UČINKOVITOST TRAKCIJE U LIJEČENJU SPINALNIH RADIKULOPATIJA

UVOD: Trakcija kralježnice je često korištena metoda liječenja spinalnih radikulopatija, uzrokovanih hernijom intervertebralnog diska. Trakcija djeluje na smanjenje boli, funkcionalne onesposobljenosti i općenito poboljšanje zdravlja kod spinalnih radikulopatija, a može utjecati i na smanjenje hernije intervertebralnog diska. CILJ ISTRAŽIVANJA: Istražiti učinkovitost trakcije u liječenju spinalnih radikulopatija. METODE: Provedena je elektronska pretraga biomedicinske baze podataka PubMed-a po ključnim riječima u razdoblju od 2013. do 2018. godine, te ručna pretraga PubMed-a i Google Znalcu istom razdoblju za randomizirana kontrolirana istraživanja koja su uspoređivala učinkovitost jednu metodu trakcije s drugom ili s drugim metodama fizioterapije. REZULTATI: U istraživanje su uključena tri istraživanja koja su uspoređivala učinkovitost mehaničke intermitentne trakcije u kombinaciji bez ili sa fizikalnim procedurama i terapijskim vježbama u liječenju akutnih, subakutnih i kroničnih spinalnih radikulopatija. Učinkovitost trakcije odnosi se na smanjenje boli i funkcionalne onesposobljenosti te povećanju pokretljivosti spinalne kralježnice. Ni u jednom istraživanju nije mjeren učinak trakcije na smanjenje hernijacije diska. ZAKLJUČAK: Trakcija nije učinkovitija od fizikalnih procedura i terapijskih vježbi u liječenju spinalnih radikulopatija. Nema razlike u učinku trakcije u odnosu na količinu primijenjene sile. Trakcija u kombinaciji s fizikalnim procedurama i terapijskim vježbama može imati blago veći učinak u odnosu na samu primjenu fizikalnih procedura i terapijskih vježbi u liječenju kroničnih spinalnih radikulopatija

UČINKOVITOST McKENZIE KONCEPTA I STANDARDNE KINEZITERAPIJE NA SMANJENJE BOLI KOD KRONIČNE VERTEBRALNE KRIŽOBOLJE

UVOD: Fizikalna terapija u liječenju kroničnih križobolja zauzima vodeće mjesto. Primjenjuju se različite metode fizikalne terapije, ali za sada, jedino kineziterapija ima dokazanu učinkovitost. Iz tog razloga u području kineziterapije došlo je do razvoja različitih koncepta i metoda za liječenje bolesti kralježnice. Učinkovitost tih koncepata i metoda u odnosu na standardne kineziterapijske metode još uvijek nema znanstvenu potvrdu. Prema izboru stručnjaka, McKenzie koncept zauzima vodeće mjesto u izboru liječenja križobolja. CILJ: Usporediti učinkovitost McKenzie koncepta i standardne kineziterapije na smanjenje boli kod kronične vertebralne križobolje te usporediti koja od ovih dviju metoda je učinkovitija u liječenju kronične vetrebralne križobolje. ISPITANICI I METODE: Uključena su 72 ispitanika, oba spola od 30.-50. godine života s kroničnom vertebralnom križoboljom koji su liječeni na Klinici za Fizikalnu medicinu i rehabilitaciju SKB Mostar. Glavna mjera istraživanja je bol, mjerena VAS ljestvicom. U istraživanje su uključeni ispitanici koji su na prvom mjerenju imali ocjenu 6 na VAS ljestvici. Ispitanici su slučajnim odabirom podijeljeni na ispitnu i kontrolnu skupinu koje su se razlikovale prema metodi kineziterapije primijenjene u liječenju. Evaluacija je provedena neposredno prije tretmana i nakon tretmana koji je trajao 14 dana. REZULTATI: Skupine su imale po 36 ispitanika. Ženski spol je bio zastupljeniji u obje skupine. Na početku istraživanja skupine se nisu razlikovale po dobi, spolu i razini boli. Nakon 14 dana ponovljena je procjena boli u obje skupine. Poboljšanje u procjeni boli statistički je značajno u kontrolnoj skupini u kojoj se provodila standardna kineziterapija (z = –3,197; p=0,0014) kao i ispitnoj skupini u kojoj se provodio McKenzie koncept (z= –4,007; p=0,0001). Nije bilo statistički značajnih razlika između skupina u smanjenju boli (t = 1,54; p=0, 063). ZAKLJUČAK: McKenzie i standardne vježbe u kineziterapiji djeluju učinkovito na smanjenje boli u kratkom periodu tretmana. McKenzie koncept nije učinkovitiji od standardne kineziterapije na smanjenje boli kod kronične vertebralne križobolje

