| Author/Editor | Zupanc, Urška | |
| Title | Učinkovitost termoterapije v zmanjšanju bolečine pri boleznih in poškodbah gibal | |
| Type | članek | |
| Source | Rehabilitacija | |
| Vol. and No. | Letnik 3, št. 3-4 | |
| Publication year | 2004 | |
| Volume | str. 54-60 | |
| Language | slo | |
| Abstract | Thermotherapy is one of the oldest methods of physical therapy. The article describes efficiency of thermotherapy decreasing pain of certain diseases and injuries of musculoskeletal system. By patients with rheumatoid arthritis superficial moist heat and cryotherapy can be used to relieve pain. Paraffin baths combined with execises have beneficial short term effects for arthritic hands. lce massage has beneficial effect on range of motion, function and knee strength in people with osteoarthritis of the knee. Cold packs decrease swelling. Efficacy of thermotherapy on people with acute or chronic low back pain is not confirmed, nor is it confirmed on people with fibromalagia. Effciency of cryotherapy after acute soft tissue injuries is partly proved, particulary after ankle sprain. Efficiency of cryotherapy after some operations on musculosceletal system is proved in some researches but in others denied. Efficiency of diathermy in some researrches is proved, in other denied, researches are of low quality. More high quality researches are needed to provide evidence based guidelines in thermotherapy of musculosceletal injuries and diseases. | |
| Summary | Termoterapija je ena najstarejših metod fizikalne terapije. Prispevek opisuje učinkovitost termoterapije v zmanjšanju bolečine pri nekaterih boleznih in poškodbah gibal. Pri bolnikih z revmatoidnim artritisom lahko površinsko vlažno toploto in krioterapijo uporabljamo za lajšanje bolečine, parafinske kopeli pa imajo v kombinaciji z vajami koristne kratkoročne učinke pri artritisu rok. Pri Ijudeh z osteoartrozo kolena masaža z ledom izboljša gibljivost sklepa, njegovo funkcijo in moč, kriopak pa zmanjša otekanje. Za učinkovitost termoterapije pri Ijudeh z akutno ali kronično bolečino v križu obstaja premalo dokazov, prav tako za uporabo krioterapije pri ljudeh z fibromialgijo. Za učinkovitost krioterapije pri akutnih poškodbah gibal obstajajo delni dokazi, zlasti po zvinu gležnja. Učinkovitost krioterapije po operaciji gibal je v nekaterih raziskavah potrjena, v drugih pa ovržena. Učinkovitost diatermije je v nekaterih raziskavah potrjena, v drugih ovržena, raziskave so slabše kakovosti. Za ugotavljanje učinkovitosti termoterapije v zdravIjenju bolezni in poškodb gibal ter za uporabo optimalne tehnike in trajanja zdravljenja je potrebno več raziskav z dobro metodologijo izvedbe. | |
| Descriptors | PAIN CRYOTHERAPY DIATHERMY OSTEOARTHRITIS ARTHRITIS, RHEUMATOID FIBROMYALGIA PAIN, POSTOPERATIVE |