20.500.12556/RUL-177355 Izdelava in primerjava ortoz za sindrom karpalnega kanala diplomsko delo Manufacture and comparison of orthoses for carpal tunnel syndrome diploma work Uvod: Sindrom karpalnega kanala je najpogostejša utesnitev perifernih živcev, povezana z različnimi dejavniki, kot so ponavljajoči se gibi, vibracije, genetska predispozicija in specifična stanja. Klinična diagnoza temelji na odrevenelosti, mravljinčenju in nočnih parastezijah. Zdravljenje vključuje konzervativne metode in kirurške posege, pri čemer ortoza za zapestje učinkovito zmanjšuje pritiske na mediani živec. Namen: Namen diplomskega dela je izdelava dveh po meri prilagojeni ortoz za pacienta s sindromom karpalnega kanala in primerjava po meri narejenih ortoz s komercialnimi ortozami. Metode dela: Diplomsko delo temelji na praktičnem delu. Za pacienta s sindromom karpalnega kanala smo po meri izdelali dve funkcionalni ortozi iz polietilena in polietilenske pene, namenjeni poravnavi zapestja in razbremenitvi karpalnega kanala. Postopek je vključeval odvzem mer, izdelavo mavčnih negativov in pozitivov, obdelavo modela ter oblikovanje in prilagoditev ortoz. Rezultati:. Ortozi sta se dobro prilegali, bila je potrebna le prilagoditev paščkov. Po začetnem nelagodju se je nošenje izboljšalo. Zaradi resnosti sindroma je bila potrebna operacija, zato dolgoročne učinkovitosti ortoz nismo mogli oceniti. Razprava in zaključek: Sindrom karpalnega kanala je najpogostejša ukleščena nevropatija zgornjih okončin. Konzervativno zdravljenje, kot je nošenje ortoz, se priporoča pri blagih do zmernih simptomih, saj zmanjša pritisk na mediani živec in oblaži simptome. Študije kažejo, da so ortoze po meri učinkovitejše kot komercialne, vendar je razlika majhna. Ortozi sta ustrezali, saj se po 30-dnevnem nošenju niso pojavile rdečine ali draženje kože. Introduction: Carpal tunnel syndrome is the most common peripheral nerve entrapment disorder, associated with various factors such as repetitive movements, vibrations, genetic predisposition, and specific conditions. Clinical diagnosis is based on numbness, tingling, and nighttime paresthesias. Treatment includes conservative methods and surgical procedures, with wrist orthoses effectively reducing pressure on the median nerve. Purpose: The purpose of this thesis is to create two custom-made orthoses for a patient with carpal tunnel syndrome and to compare custom-made orthoses with commercial orthoses. Methods: The thesis is based on practical work. We custom-made two functional orthoses from polyethylene and polyethylene foam for a patient with carpal tunnel syndrome, designed to align the wrist and relieve pressure on the carpal tunnel. The procedure included taking measurements, making plaster negatives and positives, processing the model, and designing and adjusting the orthoses. Results: We made two night orthoses for the patient with carpal tunnel syndrome. The orthoses fit well, only the straps needed to be adjusted. After some initial discomfort, wearing the orthoses improved. Due to the severity of the syndrome, surgery was necessary, so we were unable to assess the long-term effectiveness of the orthoses. Discussion and conclusion: Carpal tunnel syndrome is the most common entrapment neuropathy of the upper extremities. Conservative treatment, such as wearing orthoses, is recommended for mild to moderate symptoms, as it reduces pressure on the median nerve and alleviates symptoms. Studies show that custom-made orthoses are more effective than commercial ones, but the difference is small. The orthosis was suitable as no redness or skin irritation occurred after 30 days of wearing it. diplomska dela ortotika in protetika karpalni kanal sindrom karpalnega kanala mediani živec zapestje diploma theses orthotics and prosthetics carpal tunnel carpal tunnel syndrome median nerve wrist true false false [M. Ferlič] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2025-12-21 07:45:43 2025-12-21 07:45:58 2025-12-30 03:55:56 0000-00-00 00:00:00 2025 0 Ljubljana 0 Ljubljana 29 str., [1] str. pril. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 617.3 158204 262478339 57089.pdf 57089.pdf 1 ED864EB708AE369BED9A6B4B3F74DB4C defede369d8506b9d664b74678b9735b6a7d55b7be9f03d6876f3c9609eae0f0 44736147-de38-11f0-9328-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=224318 Zdravstvena fakulteta 0 0 0