422 KB0 KB200520252023Kozinc, ŽigaKrižaj, LukaŠarabon, Nejcštevilka:1/2letnik:71str. 138-148ISSN:0353-7455COBISSID:158045955URN:URN:NBN:SI:doc-E4YE7ZE7slFakulteta za športŠport (Ljubljana)spodnji udšportšportne poškodbetendinopatijavadbaUčinkovitost vadbenih protokolov pri obravnavi najpogostejših tendinopatij spodnjega uda|Tendinopathies are one of the most common tendon injuries. In about 25% of tendinopathies, surgical treatment is required. In the others, conservative treatment is sufficient. Exercise-therapeutic protocols (ETP) are commonly used as the primary conservative treatment modality. The effect of ETP depends on the type of muscle contraction during the execution of the exercise protocol and the localization of the tendinopathies. In this article, we discuss which type of ETP is most commonly used and which ETP is best for treating common lower limb tendinopathies. We also wanted to present the most common ETPs and find out what differences there are between the effects of different ETPs in treating the same tendinopathies. Isometric exercise protocols were found to be effective in reducing pain, improving tendon function, and patient satisfaction compared to baseline, but these effects were mainly short-term (up to 4 weeks). The best long-term effects in terms of reducing pain, improving function and quality of life, and high patient satisfaction in the treatment of Achilles tendinopathy were reported after an eccentric exercise protocol and/or a combined concentric and eccentric exercise protocol (i.e., heavy slow resistance training). Performing combined concentric and eccentric exercise protocols (in this case also heavy slow resistance training) had the best outcomes in treatment of patellar and gluteal tendinopathyTendinopatija je ena izmed najpogostejših poškodb kit. V približno 25 % tendinopatij je obvezna obravnava z operativnim zdravljenjem, medtem ko v preostalih primerih zadostuje konservativna obravnava. Pogosto se pri tej uporabljajo raz- lični vadbeni protokoli (VP). Učinki po izvedbi različnih VP so odvisni od prevladujočega tipa mišičnega naprezanja med izvedbo protokola in lokacije tendinopatije. V tem prispevku ugotavljamo, kateri VP so najpogosteje uporabljeni in najprimernejši za obravnavo najpogostejših tendinopatij spodnjega uda. Želeli smo jih tudi predstaviti in ugotoviti razlike med učinki različnih protokolov pri obravnavi lokacijsko enakih tendinopatij spodnjega uda. Ugotovljeno je bilo, da so izometrični VP učinkoviti za zmanjševanje bolečin, izboljšanje delovanja kit in povečevanje zadovoljstva pacientov v primerjavi z začetnim stanjem, a le v kratkem časovnem obdobju (do štirih tednov). Medtem so najboljše dolgoročne izide zdravljenja ahilarne tendinopatije imeli ekscentrični in/ali kombinirani koncentrični in ekscentrični vadbeni protokoli (npr. počasna vadba z velikim bremenom – HSR). Izvajanje kombiniranih koncentričnih in ekscentričnih vadbenih protokolov (v tem primeru prav tako protokol HSR) je povzročilo najboljše izide pri zdravljenju patelarne in glutealne tendinopatijeTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverza v Ljubljani, Fakulteta za šport