{"id":100308,"date":"2026-09-22T05:42:56","date_gmt":"2026-09-22T05:42:56","guid":{"rendered":"https:\/\/www.ortopedski-ulosci.hr\/?p=100308"},"modified":"2026-10-10T09:28:14","modified_gmt":"2026-10-10T09:28:14","slug":"zasto-se-sportasima-ozljede-stalno-vracaju","status":"publish","type":"post","link":"https:\/\/www.ortopedski-ulosci.hr\/hr\/zasto-se-sportasima-ozljede-stalno-vracaju\/","title":{"rendered":"Za\u0161to se sporta\u0161ima ozljede stalno vra\u0107aju?"},"content":{"rendered":"\n

<\/p>\n\n\n\n

Postoji scenarij koji vidimo gotovo svaki tjedan. Sporta\u0161 se ozlijedi, uganu\u0107e gle\u017enja, bol u koljenu, nate\u010denost. Odradi terapiju, miruje, rehabilitira se. Vrati se na teren. I za nekoliko tjedana ili mjeseci ,ista pri\u010da. Isti gle\u017eanj, isto koljeno. Pa opet. I opet.<\/p>\n\n\n\n

U jednom trenutku prirodno se postavlja pitanje: za\u0161to, unato\u010d terapijama, odmoru i ozbiljnoj rehabilitaciji, neke ozljede jednostavno ne prestaju dolaziti? Odgovor je \u010desto neugodan: lije\u010dili smo posljedicu, a ne uzrok.<\/strong><\/p>\n\n\n\n

Posljedica vs. uzrok<\/h2>\n\n\n\n

Ote\u010deno koljeno, bolan gle\u017eanj, upaljena tetiva, to su mjesta gdje boli<\/em>. Ali mjesto gdje boli i mjesto odakle problem dolazi vrlo \u010desto nisu isto. Tijelo je kineti\u010dki lanac: stopalo, gle\u017eanj, koljeno, kuk i kralje\u017enica povezani su i ovise jedan o drugome. Kad jedna karika ne radi svoj posao, ostale moraju kompenzirati i obi\u010dno prva pukne ona najslabija ili najoptere\u0107enija, a ne ona koja je zapravo \u201ekriva\u201c.<\/p>\n\n\n\n

U sportovima s puno naglih promjena smjera: ko\u0161arci, nogometu, rukometu, tenisu, stopalo mora biti sidro<\/strong>. Ono dr\u017ei tijelo u ravnote\u017ei dok se sve iznad njega okre\u0107e, zaustavlja i ubrzava. Ako to sidro ne dr\u017ei, ako se stopalo pri svakom doskoku ili rezu \u201eprevrne\u201c i ne pru\u017ei stabilnu bazu, sila putuje uvis u ligamente i zglobove iznad. Tada se isti problem lak\u0161e vra\u0107a.<\/p>\n\n\n\n

\n

Ako temelj nije stabilan, koljeno i gle\u017eanj rade posao za koji nisu zadu\u017eeni. A struktura koja stalno radi tu\u0111i posao prije ili kasnije popu\u0161ta.<\/p>\n<\/blockquote>\n\n\n\n

Za\u0161to se uganu\u0107e gle\u017enja tako voli vra\u0107ati<\/h2>\n\n\n\n

Ponavljaju\u0107a uganu\u0107a gle\u017enja klasi\u010dan su primjer ovog za\u010daranog kruga. Nakon prvog ozbiljnog uganu\u0107a \u010desto ostaje kroni\u010dna nestabilnost gle\u017enja<\/strong>. Gle\u017eanj koji povremeno \u201epopu\u0161ta\u201c i ima trajne smetnje. Istra\u017eivanja pokazuju da su kod kroni\u010dne nestabilnosti gle\u017enja \u010desti deficiti propriocepcije (osjeta polo\u017eaja zgloba) i naru\u0161ena posturalna kontrola (Xue i sur., 2021.; Tang i sur., 2023.).<\/p>\n\n\n\n

Ono \u0161to je va\u017eno: kod kroni\u010dne nestabilnosti gle\u017enja postoje dokazi da teksturirani umetci, taping i neke ortoze mogu pobolj\u0161ati posturalnu stabilnost, dok su rezultati za klasi\u010dne ulo\u0161ke s potporom svoda neujedna\u010deni (Tang i sur., 2023.). Drugim rije\u010dima: stabilizacija temelja mo\u017ee biti koristan dio rehabilitacije, ali se mora birati prema nalazu, ne napamet.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Prevencija je jeftinija od povratka u rehabilitaciju<\/h2>\n\n\n\n

Najve\u0107a gre\u0161ka u sportskoj praksi jest \u010dekati ozljedu pa tek onda gledati biomehaniku. Najbolji trenutak za analizu hoda i optere\u0107enja jest onaj dok te ni\u0161ta ne boli.<\/strong> Tada mo\u017ee\u0161 vidjeti rizi\u010dne obrasce. Prekomjernu pronaciju, asimetriju optere\u0107enja, nestabilnu bazu i adresirati ih prije nego prerastu u ozljedu koja te skida s terena.<\/p>\n\n\n\n

