| Abstract | Tema ovog završnog rada je procijeniti učinak fizikalne terapije na funkciju, bolnost, kretnje i mišićnu snagu operiranog koljena prije i poslije fizikalne terapije.
Za potrebe istraživanja korišteni su: goniometar, manualno-mišićni test (MMT), vizualno-analogna skala (VAS) i The Knee Injury and Osteoarthritis Outcome Score (KOOS) upitnik.
Ukupno je bilo 20 bolesnika, od čega ih je 9 bilo muškog spola (45%), a 11 ženskog spola (55%). Srednja je životna dob promatranih bolesnika 41,2±15,42 godine. Od 20 bolesnika, 16 ih je operiralo meniskus, a preostalih 4 operiralo je prednju križnu svezu.
Trenutna bol u koljenu smanjena je s 2,6±2,76, na 0,9±1,37 nakon deset dana fizikalne terapije.
Razina boli u koljenu u zadnja 24 sata smanjena je s 3,35±2,28 na 1,95±1,67 nakon deset dana fizikalne terapije.
Najjača bol u koljenu u zadnjih tjedan dana smanjena je s 4,85±2,5 na 3,45±1,47 nakon deset dana fizikalne terapije.
Najslabija bol u koljenu u zadnjih tjedan dana smanjena je s 2±0,82 na 1,33±0,58 nakon deset dana fizikalne terapije.
Pasivna fleksija povećana je s 105,75±13,4 na 113,25±10,29 nakon deset dana fizikalne terapije.Aktivna fleksija povećana je s 98,25±14,07 na 107±11,96 nakon deset dana fizikalne terapije.
Pasivna ekstenzija poboljšana je s 0,5±1,54 na 0, tj. postiže se potpuna ekstenzija nakon deset dana fizikalne terapije.
Aktivna ekstenzija poboljšana je s 3±3,4 na 0,5±1,54 nakon deset dana fizikalne terapije.
MMT fleksije povećan je s 3,7±0,47 na 4,5±0,61 nakon deset dana fizikalne terapije.
MMT ekstenzije povećan je s 3,7±0,47 na 4,5±0,61 nakon deset dana fizikalne terapije.
Funkcionalnost je ispitana kroz 4 kategorije:
rezultat u kategoriji bol poboljšan je s 69,15±9,68 na 83,3±6,28 nakon deset dana fizikalne terapije;
rezultat u kategoriji simptomi poboljšan je s 65±11 na 82,15±8,41 nakon deset dana fizikalne terapije;
rezultat u kategoriji funkcioniranje u svakodnevnom životu poboljšan je s 79±12 na 91,42±21,47 nakon deset dana fizikalne terapije;
rezultat u kategoriji kvaliteta života poboljšan je s 43±17 na 50,7±18,77 nakon deset dana fizikalne terapije.
Zaključak je da desetodnevna fizikalna terapija poboljšava kretnje operiranog koljena, smanjuje bolnost, povećava mišićnu snagu i ukupno povećava funkcionalnost osobe. Svi su ti elementi potrebni kako bi se uspješno vodio fizioterapeutski karton te da bi se u suradnji s fizijatrom mogla planirati daljnja fizikalna terapija i rehabilitacija. |
| Abstract (english) | The topic of the final paper is to evaluate the effect of physical therapy on the function, pain, movements and muscle strength of the operated knee before and after physical therapy. For research purposes, the following were used: goniometer, manual muscle test (MMT), visual analog scale (VAS) and The Knee Injury and Osteoarthritis Outcome Score (KOOS) questionnaire. There were a total of 20 patients, of which 9 were male (45%), and 11 were female (55%). The mean age of the observed patients is 41.2±15.42 years. Out of 20 patients, 16 underwent meniscus surgery, and the remaining 4 underwent anterior cruciate ligament surgery. Current knee pain decreased from 2.6±2.76 to 0.9±1.37 after ten days of physical therapy. The level of knee pain in the last 24 hours decreased from 3.35±2.28 to 1.95±1.67 after ten days of physical therapy. The strongest knee pain in the last week decreased from 4.85±2.5 to 3.45±1.47 after ten days of physical therapy. The weakest knee pain in the last week decreased from 2±0.82 to 1.33±0.58 after ten days of physical therapy.
Passive flexion increased from 105.75±13.4 to 113.25±10.29 after ten days of physical therapy. Active flexion increased from 98.25±14.07 to 107±11.96 after ten days of physical therapy.Passive extension is improved from 0.5±1.54 to 0, i.e. full extension is achieved after ten days of physical therapy. Active extension improved from 3±3.4 to 0.5±1.54 after ten days of physical therapy. Flexion MMT increased from 3.7±0.47 to 4.5±0.61 after ten days of physical therapy. Extension MMT increased from 3.7±0.47 to 4.5±0.61 after ten days of physical therapy.
Functionality was tested through 4 categories: the score in the pain category improved from 69.15±9.68 to 83.3±6.28 after ten days of physical therapy; the score in the symptoms category improved from 65±11 to 82.15±8.41 after ten days of physical therapy; the result in the category of functioning in everyday life improved from 79±12 to 91.42±21.47 after ten days of physical therapy; the result in the quality of life category improved from 43±17 to 50.7±18.77 after ten days of physical therapy.
The conclusion is that ten days of physical therapy improves the movements of the operated knee, reduces pain, increases muscle strength and overall increases the functionality of the person. All these elements are necessary in order to successfully manage the physiotherapy record and to be able to plan further physical therapy and rehabilitation in cooperation with the physiatrist. |
