Title Fizioterapija u osoba oboljelih od KOPB-a
Title (english) Physiotherapy in COPD patients
Author Brigita Golubić
Mentor Marko Bodrožić (mentor)
Committee member Marija Arapović (predsjednik povjerenstva)
Committee member Marko Bodrožić (član povjerenstva)
Committee member Nikolina Zaplatić Degač (član povjerenstva)
Granter University North (University centre Varaždin) (Department of Physiotherapy) Koprivnica
Defense date and country 2024-07-11, Croatia
Scientific / art field, discipline and subdiscipline BIOMEDICINE AND HEALTHCARE Clinical Medical Sciences Physical Medicine and Rehabilitation
Abstract KOPB je stanje otežanog disanja uzrokovanog opstrukcijom protoka zraka. Iako primarno pogađa pluća, to je sistemski poremećaj s visokim stopama smrtnosti i značajnim troškovima za zdravstveni sustav. Organizacija GOLD osnovana je kako bi podigla svijest o KOPB-u i izdaje godišnja izvješća o novim spoznajama vezanim uz bolest. Liječenje ovog poremećaja zahtijeva multidisciplinarni tim stručnjaka zbog nedostatka "savršene" terapije, a uz farmakološko liječenje, značajnu ulogu ima i plućna rehabilitacija. Najčešći simptomi KOPB-a su dispneja, kašalj i stvaranje sputuma, a bolest negativno utječe na kvalitetu života i svakodnevne aktivnosti pacijenata. Fizioterapijski proces sastoji se od fizioterapijske procjene i fizioterapijske intervencije. Fizioterapijska procjena pruža temelj za individualiziran pristup pacijentu. Subjektivna procjena, putem anamneze, omogućuje prikupljanje informacija o općem stanju, simptomima i motivaciji pacijenta. Objektivna procjena, poput mjerenja funkcije respiratornih mišića i testova podnošenja tjelesnog napora, pruža konkretnije podatke za razumijevanje stanja pacijenta. Kliničko rasuđivanje omogućuje analizu prikupljenih podataka i oblikovanje prilagođenog plana intervencija za postizanje ciljeva fizioterapije. Fizioterapijske intervencije za osobe s KOPB-om obuhvaćaju vježbe disanja, drenažne položaje, primjenu pozitivnog tlaka u ekspiriju, manualnu perkusiju, vibracije, terapeutske vježbe i neuromuskularnu električnu stimulaciju. Vježbe disanja poput dijafragmalnog disanja i IMT-a poboljšavaju respiratorni volumen. Drenažni položaji koriste se za mobilizaciju sekreta. Primjena pozitivnog tlaka u ekspiriju povećava plućni volumen i olakšava iskašljavanje, dok se vibracije koriste za istiskivanje sekreta. Fizioterapeutske vježbe, poput treninga izdržljivosti i snage, pomažu u vraćanju funkcionalne sposobnosti. Neuromuskularna električna stimulacija koristi se kada pacijenti nisu sposobni za terapijske vježbe. Poticanje promjena životnih navika ključno je za uspješno kontroliranje bolesti. Preporučuje se da programi plućne rehabilitacije traju najmanje šest mjeseci za postizanje dugoročnih promjena. Povećanjem svijest o KOPB-u pacijentima se omogućava kvalitetniji život, uz manje fizičkih ograničenja.
Abstract (english) COPD is a condition of difficulty breathing caused by airflow obstruction. Although it primarily affects the lungs, COPD is a systemic disorder with high mortality rates and significant costs to the healthcare system. The GOLD organization was founded to raise awareness of COPD and publishes annual reports on new findings related to the disease. The treatment of COPD requires a multidisciplinary team of experts due to the lack of a "perfect" therapy, and in addition to pharmacological treatment, pulmonary rehabilitation also plays a significant role. The most common symptoms of COPD are dyspnea, cough and sputum production, and the disease negatively affects the quality of life and daily activities of patients. The physiotherapy process consists of physiotherapy assessment and physiotherapy intervention. Physiotherapy assessment provides the basis for an individualized approach to the patient. Subjective assessment, through anamnesis, provides the collection of information about the patient's general condition, symptoms and motivation. Objective assessment, such as measurement of respiratory muscle function and exercise tests, provides data that are more specific in order to understand the patient's condition. Clinical judgment enables the analysis of collected data and the formulation of a customized plan of interventions to achieve the goals of physiotherapy. Physiotherapy interventions for people with COPD include breathing exercises, drainage positions, positive expiratory pressure, manual percussion, vibrations, therapeutic exercises and neuromuscular electrical stimulation. Breathing exercises such as diaphragmatic breathing and IMT improve respiratory volume. Drainage positions are used to mobilize secretions. The application of positive pressure during expiration increases the lung volume and facilitates expectoration, while the vibrations are used to remove secretions. Physiotherapy exercises, such as endurance and strength training, help restore functional abilities. Neuromuscular electrical stimulation is used when patients are unable to perform therapeutic exercises. Encouraging lifestyle changes is key to successful disease control. It is recommended that pulmonary rehabilitation programs last at least six months to achieve long-term changes. By increasing awareness of COPD, patients are given a better quality of life, with fewer physical limitations.
Keywords
KOPB
plućna rehabilitacija
fizioterapijski pristup
kvaliteta života
Keywords (english)
COPD
pulmonary rehabilitation
physiotherapy approach
quality of life
Language croatian
URN:NBN urn:nbn:hr:122:436279
Study programme Title: Physiotherapy Study programme type: professional Study level: undergraduate Academic / professional title: prvostupnik/prvostupnica (baccalaureus/baccalaurea) fizioterapije (prvostupnik/prvostupnica (baccalaureus/baccalaurea) fizioterapije)
Type of resource Text
File origin Born digital
Access conditions Open access
Terms of use
Created on 2024-07-19 09:29:43