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Sindrom karpalnega kanala in edukacijski pristop v delovni terapiji : diplomsko delo
Prislan, Klara (Author), Šuc, Lea (Mentor) More about this mentor... This link opens in a new window, Vidovič, Marko (Co-mentor), Sicherl, Zorana (Reviewer)

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Abstract
Uvod: Sindrom karpalnega kanala je utesnitvena nevropatija. Znaki, ki spremljajo nevropatijo, so: mravljinčenje, mišična oslabelost in bolečina. Nevropatijo povzroči mehanski dinamični pritisk živca na določenem mestu. Ob zgodnjem diagnosticiranju se težave odpravljajo s pomočjo konzervativnega zdravljenja. Med učinkovite delovnoterapevtske intervencije spadajo: edukacija uporabnika o pravilni uporabi roke med izvajanjem dnevnih aktivnosti, nočna opornica, ergonomska načela in ergonomske prilagoditve. Namen: Namen diplomskega dela je bil preveriti učinkovitost delovnoterapevtske obravnave z uporabo opornic in edukacijskega pristopa. Metode dela: Za zbiranje podatkov smo uporabili kvantitativno metodo zbiranja podatkov. Raziskava je prospektivna. Napredek smo ocenjevali s Kanadskim testom izvedbe dejavnosti, Bostonskim vprašalnikom, Testom škatle in kock, oceno grobe moči fleksorjev prstov, testom občutljivosti na pritisk, ločevanjem toplo - hladno in vprašalnikom o upoštevanju navodil. Izračunali smo mere centralnih tendenc in mero razpršenosti. Za statistično analizo smo uporabili parni T test in T test za neodvisne vzorce. Rezultati: Vključenih je bilo 10 uporabnikov, ki so bili zaradi izdelave opornice napoteni v URI Soča. Pri nošnji opornic so se pri obeh skupinah pokazale statistično značilne spremembe. Izjema je ocenjevanje občutljivosti na pritisk. Statistično pomembne razlike se v skupini z dodanim edukacijskim pristopom ne pokažejo, razen pri Bostonskem vprašalniku in ocenjevanju občutljivosti na pritisk, merjeno na mezincu in distalnem delu hipotenarja. Razprava in zaključek: Iz rezultatov začetnih in končnih ocenjevanj razberemo, da je delovnoterapevtska obravnava pri sindromu karpalnega kanala učinkovita. V naši raziskavi smo dokazali statistično pomembno izboljšanje pri nošnji opornic. Edukacijski pristop se je izkazal kot neučinkovit, vendar so tendence pozitivne. Zato je za nadaljnje raziskovanje potrebno povečati število uporabnikov. Diplomsko delo predstavlja splošen pregled informacij o sindromu karpalnega kanala. Nastala so navodila za prilagojeno uporabo roke v vsakodnevnih aktivnostih, ki v slovenskem jeziku še niso bila napisana. Kljub temu, da njihove učinkovitosti nismo znanstveno dokazali, menimo, da so uporabno orodje za nadaljnjo uporabo pri uporabnikih s sindromom karpalnega kanala.

Language:Slovenian
Keywords:diplomska dela, delovna terapija, sindrom karpalnega kanala, statična opornica, edukacijski pristopi, delovnoterapevtska obravnava
Work type:Bachelor thesis/paper (mb11)
Tipology:2.11 - Undergraduate Thesis
Organization:ZF - University College of Health Studies
Year:2020
Publisher:[K.Prislan]
Number of pages:33 str., [10] str. pril.
UDC:615.851
COBISS.SI-ID:45074691 Link is opened in a new window
Views:156
Downloads:72
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Secondary language

Language:English
Title:Occupational therapy for carpal tunnel syndrome – educational approach : diploma work
Abstract:
Introduction: Carpal tunnel syndrome is a peripheral neuropathy. Signs, which accompany the neuropathy, are tingling, muscle weakness and pain. A dynamic mechanic pressure on the nerve at a particular point causes neuropathy. With early diagnostics, the difficulties are being eliminated by conservative treatment. Considered among effective occupational therapy interventions are education of the patient about the correct use of the hand during daily activities, night splint, ergonomic principles and ergonomic adjustments. Purpose: The purpose of this diploma work was to test the effectiveness of occupational therapy intervention using splints and educational approach respectively. Methods: We used quantitative method for data gathering. The research was prospective. Progress was assessed with the Canadian occupational performance measure, the Boston Carpal Tunnel Syndrome Questionnaire, the Box and Block Test, the Assessment of hand-grip, the Sensitivity Test with monofilaments, the Sensitivity Test hot and cold and a questionnaire for following instructions. We calculated rates of central tendencies and dispersion rate. For the statistical analysis, we used the even T-test and T-test for independent cases. Results: Ten patients that were referred for the making of a splint in URI Soča were included in this test. Both groups showed statistically important changes typical for wearing a splint. A difference occurred in the Sensitivity Test with monofilaments. Statistical important changes in the group with the educational approach are not showing, except in the Sensitivity Test with monofilaments measured on the little finger and the distal hypothenar. Discussion and conclusion: We can discern from the results of preliminary and final tests, that the occupational therapy intervention for the carpal tunnel syndrome is effective. During our research, we proved a statistical important improvement with wearing a splint. Educational approach showed as ineffective, but with positive. Therefore, for future researches an increase in the number of patients is required. The thesis represents a general review of information about the carpal tunnel syndrome. Instructions for adjusted hand usage during daily activities were made in Slovenian language, which do not exist prior to this. Although we did not scientifically prove their effectiveness, we think that they are a useful tool for further use with patients with the carpal tunnel syndrome.

Keywords:diploma theses, occupational therapy, carpal tunnel syndrome, splint, educational approaches, occupational therapy intervention

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