Vloga fizioterapije pri rehabilitaciji oseb z anoreksijo nervozo – pregled literature : diplomsko delo

Vidović, Barbara (author), Umek, Nejc (mentor), Kacin, Alan (reviewer)

Uvod: Anoreksija nervoza je kompleksna duševna motnja, za katero so značilni restriktivno prehranjevanje, izrazit strah pred pridobivanjem telesne mase in neustrezna telesna samopodoba. Vpliva lahko na različne vidike duševnega zdravja in vodi v somatske zaplete, ki pomembno vplivajo na kakovost življenja. V zadnjih desetletjih se vse bolj prepoznava pomen fizioterapije kot dela celostne večdisciplinarne obravnave anoreksije nervoze. Namen: Namen diplomskega dela je bil pregledati obstoječo literaturo o učinkih telesne dejavnosti in manualne terapije, ki se uporabljajo kot dopolnilo standardnemu zdravljenju anoreksije nervoze. Poseben poudarek je bil na analizi njihove učinkovitosti, varnosti in ključnih parametrih izvajanja. Metode dela: Iskanje literature je potekalo v podatkovnih bazah PubMed in PEDro z uporabo naslednjih ključnih besed: physiotherapy, exercise therapy, rehabilitation, massage, breathing exercises in anorexia nervosa. Rezultati: V pregled literature je bilo vključenih pet raziskav, ki so proučevale učinke različnih fizioterapevtskih in telesno usmerjenih komplementarnih intervencij pri osebah z anoreksijo nervozo. Nobena raziskava ni poročala o negativnem vplivu intervencij na telesno maso ali indeks telesne mase. Najbolj konsistenten in statistično pomemben učinek je bil na povečanje mišične zmogljivosti, zlasti pri vadbi proti uporu, pozitivni učinki pa tudi na kakovost življenja; učinki na psihološke izide so bili manj enotni. Razprava in zaključek: Ugotovitve kažejo, da ima fizioterapija dopolnilno vlogo v rehabilitaciji anoreksije nervoze, predvsem pri obravnavi somatskih posledic bolezni in podpori telesnemu okrevanju. Individualiziran in strokovno nadzorovan fizioterapevtski program lahko predstavlja pomemben del rehabilitacije, vendar so zaradi heterogenosti intervencij, metodoloških omejitev in majhnega števila raziskav potrebne nadaljnje raziskave za natančnejšo opredelitev njihove učinkovitosti.

• Language: Slovenian
• Keywords: diplomska dela, fizioterapija, motnje hranjenja, telesna dejavnost, vadba proti uporu, kakovost življenja
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [B. Vidović]
• Year: 2026
• Number of pages: 32 str.
• PID: 20.500.12556/RUL-184284
• UDC: 615.8
• COBISS.SI-ID: 283506435
• Publication date in RUL: 03.07.2026

Secondary language

• Language: English
• Title: The role of physiotherapy in the rehabilitation of persons with anorexia nervosa – literature review : diploma work

Abstract

Introduction: Anorexia nervosa is a complex mental disorder characterised by restrictive eating, an intense fear of weight gain, and distorted body image. It can affect various aspects of mental health and lead to somatic complications that may significantly impair quality of life. In recent decades, physiotherapy has increasingly been recognised as an important component of comprehensive multidisciplinary treatment for anorexia nervosa. Purpose: The aim of this literature review was to review the existing literature on the effects of physical activity and manual therapy used as adjuncts to the standard treatment of anorexia nervosa. Particular emphasis was placed on analyzing their effectiveness, safety, and the key parameters of their implementation. Methods: A literature search was conducted in the PubMed and PEDro databases using the following keywords: physiotherapy, exercise therapy, rehabilitation, massage, breathing exercises, and anorexia nervosa. Results: Five studies investigating the effects of different physiotherapeutic and body-oriented complementary interventions in individuals with anorexia nervosa were included in the literature review. None of the studies reported negative effects of the interventions on body weight or body mass index. The most consistent effects were found in muscle performance, particularly with resistance training, while positive effects were also observed in quality of life. Effects on psychological outcomes were less consistent. Discussion and conclusion: The findings suggest that physiotherapy has a complementary role in the multidisciplinary rehabilitation of anorexia nervosa, particularly in addressing somatic consequences of the disorder and supporting physical recovery. Individualised and professionally supervised physiotherapeutic approaches may represent an important part of rehabilitation; however, due to intervention heterogeneity, methodological limitations, and the small number of studies, further high-quality research is needed to define their effectiveness more precisely.

• Keywords: diploma theses, physiotherapy, eating disorders, physical activity, resistance training, quality of life