The estimated percentage of individuals with COVID-19 due to infection with SARS-CoV-2 in need of hospitalization mostly increases proportionally with age, reaching almost 10% for those older than 60 years. Among hospitalized patients, one-fifth require treatment in the intensive care unit (ICU) due to acute respiratory distress syndrome, multiorgan failure, or hypoxemic respiratory insufficiency. Patients with moderate and severe COVID-19 who were hospitalized during the early stages of the pandemic and who continue to be hospitalized report fatigue, muscle weakness, joint stiffness, reduced mobility, increased risk of falls, and impaired quality of life. Physiotherapy is recognized to be important in the rehabilitation of COVID-19 patients requiring hospitalization. The current physiotherapy guidelines and recommendations for individuals with COVID-19, which include treatment methods and outcome measures for evaluation of the effects on respiratory and physical function and quality of life, are those established from the pre-COVID-19 era. The available extant scientific literature mainly reported the effect of physiotherapy in patients with COVID-19 in the acute, hospitalization courses of the disease, while there is a lack of quality primary, experimental studies on the effects of physiotherapy in rehabilitation of post-COVID-19 patients after hospitalization. This review aims to present an update on the effects of physiotherapy on rehabilitation and quality of life in patients hospitalized for COVID-19 and the findings from key studies published between 2020 and 2022.
Introduction : Scoliosis is a three-dimensional deformity of the spine that is defined mainly on the basis of lateral curvature of the spine. It is divided into functional and structural scoliosis. Scoliosis can lead to prolonged improper posture, back pain
Background: Identifying risk factors for the occurrence of cardiovascular diseases (CVD) is the first step in developing a prevention strategy. Objective: The aim of the study is to investigate the presence of risk factors and assess the overall risk of developing cardiovascular disease. Methods:.This cross sectional and experimental study involved 203 respondents of both sexes from the working population group aged 40 to 65 years. Results: Hypertension was diagnosed in 154 (75,9%) respondents, hyperglycemia in 177 (87,19%) respondents, dyslipidemia in 182 (89,66%) respondents and Diabetes mellitus type 2 was diagnosed in 53 (26,1%) respondents. Excess body mass was observed in 84 (41,4%) respondents, while obesity was noted in 91 (44,8%) respondents, and smoking habit in 117 (57,6%) respondents. Analyzing the above data using Q3 risk assessment for cardiovascular disease occurrence, it was found that the overall Q3 risk was significantly higher in male respondents, 21,8 (12.4-30.6), while female respondents had a median value of 14,7 (14-22,5), with an apparent statistically significant difference of p=0,001. Conclusion: To establish a strategic prevention program to eliminate the existing risk factors can only be achieved through multidisciplinary planning and the involvement of a multidisciplinary team of experts that will help improve the lifestyle of the individual and the entire community. From this work, we can see that the Q3 risk tool is well suited for risk assessment because it incorporates multidisciplinary parameters, whereas lipid indices can only be useful in cardiovascular disease risk assessment by comparing all indices.
Introduction: Laboratory and anthropometric parameters for assessing lipid metabolism disorders are important for atherogenesis and the occurrence of cardiovascular disease. Material and Methods: The study was designed as a prospective longitudinal study, meant to assess the risk of cardiovascular disease, which included initial measurement of lipid status, CRP, and BMI, and repeated measurement after DASH diet and exercise. It was conducted on a sample of 60 female respondents. Results: Following the WHO categorization of BMI, the study found that 62% of respondents were overweight, 26% were obese, and only 12% of respondents were at ideal body weight. After the DASH diet and exercise program, the average value of BMI M = 27.02 was established. Analyzing the values of the CASTELLI 1 index in 95.9% of respondents, high values of M = 5.3 were observed, which indicates a high risk of CVD. The study results indicate that the average value of cholesterol, triglycerides, LDL-C significantly reduced after two months of adherence to the DASH diet and exercise. With the help of Spearman’s rank, the correlation coefficient indicated the existence of a positive relationship between the CASTELLI 1 index and total cholesterol, triglycerides and HDL-C. In the initial analysis, CRP had a high value (M = 10 mg/L). In contrast, after the program, the CRP value decreased to (M = 4 mg/L), and a significant negative correlation (p <0.01) was observed between CRP and HDL-C, indicating that HDL-C value as a protective lipoprotein for blood vessels increased. CRP decreased after two months of DASH diet and exercise. Conclusion: With this research, we aim to draw attention to the importance of promoting healthy lifestyles and creating adequate risk assessment models with a well-developed strategy that will include anthropometric, laboratory and other multidisciplinary aspects to combat cardiovascular
Introduction: The way of life in modern society goes along with new technological discoveries and achievements. This lifestyle leaves its positive and negative consequences on children. Such changes are especially reflected on health already in earliest stages of life. The studies show that most children have been using computers even since kindergarten and that children’s computer use is longer than recommended. It is more effective and cheaper to prevent musculoskeletal disorders than to cure them. Goal: To examine all risk factors concerning the development of musculoskeletal disorders connected with a long use of information and communication technologies by reviewing scientific literature. Material and methods: Non-experimental qualitative research into the risk factors of the development of musculoskeletal disorders connected with a long use of information and communication technologies based on relevant databases. Results and discussion: Based on a discussion of the attitudes and opinions of other authors, risk factors are divided in three basic groups: ergonomic, individual, and psychosocial risk factors. As it is shown in the discussion of this paper, a disbalance of the desk for a desktop computer, the non-ergonomic design of the furniture, the type and time of the ICT usage device, the sedentary way of using the ICT devices at school and at home are just some of the numerous risk factors to children’s health. Conclusion: By examining the risk factors in the development of musculoskeletal disorders in children connected with an extended use of information and communication technologies, the presented evidence in the discussion section based on other authors’ attitudes and opinions, leads us to the conclusion that numerous risk factors that affect children’s health are due to a larger and more frequent use of computers, console games, tablets and mobile phones.
