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EN
Purpose: The tools for measuring objective quality of life include research regarding the conditions of a successful life and life satisfaction. Osteoarthritis (OA) is characterized by progressive degradation and loss of articular cartilage as well as abnormal bone growth and remodeling, located directly under the cartilage. The aim of this study is to answer the question on which level OA patients perceive their quality of life dependent on health. Material and methods: The Polish version of the HAQ questionnaire, assessing the quality of life over the past week, was used for overall assessment of quality of life. The Polish version of the AIMS-2 questionnaire was used as a specific questionnaire for assessing the health status of patients with osteoarthritis. Surveys were conducted in a group of 240 people. Results: The quality of life dependent on health is significantly reduced in the group of healthy people who take painkillers sporadically because of other reasons and in the OA pateints group compared to the control group, the same as in the OA pateints group compared to the group of healthy people who take painkillers sporadically for other reasons. Conclusions: According to the answers from the questionnaire, patients with OA seek different forms of improving their quality of life. It is important to change their lifestyle (weight reduction, using a bench-mounted bike, walking stick or walking frame), reducing the surface area of the joints, reducing the defective position of the limb axis. Exercises that increase muscle mass and exercises to improve joint mobility should be introduced. It is advisable to refer the OA patient for physical therapy and/or balneotherapy.
EN
Introduction and aim. Osteoarthritis (OA) is generally a progressive disease that affects synovial joints, resulting in abnormalities to articular cartilage subchondral bone, synovium, and adjacent soft tissues. The purpose of this work was to investigate the specific activity of chondroitin sulfate (CS) in intra-articular and intramuscular administration to laboratory rabbits in experimental OA. Material and methods. OA was induced in rabbits by a single injection of mono-iodoacetate in knee joint. CS was administered intra-articularly and intramuscularly. The analysis of biochemical markers and macroscopic assessment of rabbit knee joints was performed. Results. Intramuscular and intra-articular injection of CS reduces the intensity of the degenerative-dystrophic process due to the impact on inflammatory and the activation of anabolic mechanisms. Intra-articular administration of CS leads to a greater increase in the level of factors of bone and cartilage formation and a greater decrease in the levels of factors of the acute phase of inflammation and factors that destroy the cartilage matrix. Conclusion. Intramuscular administration of CS revealed a lower intensity of destructive changes in the cartilaginous surface of the knee joint, and intramuscular – the absence of cartilage destruction and defects of the cartilaginous surface, which indicates the peculiarity of the topical effect of the CS.
EN
Introduction. Osteoarthritis is the most common disease of the musculoskeletal system. Osteoarthritis progresses slowly, but with time it results in movement disability and chronic pain. Its progression is also significantly associated with personality functioning and the ability to make rational life choices regarding various aspects of human life, including the economic sphere. Aim. The aim of the research was to determine how personality correlates with a tendency towards indebtedness between patients with and without osteoarthritis. Material and methods. The researched sample consisted of two groups - 50 patients diagnosed with osteoarthritis hospitalized in the Department of General and Neuro Rehabilitation in the Institute of Rural Health in Lublin and 50 healthy people. The KOS-B Questionnaire, the IVE Questionnaire, the SES Scale, the SPP-25 Scale, the Delta Questionnaire and the APSZ questionnaire were used in the research. Results. In the group of patients with osteoarthritis, the leading correlates of indebtedness are: assessment of the stress situation related to the current economic situation seen as a threat, and perceiving it as harm or loss. In the healthy group, the leading correlates of incurring financial liabilities are impulsiveness, self-esteem, assessment of the stress situation related to the current economic situation seen as a threat, openness to new experiences and sense of humor, empathy, and the need for social approval. Conclusion. In the group of patients with osteoarthritis, the factor conducive to incurring financial liabilities is the assessment of the stressful situation related to the current economic situation seen as a threat, while perceiving it as harm or loss leads to abandoning reliance on credit. In the healthy group, the factors that favor this type of activity are impulsiveness, self-esteem, the assessment of the stress situation related to the current economic situation seen as a threat and the need for social approval; the factors protecting against indebtedness in healthy persons are openness to new experiences and sense of humor as well as empathy.
