Oporavak propriocepcije kod pacijenata nakon rekonstrukcije prednjeg ukrštenog ligamenta- Izokinetičke vježbe u poređenju sa dinamičkim

Abstrakt

  • Dragana M Dragicević-Cvjetković Zavod za fizikalnu medicinu i rehabilitaciju ''Dr M. Zotović'' Banja Luka
  • Tatjana Erceg - Rukavina Zavod za fizikalnu medicinu i rehabilitaciju ''Dr M. Zotović'' Banja Luka, RS, BiH
  • Siniša Nikolić Zavod za fizikalnu medicinu i rehabilitaciju ''Dr M. Zotović'' Banja Luka, RS, BiH
DOI: https://doi.org/10.5937/scriptamed52-35239

Sažetak


Uvod / Cilj: Oporavak propriocepcije je jedan od glavnih postoperativnih rehabilitacijskih ciljeva nakon rekonstrukcije prednjeg ukrštenog ligamenta. Cilj ove studije bio je ispitati nivo oporavka propriocepcije kod pacijenata 9 mjeseci nakon rekonstrukcije prednjeg ukrštenog ligamenta (ACL) korištenjem hamstring grafta.

Metode: Prospektivna studija pratila je 70 muških ispitanika (godina starosti27,36 +/- 5,94) podjeljenih u dvije grupe u zavisnosti od vrste primjenjene proprioceptivne vježbe. Pacijenti grupe A (n = 35) su proveli proprioceptivni trening na Biodex 4 Pro System izokinetičkom dinamometru u trajanju od 10 minuta 5 puta sedmično. U grupi B, pacijenti su radili propriocepcijske vježbe u teretani u trajanju od 10 minuta 5 puta sedmično. Stepen oporavka propriocepcije mjeren je na izokinetičkom dinamometru  tri mjeseca I 9 mjeseci nakon rekonstrukcije ACL. Praćeni su uglovi fleksije operisanog kolena od 15, 30 i 45 stepeni. Za statističke analize korišten je hi-kvadrat test. Vrijednost p ˂ 0,05 smatrana je značajnom.

Rezultati: Utvrđena je značajna razlika u oporavku propriocepcije kod pacijenata u zavisnosti od vrste primijenjenog treninga. Statistički značajan oporavak propriocepcije uočen je kod pacijenata iz obe grupe 9 meseci nakon rekonstrukcije ACL, ali je bio bolji kod pacijenata grupe A (p ˂ 0,05).

Zaključak: Primenom proprioceptivnog treninga na izokinetičkom dinamometru postiže se bolji proprioceptivni oporavak kod pacijenata 9 meseci nakon rekonstrukcije ACL.

Ključne reči: Propriocepcija; Rehabilitacija; Rekonstrukcija prednjeg ukrštenog ligamenta.

Biografije autora

Dragana M Dragicević-Cvjetković, Zavod za fizikalnu medicinu i rehabilitaciju ''Dr M. Zotović'' Banja Luka

Republika Srpska, Bosna i Hercegovina

Tatjana Erceg - Rukavina, Zavod za fizikalnu medicinu i rehabilitaciju ''Dr M. Zotović'' Banja Luka, RS, BiH

Specijalista fizikalne medicine i rehabilitacije, magistar medicinskih nauka

Siniša Nikolić, Zavod za fizikalnu medicinu i rehabilitaciju ''Dr M. Zotović'' Banja Luka, RS, BiH

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Objavljeno
2021/12/31
Broj časopisa
Vol. 52 Br. 4 (2021): Q4/December
Rubrika
Originalni naučni članak
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