Introduction/Objective. The frequency of a sedentary lifestyle during pregnancy increases. This contributes to gestational weight gain and has a negative impact on health. This study researched the impact of prenatal exercise on gestational weight gain, blood pressure, and microcirculation in pregnant women who exercised and those who did not exercise. Methods. The study included seventy pregnant women with a normal pregnancy, who attended a psychophysical preparation program for childbirth for eight weeks. The control group (n=35) attended theoretical classes on childbirth, and the experimental group (n=35) attended prenatal exercises as well. Gestational weight gain, blood pressure, and nailfold capillary density were determined and compared between the two groups. Results. Gestational weight gain of 19.94 kg in non-exercising pregnant women was significantly greater than the gestational weight gain of 11.65 kg in pregnant women who exercised. Pregnant women who did not exercise had an increase in systolic (by 15.56 mmHg) and diastolic pressure (by 16.08 mmHg), which is significantly higher compared to pregnant women who exercised. In this group, systolic pressure increased by 2.5 mmHg, while diastolic did not change. A significant difference in the nailfold capillary density at the end of the prenatal program has not been determined. Conclusion. Prenatal exercise of moderate-intensity has a positive effect on gestational weight gain and the level of blood pressure in pregnant women. The nailfold capillary density has not differed significantly after the prenatal program in pregnant women who have exercised and in those who have not.
1 Zavod za fizikalnu medicinu i rehabilitaciju "Dr Miroslav Zotović", Banjaluka, Republika Srpska, Bosna i Hercegovina 2 Zavod za anatomiju, Medicinski fakultet, Univerzitet u Banjaluci, Banjaluka, Republika Srpska, Bosna i Hercegovina Kratak sadržajUvod. Totalna endoproteza kuka uklanja veliki funkcionalni i estetski invaliditet koji stvara degenerativna bolest kuka. Dobri funkcionalni rezultati ove intervencije zavise kako od hirurškog liječenja tako i od kvalitetno provedene rehabilitacije. Ciljevi rada su korelirati funkcionalni status pacijenata sa koksartrozom u tri vremenska perioda: preoperativno, po prijemu na stacionarnu fizikalnu terapiju i po otpustu sa iste, a potom ispitati postoji li razlika u odgovoru na provedenu rehabilitaciju kod pacijenata sa primarnom i sekundarnom koksartrozom, kao i uticaj komorbiditeta na ishod rehabilitacije.Metode. Istraživanjem su obuhvaćena 122 pacijenta (46 muškaraca i 76 žena) sa degenerativnim oboljenjima zgloba kuka: 80 primarnih, 42 sekundarne koksartroze. Svi pacijenti su hirurški liječeni implantacijom totalne bescementne endoproteze zgloba kuka u Zavodu za fizikalnu medicinu i rehabilitaciju "Dr Miroslav Zotović" u Banjaluci. Kod svih pacijenata je provedena rana rehabilitacija po protokolu ustanove, a zatim je u istoj ustanovi provedena stacionarna fizikalna terapija nakon prvog kontrolnog pregleda ortopeda i fizijatra. Instrument procjene funkcionalnog statusa je bio WOMAC indeks.Rezultati. Statistička analiza, urađena softverom SPSS, je pokazala visoko statistički značajnu razliku (p<0,001) pri poređenju vrijednosti WOMAC indeksa: preoperativno i na prijemu pacijenata na stacionarnu fizikalnu terapiju, preoperativno i pri otpustu pacijenta, kao i pri dolasku i pri otpustu sa stacionarne terapije. Statistički značajna razlika (p<0,05) je uočena samo preoperativno u korist pacijenata sa sekundarnom koksartrozom, dok nije bilo statistički značajne razlike između pacijenata sa i bez komorbiditeta.Zaključak. Dobro osmišljen i proveden rehabilitacioni program zasnovan na timskom radu daje i dobre rezultate bez obzira na prateći komorbiditet i životnu dob pacijenata.
