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Uvod: Fibromialgija je kronična motnja, za katero je značilna razširjena, stalna nevnetna mišično-skeletna bolečina. Pacienti so telesno oslabeli in imajo posledično težave pri dejavnostih vsakodnevnega življenja. Vadba za krepitev mišic naj bi imela velik vpliv na izboljšanje stanja posameznika. Namen: Namen diplomskega dela je bil pregledati ugotovitve raziskav o učinkovitosti vadbe za krepitev mišic pri pacientih s fibromialgijo. Metode dela: Pri iskanju literature smo uporabili podatkovne zbirke PubMed, PEDro ter spletno knjižnico Cochrane Library. Vključili smo raziskave, ki so preučevale učinkovitost vadbe za krepitev mišic pri pacientih s fibromialgijo in so bile objavljene do septembra 2021. Rezultati: V pregled smo vključili sedem randomiziranih kontroliranih poskusov, objavljenih med letoma 2002 in 2021. V petih raziskavah od sedmih so poročali o statistično in klinično pomembnem zmanjšanju intenzivnosti bolečine. V petih raziskavah od petih so poročali o izboljšanju mišične zmogljivosti. V eni raziskavi od dveh so poročali o izboljšanju sposobnosti hoje. V dveh raziskavah od šestih so poročali o izboljšanju kakovosti življenja. V eni raziskavi od dveh so poročali o izboljšanju splošnega počutja preiskovancev. V eni raziskavi od dveh so poročali o zmanjšanju simptomov depresije in anksioznosti. Razprava in zaključek: Vadba za krepitev mišic se je izkazala kot enako ali bolj učinkovita od drugih vrst terapij v primerjalnih skupinah pri pacientih s fibromialgijo. Izboljša mišično zmogljivost, zdravstveno stanje, splošno kakovost življenja ter zmanjša bolečino. Potrebne so dodatne raziskave z večjim številom preiskovancev, vključenimi preiskovanci moškega spola ter preverjanjem dolgoročnih učinkov. Introduction: Fibromyalgia is a chronic disorder characterised by widespread, persistent, non-inflammatory musculoskeletal pain. Patients are physically debilitated and consequently have difficulty with daily routine activities. Resistance exercises are thought to have a significant benefit on the individual's condition. Purpose: The purpose of this thesis was to review the findings of the research on the effectiveness of resistance exercise in patients with fibromyalgia. Methods: PubMed, PEDro and Cochrane Library databases were used to search for literature. We included studies investigating the effectiveness of resistance exercise in fibromyalgia patients published up to September 2021. Results: The review included seven randomised controlled trials published between 2002 and 2021. Five studies out of seven reported a reduction in pain intensity. Five studies out of five reported an improvement in muscle performance. One study out of two reported an improvement in walking ability. Two studies out of six reported an improvement in quality of life. One study out of two reported an improvement in the general well-being of the subjects. One study out of two reported a reduction in symptoms of depression and anxiety. Discussion and Conclusion: Resistance exercise has been shown to be equally or more effective than interventions in comparison group in patients with fibromyalgia. It improves muscle performance, health status, overall quality of life and reduces pain. Further research is needed with a larger number of subjects, male subjects included, and a test of long-term effects. |
