Pozna fizioterapevtska obravnava bolnika v zdravilišču po zvinu gležnja : poročilo o primeru

Stegne, Maja (author), Divjak, Mojca (mentor)

Uvod: Poškodbe gležnja spadajo med najpogostejše poškodbe gibal pri aktivni populaciji ljudi med 20. in 65. letom starosti. Pozna rehabilitacija po zvinu gležnja se začne, ko je pacient sposoben polne obremenitve poškodovanega sklepa. S pomočjo funkcionalne vadbe izboljšamo mišično moč, vzdržljivost in zmanjšamo težave s propriocepcijo. Funkcionalna faza rehabilitacije pacienta pripravi na vrnitev k polni aktivnosti. Pri proprioceptivnem treningu naj bi uporabljali nagibne plošče in ravnotežne deske, ki zahtevajo uporabo mišic, ki pronirajo in supinirajo stopalo. Namen: Namen diplomskega dela je predstaviti pozno fizioterapevtsko obravnavo preiskovanca po zvinu gležnja, ki je potekala v zdravilišču. Metode dela: Diplomsko delo je poročilo o primeru bolnika po zvinu gležnja. Obravnava bolnika je potekala v zdravilišču, kjer so bili problemi in cilji fizioterapije izpostavljeni na podlagi anamneze, inspekcije in palpacije, meritev gibljivosti in mišične moči, ocene bolečine in časovno merjenih funkcijskih testov. Meritve in testiranja so bili izvedeni prvi in zadnji dan obravnave. Da smo dosegli želene rezultate, so bile uporabljene različne metode kinezioterapije in fizikalne terapije. Rezultati: Po osmih fizioterapevtskih obravnavah so bili rezultati uspešno doseženi. Obseg gibljivosti se je izboljšal v vseh smereh v zgornjem in spodnjem skočnem sklepu. Obseg gležnja se je pod gležnjem zmanjšal za 1,5 cm, preko pete za 0,5 cm in preko stopala za 1 cm. Mišična moč se je izboljšala pri vseh stestiranih mišičnih skupinah za 1 oceno. Bolečina se je po osmih obravnavah po vizualno-analogni lestvici zmanjšala za 2. Izboljšani rezultati so bili tudi pri časovno merjenih testih; pri hoji na 10 metrov za 3 sekunde, pri vstani in pojdi testu za 2 sekundi, pri modificiranem Romberg testu pa se je povprečni čas izboljšal za 1 do 6 sekund. Razprava in sklep: Primer prikazuje uspešnost obravnave po zvinu gležnja. Največ pozornosti je bilo usmerjene k izboljšanju gibljivosti in zmanjšanju bolečine, pri čemer smo dosegli najboljše rezultate. Izbrane so bile ustrezne metode in tehnike fizioterapije.

• Language: Slovenian
• Keywords: zvin gležnja, fizioterapija, kinezioterapija, manualna terapija
• Work type: Bachelor thesis/paper
• Organization: ZF - Faculty of Health Sciences
• Year: 2018
• PID: 20.500.12556/RUL-101539
• COBISS.SI-ID: 5441387
• Publication date in RUL: 14.06.2018

Secondary language

• Language: English
• Title: Late physiotherapy in health resort after ankle sprain : case report

Abstract

Introduction: Ankle injuries are one of the most common injuries in the active population of people between 20 and 65 years of age. Late rehabilitation after an ankle sprain begins when the patient can place full burden on the injured joint. Using functional exercise the patient’s muscular strength is increased, his or her endurance is improved and problems with proprioception are minimised. The functional phase of the rehabilitation prepares the patient for return to full activity. The proprioception exercises should include tilt and balance boards, which stimulate the use of muscles that pronate and supinate the foot. Purpose: The purpose of the thesis is to present late physiotherapy treatment of a patient after an ankle sprain. The treatment took place in a health resort. Working methods: The thesis is a case report of a patient after an ankle sprain. The physiotherapy treatment was carried out in a spa, where the problems and objectives of physiotherapy were exposed, based on an anamnesis, inspection and palpation, mobility and muscle measurement, pain assessment and time measurement functional tests. All testings were carried out on the first and on the last day of the hearing. In order to achieve results different methods of kinesiotherapy and physical therapy were applied. Results: After eight physiotherapy treatments results have been successfully achieved. The range of motion has improved in the ankle joint in all directions of movement. The scope of the limb under the ankle has decreased by 1.5 cm, over the heel by 0.5 cm and by 1 cm over the foot. The power of muscles has improved by 1 point in all muscle groups tested. After eight treatments pain has decreased by 2 points on the VAL scale. Better results were also recorded with time trials: in a 10-metre walk by 3 seconds, in the timed up and go test by 2 seconds and in a modified Romberg test, the average improvement was 1-6 seconds. Discussion and conclusion: The case presented shows that the treatment after the ankle sprain has been successful. The most attention was directed towards improving mobility and reducing pain, where the best results were achieved. The methods and physiotherapy techniques selected have been successful.

• Keywords: ankle sprain, physiotherapy, kinesiotherapy, manual therapy