scholarly journals Assessment of the Level of Pain Intensity and the Level of Anxiety Treated as State and Trait in Patients with Osteoarthritis of the Limbs

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Jadwiga Kuciel-Lewandowska ◽  
Michał Kasperczak ◽  
Łukasz B. Lewandowski ◽  
Małgorzata Paprocka-Borowicz
Keyword(s):  
Musculoskeletal System ◽  
Outpatient Clinic ◽  
Spa Therapy ◽  
Comprehensive Treatment ◽  
Disc Disease ◽  
Self Evaluation ◽  
Before And After ◽  
System 2 ◽  
Rehabilitation Clinic

Introduction. Osteoarthritis of the musculoskeletal system is accompanied with chronic pain which is the main factor in mood lowering, causing anxiety. Rehabilitation conducted in the framework of spa therapy and outpatient care aims at eliminating or reducing pain and improving physical fitness. Pain relief is an expected phenomenon because it improves the quality of life. Aim of the study. The aim of the study was to evaluate the effect of rehabilitation in the spa and in outpatient clinic on the level of pain and anxiety in patients with degenerative joints and disc disease. Material and methods. The study included a comprehensive treatment conducted in the spa and in outpatient clinic. Observation included 120 persons with disorders of the musculoskeletal system treated in the spa Przerzeczyn-Zdrój. The second group of patients was treated in the rehabilitation clinic. The examinations were performed before and after treatment. The scope of the observations included self-evaluation of anxiety treated as a state and a trait, the level of intensity of pain, medical history, and sociodemographic background interview. In the observations, there were VAS scale and State Trait Anxiety Inventory STAI used. Result. As a result of the spa therapy and therapy performed in an outpatient clinic, there was an improvement in lowering the level of pain and anxiety noted. Conclusions. 1. Spa therapy and treatment performed in an outpatient clinic reduce the level of pain and anxiety in patients with degenerative disease of the musculoskeletal system. 2. It was found that the therapy conducted in the spa was more effective in lowering the level of pain and anxiety. This trial is registered with NCT03405350.

scholarly journals DETERMINATION OF THE QUALITY OF LIFE OF PATIENTS WITH CONGENITAL CLEFT OF THE UPPER LIP AND PALATE BEFORE AND AFTER THEIR ORTHOPEDIC REHABILITATION

2020 ◽  
pp. 57-63
Author(s):  
M. Y. Oliinyk
Keyword(s):  
Oral Health ◽  
Congenital Malformations ◽  
Life Quality ◽  
Comprehensive Treatment ◽  
Upper Lip ◽  
Orthopedic Treatment ◽  
Orthopaedic Treatment ◽  
Different Types ◽  
Before And After

Abstract. Congenital malformations remain one of the most pressing medical and social problems, and their frequency is an important characteristic of the population health status. Unfortunately, the tendency to their decrease is not observed in recent years, on average from 450 to 500 newborns per year. In this regard, it is important to study different aspects of the life quality of patients of different ages and with different types of congenital malformations of the upper lip and palate. The positive dynamics of changes in the life quality can be evidenced by the survey data of these patients, which must be conducted after each stage of their rehabilitation with the use of special validated questionnaires. Objective. The aim of the study was to assess the life quality of patients with congenital malformations of the upper lip and palate before and after the final stage of orthopedic treatment with different types of aesthetic designs of dentures. Material and methods. An investigation of the life quality related to the oral health was proposed using data of 37 patients aged 17 to 36 years, including 26 men and 11 women with congenital malformations of the upper lip and palate, using the OHIP-14 (Oral health impact profile) questionnaire. Non-removable structures are made for 27 patients, combined (non-removable + removable) - for 10 patients. The questionnaire was conducted before treatment and one month after their orthopaedic its completion. The analysis was conducted on individual questions, which were grouped into separate blocks: questions related to problems with eating, questions related to communication problems, questions related to problems in everyday life. Research results. There was a significant improvement in the life quality of patients with congenital malformations of the upper lip and palate after completion of their orthopaedic rehabilitation as separate blocks of questions (Block I 12,703 ± 0,915 before, against 1,784 ± 0,165 after orthopaedic treatment; Block II 13,378 ± 0,672 before, against 1,405 ± 0,175 after orthopaedic treatment; Block III 9,919 ± 0,736 before, against 0,676 ± 0,155 after orthopaedic treatment), confirmed by statistical processing of the material (p <0,001) as well as the total number of points in the questionnaires (95,142 ± 1,405 before, against 10,214 ± 1,209 after orthopaedic treatment; p <0,001). It should be considered that the life quality of patients with congenital malformations of the upper lip and palate, as well as other dental patients is a non-permanent category. It usually changes with age, as well as a result of treatment and prevention measures, so it must always be assessed in the dynamics. As a rule, successful treatment improves the life quality. Inadequate aesthetic condition of the oral cavity, which is formed after a comprehensive treatment, along with the functions of chewing and speech, most significantly affects the life quality. Thus, a study of the life quality associated with oral health of patients in this category suggests that adequate orthopaedic rehabilitation can significantly improve their life quality. In addition, the presence of either a fixed or a combined prosthesis, including in the area of the split (mouthpiece) aesthetically raises the upper lip and allows you to perform additional plastic surgery on it if necessary. Conclusion. The life quality of patients with congenital malformations of the upper lip and palate associated with oral health is usually a temporary category and tends to change depending on the type of split, time and method of rehabilitation, especially orthopedic treatment. Adequate and high-quality prosthetics of defects and deformations of the teeth rows can significantly improve both the subjective assessment of the life quality and the objective improvement of the functional state of the dental-jaw system, as evidenced by these objective research methods.

