Przeglądanie według Temat "cervical spine"

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Analysis of the associations between quality of life and range of cervical spine rotation, severity of pain as well as disability level in patients with axis fracture
(2018) Wolan-Nieroda, Andżelina
Background: The study is designed to evaluate quality of life and functional performance in patients with a fracture of the axis, and to investigate the relationship between quality of life and the range of cervical spine rotation, pain intensity, and level of disability in these patients. Material and Methods. The study involved 60 patients receiving treatment due to axis fracture. Quality of life and functional performance were assessed using SF-36 Questionnaire and Neck Disability Index (NDI). Cervical spondylosis was examined with the use of the Zebris ultrasound system while the intensity of pain with the use of theVAS Visual Analog Pain Scale. Results. The subjects’ quality of life was poorer with respect to the mental dimension (32.3%) compared to the physical dimension (22.7%). Based on the NDI survey, the rate representing the patients’ functioning in daily life amounted to 13.7% which reflects mild limitations in functional abilities. It was shown that the range of cervical spine rotation (both right and left) was not related to the degree of disability of patients measured by the NDI questionnaire.The model of regression was statistically significant for overall quality of life (F=48.24 p<0.001), as well as physical dimension (F=45.1 p<0.001).
Assessment of inter-rater and intra-rater reliability of cervical range of motion (CROM) goniometer
(2018) Wolan-Nieroda, Andżelina
Purpose: The current study was designed to assess inter-rater and intra-rater validity of cervical range of motion measurements performed with CROM goniometer. Material and methods: The study involved 95 healthy university students (31 males and 64 females) aged 20-24 years. Two examiners performed measurements of cervical range of motion using CROM goniometer. The same subjects were examined again after two weeks, in the same conditions. The results acquired by one rater during the first and the second examination were compared for reproducibility, while the results obtained by the two examiners were compared to assess validity and reliability of the tool. Cronbach’s alpha was applied to determine intra-rater reliability, and the values of correlations were used to assess the inter-rater agreement. Results: Analysis of the results showed both intra-rater and inter-rater agreement in all the measures of cervical range of motion. The highest intra-rater and inter-rater concordance was observed in the measure of extension. Intra-rater agreement for Examiner 1 was reflected by Cronbach’s alpha = 0.85, and for Examiner 2 by Cronbach’s alpha = 0.89. As for the inter-rater agreement in the measure of extension, the value of correlation in both the first and the second measurement amounted to r= 0.89. Conclusions: Measurements performed with CROM goniometer show inter-rater and intra-rater agreement in assessments of cervical range of motion. CROM goniometer can be recommended for use in daily clinical practice.
Cervical spine injuries in Poland – epidemiology, divisions, and causes
(Wydawnictwo Uniwersytetu Rzeszowskiego, 2017) Wolan-Nieroda, Andżelina; Maciejczak, Andrzej; Guzik, Agnieszka; Przysada, Grzegorz; Wyszyńska, Justyna; Szeliga, Ewa
Aim. The aim of the study was to review the literature on the prevalence of cervical spine injuries divided between the level of the injury and the causes of fractures. Material and methods. A review of Polish and foreign literature was performed. The following databases were searched: PubMed, Medline, Science Direct, Termedia, and Polish Medical Bibliography. Literature analysis. In Poland the incidence of spinal injuries, including damage to the cord, is estimated at the level of 25–35 persons per one million of the population, half of these being cervical spine injuries. More than one in three of all spinal injuries affect the atlantoaxial and occipital area. It is estimated that axis fractures occur in up to 40% of the cases involving cervical spine injury. Odontoid fractures constitute 10–15% of all cervical spine fractures. Hangman fractures account for 20% of vertebral fractures. Cervical spine injuries more frequently occur in males than in females, and the relevant rates for males are from 1.5 to 2.7 times higher. The most common causes of cervical spine injuries include road traffic accidents, accounting for 33 to 75% of the cases, falls from heights (15–44%) and sports injuries (4–18%). Cervical spine injuries are most often diagnosed in subjects over thirty years of age. Such injuries most commonly are related to the second, fifth and sixth cervical vertebrae. On the other hand damage to the first and second cervical vertebrae is often observed in the same patients who are found with injury to lower cervical vertebrae (approx. 9% of the cases). In the group of advanced age subjects the most frequent cervical spine injuries are axial fractures and they are diagnosed in 15% of adult patients with cervical spine fractures.