[The effect of intradialytic exercise program on the quality of life and physical performance in hemodialysis patients].

Aim: To determine the effect of a 16-week intradialytic exercise program consisting of 30 minutes of exercise during the first two hours of dialysis with three times a week frequency, on the quality of life (QoL), level of depression/anxiety and physical perfor- mance in hemodialysis (HD) patients.

Methods: The clinical, longitudinal, prospective study with one-group repeated measures design was conducted during a 16-week period. A convenience sample of 52 HD patients, who had been on HD for a minimum of 6 months, were included.

Short-term results after local application of steroids and anesthetics in patients with painful spine conditions.

Introduction: Spinal pain is the most common of all chronic pain disorders. Imaging studies can be used to determine whether a pathological process is associated with the patient's symptoms.

Objective: To determine the short-term efficiency of local instillation of steroids in patients with painful spine conditions.

Significance of urodynamic examination in patients with spinal cord lesions and verified neurogenic urination dysfunction.

Introduction: Evaluation of neurogenic urination dysfunction by urodynamic examination in patients with spinal cord lesions is essential for ensuring the effective emptying of the bladder and the prevention of urological complications.

Goal: To establish the relation between urodynamic findings with the development of complications of the upper urinary tract (UUT) in patients with spinal cord lesions.

Materials And Methods: This is a retrospective study involving 42 patients with spinal cord lesions in which are analyzed complications of UUT incurred in an average 4-year period.

Mortality among third age patients with hip fracture and high cardiac risk.

Introduction: Mortality after hip fracture remains high in spite of the progress of medicine. Due to the trend toward longer life, the problem of hip fracture is getting more significant. The aim of this study is to determine the effects of surgical treatment in patients with high risk of hip fracture on mortality reduction.

[Assessment of active exercises in cervical pain syndrome].

Goals: The goals of the research were: a) to identify possible serious and specific causes of neck pain; b) to identify psychological and social barriers for recovery; c) to determine the degree of dysfunction caused by nonspecific neck pain; d) reduce pain; e) improve functioning and reduce disablement; f) prevent recurrences and development of chronic forms. ATTENDEES AND METHODS: As a sample for this research we selected patients with the verified neck pain syndrome, 120 of them in total which we divided into two groups with 60 patients. One group is treated with the classic rehabilitation method and the other cohort underwent active exercises during a six months period.

[Whiplash neck injury].

Introduction: In the paper, the authors presents medical meaning of whiplash neck injury (WNI) according right time diagnosis and management.

Patients And Methods: The aim was to estimate the functional answer according diagnosis and therapeutical modalities. 35 patients were treated in Clinical center University of Sarajevo in period 2004/2008.

Incidence of secondary vascular complications after stroke.

Unlabelled: Stroke is a clinical syndrome characterized by the sudden occurrence of a permanent focal neurological deficit. The most common causes of death are transtentorial herniation, pneumonia, pulmonary embolism and heart disease. According to literature data, pulmonary embolism (PE) is responsible for 5% of deaths after stroke.

[Osteoporosis associated with spinal cord lesion].

One of the complications caused by spinal lesion is osteoporosis which development is induced by lesion itself, and its mechanism is not explained enough. Risk factor of this kind of osteoporosis is fracture which management is difficult and is cause of further complications which aggravate already damaged quality of life of patients with spinal cord injury, and demand additional health insurance expenses. Importance of prevention and treatment of spinal cord injury induced osteoporosis is enlightened by case report.

[Heterotopic ossifications in paraplegics].

Periarticular ossifications in paraplegics most frequently occur around the hip. Typically, the newly formed bone limits foremost flexion. The ossification takes place in the connective tissues of the muscle; its etiology and pathogenesis remain to be elucidated.

Cervical pain syndrome as consequence of computer use in daily practice.

NONE DECLARED NECK PAIN SYNDROME IS DESCRIBED AS: Pain in the neck affects at least once in a lifetime every second person, and also 10 % of adult population suffers from chronic pain in this area. It is more often among women. A constant increase of incidence in the industrialized countries is noticed.

