The study included 60 patients with multiple sclerosis (MS) hospitalized at
our institution from September 1 to December 31, 2014. The aim of the study was to assess the
prevalence of restless legs ...syndrome (RLS) in MS patients and RLS relationship with patient age,
sex, degree of disability, form of MS, time elapsed from MS diagnosis and use of antidepressants. The
diagnosis of RLS was made according to the criteria set by the International Restless Legs Syndrome
Study Group. Of the 60 patients, 24 (40%) met the criteria for the existence of RLS. In the group of
patients with RLS, there was a significantly higher proportion of women and those that were taking
antidepressants. There were no statistically significant between-group differences according to age,
duration of illness, degree of disability and clinical course of MS. In the study, 37.5% of patients that
met the criteria for RLS diagnosis had not informed the neurologists about their difficulties. The
high prevalence of RLS and the fact that a large proportion of patients did not inform the neurologists
about their difficulties related to RLS point to the need of an active approach to diagnosis and
treatment.
The aim of the study was to determine the prevalence of pseudobulbar affect (PBA) in patients with multiple sclerosis (MS) and to analyze the link between PBA and patient age, sex, clinical course of ...MS, disease duration and degree of disability. The study was conducted on 79 MS patients that underwent inpatient rehabilitation at the Lipik Special Hospital for Medical Rehabilitation in the period from August 15, 2014 to February 15, 2015. PBA is a term used for an emotional disinhibition syndrome characterized by sudden and involuntary episodes of crying or laughing which are not in proportion to the stimulus applied or occur without stimulus. The condition can be present in patients with various neurological disorders, such as amyotrophic lateral sclerosis, Alzheimer's disease, Parkinson's disease, patients having recovered from stroke, or following traumatic brain injury. The estimated prevalence in patients with MS ranges from 10% to 46.2%. As a measuring instrument in the study, we used the Center for Neurologic Study-Lability Scale (CNS-LS), where a sum 17 denoted positive finding. The total number of respondents was 79, of which 33 (41.8%) met the CNS-LS criteria for the diagnosis of PBA. There was no statistically significant correlation between PBA, age and degree of disability, although PBA was more common in women and in patients with a secondary progressive form of the disease. We found that 42.4% of respondents with positive CNS-LS criteria for PBA did not inform their neurologist on the presence of sudden mood changes. The high frequency of PBA and the fact that a significant proportion of patients did not inform the neurologist on their affective disturbances call for an active approach to diagnosis and treatment.
Mind-Body Practice by Persons With Multiple Sclerosis Casar Rovazdi, Marisanda; Vidovic, Viktor; Rendulic Slivar, Senka
Hrvatska revija za rehabilitacijska istraživanja,
01/2016, Letnik:
52, Številka:
1
Journal Article
Recenzirano
Odprti dostop
The objectives of the study were to assess the prevalence of mind-body practice by persons with multiple sclerosis (MS) and analyze the relationship of age, sex, clinical course of MS, level of ...incapacity, and time elapsed from MS diagnosis. The study included 120 patients with MS who underwent inpatient rehabilitation at the Lipik Hospital for Medical Rehabilitation in the period from May 1, 2015 to October 10, 2015. For the purposes of the study, a semi-structured questionnaire on the current usage of mind-body procedures was applied. Closed ended questions referred to the use of the following procedures: meditation, deep-breathing exercises, hypnotherapy, yoga, biofeedback, chiropractic, massage, reflexology, bioenergy, and magnetic therapy. The studied patients were divided into two groups according to whether they practiced or did not practice mind-body procedures. Comparison of the variables was performed using Student’s t-test and a Pearson correlation test. At the time of the study, 37 (30.8%) MS patients reported currently practicing one or more mind-body procedures. Respondents most commonly were practicing meditation (n=13; 10.8%), followed by massage (n=10; 8.3%), acupuncture (n=7; 5.8%), bioenergy healing (n=7; 5.8%), magnetic therapy (5; 4.2%), chiropractic (n=5; 4.2%), yoga (n=3; 2.5%), tai chi (n=2; 1.7%), and reflexology (n=1; 0.8%). There was no statistically significant difference according to age (p=0.520), sex (p=0.448), EDDS score (p=0.489), disease duration (p=0.963) and disease course (p=0.932) between the groups of respondents practicing and those not practicing mind-body procedures. Regarding the widespread use of various mind-body procedures, there is a need to actively monitor MS patients in order to provide them with guidance when using these procedures.
