Vadba za izboljšanje propriocepcije, pri osebah s kronično nespecifično bolečino v hrbtu - pregled literature : diplomsko delo

Zupan, Maša (author), Hlebš, Sonja (mentor), Jakovljević, Miroljub (reviewer)

Uvod: Bolečina v križu postaja vedno večji problem razvitih držav sveta. Ugotavljajo, da so tudi dejavniki, kot so propriocepcija v pomembni povezavi z nastankom BVK. Propriocepcija poda podatke o gibanju sklepa, legi sklepa, ter zaznavanju sile. Propriocepcija je pomembna za motorično učenje in uravnavanje gibanja. Vadba za izboljšanje propriocepcije se v fizioterapiji veliko uporablja, vendar njena vsebina še ni povsem jasna. Namen: Namen diplomske naloge je predstaviti učinkovitost vadbe na izboljšanje propriocepcije, pri osebah s kronično bolečino v križi. Metode dela: Literaturo smo iskali v podatkovnih zbirkah MEDLINE, PEDro, Cochrane Library, ScienceDirect in PubMed. Za analizo smo uporabili smo pet člankov v angleškem jeziku objavljenih po letu 2011, s ključnimi besedami proprioception, exercise AND low back pain, proprioception AND physiotherapy, proprioception AND sensorimotor training. Rezultati: V štirih od petih raziskav so z uporabo senzomotorične vadbe in vadbe inspiratornih mišic ugotovili izboljšanje propriocepcije, zmanjšanje intenzivnosti bolečine, izboljšanje ocene funkcijskega statusa in povečanje obseg giba v ledveni hrbtenici. Pozitivni učinki so bili opazni tudi dva meseca po koncu vadbenega programa. Razprava in zaključek: Rezultati pregledane literature so pokazali, da lahko s specifično vadbo pozitivno vplivamo na izboljšanje propriocepcije in zmanjšanje bolečine v hrbtenici. V nadaljnjih raziskavah bi bilo priporočljivo večje število sodelujočih pacientov in več vadbenih enot, ki bi trajale skozi daljšo časovno obdobje.

• Language: Slovenian
• Keywords: diplomska dela, fizioterapija, propriocepcija, bolečina v križu, vadba
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: [M. Zupan]
• Year: 2020
• Number of pages: 33 str., [4] str. pril.
• PID: 20.500.12556/RUL-115921
• UDC: 615.8
• COBISS.SI-ID: 12895491
• Publication date in RUL: 28.04.2020

Secondary language

• Language: English
• Title: Exercise for improving proprioception of patients with cronic non-specific low back pain - literature review : diploma work

Abstract

Introduction: Low back pain is becoming a well-known health problem in the Western society. It is believed, that factors, such as proprioception is in a great correlation with LBP. Proprioception provides information of awareness of joint position, movement and force. Proprioception is also important for learning motor skills and posture control. Exercise for improving proprioception is frequently used in physiotherapy, but the content is still yet to be clear. Purpose: The purpose of this thesis is to determent efficiency of exercise for improving proprioception of patients with LBP. Methods: Literature was searched in MEDLINE, PEDro, Cochrane Library, ScienceDirect and PubMed database. We used key words: proprioception, exercise AND chronic low back pain, proprioception AND physiotherapy, proprioception AND sensorimotor training. We reviewed articles published in English language after the year 2011. Results: Five articles were used for analysis. Out of five articles, four of them reported an important improvement of proprioception by using the sensorimotor exercise and inspiratory muscle exercise, lower LBP, improved functional status and improved active range of motion of the lumbar spine. Positive effects were maintained for two months after the intervention. Discussion and conclusion: Results of the researched literature showed that, with a special exercise we can positively improve proprioception and lower the intensity of LBP. In further researches, a larger number of subjects and a longer period of exercise units would be recommended.

• Keywords: diploma theses, physiotherapy, proprioception, low back pain, exercise