scholarly journals Quality of life in symptomatic cervical myelopathy after open-door laminoplasty

2015 ◽  
Vol 14 (2) ◽  
pp. 82-84
Author(s):  
Rodrigo Yuiti Nakao ◽  
Luiz Claudio Lacerda Rodrigues ◽  
Adalberto Bortoletto
Keyword(s):  
Quality Of Life ◽  
Cervical Myelopathy ◽  
Subjective Evaluation ◽  
Subjective Assessment ◽  
Rigid Fixation ◽  
Open Door ◽  
Sf 36 ◽  
Emotional Aspects ◽  
High Degree

<sec><title>OBJECTIVE:</title><p> To analyze the results obtained by open-door laminoplasty using the Newbridge<sup>(r)</sup>/Blackstone plate, in cases of myelopathy associated with cervical lordosis.</p></sec><sec><title>METHODS:</title><p> From December 2010 to October 2012, eight patients between the ages of 49 and 68 underwent open-door laminoplasty with the use of the Newbridge<sup>(r)</sup> fixation system for maintenance and stabilization of the cervical laminoplasty. Minimum follow-up was four months. For the evaluation of quality of life the questionnaire SF-36 was applied at the following times: preoperative, one month and three months after surgery associated with the subjective assessment of the patient regarding satisfaction with the procedure and with the Nurick neurological scale applied prior to surgery and three months later.</p></sec><sec><title>RESULTS:</title><p> According to the SF-36, there was significant improvement in the domains functional ability, general health perceptions and emotional aspects over time; regarding physical limitations and social aspects there was no improvement in the first postoperative month, only in the third month. There were no statistically significant changes observed during the period covered by this study related to pain, vitality and mental health. According to Nurick scale, there was evidence of improvement in symptoms of cervical myelopathy. Based on the subjective evaluation of the patients, surprisingly, all patients were satisfied with the surgical procedure and the results.</p></sec><sec><title>CONCLUSION:</title><p> The open-door laminoplasty technique with rigid fixation to maintain the opening is useful in improving the symptoms of cervical myelopathy associated with lordosis, leading to improved quality of life and with a high degree of patient satisfaction and fewer complications.</p></sec>

scholarly journals Quality of Life in Women with Deep Endometriosis: A Cross-Sectional Study

2020 ◽  
Vol 42 (02) ◽  
pp. 090-095 ◽  
Author(s):  
Daniela Angerame Yela ◽  
Iuri de Paula Quagliato ◽  
Cristina Laguna Benetti-Pinto
Keyword(s):  
Quality Of Life ◽  
Well Being ◽  
Cross Sectional Study ◽  
Deep Infiltrating Endometriosis ◽  
Sectional Study ◽  
Deep Endometriosis ◽  
Cross Sectional ◽  
Sf 36 ◽  
Emotional Aspects

Abstract Objective To describe clinical and sociodemographic characteristics of women with deep infiltrating endometriosis (DIE) and assess their quality of life (QOL) during 6 months of medical treatment. Methods A descriptive cross-sectional study of 60 women diagnosed with DIE either by surgery or image methods (ultrasound or magnetic resonance), who received clinical treatment for at least 6 months in the Universidade de Campinas, Campinas, state of São Paulo, Brazil. Both the SF-36 and the EHP-30 questionnaires were used to assess the quality of life. Results The mean age of the patients was 37.7 ± 6.0 years old, with 50% presenting dysmenorrhea; 57% dyspareunia; and 50% chronic pelvic pain. The SF-36 and the EHP-30 revealed impaired quality of life. In the SF-36, the worst domains were limitation due to emotional aspects (40.2 ± 43.1) and self-esteem and disposition (46.1 ± 24.8), whereas in the EHP-30 they were social well-being (50.3 ± 30.6); infertility (48.0 ± 36.3); and sexual intercourse (54.0 ± 32.1). Conclusion Although clinically treated, women with deep endometriosis present impairment in different domains of quality of life regardless of the questionnaire used for evaluation.