The study included 60 patients with multiple sclerosis (MS) hospitalized at our institution from September 1 to December 31, 2014. Th e aim of the study was to assess the prevalence of restless legs ...syndrome (RLS) in MS patients and RLS relationship with patient age, sex, degree of disability, form of MS, time elapsed from MS diagnosis and use of antidepressants. The diagnosis of RLS was made according to the criteria set by the International Restless Legs Syndrome Study Group. Of the 60 patients, 24 (40%) met the criteria for the existence of RLS. In the group of patients with RLS, there was a significantly higher proportion of women and those that were taking antidepressants. Th ere were no statistically significant between-group differences according to age, duration of illness, degree of disability and clinical course of MS. In the study, 37.5% of patients that met the criteria for RLS diagnosis had not informed the neurologists about their difficulties. The high prevalence of RLS and the fact that a large proportion of patients did not inform the neurologists about their difficulties related to RLS point to the need of an active approach to diagnosis and treatment.
In the study, we evaluated 61 multiple sclerosis patients hospitalized at our hospital in the period from October 1, 2013 to February 15, 2014. The aim of the study was to investigate pain syndromes ...associated with the underlying disease. Pain in the month preceding assessment was reported by 90% of patients. Most patients suffered from low back pain (52%) and musculoskeletal pain (39%), followed by neck pain (31%), painful tonic spasm (26%), neuropathic extremity pain (23%) and pain due to spasticity (21%). Other types of pain were present in less than 20% of patients. A total of 67% of patients were taking analgesics; the most frequently used were nonsteroidal antiinflammatory drugs, while drugs against neuropathic pain were taken by a smaller number of patients. The high incidence of pain syndromes pointed to the importance of regular physical therapy procedures.
The objectives of the study were to assess the prevalence of mind-body practice by persons with multiple sclerosis (MS) and analyze the relationship of age, sex, clinical course of MS, level of ...incapacity, and time elapsed from MS diagnosis. The study included 120 patients with MS who underwent inpatient rehabilitation at the Lipik Hospital for Medical Rehabilitation in the period from May 1, 2015 to October 10, 2015. For the purposes of the study, a semi-structured questionnaire on the current usage of mind-body procedures was applied. Closed ended questions referred to the use of the following procedures: meditation, deep-breathing exercises, hypnotherapy, yoga, biofeedback, chiropractic, massage, reflexology, bioenergy, and magnetic therapy. The studied patients were divided into two groups according to whether they practiced or did not practice mind-body procedures. Comparison of the variables was performed using Student's t-test and a Pearson correlation test. At the time of the study, 37 (30.8%) MS patients reported currently practicing one or more mind-body procedures. Respondents most commonly were practicing meditation (n=13; 10.8%), followed by massage (n=10; 8.3%), acupuncture (n=7; 5.8%), bioenergy healing (n=7; 5.8%), magnetic therapy (5; 4.2%), chiropractic (n=5; 4.2%), yoga (n=3; 2.5%), tai chi (n=2; 1.7%), and reflexology (n=1; 0.8%). There was no statistically significant difference according to age (p=0.520), sex (p=0.448), EDDS score (p=0.489), disease duration (p=0.963) and disease course (p=0.932) between the groups of respondents practicing