625 KB35 KB200820252021Mohar, JanezRojc, MarinaUdovčić Pertot, Anjaštevilka:2letnik:20str. 86-93ISSN:1580-9315COBISSID_HOST:94020099URN:URN:NBN:SI:doc-43JH58SZslUniverzitetni rehabilitacijski inštitut Slovenije - SočaRehabilitacija (Ljubljana)adolescentsfizioterapijaidiopathic scoliosisidiopatska skoliozanajstnikortoza za hrbtenicophysiotherapyrehabilitationScoliosisspinal orthosistreatmentzdravljenjeAdolescentna idiopatska skolioza| Adolescent idiopathic scoliosis|Adolescent idiopathic scoliosis (AIS) is the most common form of structural spinal deformities, it is diagnosed by measuring Cobb angle (CK) on posteroanterior radiograph, when CK is 10° or higher and vertebral rotation on the apex of the curve can be recognised. AIS affects between 2 % and 3 % of adolescents. It is more common in young women than in young men. Ethology of disease is unknown, nonetheless, a range of hypotheses have been proposed to explain its origin. With the general belief that AIS is a multifactorial disorder, it is likely that there is no single cause for it. Idiopathic scoliosis (IS) most commonly appears in periods of growth spurts: generally, between 6 and 24 months (infantile form), between the age of 5 and 8 years (juvenile form), and at the age of 11 to 14 years of life (adolescent form). Progression of the curve is connected with growth potential (age, menarche, Risser sign, Tanner-Whitehouse scale, Sanders scale) and curve type and size. There are many different classifications of idiopathic scoliosis which are relevant for conservative and operative treatment. In last decade many high-quality studies have been published that demonstrate the effectiveness of a multidisciplinary approach in treatment of AIS with physiotherapeutic specific scoliosis exercisesAdolescentna idiopatska skolioza (AIS) je najpogostejša strukturna deformacija hrbtenice, ki jo diagnosticiramo na podlagi merjenja Cobbovega kota (CK) na posteroanteriornem rentgenskem posnetku, kadar je večji od 10° in je ob tem pridružena rotacija vretenc na vrhu krivine. AIS se v splošni populaciji pojavlja v 2 % do 3 % in je pogostejša pri dekletih. Etiologija bolezni je neznana, obstajajo pa številne hipoteze za njen nastanek. Splošno sprejeto dejstvo je, da je AIS multifaktorska bolezen in zanjo ne obstaja en sam vzrok. Idiopatska skolioza se lahko razvije kadarkoli v otroštvu in puberteti. Najpogosteje se razvije med obdobji hitre rasti: med šestim in 24. mesecem (infantilna oblika), petim in osmim letom (juvenilna oblika) ter 11. in 14. letom (adolescentna oblika). Nevarnost napredovanja krivine je povezana z rastnim potencialom (starost, menarha, Risserjev znak, Tanner-Whitehouse stadij, Sanders stadij) in z lastnostmi krivine (velikost, tip krivine). Obstajajo različne klasifikacije bolezni, ki nam pomagajo pri odločanju glede zdravljenja. V zadnjih desetih letih so bile objavljene številne raziskave, ki dokazujejo uspešnost multidisciplinarnega pristopa k zdravljenju s kombinacijo nošenja korekcijske ortoze in izvajanjem za skoliozo specifičnih fizioterapevtskih vajTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaUniverzitetni rehabilitacijski inštitut RS – Soča