THE INFLUENCE OF RELIGIOSITY AND PERSONALITY DIMENSIONS ON THE ATTITUDES ABOUT ABORTION

Background: A major public health problem is illegal abortion and its consequences and reliable data on abortions is globally unavailable. The Catholic Church advocates the protection of the human right for life that begins with conception. Religion was proven as an important predictor in forming abortion attitudes. Low points on openness and experience scales correlate with soc ial prejudices and conservative orientation. The Aim: To determine the impact of religiosity and personality dimension on abortion attitudes using Questionnaire of Religion, Abortion Attitudes Questionnaire and Big Five Questionnaire. Subjects and Methods: An in - depth study was conducted on a sample of 310 citizens of Herzeg - Bosnian County in Bosnia and Herzegovina. The instruments used in the research were: a short questionnaire with socio - demographic features, a questionnair e of religiosity, an abortion questionnaire and a Big Five questionnaire. Results: Citizens of Herzeg - Bosnian County, 89.1% of them, believe that abortion terminates life. For legal prohibition of abor- tion 73.1% of the respondents’ advocate, and Catholics are the most rigorous. Catholics mostly do not agree with the attitude t hat only a pregnant woman can decide on abortion in comparison to Islamic religion ( Ȥ2(4)=16.36; p<0.01). Only 13% of citizens are against the interference of the Church in the matter of abortion. The most insecurity can be seen in the attitude about the fat her\u27s participation in the abortion decision. Almost half of citizens who oppose abortion would still leave it as an option for women. Conclusion: Citizens of Herzeg - Bosnian County support the legal prohibition of abortion and see it as a termination of life. Orthodox respondents are the least opposed to abortion and they also see themselves the least as believers. In Catholic and Isl amic religions, religious identity and condemnation of abortion are expressed. Younger and mature people and male gender are importa nt predictors of abortion condemnation. The influence of personality dimension on abortion attitudes was also not found in this research

RELATIONSHIP BETWEEN EDUCATION OF PREGNANT WOMEN AND LISTENING TO CLASSICAL MUSIC WITH THE EXPERIENCE OF PAIN IN CHILDBIRTH AND THE OCCURRENCE OF PSYCHOLOGICAL SYMPTOMS IN PUERPERIUM

Introduction: Pregnancy is a unique experience accompanied by significant physiological, biochemical, and psychological changes that may affect a women\u27s health status.With the development of a holistic approach midwives have became continuous support during pregnancy and childbirth. Childbirth education is an intervention that affects delivery outcomes and the experience of childbirth. Music therapy has been proven to be a safe and effective non - pharmacological method to gain in pregnancy and puerperium. The study aimed to prove the impact of educating pregnant women and listening to classical music on the experience of childbirth pains and the occurrence of psychological symptoms during puerperium. Methods: A prospective randomized controlled trial (n=198) was conducted. The experimental group of pregnant women was educated during pregnancy and listened to classical music the rest of the pregnancy, while the control group received the usual care. The VAS scale was used to assess pain, and the 90 - point scale was used to assess the incidence of psychological symptoms. Results: The difference in pain assessment between the experimental and control groups was significant (p<0.001). The experimental group rated their childbirth pain as moderate (M=5.98), while the control group experienced severe pain (M=8.42). A significant difference in the incidence of psychological symptoms between groups was found in the dimensions of interpersonal sensitivity, hostility, phobic anxiety, and paranoid ideations (p=0.042; p=0.014; p=0.013; p=0.008). Conclusion: This study demonstrated the impact of midwifery education and listening to classical music on the perception of childbirth pain and mental health in the puerperium. The experimental group rated childbirth pain significantly lower compared to the control group and had significantly fewer psychological symptoms 6 weeks after delivery

