| Abstract | Osteoartritis (OA) kuka je najčešća degenerativna bolest koja je progresivna i kronična te nema poznati uzrok. Narušava stanje cijelog sustava kao cjeline zbog toga što su otežane aktivnosti svakodnevnog života, ali najviše pogađa lokomotorni sustav. OA kao takav zahvaća primarno sami zglob odnosno hrskavicu u njemu, ali zbog nepravilnog obrasca hoda odnosno zbog boli i izmijenjene biomehanike hoda koja utječe i na okolne mišiće, ligamente treba sa procedurama terapije krenuti što je ranije moguće. Liječenje kao takvo može se provoditi na razne načine ali i od velike je ovisnosti o stupnju bolesti i dobi bolesnika te koliko je bolesnik spreman na suradnju i koliko je motiviran za rad. Vrlo je važno je provesti fizioterapijsku procjenu zgloba kuka kako bi se mogao napraviti plan i program liječenja. Liječenje može biti konzervativno u koje ulaze farmakološka i fizikalna terapija. Ukoliko dođe do pogoršanja OA i ukoliko se više nikakvim konzervativnim metodama liječenja ne može postići pozitivan rezultat liječenja indikacija je za ugradnju umjetnog zgloba. Kod OA kuka od izuzetne je važnosti fizioterapijska procjena i intervencija za na fizioterapeute, ali također je vrlo važno prenijeti znanje o bolest i educirati pacijenta u najvećoj mogućoj mjeri kako pravilno izvoditi vježbe, kako da poboljša držanje, te kako da unaprijedi svoje aktivnosti svakodnevnog života i kako da poboljša stabilnost i smanji broj padova zbog nestabilnosti noge. |
| Abstract (english) | Osteoarthritis (OA) of the hip is the most common disease in the field of rheumatology, which is progressive, degenerative and chronic and has no known cause. It impairs the condition of the entire system as a whole due to the difficulty of activities of daily life, but it affects the locomotor system for propulsion the most. As such, OA primarily affects the joint itself, i.e. the cartilage in it, but due to an irregular walking pattern, i.e. due to pain and altered biomechanics of walking, which also affects the surrounding muscles, ligaments, therapy procedures should be started as early as possible. Treatment as such can be carried out in various ways, but it also depends greatly on the advanced stage of the disease and the age of the patient, as well as whether the patient is ready to cooperate and how motivated he is to work. It is very important to carry out a physiotherapy assessment of the hip joint so that a treatment plan and program can be made. Treatment can be conservative, which includes pharmacological and physical therapy. If OA worsens and if no more conservative treatment methods can achieve a positive treatment result, the indication is for the installation of an artificial joint, the so-called hip endoprosthesis. In OA of the hip, physiotherapy assessment and intervention by physiotherapists is extremely important, but it is also very important to transfer knowledge about the disease and educate the patient as much as possible on how to properly perform exercises, how to improve posture, and how to improve their activities of daily life and how to improve stability and reduce the number of falls due to leg instability. |
