PHYSICAL THERAPY IN OSTEOARTHRITIS

Broj: 2, 2010 Rubrika: Uvodno predavanje Autori: Zoja Gnjidić

Fizikalna terapija igra značajnu ulogu u kompleksnom liječenju reumatskih bolesnika sa ciljem smanjenja boli, otekline i održanja pokretljivosti zahvaćenih zglobova. Uz farmakološko liječenje, primjena različitih fizičkih agensa je temelj terapije. Fizikalna terapija u osteoartritisu je dio multimodalnog plana liječenja. Princip primjene fizikalne terapije određen je temeljem preporuka struke te znanstvene utemeljenosti fizikalne medicine, sukladno strukturnom oštećenju i problemu funkcije. Sistematskim pregledom znanstvene literature i postupnika liječenja (2000.-2010.), identificirani su terapijski postupci za koje postoje čvrsti dokazi učinkovitosti u kliničkim istraživanjima.

Physical therapy has an important role in treating rheumatic diseases; its goal is to reduced pain, swelling and to keep joints mobile. The properly manage osteoarthritis is nonpharmacological and pharmacological modalities. Physical therapy applied as a remedy for osteoarthritis is a part of multimodal therapy  The basis for physical therapy management is determined by the recommendation of the physical therapeutic science and evidence-based medicine. When making a decision about application of different methods of treatment in physical therapy, it is important to correctly diagnose a structural transformation and functional problem. Systematic review of the scientific, evidence-based, international concensus recommendations for the management of the osteoarthritis published between 2000 and 2010 were identifi ed high-quality evidence therapy practice that is efficient and effective in increasing movement capability function, and reduce pain, disability, medical intake and improved physical function for patients with osteoarthritis.

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