Author/Editor     Marn-Vukadinović, Duša; Bizovičar, Nataša; Majdič, Neža; Bajuk, Slavica; Tomšič, Igor
Title     Izid rehabilitacije rekreativnih športnikov po poškodbi kolena
Translated title     Rehabilitation outcome after knee injury in recreational athletes
Type     članek
Vol. and No.     Letnik 15, št. 1
Publication year     2016
Volume     str. 4-11
ISSN     1580-9315 - Rehabilitacija
Language     slv
Abstract     Izhodišča: Športne poškodbe mehkih delov kolena predstavljajo pomemben delež ambulantnih rehabilitacijskih obravnav na Univerzitetnem rehabilitacijskem inštitutu - Soča. Med rehabilitacijo želimo izboljšati jakost kolenskih mišic, živčno-mišično kontrolo in hojo. V prospektivni študiji nas je zanimalo, kako uspešno z našim rehabilitacijskim programom vplivamo na izboljšanje teh parametrov. Metode: Vzorec je zajemal 53 rekreativnih športnikov, po operativno ali konzervativno oskrbljeni enostranski poškodbi kolenskih vezi in/ali sklepnega hrustanca in/ali meniskusa ali mišic. Po prvi fazi rehabilitacije smo z izokinetičnim dinamometrom izmerili jakost kolenskih mišic, preiskovanci pa so odgovorili na vprašalnik o svoji telesni dejavnosti: Oxfordska kolenska lestvica (OKS). Enak postopek smo ponovili po končani rehabilitaciji. Izračunali smo opisne statistike za parametre izokinetične dinamometrije in skupno vrednost OKS ter z Wilcoxonovim testom analizirali absolutno in relativno izboljšanje jakosti kolenskih mišic in ocene OKS. Rezultati: Po vključitvi v program se je moč mišic poškodovanega kolena statistično značilno izboljšala. Statistično značilno boljša so bila tudi razmerja jakosti mišic poškodovanega kolena ter ocene OKS. Zaključek: Po enostranski poškodbi mehkih kolenskih tkiv pri rekreativnih športnikih lahko po zastavljenem ambulantnem programu krepitve in živčno-mišične vadbe pričakujemo izboljšanje objektivno izmerjene jakosti mišic in lastne ocene telesne dejavnosti.Background: Soft tissue knee injury is one of the most prevalent impairments treated at the outpatient rehabilitation clinic of the University Rehabilitation Institute in Ljubljana. Our rehabilitation program is aimed at improving knee muscle strength, neuromuscular control and walking capacity. A prospective study was designed to find out if our rehabilitation program has an important impact on these parameters. Methods: The study included 53 recreational athletes after operative or conservative surgical treatment of the unilateral knee ligament and/or meniscal and/or chondral or muscular injury. At the end of the first phase of the rehabilitation program isokinetic dynamometric measurements of both knee muscles strength was performed. Walking capability was assessed with the Oxford Knee Status (OKS) questionnaire. The same procedure was repeated at the end of the rehabilitation program. Descriptive statistics were calculated for the dynamometric parameters and OKS score, and the absolute and relative improvement of the knee muscle strength was analysed using Wilcoxon%s test. Results: Muscle strength of the injured knee and the OKS scores statistically significantly improved after the rehabilitation. Conclusion: Recreational athletes who had suffered unilateral soft tissue knee injury can expect improvement of knee muscle strength and perceived level of activity after the rehabilitation program comprising neuromuscular training and strengthening.
Descriptors     Knee
Rehabilitation
Keywords     sport injury
isokinetic dynamometry
Oxford Knee Status
športna poškodba
koleno
rehabilitacija
izokinetična dinamometrija
Oxfordska kolenska lestvica