozo. Parametri vibracije so se med posameznimi raziskavami precej razlikovali. Razprava in zaključek: S funkcijskimi in laboratorijskimi protokoli je bilo ugotovljeno, da vibracija celotnega telesa pripomore k izboljšanju ravnotežja ne samo pri osebah po rekonstrukciji sprednje križne vezi, ampak tudi pri tistih z artrozo kolena. Za doseganje dobrih rezultatov jo je smiselno uporabiti v kombinaciji z drugimi programi vadbe. Vibracija celotnega telesa se je izkazala za zelo uporabno pri osebah po rekonstrukciji sprednje križne vezi, če se izvaja vsaj 4 tedne. Enkratna vadba s pomočjo vibracije celotnega telesa pri teh pacientih nima učinka na ravnotežje. Tudi pri osebah z artrozo kolena vibracija celotnega telesa pomembno vpliva na izboljšanje ravnotežja. Mora pa vadba trajati dlje časa za doseganje dobrih rezultatov. Za najbolj optimalno se je izkazala vibracija s frekvenco 30–45 Hz. Ta tema je do danes še precej slabo raziskana, zato bi bilo v prihodnje koristno narediti analizo raziskav, ki so bolj osredotočene na vadbo s pomočjo vibracije celotnega telesa in na njen vpliv na ravnotežje.

• Language: Slovenian
• Keywords: diplomska dela, fizioterapija, ravnotežje, vibracija celotnega telesa, kolenski sklep
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [B. Javornik]
• Year: 2022
• Number of pages: 26 str.
• PID: 20.500.12556/RUL-142098
• UDC: 615.8
• COBISS.SI-ID: 126481155
• Publication date in RUL: 20.10.2022

Secondary language

• Language: English
• Title: Effects of whole-body vibration treatment on balance after anterior cruciate ligament reconstruction and knee osteoarthrosis - literature review : diploma work

Abstract

Introduction: Anterior cruciate ligament rupture and osteoathritis are one of the most common injuries and diseases of the knee joint. They both have a strong affect on body balance. Whole-body vibration is a proven therapy that has a positive effect on balance, posture, muscle performance and functional abilities. Whole-body vibration devices have been receiving a lot of attention lately as they seem easy and safe to use in a clinical practice. Purpose: The purpose of this thesis is to present and compare the effects of whole-body vibration on balance in patients after anterior cruciate ligament reconstruction and in individuals with osteoarthritis. Methods: The review was carried out through the databases PubMed, Science Direct and Cobbis. The literature was searched in English with keywords whole body vibration AND acl and whole body vibration AND osteoarthrosis. Articles older than 10 years were excluded. Results: There were eight studies icluded in this review. Four of them studied patients after anterior cruciate ligament reconstruction and four individuals with osteoarthritis. The results of all included studies showed positive effects of whole-body vibration on balance. Four studies have only studied whole-body vibration, while others have included other exercise programs. Three studies focused on people after ACL reconstruction showed a significant improvement in balance. Only one study failed to demonstrate statistically significant effects of whole-body vibration. Balance significantly improved in all studies focused on people with osteoarthritis. Vibration parameters varied considerably between individual studies. Discussion and conclusion: Using functional and laboratory protocols, whole body vibration has been found to improve balance in both ACL reconstruction individuals and those with knee osteoarthritis. It makes sense to use it in combination with other exercise programs to achive the best results. Whole body vibration has been shown to be very useful in individuals after anterior cruciate ligament reconstruction when done for at least 4 weeks. A single whole-body vibration exercise has no effect on balance in this group of studies. Whole body vibration has a significant effect on improving balance even for people with knee arthrosis. However, the exercise must last for a long time to achieve good results. Vibration with frequency between 30 and 45 Hz proved to be the most optimal. This topic is still poorly researched to date, so it would be useful in the future to do a review of researches that are more focused on exercise through whole-body vibration and its impact on balance.

• Keywords: diploma theses, physiotherapy, balance, whole body vibration, knee joint