RELATIONSHIP BETWEEN EDUCATION OF PREGNANT WOMEN AND LISTENING TO CLASSICAL MUSIC WITH THE EXPERIENCE OF PAIN IN CHILDBIRTH AND THE OCCURRENCE OF PSYCHOLOGICAL SYMPTOMS IN PUERPERIUM

Introduction: Pregnancy is a unique experience accompanied by significant physiological, biochemical, and psychological changes that may affect a women\u27s health status.With the development of a holistic approach midwives have became continuous support during pregnancy and childbirth. Childbirth education is an intervention that affects delivery outcomes and the experience of childbirth. Music therapy has been proven to be a safe and effective non - pharmacological method to gain in pregnancy and puerperium. The study aimed to prove the impact of educating pregnant women and listening to classical music on the experience of childbirth pains and the occurrence of psychological symptoms during puerperium. Methods: A prospective randomized controlled trial (n=198) was conducted. The experimental group of pregnant women was educated during pregnancy and listened to classical music the rest of the pregnancy, while the control group received the usual care. The VAS scale was used to assess pain, and the 90 - point scale was used to assess the incidence of psychological symptoms. Results: The difference in pain assessment between the experimental and control groups was significant (p<0.001). The experimental group rated their childbirth pain as moderate (M=5.98), while the control group experienced severe pain (M=8.42). A significant difference in the incidence of psychological symptoms between groups was found in the dimensions of interpersonal sensitivity, hostility, phobic anxiety, and paranoid ideations (p=0.042; p=0.014; p=0.013; p=0.008). Conclusion: This study demonstrated the impact of midwifery education and listening to classical music on the perception of childbirth pain and mental health in the puerperium. The experimental group rated childbirth pain significantly lower compared to the control group and had significantly fewer psychological symptoms 6 weeks after delivery

THE INFLUENCE OF RELIGIOSITY AND PERSONALITY DIMENSIONS ON THE ATTITUDES ABOUT ABORTION

Background: A major public health problem is illegal abortion and its consequences and reliable data on abortions is globally unavailable. The Catholic Church advocates the protection of the human right for life that begins with conception. Religion was proven as an important predictor in forming abortion attitudes. Low points on openness and experience scales correlate with soc ial prejudices and conservative orientation. The Aim: To determine the impact of religiosity and personality dimension on abortion attitudes using Questionnaire of Religion, Abortion Attitudes Questionnaire and Big Five Questionnaire. Subjects and Methods: An in - depth study was conducted on a sample of 310 citizens of Herzeg - Bosnian County in Bosnia and Herzegovina. The instruments used in the research were: a short questionnaire with socio - demographic features, a questionnair e of religiosity, an abortion questionnaire and a Big Five questionnaire. Results: Citizens of Herzeg - Bosnian County, 89.1% of them, believe that abortion terminates life. For legal prohibition of abor- tion 73.1% of the respondents’ advocate, and Catholics are the most rigorous. Catholics mostly do not agree with the attitude t hat only a pregnant woman can decide on abortion in comparison to Islamic religion ( Ȥ2(4)=16.36; p<0.01). Only 13% of citizens are against the interference of the Church in the matter of abortion. The most insecurity can be seen in the attitude about the fat her\u27s participation in the abortion decision. Almost half of citizens who oppose abortion would still leave it as an option for women. Conclusion: Citizens of Herzeg - Bosnian County support the legal prohibition of abortion and see it as a termination of life. Orthodox respondents are the least opposed to abortion and they also see themselves the least as believers. In Catholic and Isl amic religions, religious identity and condemnation of abortion are expressed. Younger and mature people and male gender are importa nt predictors of abortion condemnation. The influence of personality dimension on abortion attitudes was also not found in this research

Additional file 3 of Comparison of supervised exercise therapy with or without biopsychosocial approach for chronic nonspecific low back pain: a randomized controlled trial

Additional file 3. Education intervention in Graded Activity and Supervised Exercise Therapy groups

Additional file 5 of Comparison of supervised exercise therapy with or without biopsychosocial approach for chronic nonspecific low back pain: a randomized controlled trial

Additional file 5. Sociodemographic Questionnaire and Treatment Satisfaction Questionnaire