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.
Introduction: Shoulder pain is the most common form of extra-articular rheumatism. We aimed to determine the efficiency of the conventional physical treatment of the shoulder pain compared to the conventional treatment plus the Mulligan's joint mobilization technique and acupuncture. Methods: We included a total of 277 patients with the shoulder pain caused by adhesive capsulitis (frozen shoulder), calcific tendinitis, rotator cuff syndrome, or the tendinitis of the biceps muscle. We used clinical and radiological diagnostic criteria to make the diagnosis. Patients were assigned into group treated with conventional physiotherapy treatment during the ten days (CP)(n=148), and the group treated with conventional physiotherapy treatment plus the Mulligan joint mobilization and acupuncture (CP+MA)(n=128). Treatment efficiency was evaluated by assessing the status of the patients before and after the treatment with the Work Abilities and Activities of Daily Living (WAADL) scale as well as the Treatment Success scale. Results: Mean treatment duration was 13.36±5.83 and 10.86±4.55 days in CP and CP+MA group, respectively (p<0.05). Mean WAADL scores after the treatment were 3.98±1.04 and 4.61±1.10 in CP and CP+MA group, respectively (p<0.05). Mean Treatment success score was 3.16±0.74 and 4.35±0.78 in CP and CP+MA group, respectively (p< 0.05). Conclusions: Conventional physical therapy plus the Mulligan's joint mobilization technique and acupuncture resulted in shorter treatment duration and higher WAADL and Treatment success scores in patients with shoulder pain.
Introduction: The most common health problem associated with the negative effect of heavy school bags is back pain, and non-specific back pain is frequently observed in childhood. The prevalence of back pain in schoolchildren varies from 12% to 92%, depending on the age and affected region of the back. To prevent the occurrence of back pain in schoolchildren, the weight of school bag should not exceed 10% of the child’s body mass.Methods: This was a descriptive, cross-sectional study conducted in April 2017. We included 79 students of the fifth and sixth grade from the elementary school in Sarajevo. Information on the weight and type of school bag, method of carrying a school bag, and feelings of pain and tiredness due to school bag were obtained by questionnaire.Results: In the total sample, the majority of the students (64.6%) reported occasional back pain while carrying the bag, 20.3% of students reported no back pain, and 11.4% of students experienced frequent back pain. The mean school bag weight in the fifth grade was 4.01 ± 0.57 kg, and it was significantly higher (4.61 ± 0.86 kg) in the sixth grade. About 48.5% of the students in the fifth and 50% in the sixth grade carried school bags weighing more than 10% of the body mass. A higher mean weight of school bag was significantly more frequent in students who reported always feeling tired (11.03 ± 2.74%) compared to those who did not feel tired while carrying the school bag (8.41 ± 2%).Conclusions: Overall, more frequent occurrence of back pain and tiredness in schoolchildren was associated with heavier school bags (>10% of the body mass), and the occurrence of back pain due to school bag was related to gender (i.e., back pain was more common in girls compared to boys).
Introduction Disability is one of the factors that can lead to social exclusion and poverty of individuals with hearing and speech impairment. This is due to the fact that individuals with disabilities are often underestimated, in terms of their work and social skills. The employment of people with disabilities represents a powerful mechanism for achieving full participation of the marginalized groups in all spheres of society. Methods The study included a total of 40 people with hearing and speech disabilities, out of which 16 individuals were employed at DES d.o.o. Sarajevo and 24 at SINKRO d.o.o. Sarajevo. A combination of three questionnaires was used for assessing daily activities and their impact on the quality of life (QoL) of the individuals with hearing and speech disabilities. Results In the total sample, there were 35% males and 65% females. Complete deafness was observed in the majority of participants (90%), while the rest had either moderate (7.5%) or mild (2.5%) hearing impairment. A higher number of participants used sign language as the means of communication, compared to manual alphabet. About 17.5% of the participants used a cochlear implant or a hearing aid. Most of the individuals lived with a spouse (70%), 20% lived with their parents, 7.5% lived independently, and 2.5% lived with a guardian. The majority of the participants who were married had a child (57.5%). The average Ferrans and Powers' Quality of Life Index (QLI) was 19.33, and the average value for total daily activities was 11.700 MET. The average value for the level of physical activity in males was M = 13716.5 and in females M = 10613.56 (p > 0.05). Conclusions Overall, we showed that daily activities have a positive effect on the QoL of working individuals with hearing and speech disabilities, i.e., the individuals who had a higher level of physical activity also had a higher QoL.
