Aim To investigate the effect of kinesiotherapy on muscle strengthening in patients with Parkinon's disease. Methods This clinical retrospective - prospective study was based on collected data from medical histories and included 40 patients, who, beside medicaments, had undergone kinesiotherapy. This study analysed age, gender, duration of the rehabilitation and estimation of the gross muscle strength at admittance and discharge using Manual Muscle Test (MMT). Results Females was slightly more represented in the total sample without significant statistical difference. After kinesiotherapy significant statistical difference in muscle strength was observed, average MMT of the upper extremities increased from 3.25±0.6 to 3.53±0.8 and on the lower extremities from 2.9±0.8 to 3.3±0.9. The analysis of the gender on the higher score of MMT showed that gender does not affect the score of MMT. Correlational analysis of the age and duration of hospitalization on the score of MMT showed that patients with longer hospitalization had better improvement. Conclusion Results of the study showed that kinesiotherapy has positive effect on muscle strength in patients with Parkinson's disease.

The normal movement of the hip joint allows normal walking. When it is not possible to prevent joint destruction or to eliminate pain, surgery must be considered. Rehabilitation begins before the surgery if it is posibble. The aim of this study is to determine the efficiency of physical therapy in rehabilitation of patients with embedded total hip joint endoprosthesis. The study included 60 patients with hip arthroplasty, who were divided into two groups of 30 patients. Group A – patients who had only early postoperative rehabilitation program at the Department of Orthopedics at RMC, "Dr. Safet Mujić" in Mostar. Group B – patients with hip anthroplasty with early rehabilitation program and fully participated in additional program of 14-day balneotherapy at CMR "Reumal" in Fojnica. The results showed that in Group A cause was fracture in 23,3% and coaxarthrosis in 76,7% examinees, while in Group B cause was in 13,3% and coxarthrosis in 86,7% examinees. Coxarthrosis predominates as a cause of the hip endoprosthesis. Group A did exercises that includes exercise therapy of upper limbs, active exercises with help of lower operated limb, izometric exercise for muscule quadriceps and standing up for 96.7% examinees. Group B had individual therapies: balneotherapy (56,7%), hydrotherapy (100%) and kinesiotherapy (100%), electrotherapy (86,7%). The results obtained show that, within both groups of patients, the largest share of examinees falls within the "rehabilitated" category. Physical therapy has positive effect on results of rehabilitation after implantation of total hip endoprosthesis.

Aim : The aim of this paper is to demonstrate the conservative treatment of knee osteoarthritis by the selected parameters. Methods of the study : The study included 74 patients, both genders, aged between 52-73 years with clinical and radiological signs of osteoarthritis of the knee. Patients were divided in two groups. The first group - patients with osteoarthritis of the knee without comorbidity treated with nonsteroid antireumatics and physical therapy and the other group - patients with osteoarthritis of the knee and cardiovascular comorbidity treated Paracetamol tablets 2xl, lighter opiate in the evening, outpatient physical therapy and individual exercises at home. Results : Findings showed that the total sample was more represented in women than men. Statistically, more frequent (p <0.05) sleeping pain occurred in subjects with comorbidity - 73.7% compared to subjects without comorbidity - 55.6%. The duration of physical therapy was statistically significant (p <0.05) longer in the comorbidity group and was 13.3 ± 1.8 (10-15 days) compared to the noncomorbid group at 11.5 ± 1 , 9 days (range 10-15 days). After 4 months, the VAS score was slightly lower in the noncomorbid group and was 3.9 ± 0.5 (range 7.8-9.4) versus the comorbidity group - 4.3 ± 1.7 (range 3 , 1 to 9.7). Conclusion : Osteoarthritis is a chronically degenerative disease of the elderly population. New findings from the pathophysiology of osteoarthritis, as well as the knowledge about the risks of non-steroidal antireumatics, give priority to physical therapy, analgetics and topical drug administration. Osteoarthritis therapy trend is the maximum self-reliant involvement of patients in a permanent treatment program. Keywords: knee osteoarthritis, conservative treatments

Introduction: An increasing number of people suffer from degenerative diseases of the hip joints. Many studies report the long-term outcomes of invasive therapy in the treatment of coxarthrosis. However, results of prolonged conservative treatment are scarce. The purpose of this study was to evaluate the effects of prolonged conservative physical therapy on functional recovery of degenerative hip changes. Methods: We retrospectively analyzed 47 patients diagnosed with coxarthrosis according to the American College of Rheumatology criteria. Data on sex and age, duration of physical therapy, the type of physical therapy, the values of manual muscle test (MMT) at admission and discharge, were taken from the medical records of the patients. Results: There were 76.6% female and 23.4% male patients. Half of the patients were 70 or more years old. Majority of patients were treated by kinesiotherapy (74.5%) and had significantly different (p < 0.05) values of MMT at admission and discharge. Duration of treatment was 10-20 days for 23.4% of patients, while 29.8% received treatment for 31-40 days. Conclusion: According to our results, MMT significantly improved at the end of the treatment. Thus, physical therapy had a positive effect on the recovery of muscle strength in patients with coxarthrosis.

