| Author/Editor | Manojlović, Denisa; Šarabon, Nejc | |
| Title | Gibalnoterapevtski pristopi k preventivi in zdravljenju patelofemoralne bolečine | |
| Type | članek | |
| Vol. and No. | Letnik 68, št. 3/4 | |
| Publication year | 2020 | |
| Volume | str. 59-63 | |
| ISSN | 0353-7455 - Šport : revija za teoretična in praktična vprašanja športa | |
| Language | slv | |
| Abstract | Patelofemoralna bolečina (PFB) je ena najpogostejših bolečin v predelu kolena, ki prizadene približno 25 % fizično aktivne populacije. Običajno se kaže kot razpršena bolečina v sprednjem delu kolena, ki se pojavlja ob dejavnostih, kot so počepi, dolgotrajnejše sedenje, daljši tek ali hoja po stopnicah. Izkaže se, da so številni anatomski, biomehanski, psihološki, socialni in vedenjski vplivi povezani z nastankom PFB, vendar njihova medsebojna interakcija še vedno ni jasna. Novejše študije izhajajo večinoma iz predpostavk, da imajo proksimalni in distalni segmenti značilen vpliv na gibanje pogačice in na posledični nastanek PFB. Osnovno zdravljenje PFB je konservativno, pri čemer je glavni cilj gibalne terapije kratkoročno in dolgoročno zmanjšanje bolečine ter izboljšanje funkcije. Kombinirana vadba za jakost in gibljivost mišic kolka in kolena se izkaže kot najučinkovitejši pristop zdravljenja PFB. Kljub vsemu, potrebne so nadaljnje raziskave, ki bodo natančneje določile na dokazih utemeljene vadbene protokole, tako vsebinsko kot z vidika količin in intenzivnosti.Patellofemoral pain (PFP) is one of the most common knee pains, affecting approximately 25% of the physically active population. It usually manifests as diffuse pain in the front of the knee that occurs during activities such as squats, prolonged sitting, prolonged running, or climbing stairs. Numerous anatomical, biomechanical, psychological, social, and behavioral factors are associated with the development of PFP, but their interaction is still unknown. Recent studies are based mainly on the assumption that the proximal and distal segments have a significant effect on the patellar movement consequently contribute to the development of PFP. The treatment of PFP is conservative, with the main goal of reducing pain and improving function in the short and long term. Combined strength and flexibility exercises for the knee and hip muscles are proven to be the most effective approach in treating PFP. Nevertheless, further research is needed to determine evidence-based exercise protocols, both in terms of content and in terms of quantity and intensity. | |
| Keywords | patelofemoralna bolečina gibalna terapija jakost patellofemoral pain exercise therapy strength |