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21.
Effects of physiotherapeutic interventions for reducing arthrogenic muscle inhibition in chronic ankle instability : a systematic review
Danijela 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: 292; Prenosov: 5
.pdf Celotno besedilo (1,49 MB)
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Differences in physical function across dementia subtypes and cognitive decline : a cross-sectional study
Kristina Batič, Žiga Kozinc, Polona Rus Prelog, 2025, izvirni znanstveni članek

Opis: Cognitive impairment significantly affects physical function in dementia patients, but variations across dementia types and levels of cognitive decline remain unclear. This retrospective cross-sectional study included 874 patients (80.75 ± 8.00 years; 60.4% female) with different dementia types and cognitive impairment levels. Six physical function tests were admisterd: the De Morton Mobility Index (DEMMI), 6-minute walking test (6MTW), 10-meter walking test (10MWT), hand grip strength (HGS), 30-second chair stand (30sSTS), and the timed “Up & Go” test (TUG). Cognitive function was assessed using the Mini-Mental State Examination (MMSE). The Mild Cognitive Imapirment (MCI) group outperformed Alzheimer's Dementia (AD) and Vascular Dementia (VaD) on DEMMI, 30sSTS and HGS (p < 0.001, η² = 0.012 to 0.052). Differences in the 6MWT were significant in ANOVA but disappeared after adjusting for sex and age (p = 0.066). Severe cognitive impairment was linked to significantly lower physical performance across all measures (p < 0.001, η² = 0.037 to 0.064). Physical function profiles vary by dementia type and cognitive decline level, highlighting the need for targeted interventions to address specific physical challenges.
Ključne besede: dementia, cognitive decline, physical function
Objavljeno v RUP: 22.02.2026; Ogledov: 286; Prenosov: 4
.pdf Celotno besedilo (278,81 KB)
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Experiences and perceptions of a 12-week combined exercise and dietary supplement program for individuals with knee osteoarthritis : a qualitative focus group study
Tina 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: 283; Prenosov: 1
.pdf Celotno besedilo (1006,15 KB)
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Disease severity affects knee range of motion but not strength deficits in knee osteoarthritis : a systematic review and meta-analysis
Manca 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: 287; Prenosov: 0
.pdf Celotno besedilo (6,93 MB)
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