sistematični pregled literature
Sara Pliberšek (Avtor), Zorana Sicherl (Recenzent), Barbka Huzjan (Mentor)

Povzetek

Uvod: Sindrom karpalnega kanala je ena izmed najpogostejših bolezni zgornjih okončin, pri kateri zaradi povečanega tlaka v karpalnem kanalu pride do utesnitve medianega živca, ki poteka skozi karpalni kanal. Osebe največkrat občutijo bolečino, mravljinčenje, izgubo mišične moči, v hujših primerih parastezije in zmanjšano funkcijo roke. Do sindroma pride zaradi utesnitve medianega živca v karpalnem kanalu in povzroča težave v izvajanju vsakodnevnih aktivnostih, pri katerih je potrebna zadostna mišična moč in polna gibljivost zapestja. Namen: Namen diplomskega dela je bilo ugotoviti, katere intervencije se uporabljajo v delovnoterapevtski obravnavi pri obravnavi osebe s sindromom karpalnega kanala in kakšni so dokazi o njihovi učinkovitosti. Metode: V diplomskem delu smo uporabili sistematični pregled literature, ki je bil izveden po Joanna Briggs Institute smernicah. Iskanje člankov je potekalo v podatkovnih bazah CINAHL, Web of science, PubMed, Cochrane Library in OT Seeker. Pri iskanju smo uporabili časovni okvir med leti 2012 in 2024. Pri vključevanju izbranih člankov v končno analizo smo uporabili naslednje vključitvene kriterije: članki so morali biti znanstveni in zapisani v angleškem ali slovenskem jeziku in so morali preučevati vlogo delovne terapije pri osebah s sindromom karpalnega kanala. Zbrane članke smo nato ocenili po relevantnosti in ocenjene z oceno 3 ali več ocenili po kakovosti s pomočjo Joanna Briggs Institute ocenje-valnih orodij. Članke smo razvrstili v raven dokazov v skladu z sistemom Ameriškega združenja delovnih terapevtov. Rezultati: V končno analizo smo vključili 15 člankov. V tematski sintezi člankov smo oblikovali 2 temi, ki smo ju kategorizirali v 4 podteme. Delovni terapevti pomagajo osebam s sindromom karpalnega kanala obvladovati simptome sindroma karpalnega kanala in izboljšati funkcijo roke s pomočjo edukacije, prilagoditvami okolja in uporabe opornic ter aktivnosti za izboljšanje gibljivosti in mišične moči. Razprava in zaključek: Delovni terapevti v obravnavi sindroma karpalnega kanala uporabljajo različne intervencije, s pomočjo katerih pomagajo osebi obvladovati simptome sindroma karpalnega kanala in izboljšati funkcijo roke, pri kateri je prisoten sindrom. Med intervencije delovne terapije za osebe s sindromom karpalnega kanala spadajo edukacija o sindromu karpalnega kanala, prilagoditev izvedbe aktivnosti in okolja, uporaba opornice ter aktivnosti za izboljšanje obsega gibljivosti in mišične moči v roki. Največji učinki delovnoterapevtske obravnave se kažejo v zmanjšanju simptomov sindroma karpalnega kanala, izboljšanju funkcionalnosti roke in boljši kakovosti življenja ter zadovoljstva osebe. Ta sistematični pregled literature predstavlja možnost za učinkovitejšo delovnoterapevtsko obravnavo oseb s sindromom karpalnega kanala, s tem pa delovnim terapevtom lahko pomaga pri izbiri ustrezne obravnave in so tako bolje pripravljeni na obravnavo oseb s sindromom karpalnega kanala.

Ključne besede

diplomska dela;delovna terapija;sindrom karpalnega kanala;delovnoterapevtska obravnava;učinkovitost delovnoterapevtskih intervencij;preventiva;

Podatki

Jezik: Slovenski jezik
Leto izida:
Tipologija: 2.11 - Diplomsko delo
Organizacija: UL ZF - Zdravstvena fakulteta
Založnik: [S. Pliberšek]
UDK: 615.851
COBISS: 226262275 Povezava se bo odprla v novem oknu
Št. ogledov: 33
Št. prenosov: 436
Ocena: 0 (0 glasov)
Metapodatki: JSON JSON-RDF JSON-LD TURTLE N-TRIPLES XML RDFA MICRODATA DC-XML DC-RDF RDF

Ostali podatki

Sekundarni jezik: Angleški jezik
Sekundarni naslov: Occupational therapy treatment of person with carpal tunnel syndrome
Sekundarni povzetek: Introduction: Carpal tunnel syndrome is one of the most common diseases of the upper limbs, in which due to increased pressure in the carpal tunnel, the median nerve passing through the carpal tunnel is compressed. People most often feel pain, tingling, loss of muscle strength, in severe cases paraesthesia and apparently reduced hand function. The syndrome occurs due to the compression of the median nerve within the carpal tunnel and causes difficulties in performing daily activities that require sufficient muscle strength and full wrist mobility. Purpose: The purpose of the thesis is to determine which interventions are used in the occupational therapy treatment of carpal tunnel syndrome and what is the evidence of their effectiveness. Methods: A systematic review of the literature was used in the thesis following the Joanna Briggs Institute guidelines. The search for articles was conducted in the databases CINHAL, Web of Science, PubMed, Cochrane Library and OT Seeker. The search was limited to articles published between 2012 and 2024. The inclusion criteria for selecting articles for the final analysis were as follows: the articles had to be scientific, written in English or Slovenian, and focused on the role of occupational therapy for people with carpal tunnel syndrome. The collected articles were then assessed for relevance, and those with a score of 3 or higher were evaluated for quality using the Joanna Briggs Institute assessment tools. We classified the articles according to American Associtaion of Occupational Therapists levels of evidence. Results: A total of 15 articles were included in the final analysis. In the thematic synthesis of the articles, we identified 2 main themes, which were further categorized into 4 subthemes. Occupational therapists help people with carpal tunnel syndrome manage symptoms and improve hand function through education, environmental adaptations, the use of splints and activities for improving mobility and muscle strength. Discussion and conclusion: In treatment, occupational therapists use various interventions to help the person to manage the symptoms, thereby improving the function of the hand itself. Occupational therapy treatments for carpal tunnel syndrome include education, adaptation of activity performance and environment, use of a splint, and activities to improve range of motion and muscle strenght of a hand. The most significant effects of occupational therapy treatment are seen in the reduction of carpal tunnel syndrome symptoms, improvement in hand functionality, and better quality of life and satisfaction for a person. This systematic review of the literature provides the possibility for more effective occupational therapy treatment for individuals with carpal tunnel syndrome, allowing occupational therapists to better select appropriate treatments and be better prepared to work with individuals suffering from carpal tunnel syndrome
Sekundarne ključne besede: diploma theses;occupational therapy;carpal tunnel syndrome;occupational therapy treatment;efficiency of occupational therapy interventions;prevention;
Vrsta dela (COBISS): Diplomsko delo/naloga
Študijski program: 0
Komentar na gradivo: Univ. v Ljubljani, Zdravstvena fak., Oddelek za delovno terapijo
Strani: 27 str., [20] str. pril.
ID: 25913275