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Učinkovitost uporabe elastičnih lepilnih trakov pri otrocih s cerebralno paralizo : pregled literature
ID Samide, Klara (Author), ID Divjak, Mojca (Mentor) More about this mentor... This link opens in a new window, ID Grapar Žargi, Tina (Comentor)

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Abstract
Uvod: Elastičen lepilni trak je terapevtski pripomoček, ki se ga uporablja predvsem pri osebah z mišično-skeletnimi in živčno-mišičnimi okvarami. Raztezne lastnosti traku so zelo podobne razteznim lastnostim kože in domneva se, da trak vpliva na regulacijo mišičnega tonusa, izboljšanje obsega gibljivosti, ravnotežja in hoje ter na izboljšanje mišične funkcije, mišične moči in nadzora drže pri odraslih. Elastičen lepilni trak se pri otrocih pogosto pojavlja kot dodatek k terapiji in se ga lahko uporabi kot nadomestek terapevtovega dotika. Trak naj bi vplival na živčno-mišično delovanje preko aktivacije kožnih receptorjev in tako posledično izboljšal funkcionalno gibanje otrok s cerebralno paralizo. Namen: Pregled učinkovitosti uporabe elastičnih lepilnih trakov pri otrocih s cerebralno paralizo. Metode dela: Metoda dela je bila pregled literature. Vključene so bile randomizirane kontrolirane in kontrolirane raziskave v angleškem jeziku, objavljene do vključno junija 2016. Rezultati: V pregled je bilo vključenih sedem raziskav, od katerih so v petih poročali o pozitivnem učinku trakov na grobe motorične funkcije, dinamične aktivnosti in stopnjo samostojnosti. Rezultati si nasprotujejo pri vplivu trakov na fine motorične funkcije, obseg gibljivosti zapestja in nadzor hiperekstenzije kolena. Ni jasnih dokazov o vplivu elastičnih lepilnih trakov na ravnotežje in držo. Razprava in zaključek: Elastičen lepilni trak lahko v kombinaciji z drugimi fizioterapevtskimi postopki izboljša grobe motorične funkcije, dinamične aktivnosti in stopnjo samostojnosti pri otrocih s cerebralno paralizo. Predvidevamo, da je večje izboljšanje možno pri nižji stopnji cerebralne paralize. Domnevamo, da je do izboljšanja prišlo zaradi povečanega senzornega priliva preko mehanoreceptorjev v koži. Zaradi raznolikosti gibalne oviranosti otrok s cerebralno paralizo in majhnega števila raziskav bi bile za dosego soglasja o učinkovitosti elastičnih lepilnih trakov potrebne dodatne raziskave.

Language:Slovenian
Keywords:elastičen lepilni trak, cerebralna paraliza, grobe motorične funkcije, dinamične aktivnosti, fizioterapija
Work type:Bachelor thesis/paper
Organization:ZF - Faculty of Health Sciences
Year:2017
PID:20.500.12556/RUL-88530 This link opens in a new window
COBISS.SI-ID:5215339 This link opens in a new window
Publication date in RUL:15.01.2017
Views:2330
Downloads:761
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Secondary language

Language:English
Title:Effectiveness of use of elastic adhesive tape in children with cerebral palsy : literature review
Abstract:
Introduction: Elastic adhesive tape is a therapeutic procedure mostly used on patients with musculosceletal and neurosceletal defects. Its elastic features are very similar to those of the skin and it is presumed that the tape may have an effect on muscle tone, may improve range of motion, balance and gait and may have an influence on muscle function, muscle strength and posture in adults. Elastic tape is often used on children as an adjunct to physiotherapy and may replace hand stimulus. By activating cutaneous receptors the tape is supposed to affect neuralmuscular activity and therefore it may improve functional movement in children with cerebral palsy. Purpose: To review the existing research on effectiveness of elastic adhesive tape in children with cerebral palsy. Methods: Literature review was the method for this thesis. Randomised controlled trials and controlled trials in english language up to june 2016 found in variuos databases were included in the review. Results: Seven trials were included in the review of which five found positive effects on gross motor functions, dynamic activities and functional independence whereas there are conflicting results on fine motor functions, wrist range of motion and knee hyperextension control. There is insufficient evidence regarding balance and posture. Discussion and conclusion: Elastic adhesive tape can have an affect on gross motor functions, dynamic activities and functional independence combined with physiotherapy where higher improvements may be possible with lower level of cerebral palsy. We assume that enhanced stimulation of cutaneous mechanoreceptors is the reason for improvement. These findings can not be generalised because the group of people with cerebral palsy is highly diverse and there is a small number of studies. To reach a consensus on effectivenes of elastic adhesive tape future studies are needed.

Keywords:elastic adhesive tape, cerebral palsy, gross motor functions, dynamic activities, physiotherapy

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