EN
Introduction. Osteoarthritis (OA) is generally a progressive disease that affects synovial joints, resulting in abnormalities to articular cartilage subchondral bone, synovium, and adjacent soft tissues. Aim. The purpose of this work was to examine the histological changes in knee cartilage and bone following the administration of two different chondroitin sulfate products in two experimental OA models in rats. Material and methods. OA was induced in rats by either a single injection of mono-iodoacetate or four once-weekly injections of dexamethasone. 70 adult rats were included: 30 received mono-iodoacetate, 30 received dexamethasone and the 10 remaining controls received no injection. Samples of knee bone and cartilage were then analyzed histologically. Results. Animals with OA that received CS had significantly less inflammation, improved motor activity, and better analgesia compared with those that did not receive CS, with little difference between products. Histologically, both products reduced the signs of OA and resulted in the activation of regenerative processes of cartilage and bone and stimulation of proliferation and formation of amorphous material. Conclusion. These results substantiate the importance of using high-quality pharmaceutical-grade CS to ensure optimal efficacy and safety of the final product in patients with OA
EN
Hip osteoarthritis is a serious clinical and social problem. The number of patients who suffer from degenerative changes in the hip joints and require endoprosthesis-plasty is constantly increasing. This paper presents physiotherapeutic activities based on Proprioceptive Neuromuscular Facilitation (PNF) which optimize a patient’s mobilization using the reserves in their body fully to make improvements in movement and to regain lost functions for achieving beneficial therapeutic effects. The aim of the study was to evaluate the influence of PNF therapy on changes in muscle strength, mobility, and gait pattern in patients after Total Hip Arthroplasty. The case described here regards a 63-year-old woman diagnosed with left hip osteoarthritis who had Total Hip Arthroplasty. The patient was examined twice before and after PNF therapy. The range of mobility of hip joints, level of pain, muscular strength and gait were assessed. Applied PNF therapy, including dynamic (eccentric, concentric) and static muscle training, post-isometric relaxation, stabilization and control in the stance phase, resulted in improved hip joint mobility, muscle strength, gait pattern and pain reduction in the patient. The case study demonstrates that a short (two-week) but intensive (over two hours per day) PNF therapy positively influenced selected motor functions after Total Hip Arthroplasty.
EN
ObjectivesThis study aimed to investigate the prevalence of musculoskeletal disorders in the hands and wrists of fishermen working as oyster shuckers, and to identify the risk factors associated with oyster shucking. Material and Methods A total of 590 fishery workers including those working as oyster shuckers in 2015–2017 were included in the study analysis. Hand osteoarthritis (OA), carpal tunnel syndrome (CTS), and ulnar impaction syndrome were diagnosed using X-ray, magnetic resonance imaging, and physical examinations according to each diagnostic criterion. The Rapid Entire Body Assessment was used as a measurement tool for analyzing the occupation-related burden factors.ResultsThe prevalence of hand OA, CTS, and ulnar impaction syndrome was higher in oyster shuckers than in aquaculture/offshore fishery workers. The prevalence of upper limb disease was higher in oyster shuckers than in other fishery workers, even in the prevalence of exposure to occupational burden factors. In oyster shuckers, the incidence of hand and wrist OA was 84%, that of CTS was 72%, and that of ulnar impaction syndrome was 41%. In addition, oyster shuckers were more likely to be exposed to occupational burden factors than were other types of fishermen. Conclusions The prevalence of hand OA, CTS, and ulnar impaction syndrome was higher in oyster shuckers. Therefore, proper stretching or exercises for rest and musculoskeletal relaxation, along with health-care education and promotion, will be needed for the fishermen’s repeated posture and impact work.
EN
Introduction. Aging of the Polish population is one of the most important challenges of health and social policies in coming years. It is believed that physical activity is one of the most im-portant factors which guarantees older people a chance for healthy and successful aging. Objective. The aim of this paper was to present the literature on the significance of physical ac-tivity in prevention and treatment of selected diseases of the old age. Description. This paper presents important information on the preventive effect of physical activity on the diseases of the elderly; it also presents exercises for the elderly with cardiovascular diseases (hy-pertension and heart failure), and exercises for individuals with osteoarthritis and osteoporosis. Conclusions. This paper emphasizes the positive effects of regular physical activity. There is an increasing body of evidence which suggests that physical activity may prevent or delay the occur-rence of many diseases of the elderly.
