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Fizioterapevtska obravnava pacientke po zlomu distalnega dela koželjnice : diplomsko delo
ID Kosmač, Anja (Author), ID Divjak, Mojca (Mentor) More about this mentor... This link opens in a new window

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Abstract
Uvod: Zlom distalnega dela koželjnice je eden najpogostejših zlomov pri ljudeh, najpogostejši so pri ženskah. Znaki zloma so bolečina ob gibanju in na pritisk, zavrta gibljivost, oteklina ter zmanjšana mišična moč. Glavni vzrok zloma so padci, pogost zaplet po zlomu pa kronični regionalni bolečinski sindrom. Kot način zdravljenja lahko uporabimo različne operativne tehnike, ali pa zlom naravnamo in zamavčimo ter se poslužujemo konzervativne tehnike zdravljenja. Priporoča se hlajenje, diadinamične tokove, razgibavanje, sklepno mobilizacijo, transkutano elektro živčno stimulacijo, magnetoterapijo ter aktivne vaje. Namen: Namen diplomskega dela je predstaviti fizioterapevtsko obravnavo in njeno učinkovitost pri pacientki po zlomu distalnega dela koželjnice z dorzalno angulacijo. Metode dela: Diplomsko delo je poročilo o primeru fizioterapevtske obravnave pacientke po zlomu distalnega dela koželjnice z dorzalno angulacijo. Predstavljena je devetdnevna fizioterapevtska obravnava, opisani so uporabljeni fizioterapevtski postopki ter postavljeni problemi ter kratkoročni cilji. Rezultati: Po devetih fizioterapevtskih obravnavah so bili zadani kratkoročni cilji doseženi. Obseg gibljivosti v zapestnem sklepu ter proksimalnem in distalnem radioulnarnem sklepu se je izboljšal, za 0,5 cm se je zmanjšal obseg preko stiloidnega odrastka koželjnice in podlahtnice za 0,1 cm se je zmanjšal obseg merjen 4 cm proksimalno od stiloidnega odrastka koželjnice, izboljšala se je zmogljivost prijema roke povprečno za 3,5 kg. Mišična moč se ni bistveno izboljšala, kontrakcije so ostale šibke in boleče, izboljšala se je ocena funkcije po vprašalniku Funkcionalnost zgornjega uda, ramena in roke za 31,8 točk. Prav tako se je z fizioterapevtsko oceno zmanjšala bolečina po vizualni analogni lestvici, iz začetne ocene 5 na končno oceno 3. Razprava in sklep: Po končanih devetih fizioterapevtskih obravnavah smo večino zadanih kratkoročnih ciljev dosegli, kar kaže na to, da so bili izbrani fizioterapevtski postopki ustrezni. Kombinacija kinezioterapije, manualne terapije, elektroterapije in termoterapije ter zdravstvene vzgoje je pripomogla k temu, da smo bili z fizioterapevtsko obravnavo uspešni.

Language:Slovenian
Keywords:diplomska dela, fizioterapija, zlom koželjnice, dorzalna angulacija, fizioterapevtska obravnava, osteoporoza
Work type:Bachelor thesis/paper
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher: [A. Kosmač]
Year:2018
Number of pages:37 str.
PID:20.500.12556/RUL-105210 This link opens in a new window
COBISS.SI-ID:5533803 This link opens in a new window
Publication date in RUL:10.11.2018
Views:10459
Downloads:1576
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Secondary language

Language:English
Title:Physiotherapy interventions after distal radius fracture : diploma work
Abstract:
Introduction: The fracture of the distal part of the radius is one of the most common fractures in humans, most often in women. Signs of broken bone are the pain when moving and at the pressure, reduced flexibility, swelling and weakened muscle strength. The main cause of fracture is falling, and a frequent complication after fracture is complex regional pain syndrome. We can use various operational techniques as a treatment, or we use the conservative way of relocating the fracture and casting. Recommended are cooling, diadynamic currents, moving, joint mobilization, transcutaneous electrical nerve stimulation, magnetotherapy and active exercises. Purpose: The purpose of the thesis is to present the physiotherapeutic treatment and its effectiveness in the patient after fracture of the distal part of the radius with dorsal angulation. Methods of work: The thesis is a report on the case of physiotherapeutic treatment of a patient after a fracture of the distal part of the radius with dorsal angulation. Presented is a nine-day physiotherapeutic treatment, the physiotherapeutic procedures used, problems, as well as short-term and long-term goals, are described. Results: After nine physiotherapeutic treatments, set short-term goals were met. The range of flexibility in the wrist joint, the proximal and distal radioulnar joints improved, the pain reduced, the perimeter over the processus styloideus of the radius and ulna decreased by 0,5 cm, the perimeter measured 4 cm proximal from the processus styloideus of the radius reduced by 0,1 cm, and the hand-picking capacity increased by an average of 3,5 kg. Muscle strength did not improve significantly, contractions remained weak and painful, and the function rating of the questionnaire Quick disabilities of the arm, shoulder and hand raised for 31,8 points. Also, the physiotherapeutic rating reduced the pain according to the visual analog scale, from the initial grade 5 to the final grade 3. Discussion and conclusion: After the completion of nine physiotherapy treatments, most of our short-term goals were achieved, indicating that the selected physiotherapy procedures were appropriate. The combination of kinesiotherapy, manual therapy, electrotherapy, thermotherapy and health education has helped us to be successful with physiotherapy treatment.

Keywords:diploma theses, physiotherapy, fracture of radius, dorsal angulation, physiotherapy treatment, osteoporosis

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