The relationship between the experience of negative feelings and quality of life and the socio-demographical factors of patients treated for spinal discopathy of the lumbar spine

2021 ◽  
Vol 19 (1) ◽  
pp. 93-104
Author(s):  
Joanna Girzelska ◽  
Leszek Chomicki
Keyword(s):  
Quality Of Life ◽  
Lumbar Spine ◽  
Marital Status ◽  
Subjective Evaluation ◽  
Subjective Assessment ◽  
Survey Method ◽  
Significant Deterioration ◽  
Negative Feelings ◽  
The Relationship

Most of the pathological changes in the spine begin with the physiological loss of intervertebral disc function. Discopathy of the lumbar spine leads to a significant deterioration in the quality of life, which is why the therapeutic team strives is to improve patients quality of life through actions aimed at reducing spinal dysfunction to an extent that allows for human functioning. The research aim was to determine the quality of life of patients who had been treated as a result of discopathy of the lumbar spine and to establish the relationship between the experience of negative feelings and a subjective assessment of the quality of life with factors resulting frompatient socio-demographics. The study included 110 patients treated for lumbar discopathy. A diagnostic survey method was employed as a research technique, with the use of a proprietary survey questionnaire. Statistic analysis of the results was performedusing the statistical package PQStat v1.6.6. Subjective evaluation of patients quality of life in 66 persons (60%) was at an average level, only 6 (5.45%) respondents rated the quality of their lives as being higher. Those living in towns of up to 50,000 residents rated their quality of life higher (6.21), with the lowest level being reported by those living in the countryside (4.95). Age did not influence significantly the quality of life, but older people most often experienced pain (p=0.4). Analysis of variance did not show statistically significant differences between marital status and respondent quality of life (p = 0.53) but did show significant differences between education levels and the incidence of negative feelings such as fear, anxiety or depression. Socio-demographic variables: such as gender, age and marital status do not significantly differentiate the quality of life of the respondents. There is a relationship between experiencing negative feelings and educational levels. The lower the education level obtained, the more often negative feelings are experienced. The experiencing of negative feelings and disease duration are variables that reduce the quality of life of respondents.

Functional and Quality of Life Outcomes of Surgery for Degenerative Cervical Myelopathy: a Quality Improvement Study

2020 ◽  
Author(s):  
Babak Mirzashahi ◽  
Pejman Mansouri ◽  
Arvin Najafi ◽  
Saeed Besharati ◽  
Mohammad Taha Kouchakinejad ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cervical Myelopathy ◽  
Short Form ◽  
Sf 36 ◽  
Patient Reported ◽  
Vas Scores ◽  
One Year ◽  
Degenerative Cervical Myelopathy

Background: This study aimed to determine the outcome of surgical treatments in patients with degenerative cervical myelopathy (DCM). During one-year follow-up period, we evaluated patient-reported functional and quality of life (QOL) measures.   Methods: In a retrospective single-center study, we collected data of patients with DCM who underwent cervical fusion surgeries in Imam Khomeini Hospital, Tehran, Iran, from 2011 to 2015. Patients underwent single or multi-level anterior cervical discectomy and fusion (ACDF), anterior cervical corpectomy and fusion (ACCF), or posterior laminectomy and fusion. We utilized patient-reported assessments including Short Form 36 (SF-36), Visual Analogue Scale (VAS), Neck Disability Index (NDI), and Nurick grade. Follow-up was performed at 6 weeks, 3 months, 6 months, and 12 months post-operatively to assess the outcome of surgery.   Results: Ninety patients (56 men, 34 women) with a mean age of 54.1 (27-87) years were included. Comparison of pre- and post-operative scores showed significant improvement in SF-36 parameters, VAS, NDI, and Nurick grade (P < 0.001). Also, women’s VAS scores improved more than men's VAS scores during the follow-up period (P < 0.050). Age and type of surgery did not significantly affect the SF-36 parameters, VAS, NDI, and Nurick grade (P > 0.05).   Conclusions: Cervical surgeries in patients with different severity of DCM can improve different aspects of QOL during one-year after surgery

scholarly journals 23 Psycho-emotional aspects in patients with takotsubo syndrome compared with a control group

2021 ◽  
Vol 23 (Supplement_G) ◽  
Author(s):  
Annalisa Matera ◽  
Francesco Santoro ◽  
Adriana Mallardi ◽  
Alessandra Leopizzi ◽  
Enrica Vitale ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Activities Of Daily Living ◽  
Daily Living ◽  
Anxiety And Depression ◽  
Control Group ◽  
Social Activities ◽  
Takotsubo Syndrome ◽  
Sf 36 ◽  
Emotional Aspects

