diplomsko delo
Zara Soršak (Author), Alenka Oven (Reviewer), Zorana Sicherl (Mentor)

Abstract

Uvod: Distalna raztrganina biceps brachii je razmeroma redka poškodba. Razlogi za pretrganje bicepsa so lahko različni, vključno z nenadnim močnim iztegom komolca, kronično prekomerno uporabo ali degenerativne spremembe v tetivi. Simptomi so nenadna bolečina in šibkost v prizadeti roki, ki jo spremlja občutek trganja, oteklina in modrica, uporabnik pa ima lahko vidno deformacijo. Pri zdravljenju so na voljo operativni in neoperativni pristopi. Delovna terapija ima pomembno vlogo v procesu rehabilitacije po operativnem posegu distalne raztrganine bicepsa. Delovni terapevt izdela individualni načrt, ki je usmerjen v intervencije, katerih cilj je uporabnikovo samostojno, varno in učinkovito izvajanje ožjih in širših dnevnih aktivnosti. Uporabniku svetuje prilagoditev delovnega in domačega okolja za varno in uspešno okrevanje. Na področju telesnih zgradb in telesnih funkcij delovni terapevt vključi terapevtske aktivnosti za izboljšanje obsega gibanja, mišične moči in delovanja uporabnika. Namen: Namen diplomskega dela je predstaviti obravnavo uporabnika s poškodbo distalne tetive bicepsa po operativnem posegu, po procesu AOTA v delovni terapiji. Metode dela: Izvedena je bila študija primera, v katero je bil vključen en uporabnik. Obravnava je potekala individualno, v domačem okolju, v časovnem obdobju šest tednov, pet dni na teden, po 30–45 minut dnevno. Zajemala je vsakodnevno izvajanje terapevtskih aktivnosti na področju skrbi zase in širših dnevnih aktivnosti na ravni aktivnosti in okupacije. Usmerjena je bila v obnovo izgubljenih spretnosti in funkcije roke ter trening moči in prilagoditve aktivnosti za omogočanje izvedbe in večje samostojnosti uporabnika. Rezultati: Pri končnem ocenjevanju Kanadskega modela izvedbe okupacije je prišlo do izboljšanja rezultatov pri samooceni izvedbe in zadovoljstva. Pri končnem ocenjevanju Analize aktivnosti po spretnostih je prišlo do izboljšanja rezultatov pri vseh motoričnih in procesnih spretnostih, ki so bile pri začetnem ocenjevanju v odstopanju. Uporabnik ob koncu obravnave aktivnost izvaja varno, samostojno, učinkovito in brez fizičnega napora. Razprava in zaključek: Intervencije v okviru delovno terapevtske obravnave, ki so sledile ameriškemu okviru prakse, so se izkazale za učinkovite. Tekom obravnave smo izhajali iz uporabnika in njegovih težav. Uporabnik je prikazal samostojno in varno izvedbo vseh obravnavanih aktivnosti.

Keywords

diplomska dela;delovna terapija;distalna raztrganina;biceps brachii;izvajanje aktivnosti;okupacija;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [Z. Soršak]
UDC: 615.851
COBISS: 163757315 Link will open in a new window
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Downloads: 2
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Other data

Secondary language: English
Secondary title: Rehabilitation of the rupture biceps brachii in occupational therapy: a case study
Secondary abstract: Introduction: Distal biceps brachii tear is a relatively rare injury. The causes of biceps brachii tears may be due to a variety of factors, including sudden forceful extension of the elbow, chronic overuse or degenerative changes in the tendon. Symptoms include sudden pain and weakness in the affected arm, accompanied by a tearing sensation, swelling and bruising, and the patient may have a visible deformity. Operative and non-operative approaches to treatment are available. Occupational therapy plays an important role in the rehabilitation process after surgery for distal biceps tear. The occupational therapist develops an individualised plan that focuses on interventions aimed at the client's independent, safe and efficient performance of basic and instrumental activities of daily living. The user is advised to adapt their work and home environment for a safe and successful recovery. Based on the user's assessment results in the areas of body structure and function, the occupational therapist integrates therapeutic activities to improve the user's range of movement, muscle strength and function. Purpose: The purpose of this thesis is to present the occupational therapy intervention of a person with a distal biceps tendon injury after surgery, using the AOTA process in occupational therapy. Methods. A case study involving one user was carried out. The treatment was carried out individually, in the home environment, over a period of six weeks, five days a week, for 30-45 minutes a day. It covered daily therapeutic activities in the area of self-care and broader daily activities at the level of activity and occupation. It focused on restoring lost hand skills and function, strength training and adapting activities to enable the user to perform and become more independent. Results: In the final evaluation of the Canadian Occupational Performance Measure, there was an improvement in the results of the self-assessment of implementation and satisfaction. In the final evaluation of the Activity Analysis by Skill, there was an improvement in scores for all motor and procedural skills that were outliers in the initial evaluation. At the end of the intervention, the user performs the activity safely, independently, efficiently and without physical effort. Discussion and Conclusion: Interventions supporting occupation and strength training proved to be effective in occupational therapy intervention that followed the American practice framework. During the rehabilitation, we started from the user and his/her problems. The user demonstrated independent and safe performance of all the activities discussed.
Secondary keywords: diploma theses;occupational therapy;distal tear;biceps brachii;activity performance;occupation;
Type (COBISS): Bachelor thesis/paper
Study programme: 0
Thesis comment: Univ. v Ljubljani, Zdravstvena fak., Oddelek za delovno terapijo
Pages: 47 str., [8] str. pril.
ID: 19909049