Methods and patients: A retrospective study was conducted in the period from January to the December 2015 and as a source of data we used medical records. The study included 60 patients with active rehabilitation that starts four to six weeks postsurgery, hospitalized at the Clinic for Physical Medicine and Rehabilitation, University Clinical Center of Sarajevo (UKCS). Outcome measures were: back and leg pain, neurological deficits (leg weakness, numbness and loss of normal bowel and bladder functions) and the length of stay in hospital (LOS).

INTRODUCTION Evaluation of neurogenic urination dysfunction by urodynamic examination in patients with spinal cord lesions is essential for ensuring the effective emptying of the bladder and the prevention of urological complications. GOAL To establish the relation between urodynamic findings with the development of complications of the upper urinary tract (UUT) in patients with spinal cord lesions. MATERIALS AND METHODS This is a retrospective study involving 42 patients with spinal cord lesions in which are analyzed complications of UUT incurred in an average 4-year period. It also included urodynamic examination of 41 patients (one patient with definitely placed catheter) and the results are compared with the found UUT complications. Among urodynamic parameters were compared the values of bladder compliance (C), maximum detrusor pressure in the filling phase (Pdet.max) and detrusor activity. RESULTS UUT complications: nephrolithiasis 24%, ureteropieloectasia 21%, chronic pyelonephritis 10% and hydronephrosis in 5% of patients. In 26 (64%) patients were found low compliance (C < 20 ml/cmH2O), and preserved in 15 (36%) patients. Pdet.max. was significantly lower in patients with preserved compliance (p < 0.01). According detrusor activity was found 22 (54%) hyper reflex and 19 (46%) areflexic bladders. In the group with areflexic bladder, UUT complications has 7 (37%), in group of hyper reflex bladder 10 (45%) patients. In areflexic bladder with UUT complications was found significantly lower levels of compliance (p < 0.01) than in the group without complications. CONCLUSION In our sample of patients with spinal cord lesions was demonstrated the impact of low compliance to the occurrence of UUT complications. It is also in case of the areflexic bladder found significant difference in compliance between the groups with and without UUT complications. Maintaining bladder compliance and low values if intracystic filling pressure the most important tasks in maintaining vesico-sfincteral balance, and thus prevention of urological complications in patients with spinal cord lesions.

CONFLICT OF INTEREST: NONE DECLARED Neck pain syndrome is described as: Pain in the neck affects at least once in a lifetime every second person, and also 10 % of adult population suffers from chronic pain in this area. It is more often among women. A constant increase of incidence in the industrialized countries is noticed. It is also the leading cause of referral to physical rehabilitation. It is causing huge financial costs in the health care system. There is no consensus regarding Neck pain syndrome management, but many therapeutic modalities are applied: a) to isolate (or manage) rare, but potentially dangerous states that can cause neck pain; b) identify and treat each co morbid state and risk factors; c) provide resources and information’s, especially about regarding use computers in dayly practice. Physical and manual treatments can be: a) physical therapy can assist to achieve early mobilization and return to daily activities; b) active physical therapy , mobilization, manipulation and exercises can assure short time relief of neck pain; c) home based exercises, as shown by this research, can significantly prolong the pain free period, in case of patients with the chronic syndrome; d) Medications, combined with the exercise program and ergonomic improvements can be effective solution for the chronic or recurrent neck pain. Intensive treatments in Neck pain syndrome are: a) Surgical and other intensive treatment (rarely indicated); b) invasive treatments includes and percutaneous radiofrequent neurotomy and cervical epidural analgesis.

Zoran Hadziahmetovic1, Narcisa Vavra – Hadziahmetovic2 Clinic for Emergency medicine, Clinical center of Sarajevo University, Bosnia and Herzegovina1, Clinic for Physical medicine and rehabilitation, Clinical center of Sarajevo University, Bosnia and Herzegovina2 tor of the arm where infraspinatus shoes more power in outer rotation of the shoulder compared to teres minor. Kineziologically they represent anatomical and functional system. With its tone they act as active links of the shoulder joint because they assure the contact between humerus head with cavitas glenoidalis scapulae. If we observe only lateral shoulder rotators (mm. infraspinatus and teres minor) they participates in moves of horizontal adduction of the upper arm; upper fibers of m.infraspinatus in flexion of upper arm, and lover in adduction. Outer rotation of the forearm is according to muscle power weaker movement compared to the inner rotation. Injuries of the RC can be expressed in form of partial or complete rupture or asymptomatic as subacromial impingement syndrome which is expressed with the characteristic signs which involves subacromial pain, crepitating and impossibility to elevate limb. Prevalence of RC increases with age: so that the patients without RC rupture are at the average age of 19 years, and with the unilateral rupture 59 year, and with bilateral rupture at 68 years (1). Main cause of impingement is repeated touching (collision) of humerus head with lower surface of the frontal part of acromion and coracocromial ligament. Most often involved tendons are one of supraspinatus and infraspinatus. But similar symptoms can be caused by other important anatomic structures such as subacromial burs and tendon of the biceps long head. Clinical tests which are specific for determining impingement and RC lesion are functional tests; Neer, hawkins – Kennedy and adductive (drop arm) tests which determines the degree of limitations for active adduction of the upper arm. Painful adduction, subacromial painful arch in range from 30 0 to 120 o (involved structures of the subacromial joint) goes in favor of partial rupture and painful impossible initial adduction of the upper arm to complete rupture. Noticeable is the disorder of the humoroscapular rhythm. Verification of the muscle strength weakness should be evaluated by the group test for the lateral rotators of the shoulder which is performed and evalu148-152

INTRODUCTION In the paper, the authors presents medical meaning of whiplash neck injury (WNI) according right time diagnosis and management. PATIENTS AND METHODS The aim was to estimate the functional answer according diagnosis and therapeutical modalities. 35 patients were treated in Clinical center University of Sarajevo in period 2004/2008. They were divided in two groups--G1 with 18 patients and G2 with 12 patients. G1 group is treated by soft cervical collar and analgetics, G2 by physiotherapeutic modalities. First check was 6 months after injury and treatment beginning. RESULTS Immediately after a whiplash accident all patients have back pain in the cervical spine. Two of them have paresthesia in the upper extremity, headaches have 7 of them, spasm of paravertebral muscles has 1, spasm of art. carotis 1, laceration of the longus colli muscles, accompanied by hemorrhage and edema 1. CONCLUSION The authors did 6 weeks follow- up after treatment of patients and 77% of them had no problems, 23% patients lost symptoms of WNI after 2 - 6 months. They come back to everyday activities in period 1 - 3 months except 2 of them who needed 6 months. Presented values clinical parameters indicate that there is no statistically significant difference in finale results between groups, G1 and G2 (p > 0.05).

Kinesitherapy (KT) is field of rehabilitation that uses the movement in order to cure patient. Knowledge about movement, condition and method of act of movement determine the final effect of this kind of treatment. Nevertheless, the role of patient is active and the positive effect can be achieved only if patient understand his role in process of therapy. The role of patient is frequently forgotten and the results of this research are valuable in assessment of patients' role in treatment.