scholarly journals Dynamics of quality of life in orthopedic patients during an outpatient physical therapy program

Author(s):  
S. Fedorenko ◽  
О. Lazarieva ◽  
V. Vitomskyi ◽  
M. Vitomska

Quality of life indicators are key in assessing the effectiveness of physical therapy now, as they reflect the physical, psychological and social functioning of the individual. Objective: to determine the dynamics of quality of life in outpatients with disorders of orthopedic profile during a course of physical therapy, depending on the type of attitude to the disease. Research methods: quality of life assessment was conducted using the internationally standardized Health Status Survey. Patient grouping was performed using the International Classification of Functioning and the method of determining types of attitudes to the disease. The obtained results were processed by methods of mathematical statistics. The study involved 113 patients who underwent a course of physical therapy at FESCO Medical Center during 2013-2015. Results. The analysis revealed a number of features of the dynamics of quality of life depending on the localization of damage to the musculoskeletal system and the type of attitude to the disease. In particular, among lower-impaired patients group with irrational attitude to the disease had worse dynamics in the scales “physical functioning”, “role limitations due to physical health”, “pain”, “vitality”, “mental health” and "physical status". Because the dynamics in the groups with irrational attitude to the disease were statistically worse in a significant number of indicators, no comparison of the final indicators with the groups of patients with the rational attitude to the disease was observed. Conclusion. The existence of statistically significant differences in the dynamics of quality of life among patients with orthopedic profile during physical therapy at the outpatient stage was confirmed, depending on the type of attitude to the disease. The results obtained should be considered to improve the physical therapy system and increase its effectiveness. This is necessary first of all for patients with irrational attitude to the disease, as a significant number of the studied indicators were worse in these patients, and also had less pronounced dynamics compared to patients with rational psychotypes. This requires identifying the characteristics of managing such patients and improving management in the physical therapy system.

Author(s):  
OLGA MOSKALENKO ◽  
ROMAN YASKEVICH

A review of the literature on the current problem of medicine is presented. Arterial hypertension is one of the common chronic diseases for which the current goal of therapy is not recovery, but improvement of circulatory function with a satisfactory quality of life. The study of QOL and the factors influencing it can contribute to an increase in the individual effectiveness of treatment and complex rehabilitation of patients suffering from this pathology.


Author(s):  
Norimasa Takayama ◽  
Takeshi Morikawa ◽  
Ernest Bielinis

Previous research has mainly dealt with the physiological and psychological restorative effects of the forest environment. However, comparatively few studies have focused on how the traits and attributes of individuals (individual traits) affect the restorative effects of the forest environment. In this study, we examined the relationships between the psychological restorative effects offered by perceived restorativeness of outdoor settings and the individual traits. Then, we investigated the relationships between the restorative indicators that are useful in examining the restorative properties (i.e., the Perceived Restorativeness Scale (PRS); seven indicators in total), the psychological restorative effect (Profile of Mood States (POMS), Restorative Outcome Scale (ROS), positive and negative affect schedule (PANAS), and Subjective Vitality Scale (SVS); 10 indicators in total), and the individual trait indicators that could be used to investigate individual traits (Development of Health and Life Habit Inventory for lifestyle, Lazarus-type Stress Coping Inventory for stress coping, World Health Organization Quality of Life Assessment 26 for quality of life (QOL), and Sukemune-Hiew Resilience test for resilience; 28 indicators in total) in forest and urban settings. Respondents consisted of 46 male students in their twenties. A short-term experiment was conducted using the same method in both environmental settings. We then analyzed the intrinsic restorative properties and the restorative effects of the settings and referred to prior research to determine the restorative effects. Furthermore, we analyzed the relationship between the restorative indicators and the individual trait indicators by correlation analysis and multiple regression (step-wise) analysis. These new findings were obtained: (1) the forest setting was a restorative environment with a higher restorative effect than the urban setting; (2) although the forest setting had a higher restorative effect than the urban setting, and the influence of individual traits was small; (3) in the forest setting, the relationship between the restorative indicators and individual traits indicators were arranged; (4) distancing (Stress coping), psychological health (QOL), and satisfaction with living environment (QOL) were likely important indicators that are related to the restorative effects in the forest setting.


2018 ◽  
Vol 16 (1) ◽  
pp. 107
Author(s):  
Dragan Popović ◽  
Dragana Mitić ◽  
Jasna Popović ◽  
Evagelija Boli ◽  
Evdokia Samouilidou ◽  
...  

The goal of this study is a comparative analysis of the possibilities of physical education for children with health problems and the current status in boys and girls. Understanding the concept of impaired health is a precondition for the realization of the training process and possible integration in the process of physical education, according to the structure of health disadvantages. Quality of life assessment is performed on three levels. The first level are items that are given in the form of a statement. On the second level, item-like particles are observed in the sub-segments (scales that cover different dimensions of health and quality of life). The raw scores of each scale are transformed into standardized ones with a possible value of 1-4, which facilitates the interpretation of the results. The third level represents total physical and psycho-social health. Up to this level, there are certain mathematical procedures, based on the individual scale scores. Comparative analyses in regard of the cultural and gender specificities are provided, based on MANOVA and DISCRA analyses, within the introductory part, and 11 scales of the Questionnaire. Analysis of the data point out major differences in the possibility of physical activity application in children with medical conditions, with a special overview of boys and girls from diverse cultural and social backgrounds, in Serbia and the Northern Aegean region of Greece.


