Učinki manualnih postopkov na proprioceptivni priliv pri bolečini v vratu in spodnjem delu hrbta : pregled literature

Di Lenardo, Fanika (author), Hlebš, Sonja (mentor)

Uvod: Bolečina v vratni hrbtenici in v spodnjem delu hrbtenice lahko oslabi delovanje proprioceptivnega sistema. Za izboljšanje proprioceptivnega priliva se poleg drugih fizioterapevtskih postopkov uporablja tudi manualne tehnike, kot so manipulacija in mobilizacija mehkih tkiv ter sklepov. Namen: Namen diplomskega dela je bil na osnovi pregleda tuje in domače literature ugotoviti učinek manualnih tehnik na povečanje proprioceptivnega priliva pri zdravih odraslih in preiskovancih z okvarami v vratni ali ledveni hrbtenici. Metode dela: Literatura je bila iskana v slovenskem in angleškem jeziku v časovnem razdobju med leti 1996 in 2016 z naslednjimi ključnimi besedami: pain, neck pain, low back pain, chronic pain, proprioception, proprioceptors, manipulation, manual theraphy, mobilisation, massage, phisiotherapy, rehabilitation in chiropratic care. Uporabljene podatkovne baze so bile PubMed, COBISS in PEDro. Rezultati: V pregled literature je bilo vključenih 7 študij. V 5 študijah so preučevali vpliv manualnih tehnik na propriocepcijo vrata, v 2 študijah pa vpliv manualnih tehnik na propriocepcijo spdonjega dela hrbtenice. V vseh obravnavanih študijah razen kot v eni so se rezultati eksperimentalnih skupin izkazali za statistično značilne v primerjavi z rezultati kontrolnih skupin. Poleg propriocepcije so v 3 študijah ocenjevali tudi vpliv manualnih tehnik na bolečino. Rezultati so pokazali, da se je po terapiji bolečina zmanjšala v vseh 3 študijah. Razprava in sklep: Iz rezultatov je razvidno, da so manualne tehnike izboljšale proprioceptivni priliv preiskovancev skoraj v vseh 7 študijah. Preiskovanci so bili zdravi ali so imeli okvare v vratni oziroma ledveni hrbtenici. Potrebne bi bile dodatne raziskave, ki bi preučevale vpliv manualnih postopkov na propriocepcijo ljudi z mišičinoskeletnimi poškodbami, nevrološkimi obolenji ali z drugimi patologijami, kjer je upad propriocepcije možen. Poleg tega bi morale raziskave oceniti propriocepcijo po daljšem časovnem obdobju brez terapij.

• Language: Slovenian
• Keywords: propriocepcija, bolečina v vratu, bolečina v ledvenem delu hrbtenice, manualne tehnike
• Work type: Bachelor thesis/paper
• Organization: ZF - Faculty of Health Sciences
• Year: 2017
• PID: 20.500.12556/RUL-91108
• COBISS.SI-ID: 5238123
• Publication date in RUL: 20.03.2017

Secondary language

• Language: English
• Title: The effect of manual techniques on proprioception input on neck and low back pain : literature review

Abstract

Introduction: Neck and low back pain can impair the proprioceptive system activity. In order to improve proprioceptive input, in addition to other physiotherapy techniques, manipulation and mobilization of soft tissues and joints are used as well. Purpose: The purpose of the study, based on review of local and foreign literature, was to determine the effect of manual techniques on increasing proprioception in normal adults and patients with defects in cervical or lumbar part of the spine. Methods: The literature was searched in Slovene and English language in the time period from 1996 to 2016, with the following key words: pain, neck pain, low back pain, chronic pain, proprioception, proprioceptors, manipulation, manual theraphy, mobilisation, massage, phisiotherapy, rehabilitation in chiropratic care. The literature selection was made using PubMed, COBISS and PEDro database. Results: In the literature review 7 studies were included. In 5 studies authors researched the effects of manual techniques on neck proprioception, in the other 2 studies the effect of manual techniques on lumbar proprioception. The results of experimental groups revealed to be statistically significant in comparison with the results of control groups in all studies, with the exception of one. 3 studies assessed the effects of manual techniques on pain in addition to proprioception. All 3 studies showed a decrease of pain after therapy. Discussion and conclusion: From the results obtained it appears that manual techniques improved proprioception in almost all 7 studies. Subjects were healthy adults or people with defects in cervical or lumbar part of the spine. It would be necessary to conduct or research further studies that would evaluate the effects of manual techniques on the proprioception of people with musculoskeletal injuries, neurological diseases and other pathologies, which allow for proprioceptive impairment. These studies would have to assess proprioception after longer period of time without therapy

• Keywords: proprioception, neck pain, low back pain, manual techniques