Search

Sažetak: CILJ: Cilj ovog rada je pretragom medicinske baze podataka napraviti narativni pregled literature o vježbama u vodi kod osteoartritisa koljena i kuka. Procijenit ćemo doprinos vježbi u vodi u terapiji osteoartritisa i njihov učinak u usporedbi s nekim drugim terapijama. MATERIJALI I METODE: Za izradu ovog rada proučena je literatura medicinske baze podataka PubMed. Ključne riječi pri pretraživanju su bile: aquatic exercise osteoarthritis knee and hip i hydrotherapy osteoarthritis knee and hip. Za analizu ovog rada odabrano je 5 istraživanja, od kojih 3 rada uspoređuju učinke vježbi u vodi samo s kontrolnom skupinom, a preostala 2 s nekom drugom terapijom. REZULTATI: Rezultati ovih studija mjereni su pomoću određenih testova, indeksa i skala samoprocjene. U većini istraživanja, vježbe u vodi pozitivno su utjecale na mjere ishoda, a ni u jednom istraživanju nisu doprinijele pogoršanju stanja. Kod snaženja mišića, vježbe na suhom su prednjačile pred onima u vodi, dok je značajniji napredak u kondiciji postignut kod hidrogimnastike. Zbog rasterećenog pokreta i manje bolnosti većina pacijenata je istaknula pozitivna iskustva treninga u vodi. ZAKLJUČAK: Vježbe u vodi pokazale su se prikladne kod poboljšanja aerobne funkcije, ali nisu pogodne za jačanje muskulature. Kod teških oblika osteoartritisa, voda je adekvatan medij za vježbanje jer pacijenti na taj način mogu provoditi vježbe višeg intenziteta uz pojavu manje bolnost. Iako ne donose značajno smanjene bolova, vježbe u vodi ne pogoršavaju stanje i ne rezultiraju ozljedama. Zamijećeno je da su se bolji ishodi javili kod pacijenata u ranijim stadijima bolesti. Summary: AIM: The purpose of this paper is to search medical database to make a narrative review of literature on water exercises for the knee and hip osteoarthritis. We will evaluate the contribution of water exercises in the treatment of osteoarthritis and their effects compared to some other therapies. MATERIALS AND METHODS: For the research of this paper the literature of PubMed medical database was studied. The key words in the search were: water exercise osteoarthritis of the knee and hip and hydrotherapy osteoarthritis of the knee and hip. For the analysis of this paper 5 studies were selected, from which 3 studies compared the effects of water exercises with the control group and the remaining 2 with some other therapy. RESULTS: The results of these studies were measured using specific tests, indexes and self-reported scales. In most studies, water exercises had a positive effect on outcome measures and in none of studies did not contribute to the worsening of the condition. In terms of strengthening, gym exercises took precedence over those in water, while more significant progress in fitness was achieved with hydrogymnastics. Due to the relieved movement and less pain, most patients pointed out the positive experiences of training in water. CONCLUSION: Water exercises have shown to be suitable in improving aerobic function, but they are not suitable in strengthening. In severe forms of osteoarthritis, water is an adequate exercise medium because on that way patients can perform exercises of higher intensity with less pain. Although, they do not bring significant pain reduction, water exercises do not worsen the condition and do not result in injuries. It was observed that better outcomes were reported by patients in the earlier stages of the disease.