Utjecaj metode treninga ekscentričnih kontrakcija i sporo izvedenih izotoničkih kontrakcija submaksimalnim opterećenjem u rehabilitaciji osoba sa lateralnim epikondilitiasom.

master's thesis

• Title (english): Effects of eccentric and heavy slow resistance training on lateral epicondylitis rehabilitation
• Author: Petar Čuljak
• Mentor: Tatjana Trošt Bobić (mentor)
• Committee member: Dubravka Ciliga (predsjednik povjerenstva)
• Committee member: Saša Janković (član povjerenstva)
• Committee member: Pavle Mikulić (član povjerenstva)
• Granter: University of Zagreb; Faculty of Kinesiology; Zagreb
• Defense date and country: 2019-07-10, Croatia
• Scientific / art field, discipline and subdiscipline: SOCIAL SCIENCES; Kinesiology

Abstract

Upala proksimalnih tetiva mišića podlaktice učestala je pojava. Kao i večina upala tetiva konzervativno se nerijetko liječi primjenom ekscentričnih kontrakcija. Recentna istraživanja ukazuju na moguće pozitivno djelovanje i izotoničkih kontrakcija submaksimalnim opterećenjem. Ipak, one nisu istražene na populaciji sa upalom tetiva u području lakta. Cilj ovog rada je utvrditi razliku u djelovanju ekscentričnih kontrakcija i sporo izvedenih izotoničkih kontrakcija submaksimalnim opterećenjem u rehabilitaciji osoba sa lateralnim epikondilitisom. Uzorak ispitanika sastojao se od 16 osoba koji su nasumičnim izborom podjeljeni u 2 skupine. Kontrolna skupina je provodila ekscentrične kontrakcije, a eksperimentalna skupina je provodila sporo izvedene izotoničke kontrakcije submaksimalnim opterećenjem. Prilikom planiranja protokola kineziterapije koristile su se spoznaje iz dosadašnjih istraživanja te su ispitanici iz obje skupine provodili vježbe 3 puta na dan u periodu od 10 dana. Mjerene su varijable opsega pokreta (kut dorzalne fleksije, kut palmarne fleksije, kut fleksije i ekstenzije u laktu te pronacije i supinacije), subjektivna procjena boli (VAS/NAS) i jakost stiska šake. Obje grupe ispitanika temeljem t-testa za zavisne uzorke postižu statistički značajne rezultate u odnosu na početnu točku mjerenja. Time je dokazano da su obje metode vježbanja korisne u tretiranju sindroma prenaprezanja. Napredak u varijablama u odnosu na početno mjerenje između grupa dobiven je dvofaktorskom analizom varijance s ponovljenim mjerenjem na faktoru vrijeme. Statistički značajna razlikuja je dobivena u varijabli SUPINACIJA (p=0,03) te NAS skala boli (0,0456). Eksperimentalna skupina postiže bolje rezultate u supinaciji, a kontrona skupina postiže bolje rezultate u NAS skali boli. Glavni zaključak istraživanja je da obje skupine ispitanika postižu približno jednake rezultate u odnosu na početno mjerenje, a eksperimentalnoj skupini je potrebno manje vremena kako bi izvela vježbe. Također, ispitanici eksperimentalne skupine su u odnosu na kontrolnu skupinu postigli znatno bolji rezultat u varijabli SUPINACIJA. Rečeno je pogotovo važno uzme li se u obzir činjenica da je kod osoba sa lateralnim epikondilitisom pokret supinacije izrazito bolan.

Abstract (english)

The inflammation of the proximal muscle of the forearm muscles was commonplace. Like most tendon inflammation, it is conservatively often treated by the use of eccentric contraction. Recent studies indicate possible positivist activity of heavy slow resistence training. However, they have not been studied in populations with the inflammation of the tendon in the elbow area. The aim of this paper is to determine the difference in the effect of eccentric contractions and slow derived isotonic contractions with submaximal load in the rehabilitation of persons with lateral epicondylitis. The sample of respondents consisted of 16 people randomly divided into 2 groups. The control group carried out eccentric contraction, and the experimental group conducted heavy slow resistence (HSR) training. During the planning of kinesitherapy protocols, findings from previous studies were used, and subjects from both groups conducted exercise 3 times a day in a 10-day period. Movement range variables (angle of dorsal flexion, palmar flexion angle, angle of flexion and elbow extension, as well as pronation and supination), subjective pain assessment (VAS / NAS), and strength of hand were measured. Both groups of respondents based on the t-test for dependent samples achieved statistically significant results compared to the starting point of measurement. This has been shown that both exercise methods are useful in treating overstatement syndrome. Progress in variables relative to the initial measurement between the groups was obtained by double-factor analysis of variance with repeated measurement of factor time. Statistically significant differences were obtained in SUPINATION variables (p = 0.03) and NAS scales of pain (0.0456). The experimental group performing HSR achieves statistically significantly better results in comparison to the control group that scores statistically significantly better in the NAS variables, achieves a lower score, but as this variable is reversed, the smaller score is a better result and indicates a lower pain. The main conclusion of the study is that both groups of people achieve approximately equal results with respect to initial measurement, and the experimental group takes less time to perform the exercises. Also, the subjects of the experimental group compared the control group with a significantly better result in the SUPINATION variables. It is especially important to take into account the fact that in people with lateral epicondylitis the supine movement is extremely painful.

• Keywords: lateralni epikondilitis; teniski lakat; ekscentrične vježbe; izotoničke vježbe
• Keywords (english): lateral epicondylitis; tennis elbow; eccentric exercises; isotonic exercises; heavy slow resistence
• Language: croatian
• URN:NBN: urn:nbn:hr:117:261070
• Study programme: Title: Integrated undergraduate and graduate university study of kinesiology; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: magistar / magistra kineziologije (magistar / magistra kineziologije)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2019-07-19 12:04:35