20.500.12556/RUL-172955 Vpliv deformacije roke na hrbtenico diplomsko delo Effect of arm deformation on the spine diploma work Uvod: Prirojene malformacije in amputacije zgornjih okončin povzročajo asimetrije, ki lahko vodijo v razvoj skolioze zaradi porušenega mišično-skeletnega ravnovesja. Najpogostejše so amelija, fokomelija, hemimelija in Polandov sindrom, ki vplivajo na držo in obremenitve hrbtenice. Zgodnja protetična oskrba otrok s prirojeno ali pridobljeno odsotnostjo uda pripomore k simetrični drži in zmanjšanju tveganja za nastanek ali napredovanje skolioze. Skolioza je tridimenzionalna deformacija hrbtenice, katere diagnostika temelji na kliničnem pregledu in rentgenskem slikanju, zdravljenje pa vključuje fizioterapijo, ortoze ali kirurški poseg. Namen: Namen diplomskega dela je raziskati povezavo med prirojenimi deformacijami zgornje okončine in pojavnostjo skolioze ter analizirati morebitne vzročno-posledične povezave na podlagi literature in študije primera pacienta, ki se je rodil z anomalijo desne roke zaradi Polandovega sindroma. Metode dela: Izveden je bil pregled relevantne strokovne in znanstvene literature v slovenščini in angleščini v podatkovnih bazah PubMed, Google Scholar in ScienceDirect. V empiričnem delu je predstavljena študija primera posameznika s prirojeno anomalijo desne roke zaradi Polandovega sindroma. Rezultati: Pacient s Polandovim sindromom in prirojeno anomalijo desne roke je bil zgodaj vključen v kirurško zdravljenje, ortotično oskrbo in rehabilitacijo. V otroštvu se je pojavila blaga skolioza, ki jo je uspešno obvladal s fizioterapijo, nošenjem dinamičnega steznika in rednim izvajanjem vaj. V odraslosti pacient živi aktivno življenje brez večjih omejitev, pri delu in športu uporablja obe roki. Razprava in zaključek: Prirojene deformacije zgornjih okončin povzročajo telesno asimetrijo, ki vodi v neravnovesje mišičnih sil in povečuje tveganje za razvoj skolioze. Študija primera pacienta s Polandovim sindromom je pokazala, da enostranska deformacija roke vodi v kompenzacijske prilagoditve drže in gibanja ter v razvoj torakalne in lumbalne skolioze. Pravočasna uporaba ortoz, steznikov in redne fizioterapije lahko postopno zmanjša ukrivljenost hrbtenice, pacient pa s tem ohranja funkcionalno samostojnost. Konzervativno zdravljenje učinkovito omeji napredovanje skolioze tudi pri deformacijah neidiopatskega izvora. Celostna, multidisciplinarna obravnava je bistvena za izboljšanje telesne drže, kakovosti življenja in dolgoročnih rehabilitacijskih izidov. Introduction: Congenital malformations and amputations of the upper limbs create asymmetries that may lead to scoliosis due to disturbed musculoskeletal balance. The most common conditions are amelia, phocomelia, hemimelia and Poland syndrome, all of which affect posture and spinal loading. Early prosthetic care for children with congenital or acquired limb absence helps promote symmetrical posture and reduces the risk of scoliosis. Scoliosis is a three-dimensional spinal deformity diagnosed through clinical examination and radiography, while treatment includes physiotherapy, orthoses or surgery. Purpose: The aim of the thesis is to investigate the association between congenital upper-limb deformities and scoliosis, and to analyse possible causal relationships based on literature and a case study of a patient born with a right-hand anomaly due to Poland syndrome. Methods: A review of professional and scientific literature in Slovenian and English was conducted using PubMed, Google Scholar and ScienceDirect. The empirical section presents a case study of a patient with Poland syndrome and a congenital anomaly of the right hand. Postural asymmetry and thoracic and lumbar scoliosis were observed from childhood. Data on postural development, treatment and rehabilitation were analysed. Results: The patient underwent early surgical correction, orthotic care and rehabilitation. Mild scoliosis appeared in childhood but was successfully managed with physiotherapy, dynamic bracing and regular exercise. In adulthood, he lives an active life without major restrictions, using both hands for work and sports. Discussion and conclusion: Congenital upper-limb deformities cause body asymmetry, disrupt muscle balance and increase the risk of scoliosis. The case study confirmed that unilateral arm deformity leads to compensatory postural and movement patterns, resulting in thoracic and lumbar scoliosis. Timely use of orthoses, braces and physiotherapy can reduce spinal curvature and support functional independence. Conservative treatment is effective in limiting scoliosis progression even in non-idiopathic cases. Comprehensive, multidisciplinary care which combines medical, rehabilitative and psychosocial support is essential for improving posture, quality of life and long-term rehabilitation outcomes. diplomska dela ortotika in protetika odsotnost zgornje okončine amputacija skolioza konzervativno zdravljenje kirurško zdravljenje spinalna ortoza diploma theses orthotics and prosthetics absence of upper limb amputation scoliosis conservative treatment surgical treatment spinal orthosis true false false [L. Kostanjšek] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2025-09-12 07:46:02 2025-09-12 07:46:05 2025-10-29 03:38:39 0000-00-00 00:00:00 2025 0 Ljubljana 0 Ljubljana 29 str. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 617.3 149512 248727043 53500.pdf 53500.pdf 1 D5CB2C51690EFB3E2908AE178506A263 ca1ee7517836fd8c9e5b8ca3a00f01107965db5a6a295f487e54c5f77b04053d 9bbf47c7-8f9b-11f0-9328-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=217091 Zdravstvena fakulteta 0 0 0