Title REHABILITACIJA PACIJENATA SA SMRZNUTIM RAMENOM
Title (english) REHABILITATION OF PATIENTS WITH FROZEN SHOULDER
Author Ivo Babić
Mentor Daniela Šošo (mentor)
Committee member Dinko Pivalica (predsjednik povjerenstva)
Committee member Asja Tukić (član povjerenstva)
Committee member Daniela Šošo (član povjerenstva)
Granter University of Split (University Department of Health Studies) Split
Defense date and country 2014-09-26, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Physical Medicine and Rehabilitation
Abstract Sindrom smrznutog ramena kao klinički entitet sastavni je dio izvanzglobnih oboljenja ramenog zgloba poznatiji kao periartritishumeroskapularis ili sindrom bolnog ramena. Patoanatomski gledano, dolazi do skvrčavanja fibrozne zglobne čahure ramena, koja postaje manja i neelastična. Stvaraju se brojne priraslice zglobne čahure ramena, zbog čega pokreti u ramenu postaju progresivno ograničeni i bolni. Općenito, cilj fizikalne terapije je smanjivanje boli, povećanje funkcije i edukacija bolesnika u cilju sprječavanja budućih bolnih epizoda. Ozbiljni slučajevi, koji ni nakon tri mjeseca intenzivne fizikalne terapije ne pokazuju poboljšanje, mogu se liječiti operativnim putem.
Iako do danas nije razjašnjen uzrok koji pokreće proces u kojem nastaje sindrom smrznutog ramena, poznajemo vrlo jasnu kliničku sliku i primjereno liječenje. Stoga je cilj ovoga rada definirati, objasniti i prikazati načine liječenja sindroma smrznutog ramena kroz primjer pacijenta.
U ovom radu je, kroz konkretni primjer ispitanika prikazan utjecaj konzervativnog i operativnog modaliteta na povrat izgubljene funkcije ramenog zgloba.
Nakon 10 dana intenzivne mobilizacije i primjene odgovarajućih metoda fizikalne terapije, nije došlo do povećanja opsega pokreta. Kod pojedinih pokreta zabilježeno je smanjenje opsega pokreta, stoga je operativni zahvat bilo vrlo važno obaviti. Nakon operativnog zahvata (artroskopska prednja, stražnja i donja kapsulotomija oba ramena) dolazi do povećanja opsega pokreta, što je olakšalo daljnju rehabilitaciju.
Istraživanja su pokazala da nema efekta primjena samo jednog modaliteta rehabilitacije. Najbolji način liječenja sindroma smrznutog ramena je „timski rad“ procedura fizikalne terapije, prije svega kineziterapije i mobilizacijskih tehnika, u suradnji sa farmakološkim lijekovima (intraartikularnim injekcijama kortikosteroida, NSAR...) koji smanjuju izrazito bolne senzacije u pojedinim fazama bolesti.
Abstract (english) Frozen shoulder syndrome as a clinical entity is an integral part extra-articular shoulder joint disease known as periartritis humeroskapularis (PHS) or painful shoulder syndrome. Pathoanatomically, there is a contraction of the fibrous joint of shoulder capsule, which becomes less and inelastic. Created numerous adhesions shoulder joint capsule, causing movements in the shoulder become progressively restricted and painful. In general, the goal of physical therapy is to decrease pain, increase the functionality and prevent future pain episodes. Serious cases, that even after three months of intensive physical therapy did not show improvement, can be treated surgically. Although it has not clarified the cause that initiates the process that creates the frozen shoulder syndrome, we know clear clinical picture and the appropriate treatment. Therefore, the aim of this thesis is to define, explain and present methods of treatment of frozen shoulder through the example of a patient.
In this thesis, through a concrete example of the respondents to show the influence of conservative and operative modalities on recovering the lost function of the shoulder joint.
After 10 days of intense mobilization and application of appropriate methods of physical therapy, there was no increase range of motion. In some movements showed a decrease in range of motion, so the surgery was very important to do. After surgery (arthroscopic front, rear and bottom capsulotomy both shoulders) to an increase range of motion, which facilitated further rehabilitation. Studies have shown that there is no effect of using only one modality of rehabilitation. The best treatment of frozen shoulder is "teamwork" of physical therapy procedures, primarily physical training and mobilization techniques, in collaboration with pharmacological therapy (intra-articular injections of corticosteroids, NSAID, ect.) that reduce extremely painful sensations in different stages of the disease.
Keywords
adhezivni kapsulitis
PHS
kapsulotomija
fizikalna terapija
Keywords (english)
adhesive capsulitis
PHS
capsulotomia
physical therapy
Language croatian
URN:NBN urn:nbn:hr:176:554058
Study programme Title: Physiotherapy (university/undergraduate) Study programme type: university Study level: undergraduate Academic / professional title: sveučilišni prvostupnik/prvostupnica (baccalaureus/baccalaurea) fizioterapije (sveučilišni prvostupnik/prvostupnica (baccalaureus/baccalaurea) fizioterapije)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2017-04-19 10:55:06