Abstract | Cilj: Utvrditi učestalost najčešćih ozljeda koljena kod odbojkašica te vrste primjenjenih fizioterapijskih postupka i metoda prevencije.
Metode: Na uzorku ispitanika koji uključuje 126 elitnih odbojkašica, seniorske dobne kategorije koje su sudionice u najvišem rangu odbojkaškog natjecanja Hrvatske, primjenjen je anonimni Upitnik najčešćih ozljeda koljena kod odbojkašica i metoda prevencije, (Penga i suradnici), on-line metodom.
Rezultati: Jedan od najvažnijih nalaza ukazuje da je ipak 31,75% elitnih hrvatskih odbojkašica koje se natječu u najvišem rangu, imalo teži oblik ozljede koljena.
Najveća učestalost pojavnosti i lokalizacije boli kod odbojkašica, u ovom istraživanju, definirana su na području patele (na/iznad/ispod) u relativnoj vrijednosti od 50%.
Najčešća metoda prevencije u odbojci odnosi se na Usavršavanje vježbi odbojkaških vještina i to s veoma visokom postotnom vrijednošću od 97,62%.
Metoda prevencije koja se odnosi na Regulacija tjelesne mase je, upravo, najmanje korišteni postupak s vrijednošću 36,68%.
Metoda fizikalne terapije koja ukjlučuje Elektroprocedure (TENS, ultrazvuk, laser, el. stimulacija, magnet) ima najučestaliju primjenu (65,00%), kao i Manualna masaža (62,50%).
Vježbe snaženja mišića natkoljenice i Vježbe propriocepcije (npr. vježbe na balans-ploči), imaju najveću primjenu kao kinezioterapijski postupci (81,08%) koje su širokoprimjenjivani u rehabilitaciji i prevenciji ozljeda.
Ujedno 46,03% odbojkašica, iskazuje prisustvo fizioterapeuta, ali dobiveni rezultat ne ukazuje na stalnog zaposlenika
Zaključci: Stručni doprinos ovog rada ogleda se u novoj spoznaji korištenja najučestalijih metoda prevencije i rehabilitacije kod elitnih odbojkašica, kao i utvrđivanje deskriptivnih parametara najčešćih ozljeda koljenog zgloba u jednom od skakačkih sportova Hrvatske te nedovoljno stalno prisustvo fiziterapeuta u stručnim timovima odbojkaških klubova.
Ujedno su potvrđene dosadašnje spoznaje o nedostatku standardiziranog protokola provedbe prevencije ozljeda, utvrđivanja ozljeda kao i rehabilitacija istih.
Znanstveni doprinos može se definirati, prema nalazima autora, kao prvo ovakvo istraživanje koje je provedeno na superligašicama, članicama svim deset odbojkaških klubova koji sudjeluju u najvišem rangu natjecanja. Nalazi ukazuju na visoku incidenciju ozljeda koljenog zgloba, koja je pomalo i neočekivana, ali se može objasniti upravo prisustvom većeg broja mladih igračica u seniorskim ekipama, nedostatkom educiranog medicinskog osoblja te potrebe za uvođenjem centralnog registra svih ozljeda pri nadležnim odbojkaškim asocijacijama.
Smjernice budućeg istraživanja imat će za cilj povećanje broja ispitanica na ostale odbojkašice, članice ekipa koje se natječu u nekim od 1. Hrvatskih odbojkaških liga, proširiti istraživanje na odbojkaše, utvrditi relacije ili moguće razlike s obzirom na spol i razinu natjecanja, utvrditi metrijske karakteristike ovog novog konstruiranog upitnika, odnosno izvršiti validaciju te po potrebi modificirati ga s novim česticama. |
Abstract (english) | Aim: To determine the frequency of the most common knee injuries in female volleyball players and types of physiotherapy procedures and prevention methods applied.
Methods: On a sample of 126 elite female volleyball players in the senior age category, who participate at the highest level of the Croatian volleyball competition, an anonymous Questionnaire of the most common knee injuries in female volleyball players and methods of prevention (Penga et al.), was applied by an on-line method.
Results: One of the most important findings indicates that 31.75% of elite Croatian female volleyball players competing at the highest level have had a severe form of a knee injury.
The highest prevalence and localization of pain in volleyball players in this study are defined in the patella region (on/above/below), with a relative value of 50%.
The most common prevention method in volleyball refers to the Perfection of volleyball skill drills, with a very high percentage of 97.62%.
The prevention method that refers to the Regulation of body mass is the least used procedure, with a value of 36.68%.
The physical therapy method, which includes Electroprocedures (TENS, ultrasound, laser, electrical stimulation, magnetic therapy) is used most frequently (65.00%), as well as Manual massage (62.50%).
Exercises to strengthen upper leg muscles and Proprioception exercises (e.g., balance board exercises) are most frequently applied as kinesitherapeutic procedures (81.08%), widely applied in both rehabilitation and injury prevention.
Moreover, 46.03% of female volleyball players declare that there is a physiotherapist available in their club, however, not as an employee, but rather as an external associate.
Conclusion: The professional contribution of this paper is reflected in the new finding regarding the use of the most frequent methods of prevention and rehabilitation in elite female volleyball players, as well as the determination of descriptive parameters of the most common knee injuries in one of Croatia’s jumping sports, and the lack of physiotherapists in expert teams of volleyball clubs.
Furthermore, previous findings were confirmed regarding the lack of a standardized protocol of injury prevention procedure, determination, and rehabilitation of injury.
The scientific contribution can be defined, according to the author’s findings, as the first research of this type conducted on superleague players, members of all ten volleyball clubs competing at the highest competition level. The findings indicate a high incidence of knee injuries, which was somewhat expected, but can be explained by a large number of younger players in senior teams, the lack of educated medical staff, and the necessity for implementing a central register of all injuries within responsible volleyball associations.
Future research should aim at increasing the number of subjects to include the rest of the volleyball players, members of the teams competing in some of the Croatian volleyball leagues, to expand the research to include male volleyball players, to determine the metric characteristics of the newly-constructed questionnaire, i.e., to validate, and if necessary, modify the questionnaire with new items. |