Razvoj Milwaukee ortoze in primerjava učinkovitosti z ostalimi načini zdravljenja skolioz : pregled literature

Tivadar, Anja (author), Horvat, Josip (mentor)

Uvod: Spinalne deformacije spremljajo človeka že od nekdaj. Ena izmed deformacij je skolioza, za katero je značilna nagnjenost hrbtenice vstran in rotacija vretenc. Deformacije lahko zmanjšamo ali ustavimo njihovo napredovanje z ortozami. Korekcijska spinalna ortoza Milwaukee, ki se uporablja za zdravljenje skolioze, se je od svoje prve konstrukcije z leti spreminjala. Vedno novejša spoznanja in veliko raziskav je vplivalo na spremembo ortoze. Namen: Namen diplomskega dela je predstaviti konstrukcijski razvoj Milwaukee ortoze od njenega nastanka pa vse do danes. Cilj je prikazati učinkovitost ortoze v primerjavi s preostalimi konzervativnimi metodami zdravljenja ter v primerjavi z operativnim zdravljenjem. Metode dela: V diplomskem delu smo uporabili deskriptivno metodo s sistematičnim pregledom literature. Pri iskanju smo uporabili časovni okvir, in sicer od leta 2006 do 2016, razen knjige Milwaukee brace, ki je iz leta 1976. Literaturo smo iskali v angleškem in slovenskem jeziku. V rezultate smo zaradi opuščanja uporabe Milwaukee ortoze, ter pomanjkanja mlajših raziskav od 10 let, vključili članke od 1980 do 2003. Rezultati: Analizirali smo 12 raziskav. Rezultati so razvrščeni v štiri sklope in v treh tabelah prikazujejo ugotovitve raziskav in učinkovitost Milwaukee ortoze v primerjavi s preostalimi konzervativnimi metodami zdravljenja, v primerjavi z ortozami ter v primerjavi z operativnim zdravljenjem. Tabele prikazujejo število vključenih v raziskave, začetni in končni Cobbov kot, starost ob začetku in koncu zdravljenja in čas trajanja zdravljenja. Razprava in sklep: Po pregledu literature smo ugotovili, da Milwaukee ortoza v primerjavi s preostalimi konzervativnimi metodami zdravljenja prikazuje učinkovite rezultate, vendar med posameznimi metodami ni bistvenih razlik. V primerjavi s preostalimi ortozami za zdravljenje skolioze, je Milwaukee ortoza učinkovita, vendar so se nekatere TLSO ortoze in Boston ortoza izkazale za bolj učinkovite. Iz raziskav je razvidno, da operativno zdravljeni pacienti, v primerjavi s pacienti zdravljenimi z Milwaukee ortozo, dosegajo boljše rezultate glede same korekcije in velikosti krivine.

• Language: Slovenian
• Keywords: Milwaukee ortoza, razvoj Milwaukee ortoze, uporaba Milwaukee ortoze, skolioza, zdravljenje skolioze
• Work type: Bachelor thesis/paper
• Organization: ZF - Faculty of Health Sciences
• Year: 2017
• PID: 20.500.12556/RUL-96448
• COBISS.SI-ID: 5310571
• Publication date in RUL: 02.10.2017

Secondary language

• Language: English
• Title: Development of Milwaukee orthosis and the comparison of efficiency with other ways of treatment of scoliosis : literature review

Abstract

Introduction: Spinal deformities are present for a very long time. One of the spinal deformity is scoliosis, which is characterised by the lateral tendency of the spine and the rotation of the vertebrae. Impact of spinal deformities can be reduced or at least their progress can be stopped with braces. Correction spinal ortosis Milwaukee, which is use for treatment of scoliosis, has changed during its first application. Orthosis modification was improved due to new research findings. Purpose: The purpose of my diploma paper is to present constructional development of the Milwaukee orthosis since first application until today. Goal is to demonstrate effectiveness of Milwaukee brace compared to other conservative treatments and to surgical treatment. Methods: In the diploma paper, descriptive method with systematic overview of already existing literature is used. Included is a time frame from 2006 to 2016, except the book Milwaukee brace, which is from 1976. Literature in English and Slovene was searched. Included are also articles from 1980 to 2003 due to lack of research in the last 10 years and due to little application of the Milwaukee brace. Results: 12 articles were analysed. The results are divided into four sections and they are showed in three tables of research findings on Milwaukee brace effectiveness compared to other conservative treatments and surgical treatments. The results in tables show numbers of patients participating in each research. Also shown are average age, time of treatment and the Cobb angle before and after treatment. Discussion and conclusion: After the examination of the literature it was discovered that the Milwaukee brace compared to other conservative treatment shows effective results, but between each method there are actually no differences. Compared with other braces for the treatment of scoliosis, Milwaukee brace is effective, but some TLSO and Boston orthosis proved to be more effective. The studies show that the surgically treated patients compared to patients treated with Milwaukee brace, can achieve better correction and the size of the curve.

• Keywords: Milwaukee brace, development of Milwaukee brace, use of Milwaukee brace, scoliosis, treatment of scoliosis