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master's thesis
Liječenje bolesnika s lumbalnim bolnim sindromom
2022. urn:nbn:hr:184:463215
Bonda, Gabriela
University of Rijeka
Faculty of Medicine
Department of Anaesthesiology,reanimatology and Intensive Care

Cite this document

Bonda, G. (2022). Liječenje bolesnika s lumbalnim bolnim sindromom (Master's thesis). Rijeka: University of Rijeka, Faculty of Medicine. Retrieved from https://urn.nsk.hr/urn:nbn:hr:184:463215

Bonda, Gabriela. "Liječenje bolesnika s lumbalnim bolnim sindromom." Master's thesis, University of Rijeka, Faculty of Medicine, 2022. https://urn.nsk.hr/urn:nbn:hr:184:463215

Bonda, Gabriela. "Liječenje bolesnika s lumbalnim bolnim sindromom." Master's thesis, University of Rijeka, Faculty of Medicine, 2022. https://urn.nsk.hr/urn:nbn:hr:184:463215

Bonda, G. (2022). 'Liječenje bolesnika s lumbalnim bolnim sindromom', Master's thesis, University of Rijeka, Faculty of Medicine, accessed 12 November 2024, https://urn.nsk.hr/urn:nbn:hr:184:463215

Bonda G. Liječenje bolesnika s lumbalnim bolnim sindromom [Master's thesis]. Rijeka: University of Rijeka, Faculty of Medicine; 2022 [cited 2024 November 12] Available at: https://urn.nsk.hr/urn:nbn:hr:184:463215

G. Bonda, "Liječenje bolesnika s lumbalnim bolnim sindromom", Master's thesis, University of Rijeka, Faculty of Medicine, Rijeka, 2022. Available at: https://urn.nsk.hr/urn:nbn:hr:184:463215

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Metadata
TitleLiječenje bolesnika s lumbalnim bolnim sindromom
Title (english)Treatment of patients with low back pain syndrome
AuthorGabriela Bonda
MentorVlatka Sotošek Tokmadžić (mentor)
MentorJanja Tarčuković (komentor)
Committee memberAlan Šustić (predsjednik povjerenstva)
Committee memberŽeljko Župan (član povjerenstva)
Committee memberDarko Ledić (član povjerenstva)
GranterUniversity of Rijeka
Faculty of Medicine
(Department of Anaesthesiology,reanimatology and Intensive Care)
Rijeka
Defense date and country2022-07-15, Croatia
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Anesthesiology and Reanimatology
Abstract
Lumbalni bolni sindrom je javnozdravstveni problem današnjice i najčešći razlog privremene onesposobljenosti za rad. Riječ je o bolesti multifaktorijalne etiologije, a može biti akutnog, subakutnog i kroničnog tijeka. U većini slučajeva se radi o nespecifičnoj križobolji mehaničke prirode. Bolesnici se prezentiraju bolovima u lumbosakralnoj regiji koja se može i ne mora širiti u noge. Osim boli, može se javiti motorička slabost i hiposenzitivnost. Lumbalni bolni sindrom je najčešće samoograničavajućeg tijeka i ne zahtijeva aktivnu terapiju. No, bitno je učinkovito i pravovremeno izdvojiti one bolesnike kojima je uzrok lumbalnog bolnog sindroma ozbiljno stanje, kao i one s rizikom za razvoj kroničnog lumbalnog bolnog sindroma. Također, lumbalni bolni sindrom može biti praćen psihološkim problemima, osobito kod osoba nižeg socioekonomskog statusa. U tim bi slučajevima psihološka potpora trebala biti dio multidisciplinarnog pristupa zbrinjavanja lumbalnog bolnog sindroma. Metode liječenja ovise o simptomatologiji, duljini trajanja simptoma, mogućnostima i željama bolesnika. Najčešće metode liječenja uključuju kratkotrajnu analgetsku terapiju nesteroidnim antireumaticima uz postupnu mobilizaciju. Tijekom akutne faze moguće je i korištenja fizičkih metoda za smanje boli poput spinalne manipulacije ili primjene termoterapije. Druge metode uključuju akupunkturu, fizikalnu terapiju, blokove živaca i kirurške zahvate. Liječenje se planira u etapama i individualizirano. No, potrebno je unaprijediti smjernice kako bi se izbjegle nepotrebne dijagnostičke pretrage i zahvati, a time i smanjio ekonomski teret lumbalnog bolnog sindroma na zdravstveni sustav.
Abstract (english)
Low back pain syndrome (LBS) is a major public health care problem and the most common reason for temporary incapacity for work. The condition has multifactorial etiology with acute, subacute, or chronic nature. In most cases, LBS involves non-specific low back pain, mechanical in nature. Patients present with pain in the lumbosacral region that may or may not spread to the legs. In addition to pain, motor weakness and hyposensitivity may occur. LBS is usually self-limiting and does not require active therapy. However, in minority of cases LBS can be serious and have debilitating consequences. The emphasis is on proper selection of patients who may have a serious underlying condition for LBP, as well as those who are at risk of developing chronic LBP. It is also important to address psychological problems related to LBP, which are more common in people of lower socio-economic status. Treatment methods depend on the symptoms, duration of symptoms, possibilities, and desires of the patient. The most common treatment methods include short-term analgesic therapy with NSAIDs combined with gradual mobilization. Some patients opt for spinal manipulation or thermotherapy. Other methods are acupuncture, physical therapy, nerve blocks, and surgery. Treatment is individualized and planned in stages. The existing guidelines need to be improved to avoid unnecessary diagnostic tests and procedures, and thus reduce the economic burden of LBP on the healthcare system.
Keywords
Keywords (english)
Languagecroatian
URN:NBNurn:nbn:hr:184:463215
Study programmeTitle: Medicine
Study programme type: university
Study level: integrated undergraduate and graduate
Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
Type of resourceText
File originBorn digital
Access conditionsOpen access
Terms of useLicence Attribution 4.0 International (CC BY 4.0) icon
Created on2022-06-30 14:43:23