EFFECTIVENESS OF MAGNETOTHERAPY IN THE TREATMENT OF PATIENTS WITH LUMBAR SYNDROME

Introduction: The term low back pain means a feeling of pain at rest or during movement in the lower, lumbar part of the spine. In order to reduce pain, various physical procedures are used: electrotherapy, thermotherapy, laser therapy, magnetotherapy, ultrasound therapy, cryotherapy, kinesitherapy and manual massage. Aim: To examine the effectiveness of magnetotherapy in the treatment of patients with lumbar syndrome. Materials and Methods: The study included patients treated from 01.01.2013. to 31.12.2015. year due to the diagnosis of lumbar pain syndrome in persons whose treatment process included magnetotherapy in the "Beljan" practice as a research group where were treated 113 patients (73 male and 40 female). There were 262 (114 male and 148 female) patients in the Health Center in Metković as a control group in which magnetotherapy was not included in the treatment of any patient. Pain was assessed on the basis of a visual analogue scale. Results: Research showed that the Chi-square test showed a statistically significant difference between the duration of physical therapy by days between the examined and control groups, χ2(2,n=375) = 237.715; p<0.001. Pearson\u27s correlation coefficient r=0.68 shows a large statistical difference between the duration of physical therapy of the examined and control groups. The chi-square test showed a statistically significant difference between the kinesitherapy procedures and the examined or control group, χ2(2,n=375) = 28.743; p<0.001. Pearson\u27s correlation coefficient r=-0.156 shows an extremely small statistically significant difference between the tested and control groups and kinesitherapy procedures. Conclusion: The shortest time that the patients spent on physical therapy in the examined group (80 patients) is 0 - 6 days of therapy, the shortest, and in the control group (197 patients) it is 7 - 10 days, the shortest. The working hypothesis that magnetotherapy affects the duration of treatment and the improvement of the functional status of patients with lumbar syndrome has been prove

Necessary forms of inclusion support for persons with cerebral palsy, hearing impairment and other associated difficulties

Persons with cerebral palsy, hearing impairment and other associated difficulties need various forms of support. Support for these persons is inadequate, both due to the insufficient number of services provided by the system and largely due to the poor socio-economic status of these persons. The consequence of insufficient support, especially in the early period, is inadequate education and rehabilitation, which ultimately affects the social inclusion of these persons. The aim of the study is to examine the necessary types of support for persons with cerebral palsy, hearing impairment and other associated difficulties and to determine whether there is a statistically significant difference in the representation of the required types of support between cantons. The study was conducted on a sample of 120 respondents, persons with cerebral palsy, hearing impairment and other associated difficulties from four cantons of Federation of Bosnia and Herzegovina. Each canton consisted of one subsample of respondents. The results of the study showed that in addition to the existing support, 7.66% of persons with cerebral, hearing impairment and other associated difficulties need additional forms of support. Additional types of support mentioned by the respondents are: physical therapy (27.50%), more treatments (5.83%), professional help (5.00%), special education help (2.50%), school assistant help (3.33%), socialization (1.66%), all forms of support (8.33%), help from a speech therapist (11.66%), help from a psychologist (5.83%) and more socializing (5.00%). Respondents from all cantons need all these types of support and there is no statistically significant difference between cantons

Quality of life of families with children with intellectual and developmental disabilities: Family health domain

Introduction: The most general definition of quality of life states that “quality of life is the degree of what makes life good.” Contemporary disability research increasingly relies on examining the quality of life of the whole family. Health and developmental outcomes are affected by the health of children and their environment. The objective of this study is to determine the difference in quality of life between families with children with disabilities and families with children without disabilities in the area of family health. Methods: The Family Quality of Life Questionnaire was used to assess quality of life. The test group consisted of 41 families of children with intellectual disabilities and developmental disabilities who use day care centers. The control group consisted of 69 families of children without disabilities whose members are employed in day care centers. Results: A statistically significant difference was found in the quality of life of families of children with disabilities and families of children without disabilities in the area of family health within the concept of satisfaction with family health (p = 0.0001), with respondents in the test group reporting a lower mean score of 3.1 ± 0.86 compared to subjects in the control group 3.94 ± 0.62. None of the respondents in the test group reported being very satisfied with family health, while for most respondents in both groups, 38 (92.8%) in the test group and 66 (95.7%) in the control group, family health was very important for quality of life. Conclusion: A statistically significant difference was found in the quality of life of families of children with disabilities and families of children without disabilities within the concept of achievement, the concept of satisfaction with family health and the determination is a statistically significant difference in relation to the existence of health services in the place of residence

