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doctoral thesis
PROCJENA UČINKOVITOSTI FIZIOTERAPIJSKIH POSTUPAKA KOD BOLESNIKA S LUMBALNIM BOLNIM SINDROMOM
2024. urn:nbn:hr:184:174880
Kosić, Marko
University of Rijeka
Faculty of Medicine

Cite this document

Kosić, M. (2024). PROCJENA UČINKOVITOSTI FIZIOTERAPIJSKIH POSTUPAKA KOD BOLESNIKA S LUMBALNIM BOLNIM SINDROMOM (Doctoral thesis). Rijeka: University of Rijeka, Faculty of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:174880

Kosić, Marko. "PROCJENA UČINKOVITOSTI FIZIOTERAPIJSKIH POSTUPAKA KOD BOLESNIKA S LUMBALNIM BOLNIM SINDROMOM." Doctoral thesis, University of Rijeka, Faculty of Medicine, 2024. https://urn.nsk.hr/urn:nbn:hr:184:174880

Kosić, Marko. "PROCJENA UČINKOVITOSTI FIZIOTERAPIJSKIH POSTUPAKA KOD BOLESNIKA S LUMBALNIM BOLNIM SINDROMOM." Doctoral thesis, University of Rijeka, Faculty of Medicine, 2024. https://urn.nsk.hr/urn:nbn:hr:184:174880

Kosić, M. (2024). 'PROCJENA UČINKOVITOSTI FIZIOTERAPIJSKIH POSTUPAKA KOD BOLESNIKA S LUMBALNIM BOLNIM SINDROMOM', Doctoral thesis, University of Rijeka, Faculty of Medicine, accessed 19 February 2025, https://urn.nsk.hr/urn:nbn:hr:184:174880

Kosić M. PROCJENA UČINKOVITOSTI FIZIOTERAPIJSKIH POSTUPAKA KOD BOLESNIKA S LUMBALNIM BOLNIM SINDROMOM [Doctoral thesis]. Rijeka: University of Rijeka, Faculty of Medicine; 2024 [cited 2025 February 19] Available at: https://urn.nsk.hr/urn:nbn:hr:184:174880

M. Kosić, "PROCJENA UČINKOVITOSTI FIZIOTERAPIJSKIH POSTUPAKA KOD BOLESNIKA S LUMBALNIM BOLNIM SINDROMOM", Doctoral thesis, University of Rijeka, Faculty of Medicine, Rijeka, 2024. Available at: https://urn.nsk.hr/urn:nbn:hr:184:174880

