| Abstract | CILJ: Cilj ovog istraživanja je analizirati razinu učinkovitosti triju kinezioterapijskih modela (Brück, Regan, Kaltenborn/Evjenth) u liječenju križobolje. Uspoređivala se učinkovitost Brückovih i Reganovih vježbi koji su se provodile u grupnom tretmanu, te Kaltenborn/Evjenth tehnike koja se provodila individualno
METODE I MATERIJALI: U istraživanju je sudjelovalo 66 ispitanika s dijagnosticiranom kroničnom križoboljom. Od 66 ispitanika 48 ih je bilo ženskog spola, a 18 muškog. Ispitanici su bili podijeljeni u 3 skupine po 22. Dvije skupine su bile kontrolne ( Bruck,Regan), dok je treća skupina bila pokusna (Kaltenborn/Evjenth). Glavne mjere ishoda su bile vizualno analogna skala boli za ocjenu osobnog doživljaja boli, Roland-Morris upitnik provodio se za osobnu ocjenu funkcije i kvalitete života, dok se gibljivost kralježnice prikazivala laterofleksijom trupa lijevo, laterofleksijom trupa desno, indeksom sagitalne gibljivosti lumbalne kralježnice i antefleksijom trupa.
REZULTATI: Rezultati istraživanja prikazani su tablično, grafički i opisno. Kaltenborn/Evjenth kinezioterapijski model, kod kojeg su ispitanici imali individualan tretman, pokazao se najučinkovitijim po svim mjerama ishoda, dok su grupni tretmani Bruckovim i Reganovim vježbama također pokazali napredak, no ni približan individualnom pristupu Kaltenborn/Evjenth modela.
ZAKLJUČAK: Provedenim istraživanjem utvrdio se značajno bolji učinak Kaltenborn/Evjenth kinezioterapijskog modela individualnim pristupom na liječenje križobolje u odnosu na Bruckov i Reganov model vježbanja. Saznanjima iz provedenog istraživanja, ali i proučavanjem dostupnih članaka na internetskim bazama podataka, doznajemo da kinezioterapija ima gotovo uvijek pozitivan učinak na pacijente s križoboljom te je često i prvi izbor u liječenju iste. Osim samog kineziterapijskog programa liječenja, važnu ulogu u uspješnosti terapije ima pravilno doziranje vježbi i edukacija pacijenta. |
| Abstract (english) | AIM: The aim of this study was to analyze the level of efficacy of three kinesiotherapy models (Brück, Regan, Kaltenborn / Evjenth) in the treatment of low back pain. The effectiveness of the Brück and Reagan exercises, which were performed in group treatment, and the Kaltenborn / Evjenth technique, which was performed individually, were compared.
MATERIALS AND METHODS: The study involved 66 subjects diagnosed with chronic low back pain. Of the 66 respondents, 48 were female and 18 were male. Subjects were divided into 3 groups of 22. Two groups were control (Bruck, Regan), while the third group was experimental (Kaltenborn / Evjenth). The main outcome measures were a visually analogous pain scale to assess personal pain experience, the Roland-Morris questionnaire was conducted to personally assess function and quality of life, while spinal mobility was shown by torso lateroflexion left, trunk lateroflexion right, lumbar spine sagittal mobility index and lumbar spine index
RESULTS: The results of the research are presented in tabular, graphical and descriptive form. The Kaltenborn / Evjenth kinesiotherapy model, in which subjects had individual treatment, proved to be the most effective in all outcome measures, while group treatments with Bruck and Reagan exercises also showed progress, but not close to the individual approach of the Kaltenborn / Evjenth model.
CONCLUSION: The study found a significantly better effect of the Kaltenborn / Evjenth kinesiotherapy model with an individual approach to the treatment of low back pain compared to Bruck's and Reagan's model of exercise. With the findings of the research, but also by studying the available articles on online databases, we learn that kinesiotherapy almost always has a positive effect on patients with low back pain, and often the first choice in its treatment. In addition to the kinesitherapy treatment program itself, proper dosing of exercises and patient education play an important role in the success of therapy. |
