Treatment of road traffic noise in EU countries with a focus on Directive 2002/49/EC

The trend of continuous increase for mobility requirements results in a progressive increase in the use of vehicles of all modes of transport, which contributes to a significant increase in noise levels, especially in urban areas. The most significant noise in urban areas is traffic noise, where road traffic contributes the most. This paper reviews the treatment of road traffic noise in the European Union with a focus on Directive 2002/49 / EC. The paper presents the basics of the mechanisms of the institutional and management framework in the field of road traffic noise monitoring in EU countries. Also, the results of road traffic noise monitoring in EU countries, indicators of population exposure to road traffic noise, as well as indicators of the impact of road traffic noise on the health of the population, were presented

Efficiency of dry needling along with standard physical treatment in people with lumbar pain syndrome

Introduction: The complaints that occur in the area of the lumbar spine are summarized under the term lumbar pain syndrome. These include lumbar discopathy, lumbago, lumboischialgia, sciatica, and other complaints associated with the lumbar region of the spine. The purpose of this study is to evaluate sociodemographic characteristics, assess the degree of disability patients experience due to lumbar pain syndrome, evaluate how many patients catastrophize their pain, and assess the effectiveness of the dry needling technique along with other physical therapy modalities in people with lumbar pain syndrome. Methods: The study was designed as a prospective study conducted from March 2022 to June 2022. 35 subjects of both sexes, aged 25-83, agreed to participate in the study. The subjects who enrolled were pre-dominantly suffering from chronic lumbar pain syndrome, and there were also a smaller number of subjects with acute lumbar pain syndrome. Results: The majority of respondents suffer from lumbar pain syndrome, which falls into the chronic category in 29 or 82.9% of cases. The mean score after the application of therapy on the Oswestry Disability Index (ODI) scale was 22.0 ± 16.23% and was statistically significantly lower. The average score after the application of the therapy on the visual analog scale (VAS) was 3.06 ± 2.31 and is statistically significantly lower (p < 0.05) compared to the period before the therapy. Conclusion: Dry needling in combination with standard physical procedures led to statistically significant improvements. The mean score on the pain catastrophe scale, VAS, and ODI was significantly lower than in the pre-therapy period