Browsing by Author "Ilic-Stojanovic, Olivera (24401526100)"

Objective: To analyze the impact of rehabilitation treatment on social functioning in elderly patients after hip fracture during a rehabilitation program. Methods: This study included 203 patients with hip fracture. Four groups were analyzed on rehabilitation: Group 1, at admission, Group 2, at discharge, Group 3, three months after discharge and Group 4, six months after discharge. The analyzed parameters included: Musculoskeletal, neurological and cognitive impairments. Impairment severity was graded by cumulative index rating scale for geriatrics (CIRS-G). Evaluation of social functioning was completed by social functioning component (SFC) from quality of life (SF-36) questionnaire. Results: There was a significant improvement in SF-36 SFC values for observed impairments from admission to six months after discharge for each severity degree (p < 0.01), except for CIRS-G severity degree 4 for cognitive impairment, where significance was p < 0.05. For the group of patients with musculoskeletal impairment, there was a significant difference between the values of SF-36 SFC concerning different severity degrees of CIRS-G only at six months after discharge (p < 0.05). Patients with neurological or cognitive impairments have shown significant differences between the values of SF-36 SFC in regard to severity degrees of CIRS-G in all observational groups. Conclusion: Different degrees of observed impairments influence the degree of social functioning recovery in the elderly after hip fracture.

Objective: To analyze the impact of rehabilitation treatment on social functioning in elderly patients after hip fracture during a rehabilitation program. Methods: This study included 203 patients with hip fracture. Four groups were analyzed on rehabilitation: Group 1, at admission, Group 2, at discharge, Group 3, three months after discharge and Group 4, six months after discharge. The analyzed parameters included: Musculoskeletal, neurological and cognitive impairments. Impairment severity was graded by cumulative index rating scale for geriatrics (CIRS-G). Evaluation of social functioning was completed by social functioning component (SFC) from quality of life (SF-36) questionnaire. Results: There was a significant improvement in SF-36 SFC values for observed impairments from admission to six months after discharge for each severity degree (p < 0.01), except for CIRS-G severity degree 4 for cognitive impairment, where significance was p < 0.05. For the group of patients with musculoskeletal impairment, there was a significant difference between the values of SF-36 SFC concerning different severity degrees of CIRS-G only at six months after discharge (p < 0.05). Patients with neurological or cognitive impairments have shown significant differences between the values of SF-36 SFC in regard to severity degrees of CIRS-G in all observational groups. Conclusion: Different degrees of observed impairments influence the degree of social functioning recovery in the elderly after hip fracture.

Aim: To evaluate the functional status measured by Berg Balance Scale (BBS) in elderly aged more than 65years after hip fractures, and to evaluate the influence of sex, age and comorbidity on balance function improvement. Methods: The study included 203 patients with hip fractures. Functional status was evaluated by BBS: at admission (Group 1), at discharge (Group 2) and 3months after discharge (Group 3). We analyzed three age groups: Group65-74, Group75-84 and Group85-up; female and male sex separately; and for severity index value (SI; total cumulative illness rating scale for geriatrics score divided by number of endorsed categories): group between 0-1.99 (SI1) and group ≥2 (SI2). Results: BBS values significantly declined in all male groups and female Group 2 and Group 3 in SI2 (P<0.01). Group65-74 and Group85-up had a significant BBS values decline in Group 2 and Group 3, whereas Group75-84 had a significant decline in all groups in the SI2 group (P<0.01). Females and males had a significant BBS values increase in the SI1 groups (P<0.01), and non-significant BBS values increase between Group 2/Group 3 for SI2. Group85-up had a significant BBS values increase in SI1 (Group 1/Group 2 and Group 1/Group 3; P<0.01); a non-significant increase between Group 1/Group 2 and Group 1/Group 3, and a non-significant decline between Group 2/Group 3 in SI2. Conclusions: Male sex, increased comorbidity and age more than 85years could be considered with lower functional recovery capacity potential after hip fracture, and thus should be individually assessed and continuously monitored. Functional status estimation by BBS could be taken as a sensitive predictive value for the evaluation of functional improvement in these patients. © 2012 Japan Geriatrics Society.

Aim: To evaluate the functional status measured by Berg Balance Scale (BBS) in elderly aged more than 65years after hip fractures, and to evaluate the influence of sex, age and comorbidity on balance function improvement. Methods: The study included 203 patients with hip fractures. Functional status was evaluated by BBS: at admission (Group 1), at discharge (Group 2) and 3months after discharge (Group 3). We analyzed three age groups: Group65-74, Group75-84 and Group85-up; female and male sex separately; and for severity index value (SI; total cumulative illness rating scale for geriatrics score divided by number of endorsed categories): group between 0-1.99 (SI1) and group ≥2 (SI2). Results: BBS values significantly declined in all male groups and female Group 2 and Group 3 in SI2 (P<0.01). Group65-74 and Group85-up had a significant BBS values decline in Group 2 and Group 3, whereas Group75-84 had a significant decline in all groups in the SI2 group (P<0.01). Females and males had a significant BBS values increase in the SI1 groups (P<0.01), and non-significant BBS values increase between Group 2/Group 3 for SI2. Group85-up had a significant BBS values increase in SI1 (Group 1/Group 2 and Group 1/Group 3; P<0.01); a non-significant increase between Group 1/Group 2 and Group 1/Group 3, and a non-significant decline between Group 2/Group 3 in SI2. Conclusions: Male sex, increased comorbidity and age more than 85years could be considered with lower functional recovery capacity potential after hip fracture, and thus should be individually assessed and continuously monitored. Functional status estimation by BBS could be taken as a sensitive predictive value for the evaluation of functional improvement in these patients. © 2012 Japan Geriatrics Society.

AIM: To evaluate and compare the functional status in surgically treated patients with Carpal tunnel syndrome (CTS) compared with those treated conservatively by Levine Questionnaire (LQ) in relation to electroneurographic findings. METHODS: The prospective study included 80 patients with diagnosed CTS. Patients were assessed clinically and electrophysiologically. The main outcome measures were sensory latency of median nerve (SL II), and terminal (distal) motor latency of median nerve (TML). For the assessment of functional status we performed Levine Questionnaire (LQ) scoring examination which was divided in two sections: symptoms severity scale (SSS) and functional status scale (FSS). Regarding treatment options patients were divided into 2 groups: group that underwent surgical procedure (Group A) and group that underwent only conservative treatment (Group B). Patients were assessed neurophysiologically twice: before treatment and 12 months after treatment. RESULTS: There is significant increase in LQ-FSS (p=0.021) and LQ-SSS (p=0.038) scores for increased TML and significant increase of LQ-SSS scores (p=0.027) for increased SL II for Group A, while in Group B, LQ-FSS (p=0.034) and LQ-SSS (p=0.018) were significantly increased in patients with increased SL II. After treatment there was significant increase in LQ-FSS (p=0.037) and LQ-SSS (p=0.041) scores for increased SL II for Group B, while in Group A after treatment, we have noticed non-significant differences both regarding TML and SL II values. CONCLUSION: We have demonstrated the benefits of surgical treatment and better functional improvement with symptoms reduction particularly in more severe cases of patients with CTS.