51 KB472 KB49 KB200820252010Lonzarić, Dragan10 straniletnik:9str. 104-113številka:suplement 1ISSN:1580-9315COBISSID:3593023URN:URN:NBN:SI:doc-X0VEJQPNslUniverzitetni rehabilitacijski inštitut Slovenije - SočaRehabilitacija (Ljubljana)bolečinadiagnostikafizikalna terapijaFizikalna terapija (specialnost)Physical Therapy (Specialty)poškodbePreglediramaRama, bolečinaramenski sklepRandomized Controlled TrialsRandomizirane kontrolirane raziskaveReviewRotator CuffRotatorna manšetaShoulder PaintherapyzdravljenjeZ dokazi podprta rehabilitacijska obravnava bolnikov z akutnimi okvarami rame| Evidence-based rehabilitation for patients with acute shoulder impairments|Acute disorders are limited in duration with three months. Pain and restricted range of motion are the most frequent shoulder impairments. Cochrane Collaboration, PEDro and Centre for Evidence Based Physiotherapy are organisations that systematically select and promote the results of methodologically highest scientific research in the field of musculoskeletal medicine. In the year 2003, the Australian National Health and Medical Research Council for Guideline Development published their results. An amendment of their conclusions was made using the results from search of referring databases covering the period from 1999 to November, 2009. There is some evidence that some physical therapy interventions are effective for some specific shoulder disorders. The results of the trials are often contradictory and unclear, and provide little evidence to guide clinical treatment and rehabilitation of acute shoulder disorders. Further well-designed clinical trials of high methodological quality are needed to establish the efficacy of common physical therapies and rehabilittion interventions for patients with acute shoulder disordersAkutna bolezenska in poškodbena stanja so omejena s trajanjem do treh mesecev. Najpogostejši ramenski okvari sta bolečina in omejena gibljivost. Cochrane Collaboration, PEDro in Centre for Evidence Based Physiotherapy so organizacije, ki sistematično zbirajo dokaze o učinkovitosti s področje medicine gibalnega sistema. Prispevek je zasnovan na izsledkih avstralskega Nacionalnega sveta za zdravje in raziskave za razvoj smernic za obravnavo akutne bolečine v gibalnem sistemu, objavljenih leta 2003. Ti izsledki so dopolnjeni z izsledki medmrežnega raziskovanja omenjenih podatkovnih zbirk z objavami med letom 1999 in novembrom 2009. Obstajajo dokazi, da so posamezne vrste zdravljenja, fizikalne terapije in rehabilitacijske obravnave učinkovite pri določenih patoloških stanjih. Večina dokazov o učinkovitosti najbolj pogostih postopkov fizikalne terapije si je nasprotujoča in nedokončna. Klinične smernice za fizikalno terapijo in rehabilitacijsko obravnavo bolnikov z akutnimi okvarami rame so pomanjkljive. Potrebne bi bile dodatne raziskave visoke metodološke vrednosti za dokončno opredelitev učinkovitosti večine najpogosteje uporabljanih postopkov fizikalne terapije in rehabilitacijske obravnave bolnikov z akutnimi okvarami rameTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverzitetni rehabilitacijski inštitut RS – Soča