PL
Starzenie się ludności Polski będzie stanowić jedno z najważniejszych wyzwań polityki zdro-wotnej i społecznej w nadchodzących latach. Obecnie uważa się, że aktywność fizyczna jest jed-nym z najważniejszych czynników gwarantujących osobom w okresie starości szansę na zdrowe i pomyślne starzenie się. Celem niniejszej pracy jest przedstawienie w świetle literatury przedmiotu znaczenia aktywno-ści fizycznej w profilaktyce i leczeniu wybranych schorzeń w okresie starości. Prezentowana praca przedstawia informacje dotyczące prewencyjnego wpływu aktywności fi-zycznej na wybrane schorzenia wieku starczego; ćwiczenia dla osób w okresie starczym z choro-bami układu krążenia (w nadciśnieniu tętniczym i niewydolności mięśnia sercowego) oraz ćwi-czenia w chorobie zwyrodnieniowej stawów i w osteoporozie. Podkreślono w niniejszej pracy fakt, iż pozytywne efekty przynosi jedynie regularne podejmo-wanie aktywności fizycznej. Istnieje coraz więcej dowodów wskazujących na to, że aktywność fi-zyczna może zapobiegać lub opóźniać występowanie wielu schorzeń wieku starczego.
Gabinet Prywatny
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2022
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vol. 286
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issue 6
36-45
PL
Ból definiowany jest przez Międzynarodowe Towarzystwo Badania Bólu jako subiektywne, przykre i nieprzyjemne, a tym samym negatywne wrażenie czuciowe i emocjonalne, które związane jest z rzeczywistym lub potencjalnym uszkodzeniem tkanek. Z odczuwaniem i uświadamianiem bólu wiąże się nocycepcja – wieloetapowy proces obejmujący transdukcję, przewodzenie, modulację i percepcję pierwotnego bodźca. Transdukcja polega na przekształceniu bodźca chemicznego, termicznego lub mechanicznego w impuls elektryczny, który przekazywany jest z obwodowych zakończeń nerwowych nocyceptorów do zwojów nerwów rdzeniowych, a następnie do rogów tylnych rdzenia kręgowego.Uszkodzenie tkanek związane jest z uwalnianiem wielu mediatorów (substancji P, bradykininy, histaminy, serotoniny, prostanoidów, cytokin), odpowiedzialnych za stan zapalny, który rozwija się w miejscu zadziałania urazu. Tkanka objęta stanem zapalnym jest wówczas silnie bolesna (hiperalgezja wywołana odsłonięciem lub podrażnieniem zakończeń nerwowych), zaczerwieniona (zwiększony przepływ krwi przez poszerzone łożysko naczyniowe) i obrzęknięta (nadmierna przepuszczalność naczyń krwionośnych), co wynika między innymi z bezpośredniego działania uwolnionych wskutek urazu amin biogennych i cytokin.
EN
Pain is one of the most common symptoms observed in medicine and plays a fundamental role in human and animal life. Living organisms' ability to feel pain sensations allows them to develop defense mechanisms to survive and minimize the risk of tissue damage. The appearance of pain is perceived primarily as a warning signal, which may be a harbinger of an illness or a result of an injury. From the dawn of time, man has tried to relieve pain, often without knowing its cause, mechanism of formation or origin. Currently, pain management is causal and symptomatic. As a rule, it focuses on identifying the causative agent and eliminating its negative effects on tissues as soon as possible. Although the history of pain treatment dates back to ancient times, the 19th century was undoubtedly a turning point in this field. The isolation of morphine from opium and the discovery of aspirin were the foundations of the pharmaceutical industry and initiated a new era in human life – a period of constant search for a golden mean in the treatment of pain. We currently have many analgesics of natural and synthetic origin, which are more or less effective in the treatment of pain associated with cancer or the musculoskeletal system. Several of them deserve special attention.
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