Planning and Programming of Kinesitherapy Treatment for Sacroiliac Joint Dysfunction : Undergraduate Thesis

Disfunkcija sacroiliakalnog zgloba je općeniti naziv za sve vrste promijena u istoimenom zglobu koje prouzrokuju bol. Do disfunkcije kod klijenta došlo je kao odgovor CNS-a(Centralni živčani sustav) na ozlijedu odnosno želju tijela da zaštiti nastalo oštećenje. Nakon šest mjeseci provedenih u krevetu i fizikalne terapije u trajanju od 2 mjeseca, klijent nije osjećao bol no nakon nekoliko godina bol se pojavila u SIZu(Sakroiliakali zglob), a zatim i u drugim dijelovima tijela. Analizom posture, provokacijskim i manualnih testovima utvrđene su nepravilnosti i nesrazmjer mišića. U prvom dijelu tretmana se nastoji anulirati bolno područje i dobiti puni raspon pokreta u zglobu kuka. Vježbama nastojimo osobu osvjestiti koji položaj je poželjan, a da prilikom vježbama ne provociramo dodatno bolna područja. Nakon što dobijemo puni raspon pokreta i osoba ne osjeća bol, dodatno radimo propriceptivne vježbe i radimo na izdržljivosti mišića kako bi zadržali željeno stanje i mogli prijeći na zahtijevnije vježbe. U ovoj fazi malo veći naglasak stavljamo na abdomenalno disanje i jačanje abodomena. U idućoj fazi ubacujemo vježbe s vanjskim opterećenjem te nastojimo da se osoba oslobodi u korištenju mišića koje je do tada izbjegavala, uklapajući ih u cjelokupne vježbe s blagim naglašavanjem kontralateralne strane koja uključe desni kuk i progresiju nestabilnih površina. U posljednjoj fazi je naglasak na integraciji novih obrazaca kretnji i atumatizacija istih.Dysfunction of sacroiliac joint is a common name for all kinds of dysfunctions in this joint that cause pain. What caused dysfunction to this client was an answer of his body willing to protect the injured body part. After six months spent in bed and two mounths of physical therapy he was totaly rehabilitated but after some time client started to feel pain that occurred in sacroiliac joint and was spreding in distal parts of his body. After we done all needed tests, we were abel to see that problem was in sacroiliac joint with all the following muscle imbalance. In the first part of treatmant our main gold is to get rid of pain and getting full range of motion in hip joint. With exercises in this faze it's important for client to become aware of good body posture without us provoking additional pain to injured area while exercising. After we get full range of motion and get rid of pain, we additionally do proprioceptive exercises and durability exercises.All that so we can manage to keep wanted posture and progress to more challenging exercises. In this phase we doing more exercises with abdominal breathing and strengthening abdominal muscles. In next phase comes in exercises with external load and concentrating on useg of left kinetic chain because muscles in that cain are the ones that client was avoiding to use. So we do exercises including more right hip and progession of unstable surfaces. Main gold of final phase is tu integrate and automate al the movements learned through the whole rehabilitation program