20.500.12556/RUL-184566 Fantomska bolečina, amputacije in delovna terapija diplomsko delo Phantom pain, amputations and occupational therapy diploma work Uvod: Fantomska bolečine je nevropatska bolečina, ki se pojavi v delu telesa, ki ne obstaja več. Najpogosteje se pojavi po amputaciji uda in je posledica zapletenih mehanizmov delovanja centralnega in perifernega živčnega sistema. Prisotna je pri večini oseb po amputaciji, pri manjšem deležu pa vztraja tudi kot kronična bolečina. Amputacija pomembno vpliva na posameznikovo telesno, psihološko in funkcionalno stanje, zato je rehabilitacija nujna in poteka v okviru multidisciplinarnega tima. Delovna terapija ima pri tem pomembno vlogo, saj posamezniku z uporabo terapevtskih aktivnosti omogoča ponovno vključevanje v vsakodnevne in zanj pomembne okupacije. Namen: Namen diplomskega dela je bil pregledati strokovno in znanstveno literature o tem, kakšna je vloga delovne terapije pri obvladovanju fantomske bolečine. Metode dela: Izveden je bil pregled literature v petih podatkovnih bazah z uporabo ključnih besed: fantomska bolečina, amputacija in delovna terapija. Iskanje je potekalo v slovenskem in angleškem jeziku, in sicer brez časovne omejitve. Rezultati: V končno analizo je bilo vključenih osem člankov. Glede na analizo izbranih člankov smo opredelili štiri področja delovnoterapevtskega delovanja pri obravnavi fantomske bolečine: terapija z ogledalom in podporne tehnologije, virtualna resničnost, namerna izvedba gibov s fantomskim udom ter podporne skupine. Razprava in zaključek: Delovna terapija se v obravnavo fantomske bolečine lahko vključuje predvsem z uporabo senzomotoričnih pristopov. Te temeljijo na nevroplastičnosti možganov, ki omogoča ponovno vzpostavljanje motoričnih povezav. S tem se zmanjšajo stopnja fantomske bolečine, njena pogostost in intenzivnost. Posledično se izboljša okupacijska participacija, zadovoljstvo posameznika, pri nekaterih pa se zmanjša odvisnost od analgetikov. Ugotavljamo, da je potrebnih več raziskav obravnavane tematike, ki bi omogočile širšo vključitev delovne terapije v obravnavo fantomske bolečine. Introduction: Phantom limb pain is a neuropathic pain that occurs in a part of the body that no longer exists. It most often occurs after amputation of a limb and is a consequence of complex mechanisms of the central and peripheral nervous system. It is present in most people after an amputation, but in a smaller proportion it also persists as chronic pain. Amputation significantly affects an individual's physical, psychological and functional state, which is why rehabilitation is necessary and takes place within the framework of a multidisciplinary team. Occupational therapy plays an important role in this, as it enables the individual to re-engage in everyday and important occupations with therapeutic activities. Purpose: The purpose of the diploma thesis was to review professional and scientific literature on the role of occupational therapy in managing phantom limb pain. Methods: A literature review was conducted in five databases using the keywords: phantom limb pain, amputation and occupational therapy. The search was conducted in Slovenian and English, with no time limit. Results: Eight articles were included in the final analysis. Based on the analysis of the selected articles, we have identified four areas of occupational therapy intervention in the treatment of phantom limb pain: mirror therapy and support technologies, virtual reality, phantom motor execution and support groups. Discussion and conclusion: Occupational therapy can be included in the treatment of phantom limb pain primarily by using sensorimotor approaches. These are based on the neuroplasticity of the brain, which enables the reestablishment of motor connections. This reduces the level of phantom limb pain, its frequency, and intensity. As a result, occupational participation and individual satisfaction improve, and in some cases, dependence on analgesics decreases. We conclude that more research is needed on the topic discussed, which would enable a broader inclusion of occupational therapy in the treatment of phantom limb pain. diplomska dela delovna terapija bolečina nevroplastičnost terapija z ogledalom virtualna resničnost stopnjevana motorična predstava diploma theses occupational therapy pain neuroplasticity mirror therapy virtual reality graded motor imagery true false false [M. Rejec] Slovenski jezik Angleški jezik Diplomsko delo/naloga 2026-07-10 07:45:56 2026-07-10 07:46:02 2026-07-17 09:54:21 0000-00-00 00:00:00 2026 0 Ljubljana 0 Ljubljana IX, 25 str., [3] str. pril. 0000-00-00 NiDoloceno NiDoloceno NiDoloceno 0000-00-00 0000-00-00 0000-00-00 615.851 160413 285199363 59598.pdf 59598.pdf 1 C7DBD246DF733684EEBB97ED94924076 bc25bfa9b6f73224f31fd220c1f04f8fd60bf22b71e4604b4bffaef0ae68f6c5 80756778-7c22-11f1-9b0d-0050569b8976 https://repozitorij.uni-lj.si/Dokument.php?lang=slv&id=237457 Zdravstvena fakulteta 0 0 0