CHEST Journal ◽  
2014 ◽  
Vol 145 (3) ◽  
pp. 372A ◽  
Author(s):  
Irene Torres-Sánchez ◽  
Marie Carmen Valenza ◽  
Gerald Valenza-Demet ◽  
Irene Cabrera-Martos ◽  
María José Flores-Barba ◽  
...  

2013 ◽  
Vol 26 (3) ◽  
pp. 503-513 ◽  
Author(s):  
Mariana Chaves Aveiro ◽  
Patricia Driusso ◽  
Julia Gianjoppe dos Santos ◽  
Viviane Dassi Kiyoto ◽  
Jorge Oishi

INTRODUCTION: Health promotion policies for encouraging elderly to remain active, independent and, effectively have a positive effect on their quality of life. OBJECTIVE: To verify the effects of a low-intensity group-based physical therapy program on quality of life among community-dwelling elderly women. MATERIALS AND METHODS: It was carried out a randomized controlled trial. Seventeen women (67.8 ± 4.9 years old) that completed 12-week training program and 10 women (68.9 ± 5.7 years old) that were included in control group answered the abbreviated version for World Health Organization Quality of life Questionnaire - WHOQOL-bref at baseline and after 12 weeks. Exercise group performed stretching, resistance and balance training. Intragroup and intergroup analysis was made using Wilcoxon and Mann-Whitney U tests, respectively. The level of significance used for all comparisons was 5%. Furthermore, it was determined the Reliable Change Index (RCI) as part of JT Method. RESULTS: Exercise group presented a significant improvement for Psychological domain (p = 0.047) after 12-week physical therapy program. Otherwise, control group presented a significant worsening for overall (p = 0.01), physical (p = 0.01) and psychological (p = 0.008) domains. Exercise group presented two participants with positive reliable change (PRC) for social domain, two participants with PRC for Environment domain. Overall and Physical domain presented three participants with PRC. Psychological domain presented four participants with PRC and one with negative reliable change. CONCLUSION: A low-intensity group-based physical therapy program may contribute in order to maintain quality of life and improve some psychological aspects among community-dwelling elderly women.


Author(s):  
Raysa Silva Venâncio ◽  
Tamiris Beppler Martins ◽  
Keyla Mara Dos Santos ◽  
Gilmar Moraes Santos

Introduction: Osteosarcoma is the most common malignancy among musculoskeletal tumors. It can be treated for preservation member or amputation. The cases treated for preservation member have improved functionality and quality of life, however, patients with oncologic diseases exhibit symptoms of anxiety and depression. The aim of this study is to describe the role of physiotherapy in the hip endoprosthesis after surgery for osteosarcoma of a patient treated at the Clinic Physiotherapy School of the University of the State of Santa Catarina (CEFID / UDESC) and verify their quality of life, functionality and symptoms of anxiety and depression. Materials and Methods: A descriptive study through case report. The subject was assessed before and after 10 sessions of physiotherapy on the quality of life, functionality and symptoms of anxiety and depression using a standardized assessment form, the Quality of Life Assessment Questionnaire (WHOQOL-BREF), the system Functional assessment (Musculoskeletal Tumor Society Rating Scale - MSTS); of Lower Limb Function Scale (EFMI) and the Hospital Anxiety and Depression Scale (Hospital Anxiety and Depression Scale - HADS); Results and Conclusions: Physical therapy treatment proposed to the patient allowed the increase of muscle strength; increased muscle tropism; improved member functionality (65% of EFMI); possible reduction of anxiety or depressive symptoms in HADS; presenting score (67.31%) of the WHOQOL-BREF and (56%) in MSTS. Thus, based on the functional, emotional and psychological outcomes, the proposed physical therapy had a positive influence on a patient's quality of life osteosarcoma at the proximal end of the left femur, underwent resection and reconstruction member with endoprosthesis.


2019 ◽  
Vol 17 ◽  
Author(s):  
Mariana Mohamed Osman ◽  
Nur Farhanah Rosli ◽  
Noor Suzilawati Rabe

The definition of quality of life is varied. Different individuals may perceive the quality of life in a different form of other individuals. Over more than four decades, Malaysia has made remarkable achievements regarding its economic growth as well as its socio-economic development. Numerous factors have been identified that may influence the quality of life of the people according to their personal preferences. This article assessed the perception of 100 respondent's lives in two major cities in Malaysia namely Johor Bharu and Petaling. These cities are also the major district in Johor Darul Takzim and Selangor Darul Ehsan. These study also would be focusing on the economic well-being of the individual. The economic individual is economic capacity, transportation, living condition and educational satisfaction.


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