Korektivne ortoze u liječenju idiopatske adolescentne skolioze

master's thesis

• Title (english): Braces in the treatment of adolescent idiopathic scoliosis
• Author: Hana Ćurtović
• Mentor: Tomislav Đapić (mentor)
• Committee member: Mislav Jelić (član povjerenstva)
• Committee member: Mislav Čimić (član povjerenstva)
• Committee member: Tomislav Đapić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Orthopedics); Zagreb
• Defense date and country: 2024-07-12, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Orthopedics

Abstract

Danas postoje brojne definicije skolioze, od kojih je trenutno najprihvaćenija ona koja definira
skoliozu kao kompleksnu trodimenzionalnu deformaciju kralježnice i trupa, koje se javlja u
naizgled zdrave djece i može progredirati pod utjecajem brojnih faktora tijekom bilo kojeg
rapidnog perioda rasta ili kasnije u životu. Pri dijagnosticiranju skolioze bazira se na kliničkom
pregledu i zlatnom standardu RTG snimke.
Skolioza je primarno promjena na kralješcima na koju se može djelovati na dva načina- ortozama
ili operacijom. Sekundarno skolioza dovodi do promjene 3D oblika trupa. Na remodeliranje
trupa djeluje se ortozom i specifičnim vježbama u koje treba biti uključen derotacijski
mehanizam disanja. Faktori koji utječu na razvoj kliničke slike su veličina i tip krivine, starost
pacijenta, redovitost nošenja ortoze i kvaliteta same ortoze. Postoje razni tipovi ortoza, od kojih
se danas najviše koriste Rigo – Cheneau ortoze. U ovom radu biti će opisane Rigo – Cheneau
tipovi ortoza dizajnirane po tipovima krivina te proces izrade ortoza.
Prilikom liječenja skolioza potreban je tim koji uključuje ortopeda, ortotičara, fizioterapeuta,
medicinske sestre i psihologa. Članovi tima međusobno bi trebali surađivati i zajedno postaviti
cilj liječenja koji je za svakog pacijenta individualan. Utjecaj nošenja ortoze na psihološko stanje
djeteta ključan je jer može značajno utjecati na suradljivost pacijenta i njegovo samopouzdanje,
stoga je bitno pružiti adekvatnu podršku i objasniti važnost terapije.

Abstract (english)

Today, there are numerous definitions of scoliosis, with the most accepted one describing
scoliosis as a complex three- dimensional deformity of the spine and torso that occurs in
otherwise healthy children and can progress due to various factors during any rapid growth
period or later in life. Diagnosis is based on clinical examination and the gold standard, X- ray
imaging.
Scoliosis primarily affects the vertebrae, which can be treated with braces or surgery.
Secondarily, scoliosis leads to changes in the 3D shape of the torso. Braces and specific
exercises, including derotational breathing mechanisms, are used to remodel the torso. Factors
influencing the clinical picture include the size and type of curve, the patient’s age, the regularity
of brace use and the quality of the brace itself. Various types of braces exist, with the Rigo –
Cheneau braces being the most commonly used today. This paper will describe Rigo – Cheneau
types of braces designed for different curve types and the brace making process.
Treating scoliosis requires a team that includes and orthopedist, orthotist, physical therapist,
nurses and a psychologist. Team members should collaborate and set an individualized treatment
goal for each patient. The impact of wearing a brace on a child’s psychological state is crucial, as
it can significantly affect patient compliance and self-esteem. Therefore, it is essential to provide
adequate support and explain the importance of therapy.

• Keywords: Ključne riječi: skolioza; ortoza; liječenje; efikasnost
• Keywords (english): scoliosis; brace; treatment; efficiency
• Language: croatian
• URN:NBN: urn:nbn:hr:105:359325
• Study programme: Title: Medicine; Study programme type: university; Study level: integrated undergraduate and graduate; Academic / professional title: doktor/doktorica medicine (doktor/doktorica medicine)
• Type of resource: Text
• File origin: Born digital
• Access conditions: Open access
• Created on: 2024-07-10 16:44:47