Učinek elastičnih lepilnih trakov na okrevanje sklepa pri pacientih po rekonstrukciji sprednje križne vezi - pregled literature : diplomsko delo

Peterka, Petra (author), Palma, Polona (mentor), Vauhnik, Renata (reviewer)

Uvod: Z naraščajočim številom ljudi, ki se profesionalno ali rekreativno ukvarjajo s športom, narašča število poškodb vezi. Ena najpogosteje poškodovanih vezi je sprednja križna vez v kolenskem sklepu. Zaradi majhne sposobnosti celjenja je, predvsem pri mlajših, aktivnih posameznikih, indicirana kirurška rekonstrukcija. Po operativnem posegu so velikokrat prisotni bolečina, oteklina, zmanjšana mišična zmogljivost in zmanjšan obseg gibljivosti. Za uspešno zdravljenje se predvsem v zgodnji fazi po rekonstrukciji opaža potreba po dodatnih fizioterapevtskih metodah. Glede na predlagane mehanizme in učinke delovanja bi kot dodatek k standardni terapevtski obravnavi lahko nalepili elastične lepilne trakove. Namen: Namen diplomskega dela je bil ugotoviti, kakšen učinek imajo elastični lepilni trakovi na bolečino, oteklino in obseg gibljivosti kolenskega sklepa kot dodatek k standardni fizioterapevtski obravnavi v zgodnji fazi pri pacientih po rekonstrukciji sprednje križne vezi. Metode dela: Za izdelavo diplomskega dela smo uporabili deskriptivno metodo dela. Raziskave smo iskali v podatkovnih zbirkah PubMed, Sage Journals, Cochrane Library in ScienceDirect. Uporabljene so bile ključne besede in besedne zveze ter njihove kombinacije: (kinesiotaping« OR »kinesio tape« OR »kinesiology tape«) AND (»anterior cruciate ligament reconstruction« OR »ACL reconstruction«). Vključitveni kriteriji so bili angleški jezik, randomizirana kontrolirana raziskava, raziskava s kontrolno in eksperimentalno skupino, pacienti po rekonstrukciji sprednje križne vezi, poleg standardne fizioterapevtske obravnave še nameščanje elastičnih lepilnih trakov in ocenjevanje bolečine in/ali otekline in/ali obsega gibljivosti v kolenskem sklepu. Rezultati: V pregled literature smo vključili pet raziskav, ki so bile objavljene med letoma 2016 in 2022. Štiri so bile randomizirane kontrolirane raziskave in ena je bila prispevek s kongresa. V vseh raziskavah so zabeležili statistično pomembne vrednosti med skupinama, ki dajejo prednost eksperimentalnim skupinam v zmanjšanju bolečine, otekline in povečanju obsega gibljivosti kolenskega sklepa. Razprava in zaključek: Izsledki raziskav kažejo na pozitivne učinke elastičnih lepilnih trakov v kombinaciji s standardno obravnavno v zgodnji fazi po rekonstrukciji sprednje križne vezi na bolečino, oteklino in obseg gibljivosti, a kljub temu ostaja potreba po dodatnih, kakovostnejših in med seboj primerljivih raziskavah.

• Language: Slovenian
• Keywords: diplomska dela, fizioterapija, elastični lepilni trakovi, sprednja križna vez, bolečina, oteklina, obseg gibljivosti
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [P. Peterka]
• Year: 2023
• Number of pages: 19 str., [4] str. pril.
• PID: 20.500.12556/RUL-149093
• UDC: 615.8
• COBISS.SI-ID: 163243779
• Publication date in RUL: 03.09.2023

Secondary language

• Language: English
• Title: Effect of kinesiotape on joint recovery in patients after anterior cruciate ligament reconstruction - literature review : diploma work

Abstract

Introduction: As the number of people who are professionally or recreationally involved in sports increases, so does the number of ligament injuries. One of the most commonly injured ligaments is the anterior cruciate ligament in the knee joint. Due to the low healing capacity, especially in younger, active individuals, surgical reconstruction is indicated. Pain, swelling, reduced muscle strength and reduced range of motion are often present after surgery. For successful treatment, especially in the early phase after reconstruction, additional physiotherapeutic methods are required. Depending on the proposed mechanisms and effects of action, kinesio tape could be applied as an adjunct to standard therapeutic treatment. Purpose: The purpose of diploma work was to determine the effect of kinesiotaping on pain, swelling and range of motion of the knee joint as an adjunct to standard physiotherapy treatment in early rehabilitation phase in patients after anterior cruciate ligament reconstruction. Methods: We used the descriptive method of work to produce the thesis. Researches were searched in PubMed, Sage Journals, Cochrane Library and ScienceDirect databases. Key words and phrases and their combinations were used: (»kinesiotaping« OR »kinesio tape« OR »kinesiology tape«) AND (»anterior cruciate ligament reconstruction« OR »ACL reconstruction«). Inclusion criteria were English language, randomized controlled trial, research with control and experimental group, patients after anterior cruciate ligament reconstruction, placement of kinesio tape in addition to standard physiotherapy treatment and assessment of pain and/or swelling and/or range of motion in the knee joint. Results: In the literature review we included five studies, published between 2016 and 2022. Four were randomized controlled trials and one was article from congress. In all studies, statistically significant values between two groups were recorded, favoring experimental groups in the reduction of pain, swelling and increased range of motion of the knee joint. Discussion and conclusion: Research findings suggest positive effects of kinesio tape in combination with standard management in the early phase after anterior cruciate ligament reconstruction on pain, swelling and range of motion, however, there remains a need for additional, higher quality and mutually comparable research.

• Keywords: diploma theses, physiotherapy, kinesiotape, anterior cruciate ligament, pain, swelling, range of motion