Učinkovitost fleksibilne korekcijske spinalne ortoze za zdravljenje skolioze - TriaC ortoza : diplomsko delo

Kosi, Nina (author), Divjak, Mojca (mentor), Horvat, Josip (comentor)

Uvod: Ena najpogostejših deformacij hrbtenice, s katero se srečujemo, je skolioza. Najlažje jo opišemo, če govorimo o dimenzionalni ukrivljenosti hrbtenice v vseh treh ravninah. Deformacijo glede na določene parametre lahko zdravimo operativno ali konzervativno z uporabo različnih spinalnih ortoz. Ravno elastična TriaC ortoza je tista, ki je v nekaterih primerih najbolj primerna oblika za konzervativno zdravljenje le-te. Njen prvoten cilj je zmanjšanje progresije deformacije in krivine poravnavati v normalen anatomski položaj. Namen: Namen diplomskega dela je predstaviti konstrukcijo elastične korekcijske spinalne ortoze TriaC, njeno učinkovitost pri zdravljenju skolioz skozi čas na podlagi predhodno opravljenih raziskav. Metode dela: Za izdelavo diplomskega dela smo uporabili opisno oziroma deskriptivno metodo zbiranja literature s pomočjo domačih in tujih virov. Izbrano literaturo smo pridobili preko mednarodnih baz podatkov z uporabo ključnih besed. Izbirali smo jo glede na časovni okvir 2008–2018, ker pa je ortoza TriaC bila nekoč bolj uporabljana in raziskovana, smo uporabili tudi starejše klinično pomembne študije. Rezultati: Na temo TriaC ortoze smo našli štiri uporabne članke, katere smo medsebojno primerjali in predstavili. Za boljšo primerjavo smo uporabili drugo različico elastičnih spinalnih ortoz – SpineCor ortozo. Razprava in sklep: TriaC ortoza je ena izmed fleksibilnih dinamičnih ortoz, ki je bila razvita z namenom udobja, kozmetike in možnostjo nadzora med samo uporabo. Njena prepoznavna lastnost je ustvarjanje neprekinjenih korekcijskih sil na hrbtenico v vseh položajih in s tem doseganje korekcije, ki ni le posledica delovanja zunanjih sil, ampak tudi notranjih sil, ki jih ustvarijo mišice. Je edina ortoza, ki se začne graditi od glavne zgornje krivine navzdol. Ortoza je najbolj primerna za korekcijo lumbalnih krivin, manj za torakalne in dvojne krivine. Večji pozitivni učinek kaže na področju kozmetike, prilagodljivosti in udobja v primerjavi z ostalimi rigidnimi ortozami.

• Language: Slovenian
• Keywords: TriaC ortoza, skolioza, hrbtenica, deformacije hrbtenice, spinalne ortoze
• Work type: Bachelor thesis/paper
• Organization: ZF - Faculty of Health Sciences
• Year: 2018
• PID: 20.500.12556/RUL-104071
• COBISS.SI-ID: 5506155
• Publication date in RUL: 04.10.2018

Secondary language

• Language: English
• Title: Corrective spinal brace for conservative treatment of patients with scoliosis - TriaC brace : literature review

Abstract

Introduction: One of the most common spinal deformations we encounter is scoliosis. It is easiest to describe it if we speak on the dimensional curvature of the spine in all three planes. We can treat deformation with regards to certain parameters operatively or conservatively with the use of various spinal orthoses. Especially TriaC brace is the one which is the most appropriate form in some cases to treat the spine conservatively. Its primary goal is to reduce the progression of deformation and to align the curvatures into a normal anatomic position. Purpose: The purpose of the bachelor’s thesis is to present the construction of the elastic correctional spinal orthosis TriaC, its efficiency in the treatment of scolioses through time on the basis of the previously performed research. Methods: In order to produce the bachelor’s thesis, we used the descriptive method of collecting literature by means of domestic and foreign sources. The selected literature was collected through the international databases by the use of keywords. We selected it with regards to the timeframe 2008-2018. Because the TriaC brace was more used and researched in past, however, we also used older clinically relevant studies. Results: We found four useful articles on the topic of the TriaC brace. We compared them and presented them. For a better comparison, we used the second version of the elastic spinal orthoses – the SpineCor orthosis. Discussion and conclusion: TriaC brace is one of the flexible dynamic orthoses which was developed with the purpose of the comfort, cosmetics, and the option of control between the uses. Its recognizable characteristic is creating continuous correctional forces on the spine in all the positions and thus achieving the correction which is not only a consequence of outer forces but also internal forces which are created by muscles. It is the sole orthosis which begins building from the main upper curvature downwards. The orthosis is the most appropriate for the correction of lumbar curvatures. It is less appropriate for thoracic and double curvatures. The larger positive effect is shown in the field of cosmetics, adjustability, and comfort in comparison to other rigid orthoses.

• Keywords: TriaC brace, scoliosis, spine, spine deformation, spinal orthosis