The influence of kinesiotaping on the loosening of the laryngeal muscles in hyperfunctional dysphones

2018 ◽  
Vol 72 (6) ◽  
pp. 1-5
Author(s):  
Karina Wilhelmsen ◽  
Agata Szkiełkowska ◽  
Iwona Zając - Ratajczak
Keyword(s):  
Treatment Process ◽  
Positive Impact ◽  
Muscle Tone ◽  
Thyroid Cartilage ◽  
Self Evaluation ◽  
Functional Dysphonia ◽  
Before And After ◽  
Effect Of Therapy ◽  
The Voice

Introduction: Hyperfunctional dysfunction is one of the most common functional dysphonia, cha-racterized by voice insufficiency with excessive tightening of the muscles inside and outside the larynx during phonation. To make the treatment process more effective, new ways of rehabilitation are constantly being sought and developed. The aim of this work is to evaluate the effectiveness of laryngotaping - an innovative method of taping around the larynx and neck muscles. Material and method: 10 patients with diagnosed hyperfunctional dysphonia participated in the study. Using the kinesiotaping principles, for 7 days, the suprahyoid and infrahyoid muscles, ster-nocleidomastoid muscles as well as the thyroid cartilage were taped. Before and after the therapy, the patients completed the VHI voice self-evaluation questionnaire. The evaluation of the larynx according to the L. Mathienson scale was also assessed palpation. Results: Analyzing the results of the VHI questionnaire and evaluation of palpation evaluation of the larynx before and after the therapy, statistically significant differences were observed. The results on average decreased by half, which is the desired effect of therapy. Discussion: The results confirm the positive impact of kinesiotaping around the larynx. However, more research is needed on a larger group of patients to fully evaluate the therapeutic effect. Conclusions: 1. Laryngotaping is an effective way to normalize muscle tone, and thus to improve the quality of the voice. 2. The presented studies require continuation, however, positive reception of the introduced therapy by patients encourages further research on a larger group of patients.

scholarly journals Quality of Life in Primary Insomnia: Three-week Treatment With Zolpidem Vs. Lorazepam

2017 ◽  
Vol 18 (3) ◽  
pp. 231-237
Author(s):  
Vladimir Janjic ◽  
Branimir Radmanovic ◽  
Zoran Bukumiric ◽  
Slavica Djukic Dejanovic ◽  
Nemanja Muric ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Primary Insomnia ◽  
Dysfunctional Beliefs ◽  
Self Evaluation ◽  
Text Revision ◽  
Significant Difference ◽  
Before And After ◽  
Sleep Log ◽  
Beliefs And Attitudes