Abstract Aims Takotsubo syndrome (TTS), also called stress cardiomyopathy, is an acute and transient left ventricular systolic dysfunction. Patients affected are usually postmenopausal woman with symptoms similar to myocardial infarction (angina pectoris, shortness of breath, palpitations, etc.) who experienced sudden emotional or physical stress. Emotional stressors are the mayor trigger in about 40% of cases, therefore an evaluation of psychological profile of these patients may have clinical relevance. Evaluate the quality of life, the level of anxiety and depression, the activities of daily life in patients with TTS in comparison with a control group with similar characteristics who haven’t developed this pathology. Methods and results 44 patients were recruited: 22 patients with TTS and 22 patients included in the control-group who didn’t develop the syndrome. Patients answered to three questionnaires for the evaluation of daily living activities, (Activities of daily living and Instrumental activities of daily living—ADL and IADL), levels of anxiety and depression (hospital anxiety and depression scale—HADS), and quality of life (36-Item Short Form Health Survey-SF—36). Mean age of the study population was 69 ± 9 years and patients were all female. No differences in term of cardiovascular and no risk factor were found between the two groups. Concerning daily living activities, no differences were present. However, when comparing levels of anxiety and depression, TTS patients had higher levels of anxiety (9.4 ± 5.3 vs. 7.7 ± 4.3; P = 0.3; HADS), meanwhile levels of depression were higher in patients of the control group (6.1 ± 3.4 vs. 6.7 ± 4.7; P = 0.7; HADS). Regarding the quality of life, patients with TTS reported to have reduced energy and had fewer social activities (respectively, 51.2 ± 15.7 vs. 62.8 ± 16.5; P = 0.03; 60.4 ± 29.1 vs. 66.6 ± 30.2 con P = 0.7; SF-36). Conclusions Patients with Takotsubo syndrome have typical psycho-emotional aspects including higher levels of anxiety and impaired quality of life (as reduced energy and fewer social activities). Further research is needed to better stratify these aspects.

scholarly journals Effect of Antioxidant Vitamin Complex on Disease Prevention

2019 ◽  
pp. 652-659
Author(s):  
Olga Pozdnyakova ◽  
Maria Kazakova ◽  
Alexander Avstrievskikh ◽  
Valeriy Poznyakovskiy
Keyword(s):  
Quality Of Life ◽  
Health Workers ◽  
Quantitative Description ◽  
Life Quality ◽  
Control Group ◽  
Antioxidant Vitamin ◽  
Social And Emotional ◽  
Sf 36 ◽  
Emotional Aspects

Introduction. Hypovitaminosis is currently common among various social groups. The present research offers a new medical formulation that includes a complex of antioxidant vitamins with a highly beneficial synergistic effect. Study objects and methods. The research employed the SF-36 questionnaire to assess the quality of life in patients with chronic diseases, as recommended by the WHO. The SF-36 questionnaire provides a quantitative description of the physical, emotional, and social components of the quality of life. Clinical control was performed on days 31–32 from the onset of the medication. The state of the microcirculatory bed was assessed in laboratory conditions by applying pressure to the nail bed. The concentration of malondialdehyde was determined by the method developed by M. Uchiyama and M. Mihara. Results and discussion. The paper introduces the formulation and describes the properties of each component. The efficacy of the medicine was confirmed experimentally. Twenty education and health workers were administered the medicine for one month. The control group consisted of fifteen volunteers, who were randomized and grouped according to professional factor, sex, and age. The control group consumed the medicine together with standard vitamins A, C, and E in adequate dosages. Conclusion. The developed medicine proved able to improve the physical, social, and emotional aspects of life quality under high psychophysical stress. The polyvalent effect of the components demonstrated a tropism to collagen synthesis. In addition, it showed an antioxidant effect and improved microcirculation. The medicine can be used preventively to reduce the risk of chronic pathology based on the accumulation of excess free radical activity.

scholarly journals THE EFFECT OF THE 8-WEEK ATORVASTATIN TREATMENT ON THE QUALITY OF LIFE OF HYPERTENSIVE PATIENTS WITH METABOLIC SYNDROME

