GJerakaroska-savevska, Cvetanka
Preferred name
GJerakaroska-savevska, Cvetanka
Official Name
GJerakaroska-savevska, Cvetanka
Main Affiliation
Email
cvetanka.gjerakaroska@medf.ukim.edu.mk
12 results
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Item type:Publication, Physical treatment of posttraumatic elbow contractures in children – our experience(Scientific Foundation SPIROSKI, 2022-03); ; ; ; The most common complications of elbow trauma are contractures and neurovascular injuries. The complications can be a result of the initial injury, but they can also be a result of a surgical treatment. In addition to orthopedic treatment of elbow fractures, physical therapy and rehabilitation play a significant role in treatment of posttraumatic contractures. To determine the effects of physical therapy and rehabilitation of posttraumatic elbow contractures in children. This was a retrospective cross-sectional study conducted in the University Clinic for Physical Medicine and Rehabilitation, Skopje in the period 01.01.2021 – 01.07.2022. A total of 52 children were included, at the age between 2 and 13 years who had a posttraumatic elbow contracture, limited range of motion, pain and/or limitations in accomplishing daily activities. Depending on the clinical finding, children underwent a relevant physical therapy (kinesitherapy, functional therapy, electrotherapy, thermotherapy, hydrotherapy and magnetotherapy) in duration of three weeks. For assessing the effects of the rehabilitation therapy, the range of motion of the elbow and forearm was examined along with the Flynn’s scale in all children, prior to and after completion of the physical treatment. Applied physical treatment resulted in a significant improvement in all analyzed movements such as: elbow flexion (p=0.00001), elbow extension (p=0.00001), forearm pronation (p=0.00001), forearm supination (p=0.0000) and Flynn’s scale (p=0.0000). After completion of the rehabilitation treatment, excellent results were registered in 41 (85%) children, moderate in 10 (19.23%) and favorable in 1 (1.92%). Timely and adequate application of physical therapy and rehabilitation can significantly improve the final outcome in treatment of posttraumatic elbow contractures in children. A combination of different physical procedures adequately applied and personalized can significantly improve the range of motion of the elbow. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, THE EFFECT OF EXTRACORPOREAL SHOCK WAVE THERAPY IN TREATMENT OF CALCIFYNG TENDINITIS OF THE ROTATOR CUFF OF THE SHOULDER(Macedonian Association of Anatomists and Morphologists, 2022); ; ; ; Calcifying tendinitis of a 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. Objective: to assess the impact of extracorporeal shockwave therapy in the treatment of calcifying tendinitis of the rotator cuff of the shoulder. The study is a prospective, monocentric clinical study involving 13 patients who received extracorporeal shockwave therapy in 5 treatments, applied once a week in one session. The patients were evaluated with a Visual analog scale for pain and measurement of the range of motion of the shoulder joint. Clinical findings were evaluated before starting the treatment with extracorporeal shockwave therapy and at the end of the treatment, 5 weeks later. After the treatment all the patients had statistically significantly better results in the Visual analogue scale for pain and the range of motion in the shoulder joint. Extracorporeal shock wave therapy is a safe and non-invasive treatment that reduces pain and improves range of motion in the treatment of calcifying tendinitis of the rotator cuff. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Management of Polyneuromyopathy in a Critically Ill Patient with a Left Ventricular Assist Device(Macedonian Academy of Sciences and Arts, 2022-12); ; ; 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. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Predictors of atrial fibrillation following coronary artery bypass surgery(Scientific Foundation SPIROSKI, 2020-07-16); ; ; <jats:p>Atrial fibrillation (AF) is the most common type of arrhythmia following open heart surgery and it contributes to prolonged hospital stay, increased prevalence of thromboembolic complications and overall increased postoperative morbidity and mortality. The aim of this prospective observational follow-up study was to determine the incidence of postoperative atrial fibrillation (POAF) in patients undergoing coronary artery bypass surgery, to identify predisposing risk factors for its occurrence in the immediate preoperative period and to assess its effect on the postoperative outcome in patients at the University Clinic for Cardiac Surgery in Skopje, North Macedonia. Material and methods: The study included patients at the University Clinic for Cardiac Surgery in Skopje, North Macedonia undergoing coronary artery bypass surgery. The experimental group included patients developing POAF, whereas the control group those who did not develop the primary outcome. All patients were followed up for a period of 30 days postoperatively. Results: POAF was registered in 38% of the patient population and more frequently in the elderly. Patients developing POAF had significantly higher left atrial volume index, as well as higher CHADS2-VASC2, HATCH and Euroscore I values. Average time to POAF occurrence was 48-72 hours postoperatively. There were death outcomes, thromboembolic events, longer hospital stay, need for antiarrhythmic and oral anticoagulant therapy in the POAF group. Conclusion: POAF significantly increases postoperative morbidity and mortality in patients undergoing coronary artery bypass surgery. Age, higher CHADS2-VASC2, HATCH and Euroscore I values and left atrial volume were found to be significant predictors of POAF after coronary artery bypass surgery.