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Primerjava učinkovitosti različnih tipov opornic za zdravljenje adolescentne idiopatske skolioze - pregled literature : diplomsko delo
ID Verbič, Maša (Author), ID Stražar, Klemen (Mentor) More about this mentor... This link opens in a new window, ID Vauhnik, Renata (Reviewer)

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Abstract
Uvod: Adolescentna idiopatska skolioza (AIS) je stanje, ki prizadane 1–3 % otrok v rizični populaciji, v starosti med 10 in 16 let. Je tridimenzionalna deformacija hrbtenice, pri kateri pride do rotacije vretenc okoli lastne osi, lateralne ukrivljenosti hrbtenice in do sprememb v sagitalni ravnini. Vzrok za nastanek te deformacije ni še povsem znan, zdravljenje pa je usmerjeno predvsem v preprečevanje napredovanja ukrivljenosti hrbtenice. Obstajajo različni tipi opornic za AIS: torakolumbosakralne (Boston, Wilmington, Rigo-Cheneau), cervikotorakolumbosakralne (Milwaukee), nočne (Charleston, Providence) in dinamične mehke opornice (SpineCor). Namen: Namen diplomskega dela je narediti pregled literature na temo učinkovitosti različnih tipov opornic za zdravljenje AIS. Metode dela: Literatura je bila iskana v podatkovni zbirki PubMed s ključnimi besedami scoliosis AND (brace OR orthosis OR bracing) AND (SRS criteria OR comparison). Vključitvena merila so bila randomizirana kontrolirana raziskava (RCT) in primerjalna raziskava. Vključili smo samo raziskave, ki med seboj primerjajo dva ali več tipov opornic. Rezultati: Po pregledu vsebine smo izbrali 6 člankov, ki smo jih vključili v pregled literature. Rezultati so pokazali, da so rigidne opornice bolj učinkovite pri preprečevanju napredovanja krivin kot nočne ali dinamične. Učinkovitost je bila večja pri pacientih, ki so nosili celodnevne opornice v primerjavi z nočnimi. Razprava in zaključek: Izbira opornic pomembno vpliva na preprečevanje napredovanja deformacije. Rigidne opornice so najboljše za zdravljenje zmernih krivin pri skeletno nezrelih bolnikih. Primerjavo raziskav omejujejo metodološke razlike raziskav. V prihodnje priporočamo metodološko enotne raziskave in objektivno beleženje časa nošenja opornic.

Language:Slovenian
Keywords:diplomska dela, fizioterapija, adolescentna idiopatska skolioza, opornica, učinkovitost zdravljenja
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:[M. Verbič]
Year:2025
Number of pages:30 str.
PID:20.500.12556/RUL-177192 This link opens in a new window
UDC:615.8
COBISS.SI-ID:261865219 This link opens in a new window
Publication date in RUL:17.12.2025
Views:367
Downloads:111
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Secondary language

Language:English
Title:A comparison of effectiveness of different types of braces for the treatment of adolescent idiopathic scoliosis - literature review : diploma work
Abstract:
Introduction: Adolescent idiopathic scoliosis (AIS) is a condition that affects 1–3% of children in the at-risk population between 10 and 16 years. It's a threedimensional spinal deformity, constructed of vertebral rotation around its axis, lateral curvature of the spine, and changes in the sagittal plane. The exact reason for this deformity is still unknown, and treatment is primarily focused on stopping the progression of spinal curvature. Different types of braces for AIS include: thoracolumbosacral braces (Boston, Wilmington, Rigo-Chêneau), cervicothoracolumbosacral braces (Milwaukee), nighttime braces (Charleston, Providence), and dynamic soft braces (SpineCor). Purpose: The aim of this diploma work is to conduct a review on the effectiveness of various types of braces used in the treatment of AIS. Methods: The literature was searched in the PubMed database with the following keywords: scoliosis AND (brace OR orthosis OR bracing) AND (SRS criteria OR comparison). Inclusion criteria were randomized controlled trial (RCT) and comparative studies. Only studies comparing two or more types of different braces were included. Results: After reviewing their content, 6 articles were selected for the literature review. The results showed that rigid braces are more effective in preventing curve progression in comparison to nighttime or dynamic braces. Treatment was more effective in pacients wearing full-time braces compared to nighttime braces. Discussion and conclusion: The choice of brace significantly influences the progression of the deformity. Rigid braces are the best for treating moderate curves in skeletally immature patients. The comparison of studies is limited by methodological differences. Future research should aim for methodological consistency and objective monitoring of brace wear time.

Keywords:diploma theses, physiotherapy, adolescent idiopathic scoliosis, brace, treatment effectiveness

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