2013 ◽  
Vol 19 (2) ◽  
pp. 125-131 ◽  
Author(s):  
I. D. Bespalova ◽  
V. V. Kalyuzhin ◽  
N. V. Ryazantseva ◽  
Yu. A. Medyantsev ◽  
B. Yu. Murashev ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Metabolic Syndrome ◽  
Clinical Laboratory ◽  
Subjective Evaluation ◽  
Atorvastatin Treatment ◽  
Hypertensive Patients ◽  
Sf 36 ◽  
Cardiology Clinic ◽  
Design And Methods

Objective.To study the effect of the 8-week treatment with atorvastatin on the quality of life (QOL) of hypertensive patients with metabolic syndrome.Design and methods.An 8-week open prospective study included 35 patients with essential hypertension (stage II), associated with metabolic syndrome. Along with the complete clinical, laboratory and instrumental examination, taken in a specialized cardiology clinic, MOS SF-36® questionnaire was used to study the QOL during atorvastatin treatment.Results and conclusions.The 8-week atorvastatin treatment (20 to 40 mg/day titrated individually) both contributes to statistically signifi cant reduction of atherogenic fractions of cholesterol and provides a positive dynamics of subjective evaluation of QOL by SF-36® scales in hypertensive patients with metabolic syndrome. 

scholarly journals Quality of life and body image of patients with urinary disorders

2020 ◽  
Vol 73 (suppl 1) ◽  
Author(s):  
Gardênia Lima Gurgel do Amaral ◽  
Kleynianne Medeiros de Mendonça Costa ◽  
Charlene Maria Ferreira de Lima ◽  
Tânia Arena Moreira Domingues ◽  
Dulce Aparecida Barbosa ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Body Image ◽  
Short Form ◽  
The Body ◽  
Cross Sectional ◽  
Social Adversity ◽  
Emotional Aspects ◽  
Male Patients ◽  
High Degree

ABSTRACT Objective: to assess the quality of life and body image of men with difficulty urinating and indwelling urinary catheter users, integrating the socio-demographic, economic and morbidity variables. Method: a cross-sectional analytical study with 64 male patients with urinary problems. Three questionnaires were used for data collection: one containing sociodemographic, economic and morbid data, the Medical Outcome Study 36-item short-form health survey to analyze quality of life, and the Body Dysmorphic Examination, which assesses body image. T-test, Mann-Whitney, Pearson, Spearman, Linear Regression and Stepwise were used. Results: quality of life and body image were compromised in both groups, affecting emotional aspects, with a high degree of body dissatisfaction and altered physical and social adversity. Conclusion: changes in patients’ quality of life and body image were observed, confirming the need for improvement in care.

scholarly journals Effects of power training on quality of life and postural stability in elderly

2020 ◽  
pp. 1-7
Author(s):  
Grassyara Pinho Tolentino ◽  
Viviane Soares ◽  
Patrícia Espíndola Mota Venâncio ◽  
João Lucas de Moraes ◽  
Pablo Rodrigues Lima ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Functional Capacity ◽  
Short Form ◽  
The Elderly ◽  
Control Group ◽  
Subjective Perception ◽  
Power Training ◽  
Sf 36 ◽  
Emotional Aspects

Introduction: The muscular strength exercises can be an effective intervention to prevent falls and to favor the functional capacity (FC) in the elderly. However, few studies have reported the benefits of power training (PT) and the subjective perception of the elderly on these activities. Objective: to evaluate the repercussions of a power training protocol on functional capacity and subjective health parameters in the elderly. Method: It was a prospective study involving 48 elderly people. Two groups were composed: a power training group (PG) with 22 participants with a mean age of 68.14 (5.46) years and the control group (CG) was composed of 32 elderly individuals aged 68.03 (4.83) years. Health-related quality of life was measured from the Medical Outcomes Study 36 – Item Short-Form Health Survey (SF-36). The FC was measured by the Berg Balance and Time Up and Go tests. The PT was performed 2x/week, with duration of 50 min/session, for 14 weeks (first two weeks of adaptation; first six weeks 3X/10-15 repetitions of 40-50% of the Subjective Perceived Exertion (SPE) / 6 following weeks 3X/6-10 repetitions of 60-70% of the SPE). The CG performed rhythm activities with the same frequency and weekly duration. Result: It was observed favorable results in FC after 14 weeks of power training. There was also a positive evaluation of most sf-36 domains, with emphasis on physical and emotional aspects. However, the perception of the elderly in relation to the pain domain presented negative results. Conclusion: The PT positively influenced the FC, the physical and the emotional aspects of the elderly; negatively affected the pain and maintained the low risk of fall after 12 weeks of intervention, without presenting intercurrences during the intervention.

