Vpliv vadbe joge na ravnotežje in hojo pri pacientih s Parkinsonovo boleznijo - pregled literature : diplomsko delo

Obal, Iza (author), Palma, Polona (mentor), Kovačič, Tine (reviewer)

Uvod: Parkinsonova bolezen je nevrodegenerativna bolezen, ki pogosto povzroča motorične motnje, kot so bradikineza, tremor, rigidnost, in posturalne motnje. Zdravljenje Parkinsonove bolezni je simptomatsko, predvsem z dopaminergično terapijo, ki ima lahko ob napredovani bolezni neželene stranske učinke. Vadba joge lahko vpliva na izboljšanje mišične zmogljivosti, gibljivosti, koordinacije in ravnotežja, zato bi se verjetno lahko uporabljala pri obravnavi pacientov s Parkinsonovo boleznijo. Namen: Namen diplomskega dela je s pregledom strokovne in znanstvene literature preučiti vplive vadbe joge na izboljšanje ravnotežja ter premičnosti oseb s Parkinsonovo boleznijo. Metode dela: V diplomskem delu smo uporabili deskriptivno metodo s pregledom literature. Pri iskanju literature smo uporabili desetletni časovni okvir med letoma 2012 in 2022. Literatura je bila iskana v angleškem jeziku s ključnimi besedami parkinson ?s disease, yoga in effects v podatkovnih zbirkah PubMed, Science Direct, PEDro in Cochrane Library. Rezultati: V podrobnejšo analizo smo vključili šest člankov. V raziskavah je bilo skupno 132 preiskovancev, vsi so imeli blago do zmerno obliko Parkinsonove bolezni. Preiskovanci eksperimentalnih skupin so izvajali vadbo joge. Programi vadbe so trajali od 8 do 12 tednov, od 30 do 60 minut. V vseh šestih vključenih raziskavah je bilo ugotovljeno, da vadba joge pripomore k izboljšanju ravnotežja in premičnosti. Statistično značilno izboljšanje ravnotežja med skupinama so ugotovili v eni raziskavi, izboljšanje premičnosti pa v dveh raziskavah. V štirih raziskavah so v eksperimentalni skupini ugotovili statistično značilno izboljšanje ravnotežja in tudi premičnosti. Kot najučinkovitejša se je izkazala vadba Hathe joge z asanami leže, sede in stoje ter relaksacijo na koncu vadbe. Razprava in zaključek: Rezultati kažejo, da ima vadba joge pomemben učinek pri izboljšanju statičnega ravnotežja. Statistično značilni učinki na izboljšanje dinamičnega ravnotežja in premičnosti se med raziskavami razlikujejo, zato je smiselno vadbo joge kombinirati še z drugimi oblikami vadbe ravnotežja in premičnosti. Potrebno bi bilo tudi pripraviti standardiziran protokol vadbe joge, ki bi olajšal izvedbo joge v kliničnem okolju.

• Language: Slovenian
• Keywords: diplomska dela, fizioterapija, Parkinsonova bolezen, joga, ravnotežje, premičnost, hoja
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [I. Obal]
• Year: 2023
• Number of pages: 25 str., [4] str. pril.
• PID: 20.500.12556/RUL-145309
• UDC: 615.8
• COBISS.SI-ID: 149308419
• Publication date in RUL: 16.04.2023

Secondary language

• Language: English
• Title: The effect of yoga practice on balance and gait in Parkinson's disease patients - literature review : diploma work

Abstract

Introduction: Parkinson's disease is a neurodegenerative disease that often causes motor disorders such as bradykinesia, tremor, rigidity and postural disorders. Treatment of Parkinson's disease is symptomatic, mainly with dopaminergic therapy, which can have unwanted side effects as the disease progresses. Yoga can improve strength, flexibility, coordination and balance, and could probably be used in the treatment of Parkinson's patients. Purpose: The purpose of this review was to examine the effects of yoga practice on improving balance and functional mobility in people with Parkinson's disease. Methods: We used a 10-year timeframe between 2012 and 2022. The literature was searched in English with the keywords Parkinson's disease, yoga and effects in PubMed, Science Direct, PEDro and Cochrane Library databases. Results: Six articles were included in the more detailed analysis. There were 132 patients in total, all with mild to moderate Parkinson's disease. The patients in the experimental groups practised yoga. The exercise programmes lasted between 8 and 12 weeks, from 30 to 60 minutes. All six included studies have found that practising yoga helps to improve balance and functionalmobility. A statistically significant difference between the two groups was found in one study for balance improvement and in two studies for functional mobility improvement. Within the experimental group, a statistically significant difference was found in the improvement of balance in four studies and in the improvement of functional mobility also in four studies. Discussion and conclusion: The results show that yoga has a statistically significant effect on improving static balance. Statistically significant effects on improving dynamic balance and functional mobility vary between studies, so it is advised to combine yoga with other forms of balance and functional mobility training. Hatha yoga with asanas in lying, sitting and standing positions and relaxation at the end of the session proved to be the most effective. The small number of current studies with small samples of subjects suggests the need for additional research to examine the effects of yoga practice over a longer period of time. A standardised yoga practice protocol would also be needed to facilitate the implementation of yoga in the clinical setting.

• Keywords: diploma theses, physiotherapy, Parkinson's disease, yoga, balance, functional mobility, gait