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Schrothov pristop fizioterapevtskega zdravljenja adolescentne idiopatske skolioze : diplomsko delo
ID Rus, Špela (Author), ID Divjak, Mojca (Mentor) More about this mentor... This link opens in a new window, ID Naglič, Nada (Co-mentor)

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Abstract
Uvod: Skolioza je izraz, ki obsega heterogeno skupino stanj, ki jih tvorijo spremembe v obliki in položaju hrbtenice, prsnega koša in trupa. Adolescentna idiopatska skolioza je tridimenzionalna deformacija hrbtenice in je najpogostejša oblika skolioze. Diagnoza AIS je izločevalna in je postavljena le, ko so drugi vzroki skolioze, kot so vertebralne nepravilnosti, nevromuskularne motnje in drugi sindromi izključeni. Namen: Namen diplomskega dela je na podlagi pregleda literature proučiti učinke Schrothove metode pri fizioterapevtski obravnavi mladostnikov z adolescentno idiopatsko skoliozo. Metode dela: Diplomsko delo temelji na pregledu literature. Pregledali smo raziskave s področja zdravljenja adolescentne idiopatske skolioze po Schrothovi metodi. Literaturo smo iskali s pomočjo elektronskih baz podatkov PubMed, DiKUL, ScienceDirect in knjižnice Zdravstvene fakultete Univerze v Ljubljani. Iskanje je bilo omejeno na angleške in slovenske članke ter knjižno literaturo, raziskave, uporabljene v diplomskem delu, pa niso bile starejše od 10 let. Uporabljene raziskave so ocenjene po lestvici PEDro s povprečno oceno 7,25. Rezultati: Na podlagi vključitvenih in izključitvenih kriterijev je bilo podrobno pregledanih in vključenih 5 raziskav. Razprava in zaključek: Močni dokazi razreda I, ki podpirajo uporabo posebnih fizioterapevtskih vaj za obravnavo mladostnikov z idiopatsko skoliozo, se hitro zbirajo. Med vsemi fizioterapevtskimi pristopi je metoda Schroth med najbolj proučevanimi in uporabljenimi. Zdravstvene posledice napredovanja največje krivine za več kot 5° po Cobbu ali vsote krivin za več kot 10° po Cobbu v času šestih mesecev niso popolnoma dokumentirane, a jasno je, da je cilj vsakega terapevtskega pristopa k obravnavi skolioze preprečitev napredovanja krivine v obseg, kjer bi bila upravičena sprememba v obliki zdravljenja skolioze.

Language:Slovenian
Keywords:adolescentna idiopatska skolioza, metoda Schroth, mladostniki, konzervativno zdravljenje, fizioterapevtska obravnava
Work type:Bachelor thesis/paper
Organization:ZF - Faculty of Health Sciences
Year:2018
PID:20.500.12556/RUL-104016 This link opens in a new window
COBISS.SI-ID:5500523 This link opens in a new window
Publication date in RUL:30.09.2018
Views:2554
Downloads:895
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Secondary language

Language:English
Title:Schroth method of physiotherapeutic treatment of adolescent idiopathic scoliosis : diploma work
Abstract:
Introduction: Scoliosis is a term comprising a heterogeneous group of conditions consisting of changes in the shape and position of the spine, thorax and trunk. Adolescent idiopathic scoliosis is a tri-dimensional deformity of the spine and is the most common form of scoliosis. The diagnosis of adolescent idiopathic scoliosis is one of exclusion, and is made when other causes (such as vertebral malformations, neuromuscular disorders and other syndromes) have already been excluded. Purpose: The purpose of the thesis was to research the effects of the Schroth method of physiotherapeutic treatment of adolescent idiopathic scoliosis, based on a literature review. Methods: The thesis is based on a literature review of existing research on treatment of adolescent idiopathic scoliosis with the Schroth method. The literature search was conducted using bibliographic databases (PubMed, DiKUL, ScienceDirect) and the electronic catalogue of the library of the Faculty of Health Sciences, University of Ljubljana. The search was restricted to English and Slovene articles and books; the studies used in the thesis were not older than 10 years. They were evaluated according to the PEDro scale with an average score of 7.25. Results: Based on the inclusion and exclusion criteria, 5 researches were included and reviewed. Discusion and conclusion: High-quality evidence supporting the use of physiotherapeutic scoliosis-specific exercises for adolescent idiopathic scoliosis is rapidly emerging. Among all physiotherapeutic scoliosis-specific exercises, the Schroth method is one of the most studied and used. While the consequences of progression of the largest curve by >5° or of the sum of curves by >10° over 6 months are not documented, the goal of every therapy is to stop progression into the range where a change in care would be warranted.

Keywords:adolescent idiopathic scoliosis, Schroth method, adolescents, conservative treatment, physiotherapeutic treatment

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