Introduction:Scoliosis is a complex three-dimensional spine deformity with the frontal plane deflexion (side-shift) of the series of vertebra from the midline and with torque deformity of vertebra, ribs, and the entire trunk towards the apex of curve. Chronic venous diseases present a group of pathological conditions caused by the increased venous pressure. The venous pressure may be increased due to genetics, ligament laxity, general obesity, injuries, and changes in biomechanics of spine and lower extremities, etc.Aim:The aim of the study is to evaluate the frequency of the varicose veins in women previously treated for the adolescent idiopathic scoliosis.Material and methods:In the period August 1, 2015 - December 30, 2015 the Team for scoliosis in the Institute for the Physical medicine and Rehabilitation „Dr Miroslav Zotović” in Banja Luka in study program has clinically assessed 89 women previously treated for the adolescent idiopathic scoliosis (AIS) and the control group of 87 women without history of scoliosis.Results:Results of the study led to conclusion that occurrence of the varicose veins was more frequent in the group of women who were treated for the AIS (23/89 or 25.8%) in comparison with control group with no history of AIS (7/87 or 8.1%).Conclusion:This might relate AIS with some other connective tissue disorder, like venous varices, for instance.
Background/Aim: The most recommended form of lymphoedema therapy is complete decongestive treatment (CDT). Efficacy of CDT in patients with arm lymphoedema related to malignant breast tumour has reported in many studies, but the predictive factors of outcome of this therapy have not been yet sufficiently investigated. The purpose of this research was to identify predictive factors of efficacy of CDT in patients with breast cancer-linked arm lymphoedema throughout the intensive phase of therapy. Methods: The prospective study included 51 patients with breast cancer-linked arm lymphoedema who were subjected to a 3-week program of CDT. Patients' clinical and demographic features, breast cancer treatment characteristics, lymphoedema and CDT characteristics were collected and assessed for their prognostic value. The influence of certain predictors on the degree of lymphoedema reduction was evaluated by multivariate linear regression analysis. Results: Mean age was 58.1 ± 8.0 (95 % CI: 55.8 - 60.3), median of BMI was 28.4 kg/m2 (95 % CI: 27.2 - 29.6). The average duration of lymphoedema was 36.5 ± 43.9 months (95 % CI: 24.1 - 48.8). The mean size of lymphoedema before CDT was 6.99 ± 5.36 %, and the mean degree of lymphoedema reduction was 63.7 ± 28.6 %. The mean compliance to bandages was 217.5 ± 97.8 hours (95 % CI: 190.0 - 245.0) and 7 (13.7 %) patients had a history of erysipelas of the ipsilateral arm. When observing each individual predictor, statistically most significant contribution showed the size of lymphoedema before the therapy (p < 0.001), then history of erysipelas (p < 0.01), and patients' age (p < 0.05). Conclusion: Size of lymphoedema before treatment is the most crucial prognostic factor of the efficacy of CDT in the patients with breast cancer-linked arm lymphoedema. The present study also identified history of erysipelas and patients age as independent predictors of the CDT efficacy.
Introduction: In the available literature there are sporadic data about the relationship between the impaired collagen synthesis and poor posture on one side, and the occurrence of varicose veins and uterine prolapse on the other side. However, there are no studies which specifically target this issue. Aim of the Study: To determine the prevalence of varicose veins and/or uterine prolapse occurrence in women previously treated for idiopathic scoliosis in comparison to the control group-women who have never been treated for idiopathic scoliosis. Patients and Methods: The study was designed as a cross-sectional study. The frequency of occurrence of varicose veins and/or uterine prolapse in a group of women previously treated for scoliosis was compared with a control group. The results were obtained through descriptive analysis and through conclusive results of statistical tests, where p < 0.05 was set as a statistically significant value. Results: In comparison to the control group, the frequency of varicose veins occurrence was higher, with a statistically significant difference in the group of women treated for idiopathic scoliosis. There was not a single case of uterine prolapse. Conclusion: Modern approach to scoliosis treatment requires the involvement of multidisciplinary teams for scoliosis in specialized health care facilities which have developed the expertise in this field. These teams should work on prevention, early detection and diagnosis, promoting the adequate treatment approaches anchored in evidence based medicine, but also get involved in the continuous research striving to improve the quality of life of their patients.
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