OVERUSE INJURIES WITH SPECIAL EMPHASIS ON REHABILITATION OF EPICONDYLITIS OF THE ELBOW

U današnje vrijeme sindromi prenaprezanja učesta su pojava. Nastaju polako prenaprežući određena tkiva sustava za kretanje i izazivajući mikrotraume. Najčešće je to mjesto spoja između kosti i tetive, ali može doći i do oštećenja hrskavice i burze. Pojava simptoma u području epikondilitisa lakta jedan je od najčešćih sindroma prenaprezanja. Lateralni (teniski) i medijalni (golferski) epikoindilitis nastaje više kod nekih profesionalnih zanimanja, npr. građevinskih radnika, automehaničara, vilionista, daktilografa itd., nego u sportskim aktivnostima. Dijagnoza se postavlja uzimanjem anamneze, kliničkim pregledom (klinički testovi) te uz pomoć radioloških metoda. Rehabilitacija epikondilitisa lakta je zahtjevan proces koji mora biti individualno prilagođen svakom pacijentu. Temelji se na konzervativnom, a u rijetkim slučajevima kiruškom liječenju. Tijekom samog procesa liječenja treba biti ostvarena dobra suradnja između liječnika, pacijenta, trenera ili poslodavca i fizioterapeuta. U rehabilitaciji najznačajniju ulogu ima kineziterapija (korištenje vježbi istezanja i jačanja podlaktice) i fizikalne metode, a jako je bitna i edukacija pacijenata o prevenciji i koristi vježbi u sprječavanju recidiva.Nowadays, overstressing syndromes are frequent appearance. They occur slowly, overstressing certain tissues of the locomotor system and causing microtraumas. Usually, it is place where bones and tendons are connected, but it is possible to occur cartilage damage, too. Onset of symptoms in the field of ulnar epicondylitis is one of the most common overuse injuries. Lateral (tennis) and medial (golf) epicondylitis is more common in some professional occupations than in sports activities, for example, construction workers, mechanics, violin players, typists etc. The diagnosis is made by taking a medical history, clinical examination (clinical tests) and with the help of radiological methods. Rehabilitation of the ulnar epicondylitis is demanding process and it have to be individually adjusted to each patient. It is based on a conservative and, in rare cases, surgical treatment. During the treatment process there should be good cooperation between doctor, patient, coach or employer and physiotherapist. The most important role in the rehabilitation has kinesis therapy (use of exsercises for stretching and strengthening the forearm) and physical methods, and what is more imortant, patient education about prevention and importance of exercise in preventing recurrence