Učinkovitost vadbenih programov za obravnavo poškodb zadnjih stegenskih mišic - pregled literature

Kukec, Žiga (author), Kacin, Alan (author)

Uvod: Zadnje stegenske mišice so pri športnikih, ki se ukvarjajo s tekom, skakanjem in brcanjem, najpogosteje poškodovana mišična skupina. Namen članka je pregledati objavljene rezultate znanstvenih raziskav o učinkovitosti različnih vadbenih programov po poškodbi zadnjih stegenskih mišic in dati priporočila za učinkovito fizioterapevtsko obravnavo. Metode: Vire smo omejili na poročila o randomiziranih kontroliranih poskusih, objavljenih od leta 2000 naprej. Uporabljene so bile podatkovne zbirke Medline, CINAHL in PEDro. Rezultati: Glede na merila izbora je bilo v pregled vključenih pet poročil randomiziranih kontroliranih poskusov. Rezultati kažejo, da so se v šport najhitreje vrnili pacienti, ki so izvajali večjo količino statične raztezne vadbe. Najdlje pa so za polno vrnitev v šport potrebovali pacienti, ki so izvajali nespecifično izotonično vadbo, brez poudarjene aktivacije mišic med ekscentrično fazo krčenja. Razlike v rezultatih raziskav so v veliki meri odraz različnih meril za vrnitev v šport. Zaključki: Program terapevtske vadbe naj vključuje v funkcijo usmerjeno vadbo s poudarjeno ekscentrično fazo krčenja pri daljših mišično-kitnih dolžinah ter vadbo, ki temelji na izboljšanju živčno-mišičnega uravnavanja ledveno-medeničnega predela. Za uspešno zdravljenje je treba terapevtsko vadbo za krepitev dopolniti z raztezanjem poškodovanih mišic, vendar optimalna vrsta in količina raztezanja za zdaj nista znani.

• Language: Slovenian
• Keywords: športne poškodbe, zadnja stegenska mišica, ekscentrična vadba, fizioterapija
• Typology: 1.02 - Review Article
• Organization: ZF - Faculty of Health Sciences
• Year: 2016
• Number of pages: Str. 21-27
• Numbering: Letn. 24, št. 2
• PID: 20.500.12556/RUL-114715
• UDC: 615.825:616-001
• ISSN on article: 1318-2102
• URN: URN:NBN:SI:doc-0ZQWOSZY
• COBISS.SI-ID: 5206123
• Publication date in RUL: 05.03.2020

KUKEC, Žiga and KACIN, Alan, 2016, Učinkovitost vadbenih programov za obravnavo poškodb zadnjih stegenskih mišic - pregled literature. Fizioterapija [online]. 2016. Vol. 24, no. 2, p. 21–27. [Accessed 11 April 2025]. Retrieved from: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=eng&id=114715

Record is a part of a journal

• Title: Fizioterapija
• Shortened title: Fizioterapija
• Publisher: Društvo fizioterapevtov Slovenije, Društvo fizioterapevtov Slovenije, Združenje fizioterapevtov Slovenije
• ISSN: 1318-2102
• COBISS.SI-ID: 30074880

Secondary language

• Language: English
• Title: The effectiveness of exercise protocols for treating hamstring injuries - literature review

Abstract

Background: Hamstrings are the most frequently injured muscle group amongst athletes who perform high volumes of running, jumping or kicking activities. The aim of this article is to review published scientific studies of the effectiveness of various exercise protocols used for treating hamstring injury and give recommendations for effective physiotherapy. Methods: Randomized controlled trials published from year 2000 onwards were considered relevant. Studies were searched in the following databases: Medline, CINAHL and PEDro. Results: Five studies met all criteria and were further analysed. Results indicated that time to return to sport was the shortest in patients who performed higher volume of static stretching exercise. In contrast, the longest time to return to sport was noted in patients who performed nonspecific isotonic resistance exercise with less emphasis on forceful eccentric muscle contraction. The differences in results between studies can be largely attributed to different criteria for return to sport. Conclusions: Functional eccentric exercises performed at longer muscle-tendon lengths combined with exercises for neuromuscular control of the lumbar-pelvic region are recommended. For successful treatment, the strength training program should be complemented with stretching exercises, but optimal type and volume of the latter remain unknown.

• Keywords: sports injuries, hamstring injury, eccentric exercise, physiotherapy