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TitlePROCJENA UČINKOVITOSTI FIZIOTERAPIJSKIH POSTUPAKA KOD BOLESNIKA S LUMBALNIM BOLNIM SINDROMOM
Title (english)EFFICIENCY OF SELECTED PHYSIOTHERAPY TREATMENTS IN PATIENTS WITH LOW BACK PAIN
AuthorMarko Kosić
MentorDaniela Malnar (mentor)
Committee memberJuraj Arbanas (predsjednik povjerenstva)
Committee memberMario Kasović (član povjerenstva)
Committee memberVeljko Šantić (član povjerenstva)
GranterUniversity of Rijeka
Faculty of Medicine
Rijeka
Defense date and country2024, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Physical Medicine and Rehabilitation
Universal decimal classification
(UDC)		61 - Medical sciences
Thesaurus
(MESH - Medical Subject Headings)
Abstract
Cilj istraživanja: Glavni cilj je ispitati koji konzervativni postupak fizikalne terapije daje najbolje rezultate u smanjenju boli kod pacijenata s lumbalnim bolnim sindromom. Materijal i metode: U istraživanju je sudjelovalo 210 ispitanika koji su bili raspoređeni u sedam skupina, 6 eksperimentalnih i jedna kontrolna skupina. Kontrolnu skupinu činili su pacijenti koji su dolazili u ordinaciju fizikalne medicine i rehabilitacije zbog drugih dijagnoza te ne obuhvaćaju problematiku lumbalnog bolnog sindroma. Svaki je pacijent prošao kroz 10 terapijskih ciklusa tijekom 10 dana. Prosječna dob ispitanika iznosi 50,11 godina (s = 12,9 godina). Od 210 ispitanika bilo je 128 žena (61 %) i 82 muškarca (39 %). Na početku istraživanja pacijenti su ispunili oba upitnika Roland-Morris Disability Questionnare i Oswestry Low Back Pain Disability Questionnare, dok se na kraju istraživanja ispunjavao Roland-Morris Disability Questionnare. Rezultati: Nakon provedene terapije u svim skupinama došlo je do značajnog poboljšanja kod svih tretiranih pacijenata. U svim skupina postoji statistički značajna razlika p < 0,05 i p << 0,001 kod post hoc Scheffeova testa za ukupni Roland-Morrisov upitnik. Rezultati istraživanja pokazuju da je kombinirana terapija najučinkovitija kod ispitanika s lumbalnim bolnim sindromom. Naime, između ispitanika skupine 3 (elektroanalgezija) i skupine 4 (magnetoterapija) nema statistički značajne razlike p = 0,987. Također kod ispitanika koji su koristili pojedinačnu terapiju lasera i ultrazvuka nema statistički značajne razlike p = 0,999. Testovi kojima smo mjerili opseg pokreta lumbalne kralježnice, indeks sagitalne gibljivosti, Lasegueov test i Thomayerova mjera, pokazuju poboljšanja kod svih skupina. Zaključak: Nakon provedenog istraživanja svi sudionici studije imaju veći stupanj osposobljenosti. Najbolja metoda fizikalne terapije pokazala se u skupini 6, koja obuhvaća kombinaciju svih fizioterapijskih procedura s kineziterapijom lumbosakralne kralježnice.
Abstract (english)
Objectives: The main goal is to examine which conservative physical therapy procedure gives the best results in reducing pain in patients with low back pain. Material and Methods: In the research 210 respondents participated were divided into seven groups, 6 experimental and one control group. The control group includes patients who come to the physical medicine and rehabilitation office due with other diagnoses and do not include the issue of low back pain. Each patient goes through 10 therapeutic cycles over 10 days. The average age of the respondents is 50.11 years (s = 12.9 years). Out of 210 subjects, 128 were women (61 %) and 82 (39 %) were men. At the beginning of the study, patients completed both the Roland-Morris Disability Questionnaire and the Oswestry Low Back Pain Disability Questionnaire, while at the end of the study, the Roland-Morris Disability Questionnaire was completed. Results: After the therapy in all groups, there was a significant improvement in all treated patients. In all groups there is a statistically significant difference of 0.05 and p << 0.001 in the post-hoc Scheffe test for the total Roland-Morris questionnaire. Research results show that combined therapy is the most effective in subjects with lumbar pain syndrome. Namely, there is no statistically significant difference between the subjects of group 3 (electroanalgesia) and group 4 (magnetotherapy) p = 0.987. There is also no statistically significant difference in subjects who used individual laser and ultrasound therapy p = 0.999. The tests we used to measure the range of motion of the lumbar spine, the index of sagittal mobility, the Lasegue test and the Thomayer measure show improvements in all groups. Conclusion: After the research, all study participants have a higher level of training. The best method of physical therapy was shown in group 6, which includes a combination of all physiotherapy procedures with kinesitherapy of the lumbosacral spine.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:184:174880
Promotion2025
Study programmeTitle: Biomedicine Postgraduate (doctoral) study programme
Study programme type: university
Study level: postgraduate
Academic / professional title: doktor/doktorica znanosti, područje biomedicine i zdravstvo (doktor/doktorica znanosti, područje biomedicine i zdravstvo)
Type of resourceText
File originBorn digital
Access conditionsAccess restricted to students and staff of home institution
Terms of useLicence In copyright icon
Created on2025-02-19 14:12:34