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Rehabilitacija po artroskopskem zdravljenju utesnitvenega sindroma kolka - pregled literature : diplomsko delo
ID Mirič, Tjaša (Author), ID Stražar, Klemen (Mentor) More about this mentor... This link opens in a new window, ID Vauhnik, Renata (Reviewer)

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Abstract
Uvod: Utesnitveni sindrom kolka je pogost vzrok za bolečino in najpogostejša indikacija za artroskopsko zdravljenje. Utesnitveni sindrom kolka razvrstimo glede na morfologijo stegnenice in acetabuluma v tri glavne tipe – cam (stegnenični), pincer (acetabularni) in mešani tip. Diagnoza je postavljena na podlagi kliničnega pregleda, anamneze in slikovnih preiskav. Zdravljenje je lahko operativno ali konzervativno. Konzervativno zdravljenje vključuje fizioterapijo, edukacijo pacienta in predvsem trajno prilagoditev aktivnosti in življenjskega sloga. Ko so v sklepu že prisotne poškodbe labruma ali hrustanca, je navadno indicirano artroskopsko zdravljenje, katerega cilj je odpraviti vzroke in pozdraviti posledice utesnitve. Namen: Na podlagi pregleda literature opredeliti smernice za optimalen rehabilitacijski protokol po artroskopskem zdravljenju utesnitvenega sindroma kolka. Metode dela: Narejen je bil pregled literature v podatkovni bazi PubMed. Pri iskanju so bile uporabljene ključne besede: rehabilitation program, femoroacetabular impingement syndrome. Rezultati: V podrobno analizo je bilo vključenih pet raziskav. Rezultati so bili v vseh podobni. Vse študije so ugotovile, da strukturirani rehabilitacijski protokoli pomembno prispevajo k izboljšanju kliničnih in funkcionalnih rezultatov. Pri pacientih so opazne zmanjšanje bolečine ter izboljšanje funkcionalnosti kolka in obsega gibanja po artroskopiji. Razprava in zaključek: Rezultati so pokazali, da so protokoli rehabilitacije po artroskopiji različni, vendar vključujejo enake elemente, kot so razbremenjevanje operiranega kolka ter postopno pridobivanje gibljivosti in moči. Osnovni cilji rehabilitacijskih protokolov po artroskopskem zdravljenju utesnitvenega sindroma so enaki, to je odprava bolečine in čim boljša funkcija. Potrebne so randomizirane kontrolne raziskave, s ciljem poenotiti protokol rehabilitacije.

Language:Slovenian
Keywords:diplomska dela, fizioterapija, utesnitveni sindrom kolka, artroskopija, rehabilitacija, protokol
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:[T. Mirič]
Year:2024
Number of pages:37 str., [3] str. pril.
PID:20.500.12556/RUL-161230-163b8224-12d8-62bb-ca0a-b391a51e0a79 This link opens in a new window
UDC:615.8
COBISS.SI-ID:206807299 This link opens in a new window
Publication date in RUL:08.09.2024
Views:265
Downloads:36
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Secondary language

Language:English
Title:Rehabilitation after arthroscopic treatment of hip impingement syndrome - literature review : diploma work
Abstract:
Introduction: Femoroacetabular impingement is a common cause of hip pain and the most frequent indication for arthroscopic treatment. FAI is classified into three main types: cam (femoral), pincer (acetabular), and mixed type, based on the shape abnormalities of the femur and acetabulum. Diagnosis consists of a clinical examination, medical history, and imaging studies. Treatment can be surgical or conservative. Conservative treatment includes patient education, activity and lifestyle adjustments, and physiotherapy. When labral or cartilage damage is already present in the joint, arthroscopic treatment is usually indicated to address the causes of impingement. Purpose: To determine guidelines for an optimal rehabilitation protocol after arthroscopic treatment of femoroacetabular impingement through a literature review. Methods: A literature review was conducted in the PubMed database. Keywords used in the search were: rehabilitation program, femoroacetabular impingement syndrome. Results: Five studies were included in the detailed analysis. The results were similar in all studies. All studies found that structured rehabilitation protocols significantly contribute to the improvement of clinical and functional outcomes. Patients showed reduced pain and improved hip functionality and range of motion after arthroscopy. Discussion and conclusion: The results showed that rehabilitation protocols after arthroscopy vary but include the same elements, such as offloading the operated hip and gradually increasing mobility and strength. The primary goals of rehabilitation protocols after arthroscopic treatment of FAI are the same: pain relief and optimal function. Randomized controlled trials are needed to unify the rehabilitation protocol.

Keywords:diploma theses, physiotherapy, femoroacetabular impingement, arthroscopy, rehabilitation, protocol

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