Introduction: Musculoskeletal diseases imply conditions that impact muscles, bones, joints and associated tissues such as tendons and ligaments and, as such, maybe a significantly limiting factor for performing Activities of Daily Living. The therapy with capacitive and resistive electronic transfer has been applied as a type of endogenous thermal treatment for heating the surface and deep tissues, providing tissue reconstruction and pain relief. This paper aims to provide an overview of the efficiency results of capacitive and resistive electronic transfer (CRet) therapy in managing symptoms associated with musculoskeletal disorders found in the available literature. Material and Methods: Articles related to musculoskeletal disorders were searched through electronic databases, such as PubMed, Web of Knowledge, Lilacs, Cochrane, ResearchGate by the following keywords: capacitive and resistive electronic transfer, Tecar therapy, radiofrequency therapy, musculoskeletal diseases, physiotherapy modalities. After excluding records that are not clinical trials and studies and articles which did not deal with musculoskeletal disorders, 21 articles were eligible and included in the overview. Results: By reviewing the selected articles related to CRet therapy effects on various forms of musculoskeletal disorders, it was found that this therapy has favourable effects in pain reduction, improvement of muscles and joints mobility, and oedema reduction. Its positive effects may be attributed to its capability to increase tissue temperature and improve blood circulation. Conclusion: CRet therapy, applied either solely or in combination with conventional physiotherapies, have rapid and immediate effect, both in chronic and acute conditions. capacitive
Cerebral palsy is a group of permanent disorders of movement and posture that causelimitations in the activities and are the result of non-progressive disorders of the immaturebrain or the developing brain. Motor disorders are often associated with disordersof the senses, perception, cognition, communication, behavior, epilepsy, hearing, visualimpairment and secondary musculoskeletal problems. The aim of this study is toexamine the prevalence of associated difficulties of persons with cerebral palsy in thefour cantons of the Federation of Bosnia and Herzegovina (FBiH) and to determinewhether there is a statistically significant difference in the representation of associateddifficulties between the cantons. The study was conducted on a sample of 120respondents, persons with cerebral palsy from four FBiH cantons. The total sample ofrespondents was divided into 4 sub-samples of respondents. The results of the studyshowed that of the associated difficulties in persons with cerebral palsy, speech difficultiesin 56.60%, intellectual disabilities 34.90%, visual impairment in 32.50%, epilepsy20.90%, behavioral disorders 7.60% and autism in 2.40%. No statistically significantdifference was found between cantons in the representation of associated difficultiesfor persons with cerebral palsy.Key words: cerebral palsy–associated difficulties–hearing impairment–visualimpairment–speech difficulties–intellectual disabilities.
Materials and research methods: The study is retrospective-prospective and controlled. For the purpose of this research, a measuring instrument used was a survey "Assessment of Preschool Teachers Preparedness in Inclusive Practice", an expanded Belan T. The final sample covered 62 participants; 37 (60%) preschool teachers were in the test group and 25 (40%) school teachers were in the control group. Average age of respondents was 38,5 years, where the youngest was 26 years old, and the oldest 59. Results: With regard to preparedness and work organization with a child with developmental disabilities, school teachers had a higher degree of preparedness, while preschool teachers were less prepared. There is a statistically significant difference in terms of preparedness and organization of work with a child with developmental disorders between these groups. To a greater extent, school teachers consider that they possess necessary knowledge, and to a lesser extent preschool teacher consider that they possess the necessary knowledge.
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