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Kratkoročni učinki radio-frekvenčne terapije na utesnitveni sindrom rame : magistrsko delo
ID Zavodnik, Kristina (Author), ID Vauhnik, Renata (Mentor) More about this mentor... This link opens in a new window, ID Dolinar, Drago (Comentor), ID Jakovljević, Miroljub (Reviewer)

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Abstract
Uvod: Terapija s kapacitivnim in uporovnim prenosom energije (radio-frekvenčna ali kratkovalovna diatermija) lahko prinese izboljšanje kakovosti življenja ljudem z nekaterimi degenerativnimi ortopedskimi stanji. Utesnitveni sindrom rame je najpogostejša patologija ramenskega sklepa. Standardni protokol zdravljenja postavlja konservativno zdravljenje pred operativno in podpira terapevtsko vadbo. Namen: Ugotoviti, ali ima kombinacija terapije s kapacitivnim in uporovnim prenosom energije ter terapevtske vadbe večji vpliv na zmanjšanje bolečine, povečanje gibljivosti in izboljšanje funkcije ramenskega sklepa kot samo terapevtska vadba pri preiskovancih z utesnitvenim sindromom rame. Metode dela: Vključenih 47 odraslih preiskovancev je bilo razdeljenih v skupino 1, ki je bila deležna terapije s kapacitivnim in uporovnim prenosom energije in terapevtske vadbe, ter v skupino 2, ki je bila deležna samo terapevtske vadbe. Terapije so potekale trikrat tedensko, tri tedne. Oboji so izvajali protokol terapevtske vadbe vsak dan doma. Meritve z vidno analogno lestvico, indeksom bolečine v rami in zmanjšane zmožnosti ter goniometrijo smo izvajali pred terapijami in ob koncu terapij. Rezultati: Vpliv terapije s kapacitivnim in uporovnim prenosom energije na zmanjšanje bolečine glede na vidno analogno lestvico je v skupini 1 prinesel izboljšanje za 3 točke, v skupini 2 pa za 2 točki (p < 0,05). Ugotovili smo spremembe v povprečjih razlik indeksa bolečine v rami in zmanjšane zmožnosti – bolečina pri skupini 1 za 18,4 %, pri skupini 2 pa za 12,8 % (p < 0,05). Pri ugotavljanju izboljšanja funkcije ramenskega sklepa smo ugotovili statistično pomembne razlike glede na indeks bolečine v rami in zmanjšane zmožnosti – zmanjšana zmožnost v skupini 1 za 17,5 %, v skupini 2 pa za 10 % (p < 0,001). Skupna vrednost indeksa bolečine v rami in zmanjšane zmožnosti je prinesla tudi statistično pomembno izboljšanje (p < 0,001). Skupina 1 je izkazala višjo stopnjo zmanjšanja točk, za 17,2 %, skupina 2 pa za 11,8 %. Pri meritvah sklepne gibljivosti statistično pomembnih razlik nismo zaznali pri nobenem od gibov. Razprava in sklep: Terapija s kapacitivnim in uporovnim prenosom energije ima lahko pozitiven prispevek h klasični terapiji s terapevtskimi vajami. Vpliva na zmanjšanje bolečine in izboljšanje funkcije ramenskega sklepa pri preiskovancih z utesnitvenim sindromom rame. Tega ne moremo trditi za izboljšanje sklepne gibljivosti.

Language:Slovenian
Keywords:magistrska dela, fizioterapija, kapacitivni in uporovni prenos energije, utesnitveni sindrom rame, vidna analogna lestvica, indeks bolečine v rami, zmanjšane zmožnosti, goniometrija
Work type:Master's thesis/paper
Typology:2.09 - Master's Thesis
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:[K. Zavodnik]
Year:2022
Number of pages:28 str., [5] str. pril.
PID:20.500.12556/RUL-143262 This link opens in a new window
UDC:615.8
COBISS.SI-ID:133321731 This link opens in a new window
Publication date in RUL:10.12.2022
Views:1244
Downloads:132
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Secondary language

Language:English
Title:Acute effects of radiofrequency therapy on shoulder impingement syndrome : master's thesis
Abstract:
Introduction: Capacitive and resistive electric transfer (radiofrequency diathermy or short wave diathermy), can improve quality of life in people with some of the degenerative orthopaedics pathologies. Shoulder impingement syndrome is the most common pathology of the shoulder. Standard therapy protocol puts conservative treatment ahead of operative and supports therapeutic exercise. Purpose: To find out if the combination of capacitive and resistive electric transfer therapy and therapeutic exercise is more beneficial in improving range of motion, function and decreasing pain, than just therapeutic exercise in subjects with shoulder impingement syndrome. Methods: 47 adult subjects were sorted into Group 1, that received capacitive and resistive electric transfer therapy and therapeutic exercise, or Group 2, that received just therapeutic exercise. Therapies took place 3 times a week, 3 weeks. Both performed exercise therapy every day at home. Measurements were taken before and after the treatment. We used the Visual analogue scale, Shoulder Pain and Disability Index and goniometry. Results: The effects of capacitive and resistive electric transfer therapy on pain decrease, considering Visual Analogue Scale brought improvement in Group 1 for 3 points, and in Group 2 for 2 points (p < 0.05). We discovered changes in mean of differences »Shoulder pain and disability index - Pain« in Group 1 for 18.4 % and in Group 2 for 12.8 % (p < 0.05). For improvement of the funciton of the shoulder, we found statistically significant differences in »Shoulder pain and disability index - Disability« in Group 1 for 17.5 % and in Group 2 for 10 % (p < 0.001). The general Shoulder pain and disability index showed improvement in Group 1 for 17.2 % and in Group 2 for 11.8 %. The measuremnts of the range of motion did not show statistically significant differences in any of the movements of the shoulder. Discussion and conclusion: Capacitive and resistive electric transfer therapy can have a positive contribution to standard exercise therapy on decrease of pain and improvement of the function of the shoulder in subjects with shoulder impingement. We cannot state that it also has effects on the shoulder range of motion.

Keywords:master's theses, physiotherapy, capacitive and resistive electric transfer, shoulder impingement syndrome, visual analogue scale, shoulder pain, disability index, goniometry

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