Kaklo ir viršutinės galūnės skausmai yra plačiai paplitę tarp biuro darbuotojų. Tai šiuolaikinių biurų darbuotojų problema: kasmet daugėja ��monių, kurie didelę darbo dienos dalį praleidžia prie kompiuterio, daugėja ir tų, kurie skundžiasi kaklo bei viršutinės galūnės ir galvos skausmais. Darbo tikslas. Nustatyti kineziterapijos poveikį, mažinant galvos, kaklo ir viršutinės galūnės skausmus biuro darbuotojams. Taikyti metodai. Pirminės darbuotojų apklausos metu buvo apklausti 68 darbuotojai, didžiąją dienos dalį dirbantys kompiuteriu. Buvo atrinkti 25 darbuotojai (moterys), kurie sutiko dalyvauti antrajame tyrimo etape. Beveik visi jautė galvos, kaklo, pečių lanko skausmus. Tiriamosioms (n=25) buvo taikomi KT pratimai, laikomasi ilgų bei trumpų poilsio pertraukėlių, paaiškintos pagrindinės taisyklingos sėdėsenos taisyklės. Po 12 savaičių buvo vykdomas antrasis tyrimo etapas. Jo metu buvo pakartotinai apklausiami darbuotojai ir atliekami judesių amplitudės matavimai, vertinama raumenų jėgos dinamika bei pusiausvyra. Anketa buvo paruošta remiantis modifikuota Aberdeen skausmo skale, Borg CR10 skale, Vernono kaklo negalios indekso skale. Rezultatai. Tyrimo rezultatai parodė, jog iš (n=25) apklaustų darbuotojų prieš kineziterapiją skausmą jautė 92% tiriamųjų. Dažniausiai pasitaikantys buvo galvos, kaklo ir viršutinės žasto dalies skausmai. Po 12 savaičių KT taikymo, sėdėsenos korekcijos bei optimalaus darbo ir poilsio rėžimo laikymosi, pastebimas žymus galvos, kaklo ir rankos... [toliau žr. visą tekstą] / Neck and upper limb pain is frequently reported by computer workers. It is becoming a common problem as more people are using computers and so more and more people are complaining of pain in the neck and upper limbs, and headaches. Aims: To identify the efficacy of physiotherapy in order to relieve headache, chronic neck and shoulder pain. This research programme was concerned with people that spend the largest part of their working day using computers. Methods: The present study was designed to quantify the typical level of pain, and then to test the efficacy of physiotherapy intervention. Sixty eight workers answered the questionnaire. Only twenty five computer workers were asked to partcipate in the study, all of whom had reported headaches and had frequent or long standing neck and upper limb symptoms. Participants were asked to fill out a modified questionnaire detailing their pain before the intervention and after. The range of various neck and arm movements of the participants were then measured using goniometry and the results recorded. The group was then taught various exercises and required to take regular breaks for 12 weeks. Results: The pain was found to have been effectively relieved. Physical exercise intervention resulted in a statistically significant (p<0,05) decrease in the intensity of headaches and neck pain (from 92% to 48%). The increase in the the range of mobility and static balanse signicantly improved (p<0,05). Conclusion: Although physiotherapy is... [to full text]

Pacientų, patyrusių šlaunikaulio kaklo lūžius, gydymas – aktuali senstančios visuomenės problema, todėl literatūroje gausu publikacijų, analizuojančių įvairius šios patologijos gydymo aspektus. Analizuojant literatūros duomenis pastebima, kad nėra išskiriamas laikas nuo traumos iki patekimo į ligoninę, o laikas pradedamas skaičiuoti tik nuo tada, kada pacientas jau paguldytas į ligoninę. Šis veiksnys gali turėti reikšmingos įtakos galutiniams gydymo rezultatams, nes laikotarpio nuo traumos iki patekimo į ligoninę trukmė gali labai svyruoti tarp įvairių pacientų grupių. Todėl buvo tikslinga atlikti tyrimą, kuriame būtų įvertintas būtent šis laikotarpis ir nustatyta jo reikšmė pacientų mirštamumui ir funkciniams gydymo rezultatams. Savo darbe tyrėme veiksnius, įtakojančius šlaunikaulio kaklo lūžius patyrusių pacientų mirštamumą ir funkcinius gydymo rezultatus. / Treatment of patients with femoral neck fractures is an important issue in an ageing population; therefore, in the scientific literature, there are a lot of publications analysing various aspects of management of this pathology. However, while analysing the literature data, it was noted that the time from trauma to hospital admission is not taken into account, and the time is being counted just from that moment, when a patient is already hospitalised. This factor may have a great influence on treatment outcome because the time from trauma to hospital admission can vary significantly among different patient’s groups. Therefore, it was purposeful to carry out a study where exactly this period would be evaluated and its influence on patients’ mortality and functional outcome would be determined.

Musculo – skeletal stress in nursing staff and its association with health disorders Aim of the study was to investigate health complaints and work pressure among nursing staff, and to evaluate the associations of musculo - skeletal stress with their health disorders. Methods. During October - December, 2003, 300 employees of one Kaunas hospital were interviewed. In this case - control study, 100 respondents were included into the case group, and 200 were controls. The main criterion for the selection of controls was no engagement in activities characteristic of a nurse and an assisting nurse. The questionnaire was anonymous. Statistical analysis of the obtained findings was performed using SPSS 12 statistical software package. Results. Nurses whose work was not related to lifting weights (the control group) more frequently complained of pains in the neck (87,5 %), the shoulder girdle (91,7 %), and the back (93,2 %), whereas those whose work was related to lifting weights, more frequently complained of pains around the waist (73,0 %) and in the legs (94,9 %). The study showed that the pain syndrome in the arms by two times more frequently occurred in the control group (12,1 % compared to 6,0 % in the case group), which is characteristic of the sedentary job, especially computer work. Pain syndrome in the legs by four times more frequently occurred in the case group, compared to controls, which is typical of work related to weight lifting. The evaluation of the activities... [to full text]

Summary Title. The effect of ergonomic education and ergonomic correction of workplace for the reduction of pain in the area of the neck or shoulder girdle for employees who work with computer. Aims. To identify the efficiency of the ergonomic correction of workplace and of employees ergonomic education, in order to relieve chronic neck and shoulder pains. The research is designed for people, who spend the largest part of their working time with computer. Methods. During the survey there were questioned 80 people, who spend the largest part of their working time with computer. It was evaluated the ergonomics of their workplaces. Among 80 respondents there were selected 30, who felt pain, numbness or big discomfort in the zone of their neck, shoulder girdle or upper arms for 14 or more days during last 3 months. For the 30 selected people it was accomplished the correction of their workplace ergonomic errors and explained the importance of correct work ergonomics and its major rules. After 3 months it was performed a second control survey. 26 people have successfully accomplished the research. The survey and evaluation of workplace ergonomics were performed using the questionnaire and recommendations of “Department for Work and Health National Institute for Working Life“, Stockholm, Sweden; „Section of Occupation Medicine in Sahlgrenska University Hospital“, Gothenburg, Sweden; „Department of Occupational Medicine in Karolinska Hospital“, Stockholm, Sweden.” Results. The... [to full text]