and those not practicing mind-body procedures. Regarding the widespread use of various mind-body procedures, there is a need to actively monitor MS patients in order to provide them with guidance when using these procedures. Key words: multiple sclerosis, complementary and alternative medicine, mind-body procedures Cilj istrazivanja je bio utvrditi ucestalost primjene duhovno-tjelesnih tehnika kod osoba s multiplom sklerozom (MS) i analizirati povezanost primjene tih tehnika s dobi, spolom, klinickim tijekom MS, stupnjem onesposobljenosti i vremenom proteklim od postavljanja dijagnoze MS. Studijom je bilo obuhvaceno 120 oboljelih koji su pohacali stacionarnu rehabilitaciju u Specijalnoj bolnici za medicinsku rehabilitaciju Lipik u periodu od 1.5.2015. do 10.10.2015.godine. U svrhu studije upotrijebljen je semi-strukturirani upitnik. Strukturiranim pitanjima ispitala se primjena sljedecih tehnika: meditacije, vjezbi dubokog disanja, hipnoterapije, joge, biofeedbacka, kiropraktike, masaze, refleksologije, bioenergije i magnetoterapije. Ispitanici su podijeljeni u dvije skupine, ovisno o tome jesu li ili nisu primjenjivali duhovno-tjelesne tehnike. Usporedba varijabli ucinjena je pomocu Studentovog t- testa i Pearsonovog testa korelacije. U vrijeme istrazivanja 37 (30,8%) ispitanika primjenjivalo je jednu ili vise duhovno-tjelesnih tehnika. Ispitanici su najcesce primjenjivali meditaciju (n=13; 10,8%), potom masazu (n=10; 8,3%), akupunkturu (n=7; 5,8%), bioenergiju (n=7; 5,8%), magnetoterapiju (5; 4,2%), kiropraktiku (n=5; 4,2%), jogu (n=3; 2,5%), tai chi (n=2; 1,7%) i refleksologiju (n=1; 0,8%). Izmecu skupine koja je primjenjivala i koja nije primjenjivala duhovno-tjelesne tehnike nije nacena statisticki znacajna razlika u odnosu na dob, spol, EDSS zbroj, trajanje bolesti i klinicki tijek bolesti. S obzirom na ucestalu primjenu razlicitih duhovno-tjelesnih tehnika, potrebno je aktivno pracenje oboljelih od MS kako bi se mogle uciniti smjernice za lijecenje navedenim tehnikama. Kljucne rijeci: multipla skleroza, komplementarna i alternativna medicina, duhovno-tjelesne tehnike
U studiji je obuhvaćeno 60 oboljelih od multiple skleroze (MS). Svi su bili hospitalizirani u našoj ustanovi od 1. rujna 2014. do 31. prosinca 2014. Cilj rada je bio istražiti učestalost sindroma ...nemirnih nogu (RLS) i odrediti međusobnu povezanost RLS-a s dobi ispitanika, spolom, stupnjem onesposobljenosti, oblikom MS, vremenom proteklim od postavljanja dijagnoze MS i uzimanjem antidepresiva. Dijagnoza RLS-a postavljena je sukladno kriterijima Međunarodne studijske grupe za sindrom nemirnih nogu (IRLSSG). Od ukupno 60 ispitanika njih 24 (40%) ispunilo je kriterije za postojanje RLS-a. U skupini ispitanika s RLS utvrđena je statistički značajno veća zastupljenost žena i onih koji uzimaju antidepresive. Nije nađena statistički značajna razlika između skupina u odnosu na životnu dob, trajanje bolesti, stupanj onesposobljenosti i klinički tijek MS. Od 24 bolesnika koji su ispunili kriterije za dijagnozu RLS-a njih 37,5% nije obavijestilo neurologa o prisutnim smetnjama. Visoka učestalost RLS-a i činjenica da velik udio oboljelih ne iznosi nadležnom neurologu smetnje iz okvira RLS-a zahtijevaju aktivan pristup u dijagnostici i liječenju.
UVOD: Rezultati istraživanja Hrvatske zdravstvene ankete 2003. na 12000 osoba starijih od 18 godina su pokazali da je ukupno nedovoljno tjelesno aktivno 35,8% ispitanika (oko 44% muškaraca i 32% ...žena) u Hrvatskoj. U radu je procijenjena tjelesna aktivnost fizioterapeuta i specijalista fizikalne medicine i rehabilitacije u Toplicama Lipik i komparirana sa tjelesnom aktivnošću stanovnika Hrvatske.
