scholarly journals Quality of life as a criterion of o rehabilitation efficiency (on the example of patients with spine osteochondrosis)

2020 ◽  
Vol 23 (3) ◽  
pp. 9-17
Author(s):  
N. G. Petrova ◽  
V. A. Yarovaya

Background. Degenerative dystrophic diseases (DDD) of the spine occupy a leading place in the structure of the causes of chronic back pain. The widespread prevalence of osteochondrosis and high primary disability determine the medical, social and economic significance of the problem. An important direction of its solution is a scientifically based system of rehabilitation measures. The existing wide arsenal of means of rehabilitative impact dictates the need to assess their effectiveness, for which, in turn, various techniques can also be used. The aim of the study was to assess the quality of life of patients with osteochondrosis before and after rehabilitation. Materials and methods. The patient sample included 50 people with diagnosis of osteochondrosis of the spine. In the structure of respondents, 58.0% were women, 42.0% men. The proportion of individuals: up to 30 years old was 26.0%; 3145 years old 58.0%; 46 years and older 14.0%. 48.0% of patients are diagnosed with cervical spinal dislocation; 10.0% of patients thoracic; 18.0% of the lumbar spine 24.0% of patients common osteochondrosis. 96.0% of patients received rehabilitation measures. They were complex and included drug therapy (100.0%), manual therapy (56.0%), massage (58.0%), healing fitness (24.0%), physiotherapy (amplipulse therapy-10.0%; electrophoresis 6.0%; laser therapy 6.0%), etc. After treatment, the majority of patients (56.0%) had positive dynamics, 28.0% did not have dynamics, and 16.0% were negative. An analysis of the quality of life of patients before and after rehabilitation measures showed the following. Results. The total score (GH) increased from 64.6 to 67.6 points. The physical component increased from 47.5 to 51.8 points; psychological from 45.1 to 45.6 points. The dynamics of these indicators differed among patients of different sexes, ages, with different diagnoses. Conclusions. Assessing the quality of life using the questionnaire allows you to objectify the effectiveness of the treatment.

2014 ◽  
Vol 2014 ◽  
pp. 1-6 ◽  
Author(s):  
Agda M. Andreotti ◽  
Marcelo C. Goiato ◽  
Eduardo P. Pellizzer ◽  
Aldiéris A. Pesqueira ◽  
Aimée M. Guiotti ◽  
...  

The purpose of this literature review was to describe the main features of phantom eye syndrome in relation to their possible causes, symptoms, treatments, and influence of eye amputation on quality of life of anophthalmic patients. For this, a bibliographical research was performed in Pubmed database using the following terms: “eye amputation,” “eye trauma,” “phantom eye syndrome,” “phantom pain,” and “quality of life,” associated or not. Thirteen studies were selected, besides some relevant references contained in the selected manuscripts and other studies hallowed in the literature. Thus, 56 articles were included in this review. The phantom eye syndrome is defined as any sensation reported by the patient with anophthalmia, originated anophthalmic cavity. In phantom eye syndrome, at least one of these three symptoms has to be present: phantom vision, phantom pain, and phantom sensations. This syndrome has a direct influence on the quality of life of the patients, and psychological support is recommended before and after the amputation of the eyeball as well as aid in the treatment of the syndrome. Therefore, it is suggested that, for more effective treatment of phantom eye syndrome, drug therapy should be associated with psychological approach.


2017 ◽  
Vol 24 (2) ◽  
pp. 65
Author(s):  
Min-Wook Kim ◽  
Choong-Young Kim ◽  
Ji-Won Lee ◽  
Cheol-Hwan Kim ◽  
Ju-Sim Oh ◽  
...  

2020 ◽  
Vol 13 (1) ◽  
pp. 29-37
Author(s):  
Jana Haluzíková ◽  
Gabriela Wieclawová

2017 ◽  
Vol 19 (2) ◽  
pp. 165-174 ◽  
Author(s):  
Anna Cabak ◽  
Agnieszka Rudnicka ◽  
Leszek Kulej ◽  
Wiesław Tomaszewski

Background. In the search for effective and comprehensive therapies of back pain, an increasing emphasis in being placed on the biopsychosocial model and multidimensional support programmes for patients as well the use of modern technologies in this area of medicine. This study aimed to assess a programme of customised ad hoc physiotherapeutic consultations for patients with back pain who had been on the waiting list for rehabilitation treatment for a long time. Material and method. The study group comprised 68 patients of the Rehabilitation Centre Non-Public Health Care Institution who had been waiting for rehabilitation treatment for at least three months. The patients, diagnosed with chronic back pain and aged 40-80 years, were randomly assigned into two groups. The experimental group took part in a programme of three consultations, provided on average once a month. The patients from both groups were assessed after the three-month programme, immediately before the commencement of the prescribed rehabilitation treatment. We evaluated the pain threshold at trigger points of selected muscles using the algometric method (kg/cm 2 ), subjective assessment of pain (VAS), functional limitations (Rolland Morris Disability Questionnaire) and quality of life (36-Item Short Form Health Survey, SF-36). The statistical analysis of the results used non-parametric methods: significance of differences between the groups was evaluated with the Mann–Whitney U test and correlations between the variables were assessed separately for each group using Spearman’s rank order correlation. The significance threshold was accepted at α=0.05. Results. The algometric evaluation of all the muscles revealed significantly lower sensitivity to pain, demonstrated by a higher pain threshold (p<0.0001), in the experimental group. Moreover, this group also included a much smaller percentage of patients with a high level of functional limitations according to the Rolland Morris Disability Questionnaire. The quality of life evaluation revealed that the control group scored poorer in the mental domain (p=0.02). Conclusions. The ad hoc intervention programme for patients referred for rehabilitation due to chronic back pain showed demonstrable beneficial effects with regard to their psychophysical health. Similar programmes should be more readily offered to patients at health care centres and implemented into clinical practice.


2014 ◽  
Vol 8 (3) ◽  
pp. 346 ◽  
Author(s):  
Yong Soo Choi ◽  
Dong Jun Kim ◽  
Kyu Yeol Lee ◽  
Ye Soo Park ◽  
Kyu Jung Cho ◽  
...  

2013 ◽  
Vol 9 (2) ◽  
pp. 401-411 ◽  
Author(s):  
Selma Cvijetic ◽  
Jasminka Bobic ◽  
Simeon Grazio ◽  
Melita Uremovic ◽  
Tomislav Nemcic ◽  
...  

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