Treba biti po\u0161ten: znanstveni dokazi o ulo\u0161cima kao \u201euniverzalnom \u0161titu\u201c od ozljeda su mje\u0161oviti. Neka istra\u017eivanja, primjerice randomizirano istra\u017eivanje na vojnim novacima, pokazala su manje prenaprezajnih ozljeda u skupini s ortozama (21 ozljeda) nego u kontrolnoj skupini (61 ozljeda) (Franklyn-Miller i sur., 2011.). Vojni novaci nisu isto \u0161to i svi sporta\u0161i, a druge analize nisu na\u0161le jednozna\u010dan za\u0161titni u\u010dinak u svim populacijama. Poruka stoga nije \u201esvatko treba ulo\u0161ke\u201c, nego: kod sporta\u0161a s prepoznatim biomehani\u010dkim odstupanjem ili povije\u0161\u0107u ponavljaju\u0107ih ozljeda, korekcija temelja mo\u017ee imati smisla kao dio \u0161ireg plana.<\/em><\/p>\n\n\n\n

Steznik nije strategija<\/h2>\n\n\n\n

Mnogi sporta\u0161i godinama igraju u steznicima i banda\u017eama. Oni imaju svoje mjesto, pogotovo akutno i kod povratka na teren. Ali steznik je vanjska podr\u0161ka; sam po sebi ne rje\u0161ava svaki razlog zbog kojeg zglob popu\u0161ta. Dugoro\u010dno treba gledati i biomehaniku<\/strong> – da stopalo radi svoj posao, da se sila prenosi \u0161to pravilnije i da zglobovi iznad ne moraju stalno kompenzirati.<\/p>\n\n\n\n

\n

Najbolja prevencija ozljede nije steznik nego temelj koji ne tra\u017ei kompenzaciju.<\/p>\n<\/blockquote>\n\n\n\n

\u0160to napraviti ako ti se ozljede vra\u0107aju<\/h2>\n\n\n\n

Ako prepoznaje\u0161 obrazac npr. ista ozljeda koja se vra\u0107a unato\u010d urednoj rehabilitaciji, vrijedi pogledati cijeli lanac, a ne samo bolno mjesto. U Ortho Balanceu<\/a> radimo digitalnu analizu statike, dinamike hoda i tr\u010danja te 3D skeniranje stopala. Cilj je vidjeti gdje lanac \u201epu\u0161ta\u201c i je li uzrok tvojih ponavljaju\u0107ih problema ni\u017ee nego \u0161to misli\u0161. Ako analiza poka\u017ee potrebu, izra\u0111ujemo sportski ulo\u017eak po mjeri kao dio cjelovitog pristupa uz vje\u017ebe i trening, ne kao zamjenu za njih.<\/p>\n\n\n\n

Sport je tvoja strast, a mo\u017eda i karijera. Analiza hoda dok si zdrav jeftino je ulaganje u to da na terenu ostane\u0161 du\u017ee.<\/p>\n\n\n\n

Poka\u017ei nam kako gazi\u0161, rezerviraj termin<\/a><\/p>\n\n\n\n

Izvori<\/h2>\n\n\n\n
    \n
  1. Franklyn-Miller A, Wilson C, Bilzon J, McCrory P. Foot orthoses in the prevention of injury in initial military training: a randomized controlled trial. American Journal of Sports Medicine<\/em>, 2011;39(1):30\u201337.<\/li>\n\n\n\n
  2. Xue X, Ma T, Li Q, Song Y, Hua Y. Chronic ankle instability is associated with proprioception deficits: a systematic review with meta-analysis. Journal of Sport and Health Science<\/em>, 2021;10(2):182\u2013191.<\/li>\n\n\n\n
  3. Tang Y, Liang P, Pan J, et al. Effects of ankle orthoses, taping, and insoles on postural stability of individuals with chronic ankle instability: a systematic review. Healthcare<\/em>, 2023;11(18):2570.<\/li>\n\n\n\n
  4. Neal BS, Griffiths IB, Dowling GJ, et al. Foot posture as a risk factor for lower limb overuse injury: a systematic review and meta-analysis. Journal of Foot and Ankle Research<\/em>, 2014;7:55.<\/li>\n\n\n\n
  5. Powers CM. The influence of abnormal hip mechanics on knee injury: a biomechanical perspective. Journal of Orthopaedic & Sports Physical Therapy<\/em>, 2010;40(2):42\u201351.<\/li>\n<\/ol>\n\n\n\n

    Velibor Viboh, mag. physioth.<\/strong>
    Osniva\u010d i ravnatelj Poliklinike Medical Body Balance; doktorand na KIF-u; slu\u017ebeni fizioterapeut Hrvatske Davis Cup reprezentacije.<\/p>\n","protected":false},"excerpt":{"rendered":"

    Postoji scenarij koji vidimo gotovo svaki tjedan. Sporta\u0161 se ozlijedi, uganu\u0107e gle\u017enja, bol u koljenu, nate\u010denost. Odradi terapiju, miruje, rehabilitira se. Vrati se na teren. I za nekoliko tjedana ili mjeseci ,ista pri\u010da. Isti gle\u017eanj, isto koljeno. Pa opet. I opet. U jednom trenutku prirodno se postavlja pitanje: za\u0161to, unato\u010d terapijama, odmoru i ozbiljnoj rehabilitaciji, […]<\/p>\n","protected":false},"author":2,"featured_media":100310,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"off","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[10],"tags":[38,42],"class_list":["post-100308","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-dijagnostika","tag-ortopedski-ulosci","tag-sport"],"yoast_head":"\nZa\u0161to se sporta\u0161ima ozljede stalno vra\u0107aju? - ORTHO BALANCE<\/title>\n<meta name=\"description\" content=\"Ako se ista ozljeda vra\u0107a unato\u010d terapiji, uzrok je mo\u017eda u stopalu. 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