Title Utjecaj medicinske masaže na opseg pokreta sternoclavicularnog zgloba: rad s istraživanjem Title (english) The effect of medical massage on the range of motion of the sternoclavicular joint: research Author Tomica Koprek Mentor Kristijan Zulle (mentor) Committee member Jasna Lulić Drenjak (predsjednik povjerenstva)Committee member Verner Marijančić (član povjerenstva) Committee member Kristijan Zulle (član povjerenstva) Granter University of Rijeka Defense date and country 2024-06-28, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract SAŽETAK Uvod: medicinska masaža predstavlja vrstu manualne terapija koja dovodi do sveobuhvatne manipulacije kože, fascije i mišića kako bi se postigla relaksacija, smanjila bol i povećao opseg pokreta zgloba. Sastoji se od niza tehnika koje uključuju: glađenje, trljanje, gnječenje, lupkanje i vibracije. Masaža dovodi do smanjenja mišićne napetosti, boli i otekline te do poboljšanja elastičnosti tkiva i povećanja protoka krvi u mišiće. Sternoklavikularni zglob jedini je spoj između gornjih ekstremiteta i aksijalnog skeleta. Pokreti u zglobu važni su za obavljanje aktivnosti svakodnevnog života. Današnji sjedilački način života dovodi do napetosti i smanjenja opsega pokreta ramena i vrata te je zbog toga nužno prepoznati rane znakove tegoba i započeti sa ranom intervencijom. Kako bi se pokreti postigli u punom opsegu pokreta potrebno je postići normalno pokretljivost lopatice i sternoklavikularnog zgloba. Cilj istraživanja: ispitati utjecaj medicinske masaže na opseg pokreta u sternoklavikularnom zglobu. Ispitanici (materijalni) i metode: u istraživanju je sudjelovalo 30 studenata i studentica prijediplomskog studija fizioterapije Fakulteta zdravstvenih studija Sveučilišta u Rijeci dobi od 19 do 22 godine. Istraživanje je provedeno u ožujku 2024. godine u kabinetu za fizioterapiju na Fakultetu zdravstvenih studija u Rijeci. Opseg pokreta mjerio se gravitacijskim goniometrom prije i nakon masaže. Tretman masaže trajao je 5 minuta. Ispitanicima je masirano jedno rame, dok je drugo ne masirano rame predstavljalo kontrolu grupu. Ispitanicima je nasumično odabrano rame za masažu kako faktor dominantne ruke ne bi utjecao na rezultate. Dobiveni rezultati izračunati su u računalnom programu Statistica, verzija 14.0.0.15 (TIBCO Software Inc.) Statistička metoda kojom je određena statistička značajnost bila studentov T-test za male zavisne uzorke. Statistički značajnim rezultatima smatrale su se vrijednosti gdje je p<0,05. Rezultati: sve postavljenje hipoteze istraživanja su potvrđene i rezultati su statistički značajni. Opseg pokreta elevacije, depresije, protrakcije i retrakcije sternoklavikularnog zgloba povećao se nakon masaže. Opseg pokreta elevacije prosječno se povećao za 5,4°, depresije za 4,1°, protrakcije za 6,1° i retrakcije za 5,5°. Zaključak: cilj istraživanja je ispunjen te se opseg pokreta povećao nakon masaže. Rezultati pokazuju trenutno poboljšanje pokretljivosti, ali unatoč tome za održivost većeg opsega pokreta potrebno je kontinuirano provođenje tretmana masaže kroz duži vremenski period.
Abstract (english) ABSTRACT Introduction: medical massage is a type of manual therapy that leads to comprehensive manipulation of the skin, fascia and muscles in order to achieve relaxation, reduce pain and increase the range of motion of the joint. It consists of a series of techniques that include: smoothing, rubbing, kneading, tapping and vibration. Massage leads to a reduction in muscle tension, pain and swelling, as well as an improvement in tissue elasticity and an increase in blood flow to the muscles. The sternoclavicular joint is the only connection between the upper extremities and the axial skeleton. Movements in the joint are important for performing activities of daily life. Today's sedentary lifestyle leads to tension and a reduction in shoulder and neck range of motion, which is why it is necessary to recognize early signs of problems and start with early intervention. In order to achieve full range of motion, it is necessary to achieve normal mobility of the scapula and sternoclavicular joint. The aim of the research: to examine the influence of medical massage on the range of motion in the sternoclavicular joint. Subjects (materials) and methods: 30 male and female students of the physiotherapy undergraduate study at the Faculty of Health Studies of the University of Rijeka, aged 19 to 22, participated in the research. The research was conducted in March 2024 in the physiotherapy room at the Faculty of Health Studies in Rijeka. The range of motion was measured with a gravity goniometer before and after the massage. The massage treatment lasted 5 minutes. One shoulder of the subjects was massaged, while the other non-massaged shoulder represented the control group. Subjects were randomly selected shoulder for massage so that the factor of dominant hand would not affect the results. The obtained results were calculated in the computer program Statistica, version 14.0.0.15 (TIBCO Software Inc.). The statistical method used to determine statistical significance was the student's T-test for small dependent samples. Values where p<0.05 were considered statistically significant results. Results: all research hypotheses were confirmed and the results are statistically significant. The range of motion of elevation, depression, protraction and retraction of the sternoclavicular joint increased after the massage. The range of motion of elevation increased on average by 5.4°, depression by 4.1°, protraction by 6.1° and retraction by 5.5°. Conclusion: the aim of the research was confirmed and the range of motion increased after the massage. The results show an immediate improvement in mobility, but despite this, for the sustainability of a greater range of motion, continuous massage treatment over a longer period is necessary.
Keywords
masaža
opseg pokreta
rame
sternoklavikularni zglob
Keywords (english)
massage
range of motion
shoulder
sternoclavicular joint
Language croatian URN:NBN urn:nbn:hr:184:536703 Study programme Title: Physiotherapy Type of resource Text File origin Born digital Access conditions Open access Terms of use Created on 2024-06-18 11:16:22
