<p><strong>Aim<br /></strong> To evaluate immobilization with dorsal forearm plaster splint with the wrist in dorsal flexion vs palmar flexion in patients with distal radius fracture. <br /><strong>Methods<br /></strong> In the prospective study (2012-2014) 122 patients (of which 22 patients lost) with fractures of the distal radius type A2, A3 and C according to the AO classification were investigated. At the end there were 50 patients in each of the two groups: the dorsiflexion (DF) group had a total of 37 women and 13 men, mean age was 63.48 &plusmn; 14.70, and in the palmar flexion (PF) group there were respectively 38/12, and the mean age was 64.20 &plusmn; 12.99. In both groups measurements of radiological, clinical and functional parameters were conducted. Patient related wrist evaluation survey (PRWE) and SF12 questionnaire were used for evaluation of pain and function of the wrist and physical and mental condition, respectively. <br /><strong>Results<br /></strong> The study showed excellent results in both groups but there was significant improvement in the range of motion (ROM) on every measurement in the DF group: dorsal flexion 47.70&plusmn;15.29; ulnar deviation 24.10&plusmn;7.80; radial deviation 11.50&plusmn;5.65 vs PF 22.80&plusmn;19.04; 16.00&plusmn; 9.31; 4.80&plusmn; 494 (p&lt;0.001). Also, radiological parameters showed significant improvement until the end of the follow-up. Functional parameters showed significant improvement of physical component of SF-12 in the DF group (p˂0.014). <br /><strong>Conclusion<br /></strong> Immobilization with forearm plaster splint on the dorsal side and with the wrist in dorsiflexion gives better early clinical, radiological and functional results in patients with fractures of type A2, A3, C1-3 in patients of all age groups, compared to immobilization with the wrist in palmar flexion.</p>
The aim of this study was to conduct a systematic review of the school-based exercise programs for promoting cardiorespiratory fitness in overweight and obese children aged 6 to 10. Electronic databases (Web of Science and PubMed) were used as searching tools for collecting adequate studies published in the past 20 years. A total of 13 studies met the criteria for inclusion in this review, with a total of 2810 participants, both male and female. According to the results of this systematic review, overweight and obese children aged 6 to 10 who underwent certain interventions had their CRF improved. Furthermore, evidence suggested that interventions carried out during a longer period of time suggested led to greater improvement of cardiorespiratory fitness than a shorter one, but the level of cardiorespiratory fitness gradually decreases after the intervention.
Artroskopska rekonstrukcija prednje križne sveze je postala zlatni standard u liječenju puknuća prednje križne sveze koljena, te se promijenio i rehabilitacijski tradicionalni pristup kod ovih pacijenata. Postoji mnoštvo različitih rehabilitacijskih protokola koji se koriste u praksi, no oni nisu standardizirani, a danas postoji težnja i potreba za ubrzanjem rehabilitacije kroz ubrzane protokole.CILJ ISTRAŽIVANJA: U ovoj stručnoj studiji cilj je bio da se pregledom medicinskih dokaza iz postojeće literature i znanja dobivenih kroz praksu i iskustvo da, za praksu korisne informacije liječnicima i fizioterapeutima pri odluci o vrsti, brzini, mogućim problemima i rješenjima kod postoperativnog protokola nakon artroskopske rekonstrukcije prednje križne sveze. REZULTATI:Studije govore da je rehabilitacija od velike važnosti nakon artroskopske rekonstrukcije prednje križne sveze koljena. Postoperativni protokoli su sigurni i daju zadovoljavajuće rezultate za pacijente. Međutim, glavni problem je taj, da se u području rehabilitacije upotrebljavaju različiti protokoli, koji se razlikuju po dužini trajanja imobilizacije, dužini trajanja određene faze rehabilitacije, tipu vježbi koji se provode u tim fazama ili isti ne daju informacije o vremenu uvođenja pojedine aktivnosti. Različitost protokola u praksi uzrokuje različiti pristup medicinskog osoblja koji dolaze u kontakt s pacijentima, što dovodi do zbunjenosti pacijenta, koji u konačnici otežano sudjeluju u rehabilitaciji, a i do nedoumica između samih liječnika i fizioterapeuta. Ispitali smo koji su to pozitivni čimbenici tih protokola, koji pospješuju oporavak i kojih se trebamo držati, a koji su to čimbenici koji bi mogli utjecati na usporenje i loš konačni rezultat rehabilitacije, a koje bi trebali promijeniti. ZAKLJUČAK: Većina protokola je sigurna i daje dobre rezultate za pacijente. No, glavni problem postoperativne rehabilitacije ove ozljede je velika različitost rehabilitacijskih protokola. Pokušali smo iz literature bazirano na znanstveni podatcima i našem iskustvu načiniti ubrzani protokol rehabilitacije nakon rekonstrukcije prednje križne sveze koji bi djelovao na poboljšanje i ubrzanje oporavka pacijenta. Ključne riječi: anterior cruciate ligament,anterior cruciate ligament reconstruction, rehabilitation postoperative protocol or rehabilitation programme Kontakt za razmjenu informacija: Ivana Grle
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