[Kinezitherapy--fatigue or function].

Kinesitherapy (KT) is field of rehabilitation that uses the movement in order to cure patient. Knowledge about movement, condition and method of act of movement determine the final effect of this kind of treatment. Nevertheless, the role of patient is active and the positive effect can be achieved only if patient understand his role in process of therapy.

[Hernia diaphragmalis--late complication in patient with spinal cord injury].

Patients with spinal cord injury have gastrointestinal disfunction, a late complications of their disease. The aim of this paper is need to accent prevention of gastrointestinal complication, primary by adequate defecation, which is usually forgotten.

[Rehabilitation program after surgical repair articular cartilage injury of knee].

In this paper is suggested rehabilitation rule for postoperative treatment after surgical repair articular cartilage injury of knee. Rehabilitation program after this surgical treatment (autologous chondrocytw transplantation and autologous osteochondral grafts) lasts for a long time. Full success of surgical treatment is conected with proper rehabilitation program.

[Evaluation of functional treatment of the acute Achilles tendon rupture according to the Thermann score scale (ten years experience)].

Introduction: The injury of Achilles tendon most frequently occurs as a result of overburdening of the tendon, particularly in sportsmen (runners and jumpers) even though they are not rare in the rest of the population. Biomechanical distrubances on the burdening tendon, or its continuous burdening, result in the degenerative changes in the form of pathological tenosynovial adhesions in and around the tendon that precedes the tendon rupture. In the recent years conservative functional treatment increasingly became the method of choice due to final results of the treatment.

[Analysis of the quality of life in patients with spinal lesions in the Canton of Sarajevo].

The author present in the retrospective analysis 10 patients (52 females, 48 males) with the condition of paraplegy in Canton Sarajevo in the period 01.01.-31.

[Clinical views on simulation and navigation technologies in kinematics of joints in locomotor surgery].

In this paper the authors give an overview of two systems (simulation and navigation) which are very important and give support to clinical work by making possible good visualization of the morphology and kinematics of joints. The approach to each patient with changes in the joints is individualized with a computer generated tomographical images which give very precise data which up to now had been inaccessible with clinical testing as the only alternative was the well known invasive diagnostic procedures. The first case concerns the COJOKS simulation system (COmputerized Joint Kinematics Simulation).

[Results of hallux valgus therapy after initial surgical correction].

Authors present own experience after use surgical correction technique in order to heal the complex hallux valgus deformity. In period 1999-2002 we used this technique on 5 patients (4 females, 1 male) with 6 surgical procedures (1 female had bilateral treatment). Indications for surgical treatment were functional problems and x-ray angle between the first and second metatarsals as well as valgus angle of the first metatarsophalangeal joint which were much higher.

[Determination of residual urine volume using a portable ultrasound apparatus in a rehabilitation center for spinal lesions].

Due to the high incidence of voiding dysfunction (patients with SCI) in the rehabilitation setting, a safe, efficient method for monitoring residual bladder volume is needed. A controlled trial was performed to compare the use of a portable ultrasound unit that calculates bladder volume to catheterization regarding complications, speed of usage and patients feelings. Urethral catheterization, the standard method for measurement of bladder volume is associated with patient discomfort plus risks of urethral trauma and urinary tract infection.

[Capacity of paraplegic individuals for activities of daily living].

Author analysis functional case of patients with spinal cord injury few years after injuries. We analysed 100 persons with spinal cord injury, male and female, age 7-77 years from Canton Sarajevo. Functional measurements used in physiatryes and tested all patients by Barthel index we showed qualifying for daily activities.

[Rehabilitation of the shoulder joint after acromioplasty in the subacromial pain syndrome].

Diagnostic error possibility and non-adequate surgical treatment by shoulder injury lead to non-adequate rehabilitation program. Authors show the case with diagnostic error and discuss the reasons for incomplete functional answer after rehabilitation-program. It is given the recommendation for solving these problems.