Neoperacijsko liječenje skolioza

master's thesis

• Title (english): Non-surgical scoliosis treatment
• Author: Zdenko Guć
• Mentor: Tomislav Đapić (mentor)
• Committee member: Ivan Bojanić (predsjednik povjerenstva)
• Committee member: Tomislav Smoljanović (član povjerenstva)
• Committee member: Tomislav Đapić (član povjerenstva)
• Granter: University of Zagreb; School of Medicine; (Department of Orthopedics); Zagreb
• Defense date and country: 2018-07-13, Croatia
• Scientific / art field, discipline and subdiscipline: BIOMEDICINE AND HEALTHCARE; Clinical Medical Sciences; Orthopedics

Abstract

Skolioza je medicinsko stanje koje bi, u najširem značenju, bilo opisano kao postranični zavoj kralježnice. U užem smislu, skolioza je bolest u kojoj postoji trodimenzionalna deformacija kralježnice: postranični pomak u frontalnoj, udružena lordozu ili kifozu u sagitalnoj i torzija i rotacija kralježaka u horizontalnoj ravnini. Kroz povijest su se prije svega koristile neoperacijske, odnosno konzervativne metode, kojima se pokušalo zaustaviti pogoršanje ili čak u potpunosti izliječiti osobe sa skoliozom. Danas su se kao glavne metode neoperacijskog liječenja, isprofilirale dvije osnovne metode: fizikalna terapija i terapija ortozama. Fizikalna terapija ima više različitih oblika i metoda tjelovježbe, od kojih su se neke razvijale od početaka 20-og stoljeća. Danas one se primjenjuju zasebno ili sinergistički, ovisno o potrebama svakog pacijenta. Do danas su se razvili brojni oblici ortoza koje koristimo pri liječenju skolioza – s obzirom od koliko dijelova su rađene, na koji dio kralježnice djeluju, od kojih su materijala itd. Unatoč znanstvenim radovima koji dovode u pitanje učinkovitost, neoperacijsko, odnosno konzervativno liječenje skolioza ostaje glavni način sprječavanja progresije i liječenja skolioze, koji pacijentima sa skoliozom pomaže prije nego skolioza dođe do stadija u kojem im je potreban opsežni operacijski zahvat. Stoga neoperacijsko liječenje skolioza danas ostaje veliko područje interesa liječničke struke.

Abstract (english)

Scoliosis is a medical condition that, in the broadest sense, is described as a lateral curvature of the spine. In the narrow sense, scoliosis is a disease in which there is a three-dimensional deformation of the spine: a lateral shift in frontal, jointed lordosis or kyphosis in sagittal and torsion and vertebrae rotation in a horizontal plane. throughout the history methods have been developed which have been used as people tried to cure scoliosis. These were, first and foremost, non-surgical or conservative methods, which sought to stop the deterioration or even completely cure the scoliosis. Today, as the main methods of non surgical treatment, two basic methods are used : physical therapy and orthotics therapy. Physical therapy has many different forms and methods of exercise, some of which have been developed since the early 20th century. Today they are applied separately or synergistically, depending on the needs of each patient. To date, many forms of orthosis have been developed that we use in the treatment of scoliosis – they are divided into categories by how many parts are they made of, what part of the spine do they treat, which material are they made of, etc. Despite scientific disagrement over their efficiency, non-surgical or conservative treatment of scoliosis remains the main method of preventing progression and as treatment of scoliosis, which helps patients with scoliosis before scoliosis reaches the stage where they need an extensive surgical procedure. Therefore, non-surgical treatment of scoliosis remains a major area of interest in the medical profession.

• Keywords: skolioza; konzervativno; fizikalna terapija; ortoza
• Keywords (english): scoliosis; conservative; physical therapy; orthotics
• Language: croatian
• URN:NBN: urn:nbn:hr:105:571755
• 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: 2018-12-20 14:02:20