Health promotion in families who have children with intellectual and developmental disabilities

Intellectual disability is the state of stopped or incomplete mental development which is featured by the impairment of abilities occurring at the development age and contributes to general level of intelligence, such as speech, cognitive, motor and social abilities. Disability can occur together or separately from other mental or physical disorders. 290 million people worldwide are estimated to have disabilities. Health is a core element in quality of life, but poverty, marginalization, limited access to primary health care, and lack of health promotion knowledge compromise health. Based on a research results in all nine areas of the family life quality (health, nancial status, family relations, support of other, support of services, influence of values, career, leisure and recreation, and community interaction) community could influence with the permanent preventive measures on 6 concepts of family life quality: importance, possibility, initiative, achievement, stability and satisfaction. The research could be of great help for the development of comprehensive strategies for improvement of quality of life for families that have one or more members with intellectual disability. From inclusion we expect approach to individual and his/her family by the society, to take into account all their diversities, preservation and improvement of their personal physical and mental health, for optimal possible functioning, at all personal and social levels

Patients’ trust in the health care system and physiotherapists

Introduction: The assessment of the health-care system by its beneficiaries is based on evaluation of the public perception in regards to the performance of healthcare workers, the functioning of the health system, the effectiveness of health policy measures, and a number of other components. The aim of this study was to determine patients’ trust in the work of physiotherapists and the health-care system; determine the quality of communication between the patient and the physiotherapist and determine the quality of cooperation between healthcare workers in the provision of health services.Methods: The study is descriptive, conducted in five cities: Banja Luka, Bihać, Herceg Novi, Nikšić, and Podujevo. The confidence in health-care questionnaire developed by Calnan and Sanford (2004) was used as a research instrument, containing six areas of research: Attitude toward the patient, Health policy and patient care, Professionalism and expertise, Quality of health care, Communication and information, and Quality of cooperation.Results: The mean age of the subjects was 41 years, 24 females and 26 males. Subjects expressed the greatest satisfaction on subscales I - Attitude toward the patient (27.44 ± 3.59 out of 30) and IV - Quality of health care (36.60 ± 4.19 out of 40), which represents 91.5% of the possible maximum. This is followed by subscale V - Communication and information (20.8 ± 3.17 out of 25) corresponding to 83.2% of the possible maximum, followed by subscale III - Professionalism and expertise (15.68 ± 3.29 out of 20) which represents 78.4% of the possible maximum. Subjects showed the least satisfaction on subscales II - Health policy and patient care (16.94 ± 5.56 out of 25), which represents 67.8% of the possible maximum, and subscales VI - Quality of cooperation (9.94 ± 0.42 out of 15) which corresponds to 66.3% of the possible maximum.Conclusions: The research showed a high degree of satisfaction of subjects in various fields, which indicates a high degree of confidence in the work of physiotherapists and the health-care system. Research on a larger sample in needed for creation and implementation of the guidelines in the strategic documents of the countries in the region and for improvement of health policies and patient care

The relationship of limited mobility of the cervical spinewith postural and mental reactions of students

Introduction: Previous studies have found that, in addition to the general factors for the occurrence of pain and reduced mobility of the cervical spine, the use of electronic devices promotes these, the excessive use of which can also lead to the occurrence of depressive symptoms in students. The aim of this study was to determine the mobility limitation of the cervical spine in students with reported neck pain, to determine the degree of disability and depression due to neck pain, to determine the correlation of mobility limitation of the cervical spine with the degree of disability and depression of students, and to determine the correlation of the degree of disability with the degree of depression. Methods: The research was conducted as a cross-sectional study from May to July 2021 at the University of Zenica in four faculties. The study used the General Questionnaire and two standardized questionnaires to assess disability due to neck pain (Index of Disability due to Neck Pain) and the degree of depression (patient health questionnaire). Results: A total of 147 students with reported neck pain participated in the study. A limitation of mobility was found in 30.6% of the students in flexion, 25.2% in rotation, 23.8% in lateral flexion, and 20.4% on extension. Mild disability due to neck pain was found in 58.5% of students, moderate in 23.8%, and severe in 2.7%. 45.6% of the students had mild depression, 18.4% had moderate depression, and 5.4% had severe depression.Conclusion: Restricted flexion and rotation are more common than restricted lateral flexion and extension of the cervical spine. About half of the students who reported neck pain had a mild degree of disability and mild depression. A strong positive correlation was found between the degree of disability and depression in students with neck pain