Rehabilitācijas efektivitāte fizioterapeita uzraudzībā salīdzinājumā pret mājas apstākļos balstītu vingrojumu programmu pēc ceļa locītavas endoprotezēšanas.: sistemātisks literatūras apskats
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Date
2022
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Darba nosaukums: Rehabilitācijas efektivitāte fizioterapeita uzraudzībā salīdzinājumā ar mājas apstākļos balstītu vingrojumu programmu pēc ceļa locītavas endoprotezēšanas. Sistemātisks literatūras pārskats
Pamatojums: Ceļa osteoartrīts ir sastopama progresējoša muskuloskeletāla saslimšana, kā dēļ rodas sāpes, funkciju zudums un kas var izraisīt invaliditāti. Osteoartrīts tiek minēts kā galvenais riska faktors ceļa locītavas endoprotozēšanai. Ceļa locītavas endoprotozēšana ceļa locītavas osteoartrīta beigu stadijā ir vispāratzīta un efektīva pacientu ārstēšanā, lai mazinātu sāpes un atjaunotu locītavas funkcijas. ASV tiek veiktas 275 ceļa locītavas endoprotozēšanas uz 100 000 cilvēkiem. Fizioterapija pēc ceļa locītavas operācijas spēlē fundimentālu lomu pēcoperācijas rehabilitācijā, lai atgūtu funkcionālu neatkarību un fizisko aktivitāšu spējas. Izmaksas par rehabilitāciju fizioterapeita uzraudzībā ir divas reizes lielākas nekā mājās balstīta rehabilitācijas programma.
Mērķis: Noskaidrot kā mājās apstākļos balstīta vingrojumu programma uzlabo funkcijas un ikdienas aktivitātes personām pēc ceļa locītavas endoprotezēšanas operācijas, salīdzinājumā ar fizioterapeita uzraudzībā veiktu rehabilitāciju.
Metodes: Pētījumu meklēšana notiek PubMed, EBSCOhost, Physiotherapy Evidence Database (PEDro) un ScienceDirect pēc šādiem atslēgas vārdiem kā Total Knee Arthroplasty OR knee replacement AND physiotherapy OR rehabilitation AND outpatient OR clinic-based OR supervised AND home-based OR unsupervised.
Rezultāti: Sistemātiskajā literatūras pārskatā tika analizēti četri pētījumi, kur tika aplūkota rehabilitācijas efektivitāte fizioterapeita uzraudzībā salīdzinājumā ar mājās balstītu vingrojumu programmu. Visos četros pētījumos tika iegūti rezultāti, ka fizioterapeita uzraudzībā veikta rehabilitācija nav pārāka par mājas vingrojumu programmu un tā ir vienlīdz efektīva.
Secinājumi: Agrīni veikta fizioterapija pēc ceļa locītavas endoprotozēšanas uzlabo pacienta funkcionālās spējas. Fizioterapeita uzraudzībā veiktas fizioterapijas nodarbības nav pārākas par mājās balstītu vingrojumu programmu. Nav iespējams pilnvērtīgi izvērtēt atšķirības starp nodarbībām fizioterapeita uzraudzībā un mājās veiktu vingrojumu programmu, jo pētījumos nav aprakstīts standartizēts terapijas programmas saturs.
Atslēgas vārdi: Ceļa locītavas endoprotozēžana, mājās balstīta vingrojuma programma, rehabilitācija fizioterapeita pārraudzībā
Title. The effectiveness of supervised rehabilitation with a physiotherapist compared to a home-based exercise program after knee replacement: a systematic review of the literature Background. Knee osteoarthritis is progressive musculoskeletal condition, which leads to pain, loss of function and can also lead to disability. Knee osteoarthritis is the main reasons for knee replacement. At the end stage of the disease, the knee replacement surgery is the most common and effective treatment to reduce pain and improve functionality In the USA 275 people out of 100 00 are undergoing knee replacement. Physiotherapy plays a fundamental role in the postoperative rehabilitation of pacients after knee replacement, to regain functional independence and physical activity. The cost of rehabilitation with a physiotherapist are two times higher than a home-based exercise program. nekā mājās balstīta rehabilitācijas programma. Objetive. To examine how ahom-based exercise program in rehabilitation improves functionality and daily activities for patients after knee replacement surgery, versus a supervised physiotherapy program with licensed professional. Methods. The systemic literature research was performed in ScienceDirect, EBSCOhost, Physiotherapy Evidence Database (PEDro) and PubMed databases. Keywords used were Total Knee Arthroplasty OR knee replacement AND physiotherapy OR rehabilitation AND outpatient OR clinic-based OR supervised AND home-based OR unsupervised. Results. In the systematic literature overview, there were four studies about effectiveness of supervised rehabilitation with a physiotherapist compared to a home-based exercise program after knee replacement. In all four studies there was no significant differences between home-based ecercise program and supervised rehabilitation with a physiotherapist. Conclusions. Early Rehabilitation after knee replacement improves pacients functional abilities. Supervised rehabilitation with a physiotherapist was not inferior to a home-based exercise program after knee replacement. Is it not possible to fully evaluate the differences between both sides, because the standardized content of the treatment program is not described. Keywords. Knee replacement, home-based exercise, physiotherapist supervised rehabilitation
Title. The effectiveness of supervised rehabilitation with a physiotherapist compared to a home-based exercise program after knee replacement: a systematic review of the literature Background. Knee osteoarthritis is progressive musculoskeletal condition, which leads to pain, loss of function and can also lead to disability. Knee osteoarthritis is the main reasons for knee replacement. At the end stage of the disease, the knee replacement surgery is the most common and effective treatment to reduce pain and improve functionality In the USA 275 people out of 100 00 are undergoing knee replacement. Physiotherapy plays a fundamental role in the postoperative rehabilitation of pacients after knee replacement, to regain functional independence and physical activity. The cost of rehabilitation with a physiotherapist are two times higher than a home-based exercise program. nekā mājās balstīta rehabilitācijas programma. Objetive. To examine how ahom-based exercise program in rehabilitation improves functionality and daily activities for patients after knee replacement surgery, versus a supervised physiotherapy program with licensed professional. Methods. The systemic literature research was performed in ScienceDirect, EBSCOhost, Physiotherapy Evidence Database (PEDro) and PubMed databases. Keywords used were Total Knee Arthroplasty OR knee replacement AND physiotherapy OR rehabilitation AND outpatient OR clinic-based OR supervised AND home-based OR unsupervised. Results. In the systematic literature overview, there were four studies about effectiveness of supervised rehabilitation with a physiotherapist compared to a home-based exercise program after knee replacement. In all four studies there was no significant differences between home-based ecercise program and supervised rehabilitation with a physiotherapist. Conclusions. Early Rehabilitation after knee replacement improves pacients functional abilities. Supervised rehabilitation with a physiotherapist was not inferior to a home-based exercise program after knee replacement. Is it not possible to fully evaluate the differences between both sides, because the standardized content of the treatment program is not described. Keywords. Knee replacement, home-based exercise, physiotherapist supervised rehabilitation
Description
Fizioterapija
Physiotherapy
Veselības aprūpe
Health Care
Physiotherapy
Veselības aprūpe
Health Care
Keywords
Ceļa locītavas endoprotozēžana, mājās balstīta vingrojuma programma, rehabilitācija fizioterapeita pārraudzībā, Knee replacement, home-based exercise, physiotherapist supervised rehabilitation