diplomsko delo
Maja Šter (Avtor), Tina Levec (Recenzent), Mojca Divjak (Mentor)

Povzetek

Uvod: Hrbtenica človeku omogoča stabilnost ter pokončno držo telesa. Sestavljena je iz 33–34 vretenc, njena fiziološka krivina pa je oblika črke S. Taka oblika hrbtenici nudi trdno oporo. Če je hrbtenica deformirana v treh ravninah hkrati, deformacijo imenujemo skolioza. Skoliozo razdelimo glede na čas, vzrok in mesto nastanka. Največ je idiopatskih skolioz, za katere vzrok nastanka ni znan. Diagnozo lahko postavimo že z Adamsovim testom, izmerimo pa jo s pripomočkom, imenovanim skoliometer, in z rentgenskimi posnetki. Skoliometer se uporablja za grobo oceno Cobbovega kota, natančneje pa ga izmerimo s pomočjo rentgenskih posnetkov. Skoliozo lahko pozdravimo konzervativno ali operativno, kar je odvisno od velikosti deformacije. Konzervativno zdravljenje oziroma zdravljenje z ortozo se uporablja pri otrocih, katerih hrbtenica še ni končala osifikacije. Ena od ortoz za zdravljenje je dinamična SpineCor ortoza, sestavljena iz elastičnih trakov. Nameščanje trakov se od pacienta do pacienta razlikuje. Odvisno je od tipa in velikosti deformacije, ki jo ima otrok. Namen: Namen diplomskega dela je ugotoviti, ali ortoza pozitivno vpliva na zdravljenje adolescentne idiopatske skolioze, saj je cilj zaustaviti ali izboljšati deformacijo. Pričakovani so znatno boljši rezultati po uporabi kot pred uporabo SpineCor ortoze. Metode dela: V diplomskem delu smo uporabili deskriptivno metodo raziskovanja. Strokovna literatura, ki smo jo uporabili, je domača in tuja, najdena v slovanskem in angleškem jeziku. Izbrana je na osnovi ključnih besed: adolescentna idiopatska skolioza, zdravljenje, SpineCor ortoza, učinkovitost na zdravljenje. Uporabljena strokovna literatura je bila izdana od leta 2001 do leta 2016. Vsa literatura je povezana s tematiko diplomskega dela. Rezultati: SpineCor ortoza pozitivno vpliva na zdravljenje skolioze. Pri večini otrok, katerih hrbtenica je še v rasti, se je deformacija izboljšala ali stabilizirala. Pri nekaterih je prišlo tudi do poslabšanja ali pa je bila potrebna operacija, vendar je odstotek teh manjši. Rezultati so boljši pri pacientih, ki so imeli manjšo začetno deformacijo. Ortozo so vsi morali nositi vsaj 20 ur na dan. Analize rezultatov kažejo na to, da se deformacija lahko izboljšala ali stabilizira že po dveh letih uporabe SpineCor ortoze. Razprava in zaključek: Ortoza učinkovito vpliva na izboljšanje deformacije hrbtenice, kar je bilo ugotovljeno po določenih merilih, na katere se zanašamo, da potrdimo učinkovitost zdravljenja. Izboljšanje deformacije za vsaj pet stopinj in stabilizacija hrbtenice pomenita pozitiven rezultat na zdravljenje. Nekateri avtorji so prišli do boljših rezultatov, drugi do slabših, kar je odvisno tudi od posameznikov. Odvisno je lahko od njihovega gibanja med zdravljenjem, časa nošenja ortoze, velikosti deformacije hrbtenice itd. Rezultati bi bili verjetno bolj optimalni, če bi bilo narejenih več podobnih raziskav z večjim številom raziskovanih oseb. Vseeno so študije pokazale relativno izboljšanje rezultatov z uporabo te vrste ortoze, zato lahko potrdimo, da niso škodljive in se priporočajo bolnikom za zdravljenje skolioze. Z ortozo sta doseženi korekcija in stabilizacija hrbtenice, z upoštevano skladnostjo otrok in njihovih staršev.

Ključne besede

diplomska dela;ortotika in protetika;idiopatska skolioza;zdravljenje;SpineCor ortoza;ortoze;učinkovitost zdravljenja;

Podatki

Jezik: Slovenski jezik
Leto izida:
Tipologija: 2.11 - Diplomsko delo
Organizacija: UL ZF - Zdravstvena fakulteta
Založnik: [M. Šter]
UDK: 617.3
COBISS: 5457259 Povezava se bo odprla v novem oknu
Št. ogledov: 1336
Št. prenosov: 517
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: ǂThe ǂeffectiveness of SpineCor orthosis in the treatment of adolescent idiopathic scoliosis
Sekundarni povzetek: Introduction: In the human body the spine serves mainly for stability and a correct/erect posture. It consists of 33-34 vertebra and has an S-shaped physiological curvature. This shape aids in sustaining the spine's rigid support. If the spine is deformed in three planes at the same time, the condition is called scoliosis. Scoliosis its determined by 3 different categories: time, cause and place of occurrence. Idiopathic scoliosis, for which the cause is unknown, is prevalent. The condition can be diagnosed using an Adams Test and measured using a device called Scoliometer, which is always accompanied by x-ray images. This device is used for a rough estimation of the Cobb angle, which is more accurately measured with the help of x-rays. Scoliosis can be treated conservatively or operatively, depending on the extent of the deformity. Conservative or orthosis treatment is applied to children whose spine has not yet finished its ossification process. One type of orthosis (brace) is called SpineCor and consists of rubber bands. Application of the rubber bands varies based on the type and size of the deformity. Purpose: The purpose of this diploma thesis is to figure out whether an orthosis (brace) can positively influence the treatment of adolescent idiopathic scoliosis, with the intention of stopping or improving the deformity. Far better results are expected after treatment with the SpineCor brace. Methods: In this thesis a descriptive method of research was used. The literature used is both domestic and foreign in origin. It was selected due to the following key words: adolescent idiopathic scoliosis, treatment, SpineCor orthosis, treatment efficiency. The literature used in this thesis was published between 2001 and 2016, and is linked to the main topic of this thesis. Results: The SpineCor orthosis positively affects the treatment of scoliosis. Most children whose spine has not yet developed have reported either an improvement or a stabilization of the condition. Some reported a deterioration or necessary surgery, but only a very small percentage of patients. Results were better in patients who had a smaller initial deformity. The brace had to be worn at least 20 hours a day. Further analysis shows that the deformity can be improved or stabilized within 2 years of treatment with the SpineCor brace. Discussion and conclusion: The SpineCor orthosis/brace positively affects the treatment of spinal deformity, based on the specific criteria used to confirm improvement. An improvement of at least 5 degrees and a stabilized spine translates into a successful result of the treatment. Some authors reached better results than others, which is mainly due to each person being slightly different. Results can also vary depending on how physically active the patients were during treatment, how long the brace was worn, the sheer magnitude of the deformity, etc. These results would most likely be more optimal if a greater number of similar studies with a greater population had been conducted. Nevertheless, the studies show a relative improvement in results through the use of this orthosis. Therefore, it can be confirmed that these braces are not harmful and are rightfully recommended to patients suffering from scoliosis, and that said braces result in a correction and stabilization of the spine.
Sekundarne ključne besede: diploma theses;orthotics and prosthetics;idiopathic scoliosis;treatment;SpineCor orthosis;orthoses;effectiveness of treatment;
Vrsta dela (COBISS): Diplomsko delo/naloga
Študijski program: 0
Komentar na gradivo: Univ. v Ljubljani, Zdravstvena fak., Oddelek za protetiko
Strani: 21 str.
ID: 10944051