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A Bobinac-Georgievski

Publications and source records attributed to A Bobinac-Georgievski.

8 recordsLinked to original sources
PubMed2001

Medical rehabilitation in Croatia impact of the 1991-1995 war: past problems, present state, future concerns.

AIM: To assess whether the 1991-1995 war has stimulated development of the medical rehabilitation system in Croatia. METHODS: Review of documents pertaining to the system, study of clinical reports describing rehabilitation activities as published in the Croatian medical literature, study of data obtained and their consideration in terms of effectiveness and quality of rehabilitation care, and comparison of data from 1991 with those from 1995. RESULTS: There has been no significant change in the number of rehabilitation facilities, beds, and rehabilitation professionals. However, elements of structure and process of rehabilitation care have improved in respect of 1) education and composition of rehabilitation professionals, 2) availability of specialized facilities for rehabilitation of patients with complex impairments (traumatic brain and spinal cord injuries), 3) interdisciplinary team approach, 4) use of functional status measurements, and 5) laying the foundations for community-based rehabilitation in the country. CONCLUSION: The 1991-1995 war has stimulated the development of medical rehabilitation system in Croatia. Other factors may have played a complementary role, too. This proves that medical rehabilitation is a field that develops in association with war.

Croatia↗
PubMed1997

Electrokinesiologic measurement of trunk sagittal mobility and lumbar erector spinae muscle activity.

Additional studies to determine intratester reliability of electrokinesiologic (EK) measures related to trunk movement and low back muscle activity are needed. EMG activity and EK records of repetitive movements at both natural and maximal speeds were computer sampled and quantified among 22 nonimpaired subjects. Significant differences were observed between group means at different speeds and trials for both kinematic and EMG measures. Predictably, maximal speed testing resulted in higher levels of EMG activity when compared to natural speed testing. Intratester reliability of measures was high at both speeds. Range of motion data correlated well between two trials for both natural and maximal speed movements, ranging from 0.81 to 0.97. Correlation of speed of movement measures ranged from 0.41 to 0.76. These data suggest that computer-analyzed EMG activity and EK signals are reliable assessment tools for trunk mobility. The application of this procedure to persons with low back pain to acquire EMG activity and mobility data appears justified.

Adolescent↗
PubMedDate not supplied

[The value of kinematic data on the lumbosacral spine in differentiating between 4 levels of classification of the lumbosacral syndrome].

Dynamic capacity of the spine was measured on the basis of electrokinesiological findings (EK) with the purpose of finding out how the clinical classification factors of the lumbosacral spine (LS) affect the kinematic indicators. The EK scan contains quantified kinematic and myoelectrical data on the LS spine recorded during motion of the body in the sagittal plane. A total number of 110 patients with low back pain and/or ischialgia of degenerative etiology were examined and compared with 42 healthy controls. Clinical examination was used to classify the patients into four groups according to the severity of the existing symptoms. The EK data obtained for the group of healthy controls served as reference values. A deterioration in values of the kinematic indicators (prolonged duration and reduced amplitude and speed of the entire movement) was observed in patients with more severe degree of clinical classification of LS syndrome (p < 0.01 for total duration of the movement; p < 0.001 for the total speed and amplitude). The results show that the kinematic measurement data are in accordance with clinical classification of painful condition of the lumbosacral spine, while deviation is more prominent in patients classified as rather severe clinical cases.

Adolescent↗
PubMedDate not supplied

[Determination of pain severity in patients with low back pain using kinesiologic electromyography of the sacrospinal muscles].

The values of kinesiological electromyogram (EMG) of the sacrospinal muscles in the lumboscral region during trunk motion in the sagittal plane have been compared between a group of 51 healthy controls and 101 patients suffering from low back pain and/or ischialgia of degenerative etiology. Kinesiological EMG of the sacrospinal muscles refers to the scanning of superficial (EMG) activity of both sacrospinal muscles in the lumbar region by the use of MS6 EMG device and a PC. The patients were classified into five groups on the basis of their subjective reports on the severity of their painful condition evaluated on the visual analogous scale (VAS). The link was found between subjective assessment of pain and EMG activity during flexion and at peak flexion (p < 0.001) and during extension (p < 0.05); a more severe pain is accompanied by an increase in EMG activity.

Adolescent↗