Introduction: A number of people with facial injuries after surgical treatment one knee time comes and a violation of the opposite knee. These injuries have a major impact on quality of life if they are not treated properly, but also have consequences and after surgery. The aim of this paper is to analyze the questionnaires used to assess the quality of life after mutual ruptured anterior cruciate ligament, and to make recommendations for optimal use of the same. Our goal is to establish a correlation between the results obtained from questionnaires used descriptive answers to questions descriptive questions about aspects of everyday life, aspects of physical activity as well as aspects of personal perception of the current health and satisfaction with it. Methods: We analyzed questionnaires used to evaluate the quality of life after a bilateral rupture of the anterior cruciate ligament, which are listed in the attached work. In accordance with the subject of research, in this paper were used the following scientific research methods: a method of deduction, analysis, classification, comparison, analysis methods of written documents. Results: By searching the PubMed database for the purpose of this master's thesis under the terms "unilateral rupture ACL" we came across a 2792 articles, while the term "bilateral rupture of the ACL," retrieved only 73 articles, "contralateral ACL rupture" 192 articles, "Quality of life ACL " 41 articles. The most important dates in our study are certainly "Quality of life after bilateral rupture of the anterior cruciate ligament," where we all find only two articles on this topic. Conclusion: The most commonly used questionnaires to be used in assessing the success of treatment and quality of life after a bilateral rupture of the anterior cruciate ligament are: QOL, IKDC, KOOS, HSS, ADL, SF-36, WOMAC. IKDC proved to be most suitable for patients with ACL rupture in this study.
Introduction: Osteoarthritis of the joints (osteoarthritis or arthritis) represents the largest group of rheumatic diseases. Within rheumatic diseases 50% are degenerative rheumatic diseases, 10% inflammatory and 40% extra-articular. Goal: To determine the modalities of physical therapy for elderly with degenerative diseases. Material and methods: The study is retrospective-prospective and descriptive. The survey conducted included 25 patients with degenerative diseases of the musculoskeletal and nervous systems in Gerontology Center in Sarajevo, from May 1, 2014- April 30, 2015. As research instruments were used: Questionnaire for users of physical therapy in Gerontology Center in Sarajevo, self-developed, visual-analog scale to assess pain and patient records. Results: Of the total number of patients with degenerative diseases (25), 10 (40%) were male and 15 (60%) were female. The most common degenerative disease is knee osteoarthritis which had 11 patients (29%), 3 males and 8 females. From physical therapy modalities in the treatment of degenerative diseases at the Gerontology Center in Sarajevo, kinetic therapy was administered to all patients, followed by manual massage and TENS in 15 cases (60%). From twenty-two patients, who completed a questionnaire, 11 (50%, 2 male and 9 female) rated their health as poor. Seven patients (32%, 3 male and 4 female) assessed their health as good. Three patients (14%, 2 male and 1 female) rated their health as very poor, and one patient (4%, 1 male) rated its health as very good. Conclusion: The Research Physical therapy in elderly with degenerative diseases is a pilot project, which highlights the need for: Conducting research for a longer time period, with a larger sample; Quality of keeping health records; Implementation of a continuous evaluation of functional status and; Stricter control for optimal effectiveness of physical therapy in order to improve the quality of life of elderly patients.
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