scholarly journals Incorporation of Dance Practice into the Lifestyle of People with Disabilities and Its Impact on Quality of Life Over Time

2021 ◽  
Vol 8 (2) ◽  
Author(s):  
DeJesus BM ◽  
Keyword(s):  
Quality Of Life ◽  
Mental Health ◽  
Functional Capacity ◽  
Short Form ◽  
People With Disabilities ◽  
Sf 36 ◽  
Emotional Aspects ◽  
A Prospective Study ◽  
Clinical Conditions

Aim: To evaluate how incorporating dance practice into the lifestyle can impact the Quality of Life (QOL) of People with Disabilities (PWD) over four years. Method: This is a prospective study with dance protocol classes specific for PWD, once a week, 60 min per class, over four years. In addition, the participants performed public presentations each year. Participants were assessed twice per year (at the beginning and at the end of each year of dance practice), totalizing 8 assessments, using the Medical Outcomes Study Survey Short Form 36 (SF- 36) questionnaire. Results: Forty-one PWD with different clinical conditions, both sexes, ranging in age from 3 to 39 years, participated in the study over four years (Y1 to Y4). With regard to QOL domains in the SF-36, significant changes were found when comparing the years (two-way ANOVA (F=19.87; p <0.0001)). Values increased in the following QOL domains: Year I: functional capacity, physical aspects, emotional aspects, vitality, pain and mental health. Year II: physical and emotional aspects, pain and mental health. Year III: functional capacity, physical and emotional aspects, vitality, general health, pain and mental health. In Year IV the values increased in all domains. Interpretation: Over the course of four years, dance practice contributed to the QOL of participants; this suggests that it is an activity that promotes inclusion for PWD in the sociocultural arena.

scholarly journals Moving Beyond the Neck and Arm: The Pain Experience of People With Degenerative Cervical Myelopathy Who Have Pain

2021 ◽  
pp. 219256822098614
Author(s):  
Timothy Boerger ◽  
Ali Alsouhibani ◽  
Oliver Mouforth ◽  
Joseph Hamilton ◽  
Abdul Lalkhen ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Cervical Myelopathy ◽  
Brief Pain Inventory ◽  
Internet Survey ◽  
Pain Diagnosis ◽  
Sf 36 ◽  
History Of ◽  
Body Map ◽  
Degenerative Cervical Myelopathy

Study Design: Cross-sectional internet survey of people living with degenerative cervical myelopathy. Objective: The purpose of this study was to quantify pain distribution, severity, and interference in persons with degenerative cervical myelopathy. Methods: Eighty-two participants with degenerative cervical myelopathy were recruited for this internet survey. This survey utilized the Michigan Body Map and brief pain inventory (BPI) to assess anatomical distribution and severity of pain as well as the patient derived modified Japanese Orthopedic Association scale (p-mJOA) for myelopathic severity and SF-36 for measures of health-related quality of life. Internal consistency was evaluated with Cronbach’s alpha. Pearson’s correlations were assessed with p-mJOA and SF-36. Multivariate analysis of variance was used to determine if history of prior surgery or concomitant pain diagnosis impacted experience of pain. Results: Michigan body map distribution and brief pain inventory severity and interference were correlated with p-mJOA and SF-36 scores (p < 0.05). Pain was moderate to severe in 78% of participants. Pain was commonly widespread. Pain scales were sufficiently internally consistent (α > 0.9). History of surgery or other pain diagnosis did not impact experience of pain in myelopathy. Conclusions: Pain is commonly identifiable in large areas of the body, is frequently moderate to severe in intensity and impacts quality of life and severity of myelopathy in a cohort of individuals with myelopathy who have pain.

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