Author/Editor     Matoic, Branka
Title     Fizioterapija pri bolnikih z zunajsklepnim revmatizmom
Translated title     Physical therapy of nonarticular rheumatism
Type     članek
Source     Zdrav Vars
Vol. and No.     Letnik 40, št. 7-8
Publication year     2001
Volume     str. 219-24
Language     slo
Abstract     Nonarticular rheumatism denotes some diseases of soft tissue of musculosceletal system. Muscles and muscular fasciae, tendons and their sheaths, bursae, articular capsules and tendinousmuscular, ligaments or aponeurotic attachments to the bone can be affected. There is an underlying degenerative process, which is often combined with secondary inflammatory reaction. As distinguished from articular rheumatism where medicamentous therapy is more effective than physical therapy, it is just the opposite in treatment of extraarticular rheumatism. Choice of physical therapeutic methods for a particular disorder depends on the prevailing pathologic process, local characteristics of the affected region and the disease phase. If degenerative process is prevailing, all those physical procedures which improve hyperemia come into consideration and thus promote the restoration of damaged tissue and the regeneration process, including the ones which increase local temperature. In inflammatory processes, however, the thermal procedures are to be avoided. Kinesiotherapy, which plays a deciding role in the chronic phase of the disease, is not recommended in the acute phase as a rule. The principles of physiotherapy for individual diseases, ranged according to regions, are given in the article.
Summary     Zunajsklepni revmatizem je ime za nekatere bolezni mehkih tkiv gibalnega sistema. Prizadete so lahko mišice in mišične fascije, kite in njihove ovojnice, burze, sklepne ovojnice ter narastišča kit, ligamentov ali aponevroz na kost. V osnovi gre za degenerativni proces, kateremu se velikokrat pridruži sekundarna vnetna akcija. Za razliko od sklepnega revmatizma, kjer je medikamentna terapija bolj učinkovita kot fizikalna terapija, je pri zdravljenju zunajsklepnega revmatizma ravno obratno. Katere radikalne metode bomo izbrali za zdravljenje posamezne okvare, je odvisno ptedvsem od patološkega procesa, ki prevladuje, od regionalnih značilnosti predela, ki je prizadet, ter od faze bolezni. Če prevladuje degenerativni proces, pridejo v poštev vsi fizikalni postopki, ki izboljšujejo prekrvljenost in s tem pospešujejo presnovo okvarjenega tkiva ter proces regeneracije, vključno s tistimi, ki zvišujejo lokalno temperaturo, pri vnetnem procesu se pa toplotnih procedur izogibamo. V akutni fazi bolezni praviloma ne forsiramo kineziterapije, v kronični fazi ima ta odločilno vlogo. V članku so podani principi fizikalnega zdravljenja posameznih obolenj, razvrščenih po regijah.
Descriptors     POLYMYALGIA RHEUMATICA
PHYSICAL THERAPY
TENDINITIS
BURSITIS
TENNIS ELBOW
FIBROMYALGIA
TENOSYNOVITIS