Učinkovitost radialnih udarnih globinskih valov pri pacientih s sindromom zapestnega prehoda - pregled literature : diplomsko delo

Jelen, Matic (avtor), Vauhnik, Renata (mentor), Hlebš, Sonja (recenzent)

Uvod: Sindrom zapestnega prehoda je najpogostejša utesnitvena nevropatija, saj predstavlja 90 % utesnitvenih nevropatij. Stanje je relativno pogosto, saj se pojavi pri 3 do 6 % odraslih oseb. Mehanizmi za njegov nastanek so lahko različni in vključujejo: povečan tlak v zapestnem prehodu, poškodbe mikrocirkulacije medianega živca, kompresija vezivnega tkiva medianega živca in hipertrofija sinovialnega tkiva. Tipična simptoma sindroma zapestnega prehoda sta bolečina in parastezije v inervacijskem področju medianega živca. Pri diagnosticiranju sindroma zapestnega prehoda nam lahko pomagajo različni testi. Med njimi najbolj znana sta Phalenov test in Tinelov znak. Elektromiografija je sprejeta kot zlati standard pri diagnosticiranju sindroma zapestnega prehoda. Konzervativno zdravljenje se naj uporabi pri blagi in zmerni obliki sindroma zapestnega prehoda in lahko vključuje: opornice, oralna zdravila, injiciranje zdravil, manualne tehnike, elektroterapijo, mobilizacijske vaje za mediani živec in različne kombinacije teh metod. Pri neuspešni konzervativni obliki zdravljenja in pri hudi obliki sindroma zapestnega prehoda je potrebno kirurško zdravljenje, pri katerem se izvede dekompresija medianega živca z endoskopskim ali odprtim posegom. Namen: Namen diplomskega dela je bil s pregledom literature ugotoviti učinkovitost konzervativne terapije z radialnimi udarnimi globinskimi valovi pri pacientih s sindromom zapestnega prehoda. Metode dela: Iskanje literature je potekalo v elektronski podatkovni zbirki PubMed. Uporabljeni sta bili ključni besedi v angleškem jeziku »radial extracorporeal shock wave therapy AND carpal tunnel syndrome«. Vključene so bile randomizirane kontrolirane raziskave, v angleškem jeziku in s prosto dostopnim celotnim besedilom. Rezultati: Z upoštevanjem izključitvenih kriterijev je bilo v pregled literature vključenih pet randomiziranih kontroliranih raziskav. Ugotovili so, da vključenost radialnih udarnih globinskih valov v fizioterapevtsko obravnavo pacientov z blagim do zmernim sindromom zapestnega prehoda izboljša končni izid zdravljenja. Razprava in zaključek: Radialni udarni globinski valovi so se izkazali za varno in učinkovito terapijo v kombinaciji z drugimi fizioterapevtskimi postopki in metodami. Njihovo samostojno učinkovitost je še treba dodatno raziskati.

• Jezik: Slovenski jezik
• Ključne besede: diplomska dela, fizioterapija, sindrom zapestnega prehoda, radialni udarni globinski valovi, konzervativna terapija, učinkovitost
• Vrsta gradiva: Diplomsko delo/naloga
• Tipologija: 2.11 - Diplomsko delo
• Organizacija: ZF - Zdravstvena fakulteta
• Kraj izida: Ljubljana
• Založnik: [M. Jelen]
• Leto izida: 2023
• Št. strani: 33 str.
• PID: 20.500.12556/RUL-149275
• UDK: 615.8
• COBISS.SI-ID: 163466243
• Datum objave v RUL: 06.09.2023

JELEN, Matic, 2023, Učinkovitost radialnih udarnih globinskih valov pri pacientih s sindromom zapestnega prehoda - pregled literature : diplomsko delo [na spletu]. Diplomsko delo. Ljubljana : M. Jelen. [Dostopano 19 maj 2025]. Pridobljeno s: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=slv&id=149275

Sekundarni jezik

• Jezik: Angleški jezik
• Naslov: Effectiveness of radial extracorporeal shock wave therapy in patients with carpal tunnel syndrome - literature review : diploma work

Izvleček

Introduction: Carpal tunnel syndrome is the most common entrapment neuropathy accounting for 90 % of all entrapment neuropathies. It is relatively common condition that is estimated to affect 3 to 6 % of adults. The mechanisms for its formation can be different and include increased pressure in the carpal tunnel, damage to the microcirculation of the median nerve, compression of the connective tissue of the median nerve, and synovial tissue hypertrophy. Common symptoms of carpal tunnel syndrome include pain and paraesthesia in the innervation area of the median nerve. Various tests may be used to assist with the diagnosis of carpal tunnel syndrome. The most used are Phalen's test and Tinel's sign. Electromyography is considered the gold standard for diagnosing the carpal tunnel syndrome. Conservative treatment should be used for mild to moderate carpal tunnel syndrome and may include splints, oral medications, drug injections, manual techniques, electrotherapy, median nerve mobilization exercises, and various combinations of these methods. In the case of unsuccessful conservative treatment and in the case of a severe form of carpal tunnel syndrome, surgical treatment is required, in which decompression of the median nerve is carried out using an endoscopic or open procedure. Purpose: The purpose of the diploma work was to determine the effectiveness of conservative therapy with radial extracorporeal shock waves in patients with carpal tunnel syndrome by reviewing the literature. Methods: A literature search was performed in the electronic database PubMed. The English-language related keywords »radial extracorporeal shock wave therapy AND carpal tunnel syndrome« were used. Randomized controlled trials in English language and with freely available full text were included. Results: Following the exclusion criteria, five randomized controlled trials were included in the literature review. The comparison showed that the inclusion of radial extracorporeal shock waves in the physiotherapy treatment of patients with mild to moderate carpal tunnel syndrome improves the outcome of the treatment. Discussion and conclusion: Radial extracorporeal shock wave therapy has proven to be a safe and effective therapy in combination with other physiotherapeutic procedures and methods. Their independent effectiveness still needs to be further investigated.

• Ključne besede: diploma theses, physiotherapy, carpal tunnel syndrome, radial extracorporeal shock wave, conservative therapy, efficiency