Parkinson's disease (PD) is a progressive neurological disease with tremor, bradykinesia, akinesia and rigidity. These symptoms significantly hamper the performance of activities of daily living (ADL), which are necessary for normal functioning of every individual. Exercise therapy is part of physical medicine which is using movements and strength of muscles to aim healing, improvement of health, preventing disabilities and acomplishing higher grade of funcitionality. Often exercise therapy is combined with other therapies of physical medicine. The aim is to examine effects of exercise therapy on ADL in patients with Parkinson's disease. There were 40 examinees who had exercise therapy. In the conducted study there was increased representation of female gender, with no statistically significant difference in representation. Average age of examinees was 73,9±11,6 years and duration of hospitalization in group of examinees was 27,1±12,2 days. Comparation of average values between Barthel index (BI) as patients were admitted and released shows that Barthel index was increased from 10,7±6,3 when patients were admitted to 12,45±6,2 which was statistically significant. Statistical analysis showed that difference between genders is not statistically significant (p>0,05), meaning that influence of gender isn't important when Barthel index was measured. Corelation analysis of age and duration of hospitalization on Barthel index showed that non of monitored parametar has not statistically significant influence on improvement of Barthel index. Exercise therapy shows statistically significant improvement in activities of daily living, measured with Barthel index.

Introduction: Osteoarthritis (OA) or arthrosis represents an inflammatory disease of joints that develops as a result of interaction of mechanical and biological parameters. With disease development, degenerative changes on joint cartilage can be noticeable that affect and cause pathological changes on other parts of a joint resulting in pain and dysfunction of a joint. A. E. Garrod in 1907 described osteoarthritis as a special clinical entity and separated it from a rheumatoid arthritis. OA is characterized with loss of a joint cartilage, development of new bone tissue under affected cartilage (subchondral bone) and development of osteophytes on joint edge. First sign of a disease is pain after period of relaxation that slowly intensifies. Material and Methods: In this paper, 40 patients have been analyzed with clinical and radiological signs of OA of the knee joint. Radiological classification was done by Ahlback’s classification. Results: In our study female gender was more affected with average age of 63 years. On Ahlback classification, grade II was represented the most. Comparison between clinical and radiological signs showed that there was no significant difference between established grade of OA. Wide spectrum of visible radiological osteoarthritis changes on joints is in correlation with the age of examinees.

INTRODUCTION Mortality after hip fracture remains high in spite of the progress of medicine. Due to the trend toward longer life, the problem of hip fracture is getting more significant. The aim of this study is to determine the effects of surgical treatment in patients with high risk of hip fracture on mortality reduction. METHODS In the retrospective-prospective study, 66 patients aged 65-92 with a hip fracture and a high cardiac risk have been analyzed. The risk estimation was based on the Lee index. The patients with three or more risk factors were considered high-risk. The first group consisted of surgically treated patients with a hip fracture and at high cardiac risk, and in the second group were conservatively treated patients with a hip fracture and high cardiac risk. RESULTS In the group of conservatively treated patients, 75% were women and in operatively treated group 67.6%. Patient in both group are similar in relation to the participation of risk factor. A difference has been noticed in terms of renal insufficiency (RI). There was 18.8% conservatively treated patient with RI and 2.9% in operatively treated group. CONCLUSION Patients with hip fracture and at high cardiac risk have lower mortality when treated surgically.

Introduction: Supracondylar humerus fractures are the most common fractures of the humerus at the elbow in children. The key role belongs to the age and immaturity of the humerus region. Treatment, even today represents the problem of bone and joint surgery. Gartland classification divides these fractures into four types. Analysis of radiographic parameters will serve as an indicator for treatment selection. Goal: To demonstrate the role of radiographic evaluation by measurement of default radiographic parameters and indicate the choice of treatment for supracondylar fractures of type I and II by Gartland. Material and methods: The study included 60 children aged 4-14 years, divided into two groups, first with initial radiographic analysis and the second one without radiographic analysis. All were treated at the Primary Health Care Center Novi Travnik and Nova Bila Hospital from 2009 to 2011. Analysis was performed using methods of descriptive statistics to calculate the mean and standard deviation, Student’s t-test and Chi-square test. Results: In patients from first group hospitalization, immobilization duration, as well as physical treatment was shorter and more frequently surgical treatment was applied (manual reduction with K-wire fixation) with statistically significant difference (p = 0.042). Conclusion: Radiographic evaluation is one way to choose methods of fracture treatment. The incidence of complications is low, with excellent outcome of treatment and a faster return of children to their daily activities.