Konzervativno zdravljenje adolescentne idiopatske skolioze : pregled literature

Tekavc, Sergeja (author), Divjak, Mojca (mentor)

Uvod: Adolescentna idiopatska skolioza je najpogostejša deformacija hrbtenice, ki se pojavi med hitro rastjo le te v puberteti. To je tridimenzionalna deformacija, ki je definirana kot lateralno krivljenje in rotacija hrbtenice, ki znaša več kot 10°, merjeno po Cobbu. Za zdravljenje skolioze se uporabljajo različne ortoze. Cilj ortotičnega zdravljenja je preprečitev napredovanja deformacije, v času pacientove rasti ter stabilizacija hujših oblik. Namen: Namen diplomskega dela je ugotoviti ali se učinkovitost ortoz povečuje sorazmerno z njihovim kronološkim razvojem ter katera ortoza je danes najprimernejša za zdravljenje adolescentne idiopatske skolioze. Metode: V diplomskem delu smo uporabili deskriptivno metodo s sistematičnim pregledom literature. Pri iskanju smo uporabili časovni okvir, in sicer od leta 2007 do 2017. Literaturo smo iskali v angleškem jeziku s ključnimi besedami spinal deformity, spinal curvature, spinal orthosis v podatkovnih bazah Medline (PubMed), CINAHL, COBIB.SI. V analizo smo vključili 15 člankov. Rezultati: Za zdravljenje adolescentne idiopatske skolioze se danes v Evropi največ uporablja Rigo System Chêneau ortoza, ki je najbolj funkcionalno zadovoljiva. Prav tako je zadovoljiv estetski faktor, saj je pod oblačili skoraj neopazna. Razprava in zaključek: Bolečine, respiratorne težave, nestabilnost se lahko pojavijo kot posledice skolioze. Ortotik predstavlja pomembnega člana multidisciplinarnega tima pri obravnavi pacientov z adolescentno idiopatsko skoliozo. Njegova naloga je, da izbere najbolj optimalno ortozo za vsakega posameznika, glede na velikost in višino krivine. Pomembno je, da ortozo dobro izdela, saj je od tega odvisno učinkovitost zdravljenja.

• Language: Slovenian
• Keywords: spinalne deformacije, spinalne krivine, spinalne ortoze
• Work type: Bachelor thesis/paper
• Organization: ZF - Faculty of Health Sciences
• Year: 2017
• PID: 20.500.12556/RUL-96445
• COBISS.SI-ID: 5310059
• Publication date in RUL: 02.10.2017

Secondary language

• Language: English
• Title: Conservative treatment of adolescent idiopathic scoliosis : literature review

Abstract

Introduction: Adolescent idiopathic scoliosis is one of the most common spinal deformation, which usually emerge in puberty. It is a three-dimensional deformation, defined as a lateral curvature of the spine on the frontal plane and rotation, usually greater than 10° when measured on a radiograph using the Cobb method. Different orthoses are used for treating scoliosis. Their goal is to prevent progression of scoliosis and stabilization of the spine. Purpose: The purpose of this thesis is to find out two things: if the efficiency of orthoses is increasing with time and which orthosis is the most suitable for treatment of adolescent idiopathic scoliosis. Methods: The main method used in this thesis is the descriptive method with systematic review of literature. The time frame of the reviewed literature spans from the year 2007 to 2017. Search criteria for literature was in English language, with keywords: spinal deformity, spinal curvature, spinal orthosis, including data bases Medline (PubMed), CINAHL, COBIB.SI. We included 15 articles in the analysis. Results: Today the most popular orthosis for treatment adolescent idiopathic scoliosis in Europe is Rigo System Chêneau. It is known as the most functional and aesthetical orthosis. The usage of the named orthosis is not the only chosen oprion, scince the patient treatment is individual. Discussion and conclusion: Pain, respiratory disfunction, and instability are possible results of scoliosis. Orthotist represents an important member of multidisciplinary team. His role is to choose optimal solution for every patient, depending on the given prognosis.

• Keywords: spinal deformity, spinal curvature, spinal orthosis