Biomedical subjects

V Mandić

Publications and source records attributed to V Mandić.

At least 19 recordsLinked to original sources

PubMed1991

[The level of reliability of Lasegue's symptoms measured in the sitting position--results of a multicenter study].

The results of Lasègue test /LT/ examination are not always enough objective owing to subjective complaints superposition. The first favourable clinical experiences with analysis of the LT in sitting position stimulated our previous anatomical, biometrical and clinical investigations (Mandić and col. 1970.). There has been established the stretching of the ischial nerve in classical LT to 12.7 cm, in sitting position to 4.8 cm, and the changing of position from supine to sitting to 6.4 cm. That means that the stretching in sitting LT is greater then in classical way/i.e. 13.26 cm/. The stretching forces in both ways were equal (0-3.7 kp/. The multicentric investigation included 330 patients of both sexes, aged 15-62 years. In 57 patients/17.3%/was LT in sitting position positive and in supine negative. That demonstrate the higher degree of reliability 17.3%. These quantitative results will be continued in qualitative investigation of statistical correlation of relative flexion degrees. The advantages of sitting LT are:more simple, more quick, the taking off patient's clothes is not needed, and the result is more suitable for the objective evaluation of psychogenic complaints superposition or simulation.

Adolescent↗

PubMed1991

[Approach to treatment of lumbar pain syndromes and criteria of evaluating driving capability in professional drivers of large motor vehicles].

In truck drivers the negative effects of long-lasting body posture stress, vibration, muscular effort, changing of weather and climate conditions, monotony of driving, irregular rest, sleep and diet summarize. Our investigations performed on 80 professional truck drivers admitted to the commission demonstrated that in 35.5% back pain was the leading or one of leading diagnoses. The temporary working disability was injustifiable too long--32.5% more than 2 years, and the number of attacks in 70% over 4. The performed treatment was neither complex, nor continuous. 91.3% have lost the driving ability for professional truck driving. 89% of them were classified as able for an adequate job with full time, and 8.2% for part time. Only in 2.8% total permanent working disability was found. We developed following approach to the treatment of back pain in professional truck drivers: In the first attack the treatment should be carefully performed with high professional physiotherapy. In the second attack there should be performed possible improvements of working conditions and regime. In the third attack the disability is imminent, and the driver should be transferred to another adequate job. Such approach in the treatment ensures to truck driver maximal possible working span and profitable business.

Back Pain↗

PubMed1989

[The importance of the adaptation period in medical rehabilitation in attaining definitive work capacity].

Medical rehabilitation may bring functional improvement up to a level permitted by damages of the locomotor system, especially by those of the joints. At the start of rehabilitation the restricted motions are initially very painful and provoke an intensive protective spasm. In the course of rehabilitation the range of motions becomes more extensive, motions are less and less painful, until finally the pain disappears. The final condition which is medically considered as definite is the contracture due to damages of the joints and periarticular tissues. The process of rehabilitation includes a period of worker's adjustment to the new conditions. The worker learns to use the damaged part of the body in a different manner by means of adaptation, substitution and other mechanisms of adjustment. That is a period of voluntary control of the damaged parts, and yet some certain tenderness or pain is present. Adaptation is supposed to develop new neural patterns, a new sequence and coordination of motions, and consequently new motion schemes. So voluntary use of the damaged body part is substituted by automatic and painless control. Definite evaluation of working capacity and residual working ability is possible only after the period of adaptation.

Humans↗

PubMed1981