Abstract Insomnia is a condition of inadequate quality or quantity of sleep that has extremely adverse effects on daytime activities. Th e aim of this study was to compare the quality of life in patients with primary insomnia before and after a 3-week treatment with lorazepam (n=20) and zolpidem (n=21) and to compare the potential differences in dysfunctional beliefs and attitudes regarding patients’ sleep between the two groups. Th e diagnosis of primary insomnia was established using the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision criteria, and patients had to complete a specially designed sleep log every day; on scheduled visits, we also administered a Visual Analogue Scale for quality of life and a self-evaluation questionnaire about Dysfunctional Beliefs and Attitudes related to Sleep at the beginning and end of this study. In summary, the examinees in our study had significantly decreased parameters of quality of life, quite lower than expected based on previous findings in this area. However, by the end of the study, quality of life significantly improved with treatment: it improved by approximately 2/3 in the Lorazepam group and more than twice in the Zolpidem group, with a significant difference in favour of Zolpidem (p=0.047). Th is finding is most likely a consequence of its better safety profile and in part its better efficiency in terms of influence on certain domains of sleep itself, as previously discussed. Further specialized studies in this area with larger samples and a more detailed methodology are clearly warranted.

scholarly journals Results of a Preceptor Improvement Project

2020 ◽  
Vol 52 (9) ◽  
pp. 647-652
Author(s):  
Darin Brink ◽  
David Power ◽  
Eric Leppink
Keyword(s):  
Teaching Effectiveness ◽  
Subject Area ◽  
Teaching Behaviors ◽  
Educational Materials ◽  
Self Assessment ◽  
Improvement Project ◽  
Self Evaluation ◽  
Before And After ◽  
Improvement Intervention

Background and Objectives: The majority of medical students receive some of their training with a community preceptor. Nearly all of these preceptors are motivated by a desire to give back to their profession through teaching and they want to learn how to teach more effectively. Designing effective educational programs to improve preceptor teaching is important to upholding the quality of medical education. Methods: We designed an educational program consisting of readings, short videos, handouts and posters, as well as one-on-one sessions with a trained standardized medical student. The standardized student visited the community physician’s office both before and after the preceptor engaged with the educational materials related to a subject area of the preceptor’s choosing. We assessed the preceptor’s teaching using three tools: self-evaluation, student reporting of observed behaviors, and an overall rating of teaching effectiveness. Results: Thirteen preceptors took part in this the educational intervention. Per the self-assessment, preceptors showed improved teaching competency for all items on the questionnaire, with 12 of the 21 items (57%) showing statistically significant results (P&lt;.05). The standardized student reported that preceptors used more of eight desired teaching behaviors in the second mock preceptor encounter than they used in the first, with a mean increase of 1.46 (P=.001). Overall teaching effectiveness scores increased, with a mean increase of 1.15 (P=.001) on the 10-point scale. Moreover, all participants indicated they were either satisfied or highly satisfied with the program and that they would recommend this program to a colleague. Conclusions: Our preceptor-improvement intervention led to demonstrable improvement in preceptor teaching, as measured by preceptor evaluation and evaluation by the standardized student. More research is needed to see if these results can be replicated and, in particular, to determine which aspects of the intervention were most useful.

scholarly journals THE EFFECT OF THE TRACTION THERAPY ON PATIENTS WITH LUMBAR DISC DISEASE

2021 ◽  
Author(s):  
Mariyana Mihaylova ◽  
◽  
Keyword(s):  
Quality Of Life ◽  
Lumbar Disc ◽  
Treatment Protocol ◽  
Control Group ◽  
Physical Factors ◽  
Disc Disease ◽  
Lumbar Disc Disease ◽  
Treatment Protocols ◽  
Before And After

The goal of this research is to examine the efficiency of a set of physical factors with the inclusion of traction therapy in treating lumbar static and dynamic pain and the opportunities to influence the quality of life of patients with lumbar disc disease (LDD).100 patients with lumber disc disease participated in the clinical study. They were equally divided into a control group (CG), which has been treated with basic therapy (LFMF and IFC) and experimental group (EG) where traction therapy was part of the treatment protocol. For evaluating the effectiveness of the treatment was used quantitative assessment for static and dynamic pain and the quality of life before and after thetreatment. Results of both treatment protocols have statistically significant effect (p<0,001) in reducing low back pain and improving the quality of life. In comparison between the two groups, EG has a statistically significant (p<0,001) advantage over the CG. The inclusion of extension therapy in basic physical therapy gives excellent results, contributes to a more significant reduction ofpain and improves the quality of life of patients.

scholarly journals Improvement in Functional Ability and Quality of Life Takes Place among Patients with Supraspinatus Tendinitis Regardless of the Type of Intervention

