Daniela Gechevska

Preferred name
Daniela Gechevska
Translated Name
Гечевска, Даниела
Alternative Name
Gecevska, D
Gecevska, Daniela
Gechevska, D
Daniela Gecevska
Email
daniela.gechevska@medf.ukim.edu.mk

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Now showing 1 - 4 of 4
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    Management of Polyneuromyopathy in a Critically Ill Patient with a Left Ventricular Assist Device
    (Macedonian Academy of Sciences and Arts, 2022-12)
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    Critical illness polyneuromyopathy after cardiac surgery is often unrecognized and is a rarely reported clinical condition. It is characterized by more proximal than distal symmetrical flaccid muscle weakness and difficulty in weaning from a respirator. When done in a timely manner, rehabilitation prevents early complications and reduces the length of hospitalization. Rehabilitation leads to better motor outcome, improves short-term and long-term functionality, and results in a better quality of life.
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    РЕХАБИЛИТАЦИСКИ ТРЕТМАН НА ПАЦИЕНТИ СО УРИНАРНА ИНКОНТИНЕНЦИЈА
    (Institute of Public Health of Republic of Macedonia = Институт за јавно здравје на Република Македонија, 2020-12-15)
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    Urinary incontinence is the inability to control urination with spectrum of disturbances from periodical urinary leaks to complete inability to retain urine. It occurs more often in elderly and in women. Urinary incontinence has a great impact on general health and may reduce the quality of life. There are several types: stress urinary incontinence, urgent urinary incontinence, neurogenic urinary incontinence, overflow urinary incontinence. Stress urinary incontinence is the most frequent one and is due to pelvic floor muscle weakness. For assessment and treatment of these patients the individual approach is warranted. The treatment of these patients includes medications, behavioral therapy, biofeedback, pelvic floor muscle training, electrical stimulation, magnetic stimulation and surgery. Non-surgical treatment might be effective to prevent surgery. Rehabilitation treatment with pelvic floor exercises and physical modalities for patients with urinary incontinence is important for recovery of the urinary continence and improvement of quality of life in these patients
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    Physical Therapy and Rehabilitation After Anterior Cruciate Ligament Reconstruction - Case Report
    (Acta Scientific Publications Pvt. Ltd., 2025-07-07)
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    Gerakaroska Savevska, Cvetanka
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    Anterior cruciate ligament (ACL) injuries commonly occur during sports requiring jumping and pivoting. Despite continued advancements in surgical techniques and rehabilitation, outcomes following ACLR may be less than desirable, with only 33% of athletes returning to sports within 1 year after surgery and 37% never returning to their prior levels of sports participation. The aim of this paper is to present the effect and role of physical therapy and rehabilitation in a patient after reconstruction of the anterior cruciate ligament. Method: Patient with anterior cruciate ligament injury treated arthroscopically. Postoperative rehabilitation conducted in the Clinic for Physical Medicine and Rehabilitation with кinesiоtherapy, magnetic therapy, laser therapy, hydrokinesiotherapy. The evaluation of the results made with Womac score at the beginning and at the end of the rehabilitation, rang of motions in the knee were made at two time points, at the beginning and at the end. The patient had two rehabilitation treatments. At the end of the rehabilitation, the patient goes without orthopedic aids. Manual muscle test performed on m. quadriceps. Results: Improved Womac score and knee movements. Conclusion: Rehabilitation, kinesitherapy and physical modalities have an important role in rehabilitation after anterior cruciate ligament reconstruction.
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    COMPARISON OF IMMEDIATE EFFECTS OF EXTRACORPOREAL SHOCKWAVE THERAPY AND CONVENTIONAL PHYSICAL THERAPY IN PATIENTS WITH CALCIFIC TENDINITIS OF THE SHOULDER ROTATOR CUFF
    (Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, 2023)
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    Gocevska Gjerakaroska, Marija
    Calcific tendinitis of the shoulder is a frequent disorder with an unknown etiology. It is usually treated with different physical therapy modalities where extracorporeal shockwave therapy comes as a new effective method. The aim of the study was to compare extracorporeal shockwave therapy and conventional physical therapy in the treatment of calcific tendinitis of the rotator cuff of the shoulder. The study is a prospective, monocentric clinical trial involving 40 patients with calcific tendinitis of the rotator cuff of the shoulder who were divided into two groups: group 1 (study group), 20 patients receiving extracorporeal shockwave therapy and performing shoulder exercises, and group 2 (control group), 20 patients who received conventional physical therapy with therapeutic ultrasound and diadynamic currents and performed shoulder exercises. Patients were evaluated with a Numerical Pain Scale and the range of motion in the shoulder joint was assessed. Clinical findings were evaluated before starting treatment and at the end of the treatment. All patients after the treatment showed statistically significantly better results in the Numerical Pain Scale and the shoulder range of motion. Extracorporeal shockwave therapy is a safe and non-invasive treatment that reduces pain and improves range of motion in the treatment of calcific tendinitis of the rotator cuff.