md-medicaldata

Authors

 

Aleksandra Tatić¹, Aleksandra Cvetinović¹, Jovana Krasić¹, Nevena Berberski¹, Ksenija Bošković^1,2, Jelena Zvekić-Svorcan<sup>1,2

1</sup>Univerzitet u Novom Sadu, Medicinski fakultet Novi Sad, Republika Srbija
²Specijalna bolnica za reumatske bolesti Novi Sad, Republika Srbija

 

UDK: 616.8-009.7-085.83:616.72-002.77-056.24

The paper was received / Rad primljen:05.09.2023.

Accepted / Rad prihvaćen: 21.09.2023.

 

Correspondence to:

Doc. dr Jelena Zvekić-Svorcan
Medicinski fakultet, Univerzitet u Novom Sadu
Specijalna bolnica za reumatske bolesti Novi Sad
Futoška 68, 21 000 Novi Sad, Republika Srbija
e-mail: jelena.zvekic-svorcan@mf.uns.ac.rs

 

 

Sažetak

 

 

Uvod: Reumatoidni artritis (RA) je autoimuna bolest hroničnog toka koja izaziva inflamaciju sinovijalne ovojnice i time dovodi do oštećenja zglobova i drugih vanzglobnih struktura sa karakterističnom kliničkom slikom gde preovlađuju simptomi bolnosti, otoka i ukočenosti zglobova i zamora. Cilj: Cilj ovog istraživanja bio je da se ispita uticaj fizikalne terapije na bol i zamor kod pacijenata sa reumatoidnim artritisom. Materijal i metode: Retrospektivno – prospektivna studija preseka sprovedena u Specijalnoj bolnici za reumatske bolesti u Novom Sadu. Ispitanici su bile žene, obolele od reumatoidnog artritisa prosečne starosne dobi 60,56 godina. Sve ispitanice su potpisale informisani pristanak o učešću u istraživanju. Ispitanice su lečene modalitetima fizikalne terapije uz adekvatan kineziterapijski tretman. Pre i posle terapije fizikalnim procedurama ispitanice su popunile Vizuelno analognu skalu bola i upitnik multidimenzionalne procene zamora-Functional Assessment of Chronic Illness Therapy scale. Analizirani su bol i zamora, a dobijeni podaci su obrađeni u statističkom paketu SPSS ver. 25 (Statistical Package for the Social Sciences) for Windows.  Rezultati: Prosečna starosna dob ispitanica je bila 50,65 godina. Prosečna vrednost zamora pre terapije iznosila je 27,10, dok je posle terapije bila 19,67. Gotovo sve stavke na upitniku procene zamora su pokazale statistički značajno niži nivo zamora kod pacijenata nakon terapije Na Vizuelno analognoj skali bola zabeležena je statistički značajna razlika pre i nakon terapije
(p=0,000). Pre terapije zabeležen je viši osećaj bola (M=7,07) u odnosu na bol nakon terapije (M=3,56).  Zaključak: Nakon sprovođenja tretmana fizikalne terapije u kombinaciji sa adekvatnimkineziterapijskim tretmanom došlo je do smanjenja bola i zamora kod ispitanica sa reumatoidnim artritisom.

 

Ključne reči:

reumatoidni artritis, bol, zamor, fizikalna terapija

 

 

 

Abstract

 

Introduction: Rheumatoid arthritis (RA) is a chronic autoimmune disease characterized by inflammation of the synovial membrane, leading to joint damage and involvement of other extraarticular structures, with a characteristic clinical presentation dominated by symptoms of pain, swelling, joint stiffness, and fatigue. Objective: The aim of this study was to investigate the impact of physical therapy on pain and fatigue in patients with rheumatoid arthritis. Materials and methods: A retrospective-prospective cross-sectional study was conducted at the Special Hospital for Rheumatic Diseases in Novi Sad. The participants were female patients with rheumatoid arthritis, with an average age of 60.56 years. All participants provided informed consent to participate in the research. The participants underwent physical therapy modalities with appropriate kinesitherapeutic treatment. Before and after the physical therapy procedures, the participants completed the Visual Analog Scale for pain and the Functional Assessment of Chronic Illness Therapy scale for multidimensional fatigue assessment. Pain and fatigue were analyzed, and the data were processed using the statistical software SPSS ver. 25 for Windows. Results: The average age of the participants was 50.65 years. The average pre-therapy fatigue score was 27.10, while post-therapy it was 19.67. Almost all items on the fatigue assessment questionnaire showed a statistically significant lower level of fatigue in patients after therapy. A statistically significant difference in pain was recorded on the Visual Analog Scale before and after therapy (p=0.000). Before therapy, a higher level of pain (M=7.07) was reported compared to pain after therapy (M=3.56). Conclusion: After undergoing a combination of physical therapy and appropriate kinesitherapeutic treatment, a reduction in pain and fatigue was observed in female participants with rheumatoid arthritis.

 

Key words:

rheumatoid arthritis, pain, fatigue, physical therapy

 

 

 

 

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PDF: 04-Tatić A. et al MD-Medical Data 2023;15(3) 085-088.pdf