2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
Pia Nyman ◽  
Kaj Palenius ◽  
Harri Panula ◽  
Esko Mälkiä ◽  
Clas-Håkan Nygård
Keyword(s):  
Conservative Treatment ◽  
Functional Ability ◽  
Short Form ◽  
Conservative Group ◽  
Self Evaluation ◽  
Before And After ◽  
Group 3 ◽  
Group 2

Objectives. The purpose of this study is to investigate the functional ability and state of health before and after three different treatments of patients (n=156) with shoulder problems. Design. This is a comparative study using convenience sampling and Shoulder Rating Questionnaire, the Short Form-36 Health Survey self-evaluation questionnaires, and metabolic equivalent (MET), prior to and after intervention. The patients in Group 1 had an arthroscopic operation while Group 2 had an open acromioplasty. The patients in Group 3 had merely received conservative treatment. Results. Improvement has occurred regardless of the type of intervention. However, a change is notable less evident in the Conservative group, which at least in part can be explained by their higher initial scores (measurement 1); their situation has simply been better already from the start, and this is perhaps why they have not been placed onto an operation waiting list. Conclusion. Even if conservative treatment appears to result in comparatively poorer outcomes, the role of physiotherapy should not be disregarded. Physiotherapy cannot replace essential surgical operations, but physiotherapy is able to significantly alleviate patients' experiences of pain.

Kepuasan Masyarakat Terhadap Pelayanan Kelurahan Setelah Pemekaran Di Tangerang Selatan

Liquidity ◽  
2018 ◽  
Vol 2 (2) ◽  
pp. 151-159
Author(s):  
Pitri Yandri
Keyword(s):  
Public Perception ◽  
Service Personnel ◽  
Urban Services ◽  
Hospitality Workers ◽  
Care Workers ◽  
Before And After ◽  
Cartesian Diagram ◽  
Better Than

The purpose of this study is (1) to analyze public perception on urban services before and after the expansion of the region, (2) analyze the level of people's satisfaction with urban services, and (3) analyze the determinants of the variables that determine what level of people's satisfaction urban services. This study concluded that first, after the expansion, the quality of urban services in South Tangerang City is better than before. Secondly, however, public satisfaction with the services only reached 48.53% (poor scale). Third, by using a Cartesian Diagram, the second priority that must be addressed are: (1) clarity of service personnel, (2) the discipline of service personnel, (3) responsibility for care workers; (4) the speed of service, (5) the ability of officers services, (6) obtain justice services, and (7) the courtesy and hospitality workers.

Strategic Role of Zakat in Multidimensional Quality of Life in Sijunjung, Indonesia

2018 ◽  
Vol 15 (1) ◽  
pp. 55-72
Author(s):  
Herlin Hamimi ◽  
Abdul Ghafar Ismail ◽  
Muhammad Hasbi Zaenal
Keyword(s):  
Quality Of Life ◽  
Positive Impact ◽  
Wealth Distribution ◽  
Absolute Poverty ◽  
Before And After ◽  
The Status ◽  
Being There ◽  
The Impact

Zakat is one of the five pillars of Islam which has a function of faith, social and economic functions. Muslims who can pay zakat are required to give at least 2.5 per cent of their wealth. The problem of poverty prevalent in disadvantaged regions because of the difficulty of access to information and communication led to a gap that is so high in wealth and resources. The instrument of zakat provides a paradigm in the achievement of equitable wealth distribution and healthy circulation. Zakat potentially offers a better life and improves the quality of human being. There is a human quality improvement not only in economic terms but also in spiritual terms such as improving religiousity. This study aims to examine the role of zakat to alleviate humanitarian issues in disadvantaged regions such as Sijunjung, one of zakat beneficiaries and impoverished areas in Indonesia. The researcher attempted a Cibest method to capture the impact of zakat beneficiaries before and after becoming a member of Zakat Community Development (ZCD) Program in material and spiritual value. The overall analysis shows that zakat has a positive impact on disadvantaged regions development and enhance the quality of life of the community. There is an improvement in the average of mustahik household incomes after becoming a member of ZCD Program. Cibest model demonstrates that material, spiritual, and absolute poverty index decreased by 10, 5, and 6 per cent. Meanwhile, the welfare index is increased by 21 per cent. These findings have significant implications for developing the quality of life in disadvantaged regions in Sijunjung. Therefore, zakat is one of the instruments to change the status of disadvantaged areas to be equivalent to other areas.

Sign in / Sign up

Export Citation Format

Share Document