CILJ RADA: Cilj je bio ispitati sklonost redovitom vježbanju i tjelesnim aktivnostima, kao čimbenika zdravog stila života, zdravstvenih djelatnika Toplica Lipik koji vježbanje redovno sugeriraju pacijentima ili klijentima.
MATERIJAL I METODE: Istraživanje je uključilo 46 ispitanika, zdravstvenih djelatnika u Toplicama Lipik. Korišten je standardizirani upitnik o stupnju tjelesne aktivnosti.
REZULTATI S DISKUSIJOM: Anketirano je 46 djelatnika, uz primjenu standardiziranog upitnika, 14 muškaraca i 32 žene, prosječne životne dobi 36,43 (u rasponu od 20-63) godine.
17 ispitanika je veoma aktivnih, 18 aktivnih, 6 umjereno aktivnih i 5 neaktivnih. Rezultati istraživanja ukazuju da je 76% ispitanika aktivno ili vrlo aktivno. Najveći postotak veoma aktivnih i aktivnih 90% (18) je među ispitanicima od 20-29 godine života, 62% (8) ih je u dobi od 30-39 godine, 80% (4) starosti od 40-49 godine, 71% (5) od 50-59 godine života, dok među starijima od 60 godina nema aktivnih i veoma aktivnih.
ZAKLJUČAK: Ova skupina ispitanika je iznad prosječno aktivna u odnosu na ostalu populaciju u Hrvatskoj. Tjelesna aktivnost zdravstvenih djelatnika Toplica Lipik bila je ovisna o njihovoj životnoj dobi i sugerira zdrav stil života ispitanika.
Cilj istraživanja je bio utvrditi učestalost primjene duhovno-tjelesnih tehnika kod osoba s multiplom sklerozom (MS) i analizirati povezanost primjene tih tehnika s dobi, spolom, kliničkim tijekom ...MS, stupnjem onesposobljenosti i vremenom proteklim od postavljanja dijagnoze MS. Studijom je bilo obuhvaćeno 120 oboljelih koji su pohađali stacionarnu rehabilitaciju u Specijalnoj bolnici za medicinsku rehabilitaciju Lipik u periodu od 1.5.2015. do 10.10.2015.godine. U svrhu studije upotrijebljen je semi-strukturirani upitnik. Strukturiranim pitanjima ispitala se primjena sljedećih tehnika: meditacije, vježbi dubokog disanja, hipnoterapije, joge, biofeedbacka, kiropraktike, masaže, refleksologije, bioenergije i magnetoterapije. Ispitanici su podijeljeni u dvije skupine, ovisno o tome jesu li ili nisu primjenjivali duhovno-tjelesne tehnike. Usporedba varijabli učinjena je pomoću Studentovog t- testa i Pearsonovog testa korelacije. U vrijeme istraživanja 37 (30,8%) ispitanika primjenjivalo je jednu ili više duhovno-tjelesnih tehnika. Ispitanici su najčešće primjenjivali meditaciju (n=13; 10,8%), potom masažu (n=10; 8,3%), akupunkturu (n=7; 5,8%), bioenergiju (n=7; 5,8%), magnetoterapiju (5; 4,2%), kiropraktiku (n=5; 4,2%), jogu (n=3; 2,5%), tai chi (n=2; 1,7%) i refleksologiju (n=1; 0,8%). Između skupine koja je primjenjivala i koja nije primjenjivala duhovno-tjelesne tehnike nije nađena statistički značajna razlika u odnosu na dob, spol, EDSS zbroj, trajanje bolesti i klinički tijek bolesti. S obzirom na učestalu primjenu različitih duhovno-tjelesnih tehnika, potrebno je aktivno praćenje oboljelih od MS kako bi se mogle učiniti smjernice za liječenje navedenim tehnikama.
PDF
