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EN
Disability appraisal is a cognitive category examined mainly in the context of adjustment to living with disability. Its significance is usually determined as part of stress and coping theory applied in disability studies. The article presents the findings of a study on primary and secondary disability appraisal expressed by people with acquired motor impairments. Participants were people with spinal cord injuries and with lower limb amputation. Primary and secondary disability appraisal was analyzed with consideration of sociodemographic and disability-related variables. The findings suggest that these categories of variables make it possible to explain primary disability appraisal better than secondary disability appraisal. Also, it was found that disability-related variables had greater predictive significance than sociodemographic variables in explaining the intensity of both primary and secondary appraisal. The type of disability, its duration, and a sense of control over the consequences of one's motor impairment play a significant role in determining the intensity of both forms of disability appraisal.
EN
The authors report an unusual case of a 15-year-old boy who dove into a shallow lake and suffered a cervical fracture of C5 affecting the spinal cord. This resulted in tetraplegia. Vitamin D3 deficiency and a history of several bone fractures supported an idea that the patient's bone structure had been weakened. The deep vein thrombosis of lower limb and neurogenic heterotopic ossification of a hip limited the effectiveness of physical therapy.
EN
he authors present the case of a 17-year-old boy who suffered a cervical spinal injury as a result of the sharp bending of the head after slipping (without falling). After about 30 minutes, he began to feel tingling in the limbs and he developed tetraparesis. He went through physical rehabili-tation, psychological rehabilitation, occupational therapy, and periodic catheterization. Additionally, we introduced to him a low dose of analog granulocyte colony-stimulating factor (G-CSF). G-CSF 5 μg/kg was given subcutaneously daily for 5 days per month for 3 months, again after 6 months, and again after 10 months. The boy could sit indecently and walk with assistance. A significant increase in muscle strength in this patient with tetraplegia after 10 months of treatment may indicate beneficial effects of G-CSF in this disorder.
EN
The issues of sexuality of people suffering from spinal cord injury are not frequently discussed in the literature of the subject. Both Slovak and Euro­pean research lacks empirical reports on the sexual life of this group of people. This article presents a review of the literature on the sexuality of adults who have spinal cord injury with references to neurophysiological conditions of the described issue. At the same time the study sheds light on the psychopedagogic consequences of the problems with meeting the sexual needs of people with spinal cord injury.
PL
Problematyka seksualności osób będących po urazie rdzenia krę­gowego nie należy do często poruszanych w literaturze przedmiotu. Zarówno w słowackich, jak i europejskich badaniach brakuje empirycznych doniesień na temat życia seksualnego tej grupy osób. W niniejszym artykule zaprezentowanoprzegląd literatury na temat seksualności dorosłychosób będących po urazach rdzenia kręgowegoz licznymi i potrzebnymi odwołaniami do neurofizjologicz­nych uwarunkowań opisywanych kwestii. Jednocześnie wskazane zostały, na podstawie przytoczonych badań, psychopedagogiczne konsekwencje problemów w zakresie realizacji potrzeb seksualnych.
PL
Artykuł podejmuje problematykę wzrostu potraumatycznego i deprecjacji u osób z traumatycznie nabytą niepełnosprawnością ruchową. Celem prezentowanych badań było ustalenie natężenia wzrostu potraumatycznego i deprecjacji oraz relacji między nimi w tej grupie osób, a także określenie udziału przekonań na temat własnego i otaczającego świata w wyjaśnianiu zmienności obu doświadczeń potraumatycznych. Przebadano osoby z traumatycznie doznanym urazem rdzenia kręgowego oraz amputacją kończyny dolnej. Natężenie wzrostu i deprecjacji ustalano w tych samych obszarach. Uzyskane rezultaty wskazują na wyższe wyniki wzrostu niż deprecjacji we wszystkich uwzględnionych wymiarach. Stwierdzono obecność istotnych, negatywnych związków między nimi oraz predykcyjną rolę przekonań w wyjaśnianiu natężenia zarówno wzrostu potraumatycznego, jak i deprecjacji. Ustalono m.in., iż za pomocą przekonań dotyczących głównie otaczającego świata można w większym stopniu przewidywać poziom deprecjacji niż wzrostu u osób badanych.
EN
The paper addresses the question of posttraumatic growth (PTG) and posttraumatic depreciation (PTD) in people with a mobility disability due to a traumatic event. The aim of the study was to determine the level of PTG and PTD, as well as their relationship in the group of the a/m survivors, and to identify the contribution of beliefs about their internal and external world to accounting for variability in both posttraumatic experiences. The sample comprised individuals with a spinal cord injury and lower extremity amputation due to a traumatic event. Posttraumatic growth and depreciation were identified in the same aspects. Obtained results point to higher growth when compared to depreciation in all considered dimensions. Significant negative correlations between them, as well as a predictive utility of beliefs in accounting for the level of posttraumatic growth and depreciation were observed. Among others, it was found that with the help of beliefs mainly about the surrounding world, the level of depreciation may be predicted to a larger extent than in the case of growth in the examined individuals.
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