1. Early rehabilitation after total hip or knee joint replacement : a narrative reviewManca Zupančič Opara, Žiga Kozinc, Helmut Kern, Klaus Müller-Hohenstein, Stefan Loefler, Nejc Šarabon, 2026, izvirni znanstveni članek Opis: When conservative treatment of osteoarthritis is not effective, patients may undergo total joint replacement. Postoperative rehabilitation is a crucial component of recovery, and early rehabilitation plays a particularly important role in optimizing outcomes, with the aim of enabling patients to return to independence and work as soon as possible. The aim of this paper is to summarize the role of early rehabilitation after total knee and hip joint replacement, including its main goals, key components, optimal timing, potential risks, and the evidence comparing early with delayed rehabilitation. Current evidence indicates that early inpatient rehabilitation contributes to faster recovery of mobility, improved joint range of motion and muscle strength, fewer postoperative complications, and shorter hospital stays. Early outpatient rehabilitation initiated soon after discharge may further support recovery by increasing daily physical activity, improving joint mobility, and reducing rehabilitation costs. Although some studies report similar clinical outcomes between early and delayed physiotherapy, earlier initiation may allow patients to achieve comparable functional recovery sooner. Overall, early rehabilitation represents a safe and effective approach that should be integrated into standard postoperative care pathways
Ključne besede: knee, hip, rehabilitation
Objavljeno v RUP: 07.06.2026; Ogledov: 244; Prenosov: 9
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2. Effects of physiotherapeutic interventions for reducing arthrogenic muscle inhibition in chronic ankle instability : a systematic reviewDanijela Bec, Špela Skubic, Žiga Kozinc, 2025, izvirni znanstveni članek Opis: Background Chronic ankle instability (CAI) is characterized by recurrent ankle sprains and neuromuscular deficits, including arthrogenic muscle inhibition (AMI), which impairs motor control. Physiotherapeutic interventions targeting neural excitability may help mitigate AMI and improve function. Objective To evaluate the effectiveness of physiotherapeutic interventions in modulating neural excitability and reducing AMI in CAI. Methods A systematic search of six databases identified studies examining the effects of physiotherapy interventions on spinal (H-waves/M-waves (H/M) ratio) and corticospinal excitability (transcranial magnetic stimulation (TMS) outcomes) in CAI. Quality was assessed using the PEDro scale. Results Thirteen studies investigated proprioceptive training, manual therapy, taping, cryotherapy, anodal transcranial direct current stimulation (atDCS), electrotherapy, and dry needling. Prolonged balance training, cryotherapy, and atDCS showed the most consistent effects. Conclusion atDCS, manual therapy, cryotherapy, electrotherapy and balance training may help reduce AMI in CAI, but further studies with larger samples and long-term follow-ups are needed.
Ključne besede: rehabilitation, physical therapy, ankle instability, arthrogenic inhibition
Objavljeno v RUP: 23.02.2026; Ogledov: 589; Prenosov: 7
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3. Experiences and perceptions of a 12-week combined exercise and dietary supplement program for individuals with knee osteoarthritis : a qualitative focus group studyTina Čeh, Jernej Završnik, Nejc Šarabon, Mirko Prosen, 2026, izvirni znanstveni članek Opis: Background Exercise program and dietary supplements are commonly used in the conservative management of knee osteoarthritis (KOA) and have both been shown to reduce pain and improve physical function. Combining these approaches may offer additive benefits or introduce specific adherence challenges from the patient perspective. The combination of structured exercise with dietary supplements remains underexplored, especially through qualitative approaches. This study aims to investigate the lived experiences, perceived benefits, challenges, and motivational factors among participants of a targeted exercise program combined with dietary supplementation. Methods A qualitative study design with three focus group was used to explore participants overall experiences, motivational factors, and barriers to participation immediately after program. The sample included 16 older adults with KOA (Kellgren–Lawrence grade 1–3, 14 women and 2 men). Two moderators facilitated each focus group using topic guide. Data were analysed using inductive thematic analysis. Results Six main themes were identified: (1) recognized effects of exercise, (2) motivators and barriers to exercise, (3) group exercise and its impact on daily life, (4) recognized health care limitations, (5) experiences and practices of dietary supplement use, and (6) perspectives on program continuation and expansion. Conclusions Participants’ experiences with the combined exercise and dietary supplementation program for KOA highlighted the importance of social support, professional guidance, and self-motivation. Barriers included physical limitations, time constraints, and psychological challenges, while reported benefits included reduced pain, improved mood, and enhanced social engagement. Participants’ tendency to perceive exercise and supplementation as separate components indicates that, in practice, combined interventions may function as parallel rather than integrated strategies unless explicitly framed and supported as a unified approach
Ključne besede: knee osteoarthritis, exercise program, dietary supplements, qualitative study, physical rehabilitation, patient experience, motivation
Objavljeno v RUP: 21.02.2026; Ogledov: 575; Prenosov: 2
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4. Disease severity affects knee range of motion but not strength deficits in knee osteoarthritis : a systematic review and meta-analysisManca Zupančič Opara, Nejc Šarabon, 2026, pregledni znanstveni članek Opis: Objectives: To compare knee range of motion and muscle strength between individuals with symptomatic knee osteoarthritis and healthy controls, and to assess how Kellgren–Lawrence grade and measurement protocols affect these outcomes.Methods: A systematic search of PubMed, Scopus, and Web of Science identified studies comparing knee flexion/extension range of motion or flexor/extensor strength between patients with knee osteoarthritis and controls. Risk of bias was assessed with Joanna Briggs Institute tools. Pooled mean and standardized mean differences with 95% confidence intervals were calculated using random-effects meta-analyses.Results: Thirty studies were included. Compared with healthy controls, individuals with knee osteoarthritis showed significantly reduced knee flexion [MD = 16.30°, 95%CI (11.40, 21.21)] and extension [MD = 4.25°, 95%CI (2.30, 6.19)], with greater flexion loss in advanced KL grades. Knee osteoarthritis participants also demonstrated significantly lower strength across all contraction types: isometric [extensors: SMD = 0.86, 95%CI (0.57, 1.14); flexors: SMD = 0.52, 95%CI (0.30, 0.74)], concentric [extensors: SMD = 1.07, 95%CI (0.65, 1.50); flexors: SMD = 0.77, 95%CI (0.43, 1.12)], and eccentric extensor strength. Strength deficits were consistent across Kellgren–Lawrence grades, knee joint angles, and angular velocities during testing.Conclusions: Individuals with symptomatic knee osteoarthritis present with marked reductions in knee range of motion and strength. While range of motion impairments worsen with disease severity, strength deficits are stable across Kellgren–Lawrence grades and measurement protocols. Given the very low to low certainty of evidence, results should be interpreted with caution. 1 Introduction
Ključne besede: osteoarthritis, knee, arthritis, risk factors, rehabilitation
Objavljeno v RUP: 18.02.2026; Ogledov: 547; Prenosov: 4
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6. Anton Zupan in Matej Plevnik: Swimming and other forms of acquatic exercise for people with neuromuscular disorders. Koper, Annales University Press; Ljubljana, Muscular Dystrophy Association of Slovenia, European Alliance of Neuromuscular Disorders Associations, 2014, 96 pagesIztok Retar, 2015, recenzija, prikaz knjige, kritika Ključne besede: neuromuscular disorders, swimming, aquatic exercise, rehabilitation, manuals, book reviews
Objavljeno v RUP: 09.08.2016; Ogledov: 4382; Prenosov: 98
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