Stopnjevana motorična predstava kot intervencija v delovnoterapevtski obravnavi bolečine zgornjega uda : diplomsko delo

Zabukovnik, Larisa (author), Sicherl, Zorana (mentor), Oven, Alenka (reviewer)

Uvod: Bolečina je neprijetna senzorna in čustvena izkušnja, ki lahko osebo znatno ovira na vseh področjih človekovega delovanja in ji preprečuje okupacijsko izvedbo ter posledično zmanjšuje kakovost življenja. Delovna terapija je pri obravnavi oseb z bolečino usmerjena v povečevanje vključenosti v njim smiselnih in prijetnih okupacijah z izvajanjem različnih intervencij obvladovanja bolečine. Ena možnih intervencij v delovnoterapevtski obravnavi bolečine zgornjega uda je tudi stopnjevana motorična predstava. Namen: Namen diplomskega dela je bil pregledati literaturo na temo stopnjevane motorične predstave in ugotoviti, kako uporabna je kot delovnoterapevtska intervencija pri obravnavi bolečine zgornjega uda in kakšni so dokazi njene učinkovitosti. Metode dela: Izveden je bil sistematični pregled literature po smernicah Centre for Reviews and Dissemination. Študije so bile iskane na podlagi zastavljenih vključitvenih in izključitvenih kriterijev v podatkovnih bazah CINAHL, PubMed, Web of Science in OTseeker ter v knjižničnem informacijskem sistemu COBISS s kombinacijo ključnih besed v angleščini in slovenščini ter z Boolovima operatorjema AND in OR. Študije so bile pridobljene tudi z ročnim pregledovanjem referenc. Razvrščene so bile po ravni dokazov in ocenjene po relevantnosti, kakovosti po merilih Joanna Briggs Institute in po tveganju pristranskosti. Rezultati: V končno analizo je bilo vključenih 11 študij. Študije so po merilih Ameriškega združenja delovnih terapevtov pripadale različnim ravnem dokazov in dosegale različne stopnje metodološke kakovosti. Stopnjevana motorična predstava se kot intervencija v delovnoterapevtski obravnavi zgornjega uda uporablja pri uporabnikih s kroničnim regionalnim bolečinskim sindromom, s kronično bolečino, s poškodbami zgornjega uda, s fantomsko bolečino po amputaciji zgornjega uda in znotraj multidisciplinarnih rehabilitacijskih timov. Dokazi njene učinkovitosti so se razlikovali glede na vrsto študij. Razprava in zaključek: Med pregledom literature je bila ugotovljena neraziskanost intervencije stopnjevane motorične predstave, kar se je odražalo v nizkem številu razpoložljivih študij in v njihovih metodoloških pomanjkljivostih. Izveden pregled literature bi delovne terapevte in ostale zdravstvene delavce lahko informiral o stopnjevani motorični predstavi in jih spodbudil k uporabi pri njihovem delu. Izkazuje se potreba po nadaljnjem raziskovanju obravnavane teme ustrezne metodološke kakovosti, predvsem na področju delovne terapije.

• Language: Slovenian
• Keywords: diplomska dela, delovna terapija, delovni terapevti, obvladovanje bolečine, zgornji ud, terapija z ogledalom, sistematični pregled literature
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [L. Zabukovnik]
• Year: 2023
• Number of pages: 39 str., [20] str. pril.
• PID: 20.500.12556/RUL-151162
• UDC: 615.851
• COBISS.SI-ID: 166892803
• Publication date in RUL: 30.09.2023

ZABUKOVNIK, Larisa, 2023, Stopnjevana motorična predstava kot intervencija v delovnoterapevtski obravnavi bolečine zgornjega uda : diplomsko delo [online]. Bachelor’s thesis. Ljubljana : L. Zabukovnik. [Accessed 26 June 2025]. Retrieved from: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=eng&id=151162

Secondary language

• Language: English
• Title: Graded motor imagery as an intervention in occupational therapy management of upper limb pain : diploma work

Abstract

Introduction: Pain is an unpleasant sensory and emotional experience that can significantly affect a person in all areas of human functioning, preventing their occupational performance and reducing their quality of life. The occupational therapist’s role in pain management is to increase their client’s engagement in meaningful and enjoyable occupations by implementing various pain management interventions. One of the possible interventions is graded motor imagery. Purpose: The purpose was to review the literature on graded motor imagery and to determine how useful it is as an occupational therapy intervention in the management of upper limb pain and what evidence there is of its effectiveness. Methods: A systematic literature review was performed following the guidelines of the Centre for Reviews and Dissemination. Studies were searched based on the inclusion and exclusion criteria in the databases CINAHL, PubMed, Web of Science, OTseeker and in the COBISS library information system using a combination of English and Slovenian keywords and Boolean operators AND and OR. Studies were also retrieved by manual reference checking. They were ranked according to the level of evidence and given a relevance score, a quality score according to Joanna Briggs Institute criteria, and a risk of bias score. Results: Eleven studies were included in the final analysis. Studies belonged to different levels of evidence according to the criteria of the American Occupational Therapists Association and had different levels of methodological quality. Graded motor imagery is used as an intervention in occupational therapy management of upper limb pain in clients with chronic regional pain syndrome, chronic pain, upper limb injuries, phantom limb pain, and within multidisciplinary rehabilitation teams. Evidence of its effectiveness varied depending on the type of study. Discussion and conclusion: The literature review identified a lack of research on the researched topic, reflecting the low number of available studies and their methodological limitations. A literature review could inform occupational therapists and other health professionals about graded motor imagery and encourage them to apply it in their work. There is a need for further research of the appropriate methodological quality of the topic, especially in the field of occupational therapy.

• Keywords: diploma theses, occupational therapy, occupational therapists, pain management, upper limb, mirror therapy, systematic literature review