Sažetak

Uvod: Spondiloartropatije spadaju u skupinu reumatskih bolesti čiji simptomi s vremenom zahvaćaju cijelu kralježnicu, a ponekad i periferne zglobove. S procesom liječenja započinje se odmah, a provodi ga educirani fizioterapeut koji nakon početne procjene kreće s ciljanom fizikalnom terapijom i vježbama.

Materijali i metode: Prikazan je slučaj ispitanika P.M. (1981.) s dijagnozom spondiloartropatije (Ne – radiološki SpA / ankilozantni spondilitis). Fizioterapijska intervencija provedena je u Zavodu za fizikalnu medicinu i rehabilitaciju Thalassotherapije Opatija, 5 dana u tjednu tijekom 3 tjedna, 80 minuta po sesiji. Procjena je provedena prije početka, nakon završetka intervencija te 3,5 mjeseca nakon intervencija.

Rezultati: Tijekom 3 tjedna ispitanik je pokazao poboljšanje u svim mjerenim parametrima: smanjenje boli, poboljšana pokretljivost lumbalnog dijela kralježnice, povećana jakost mišića trupa i opća funkcionalna sposobnost.

Zaključak: Rezultati potvrđuju da se izokinetički aparati mogu sigurno koristiti u protokolu liječenja osoba sa spondiloartropatijama.

Ključne riječi: ankilozantni spondilitis, bol, fizioterapija, funkcionalna sposobnost, jakost mišića

Abstract

Introduction: Spondyloarthropathies comprise a group of rheumatic diseases that ultimately affect the entire spine and sometimes also the peripheral joints. The treatment process begins immediately and is carried out by a trained physiotherapist who, after an initial evaluation, begins with targeted physical procedures and therapeutic exercises.

Aim: The aim of this paper is to introduce the isokinetic system and explore its therapeutic effect as part of the physiotherapy intervention in a person with spondyloarthritis.

Materials and methods: This paper presents the case of subject P.M. (1981) with a diagnosis of spondyloarthritis (No – radiological SpA / ankylosing spondylitis). Physiotherapeutic intervention was conducted at the Institute for Physical Medicine and Rehabilitation of Thalassotherapia Opatija, 5 days per week for 3 weeks, 80 minutes per session. Evaluation was performed before, after, and 3.5 months post-intervention.

Results: Improvement was observed in all measured values over 3 weeks: decreased pain, improved lumbar spine mobility, enhanced trunk muscle strength, and overall functional ability.

Conclusion: The case demonstrates that the isokinetic apparatus can be safely used in the treatment protocol of people with spondyloarthropathies.

Keywords: ankylosing spondylitis, pain, physiotherapy, functional ability, muscle strength