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Vpliv različnih vrst vadbe proti uporu na bolečino in mišično zmogljivost pri pacientih s kronično bolečino v spodnjem delu hrbta : pregled literature
ID Mandelc, Katja (Author), ID Kacin, Alan (Mentor) More about this mentor... This link opens in a new window

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Abstract
Uvod: Bolečina v križu je sindrom, ki se manifestira z bolečino, ki je lokalizirana pod rebrnim robom in nad glutealnimi gubami, povečano napetostjo v mišicah oz. togostjo segmenta ter z ali brez pridružene bolečine v spodnjih udih. Terapija z vadbo je najbolj razširjen tip konservativnega zdravljenja bolečine v ledveno-križnem predelu. Terapija z vadbo je dokazano učinkovita pri zmanjševanju bolečine in izboljšanju funkcije pri kronični bolečini v križu; manj pa je jasno, kakšna je učinkovitost različnih vrst vadbe oz. katera vrsta vadbe je najučinkovitejša. Namen: Namen diplomskega dela je na podlagi objavljenih raziskav pregledati učinke različnih vrst vadbe proti uporu na bolečino in mišično zmogljivost pri pacientih s kronično bolečino v spodnjem delu hrbta. Metode: Pri diplomskem delu smo kot metodo dela uporabili pregled literature. Iskanje literature je potekalo s pomočjo podatkovnih zbirk Science Direct in PubMed ter je bilo omejeno na slovenski in angleški jezik. Rezultati: V diplomsko delo smo vključili devet člankov o raziskavah, ki so bile objavljene od leta 2005 do leta 2016. Raziskave so med seboj primerjale učinke različnih vrst vadbe proti uporu na spremembe v funkciji mišic, doživljanju bolečine, nezmožnosti in kakovosti življenja. Vse vadbe so v različni meri pozitivno vplivale na ocenjevane spremenljivke. V največ raziskavah se je pojavljala vadba segmentalne stabilizacije hrbtenice. Razprava in sklep: Glede na rezultate sklepamo, da ima vadba segmentalne stabilizacije hrbtenice, v primerjavi z ostalimi vadbami, največji vpliv na funkcijo mišic in bolečino pri pacientih z bolečino v križu. A raziskave so se med seboj zelo razlikovale in na podlagi tega pregleda literature vseeno ne moremo trditi, katera vadba je najbolj primerna za bolnike z bolečino v križu ter bi bile za to potrebne še nadaljnje raziskave.

Language:Slovenian
Keywords:bolečina v ledveno-križnični hrbtenici, kronična bolečina, terapevtska vadba, randomizirani kontrolirani poskusi, klinični poskusi
Work type:Bachelor thesis/paper
Organization:ZF - Faculty of Health Sciences
Year:2017
PID:20.500.12556/RUL-96693 This link opens in a new window
COBISS.SI-ID:5352555 This link opens in a new window
Publication date in RUL:11.10.2017
Views:2807
Downloads:946
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Secondary language

Language:English
Title:The impact of different types of resistance exercises on pain and muscle performance in patients with chronic low back pain : literature review
Abstract:
Introduction: Pain in the back is a syndrome that manifests with pain that is localized below the ribs edge and over the gluteal wrinkles, increased muscle tension, segment rigidity and with or without associated leg pain. Exercise therapy is the most common type of conservative treatment of pain in the lumbar-cross section. The authors find that exercise therapy is effective in reducing pain and improving the function of chronic back pain. There is no clear evidence that any type of exercise is more effective than others. Purpose: The purpose of the thesis is to review the effects of various types of exercise on resistance to pain and muscular performance in patients with chronic pain in the lower back on the basis of published studies. Methods: A literature review was used as a method of work. The literature search was carried out using the Science Direct and PubMed databases and was limited to Slovenian and English Language. Results: In the thesis, we included 9 studies from 2005 to 2016. The research compared the various exercises amongst them. Changes in muscle function, experiencing pain, inability, and quality of life were all evaluated. All exercises had positively influenced the evaluated variables to a different extent. In most studies, segmental stabilization was performed. Discussion and conclusion: According to the results, we conclude that the segmental stabilization exercise has the greatest impact on muscle function and pain in patients with back pain compared to other exercises. However, the research was very different, and on the basis of this literature review, we cannot say which exercise is the most suitable for patients with back pain and would need further research.

Keywords:low back pain, chronic pain, exercise, randomized controlled trial, clinical trial

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