</jats:p> - Some of the metrics are blocked by yourconsent settings
Item type:Publication, 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); ; ; ; Gocevska Gjerakaroska, MarijaCalcific 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. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, The Effectiveness of Radial Extracorporeal Shock Wave Therapy for Chronic Achilles Tendinopathy: A Case Report with 18 Months Follow-Up(ID Design 2012/Scienfitic Foundation SPIROSKI, 2018-03-15); ; ; ; Achilles tendinopathy (AT) is a pathological state resulting from repetitive loading or stress on the tendon. The article aims to evaluate the effects of the low - energy radial extracorporeal shockwave therapy (RESWT) in the treatment of the adult with chronic insertional Achilles tendinopathy (AT) after the unsuccessful conservative treatment, with 18 months follow - up evaluation. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Effect of Exercises on Quality of Life in Patients with Postmenopausal Osteoporosis - Randomized Trial(ID Design 2012/Scienfitic Foundation SPIROSKI, 2019-04-15); ; ; ; Osteoporosis is a systemic skeletal disease characterised by a low bone density and microarchitectural deterioration of bone tissue leading to decrease of its strength and increased risk of fracture. Drug therapy decreases the risk of fracture, thus influencing on the mechanism of bone remodelling. Non-pharmacological interventions include specific exercises for osteoporosis that improve muscle strength and balance, decrease pain and improve quality of life. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, ЕARLY RESULTS OF TREATMENT WITH RADIAL EXTRACORPOREAL SHOCK WAVE THERAPY COMPARED TO CONVENTIONAL PHYSICAL THERAPY IN PATIENTS WITH KNEE OSTEOARTHRITIS(Faculty of Medicine, Ss. Cyril and Methodius University in Skopje, 2022); ; ; ; Knee osteoarthritis is a common musculoskeletal disorder. Radial extracorporeal shock wave therapy (RECTUB) is as a new effective conservative method. This was a prospective, monocentric, interventional, non-randomized, controlled, clinical study that included a total of 50 patients divided into two groups. The study group was treated with RECTUB and kinesitherapy, and the control group was treated with conventional physical therapy and kinesitherapy. The patients’ progress was monitored on the Numeric scale of pain and the WOMAC Index of functional ability before the treatment started; then immediately after its completion, and finally 3 months afterwards. It was shown that patients from the study and control groups did not differ significantly in terms of pain intensity at the treatment beginning and at their first control, while the difference in pain intensity between the two groups at their second control was significantly different in favor of the study group. The total value and the values of the three subscales on the WOMAC index were insignificantly different between the two groups before the treatment from a statistical point of view, with significantly lower values thereof obtained in patients in the study group at the first and second control. The results of this study demonstrate the benefits of using RECTUB as a safe, non-invasive, conservative treatment for knee osteoarthritis with better and longer-lasting effect on reducing pain and improving the functional ability of patients with knee osteoarthritis in contrast to patients treated with conventional physical therapy. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Effects of High - Intensity Laser in Treatment of Patients with Chronic Low Back Pain(ID Design 2012/DOOEL Skopje, 2019-03-30); ; - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Influence of interferential currents, pulsed low-frequency electromagnetic field and exercises for pain in postmenopausal osteoporotic patients(Ss. Cyril and Methodius University in Skopje, Faculty of Medicine, 2019); ; ; ; Introduction: Osteoporosis causes chronic back pain that leads to diminished functional capability and quality of life. Aim: To examine the influence of physical modalities and exercises on pain in patients with postmenopausal osteoporosis. Material and methods: This was a prospective study comprising 92 patients with postmenopausal osteoporosis randomly selected and followed for one year at the Institute of Physical Medicine and Rehabilitation in Skopje. Patients were assigned to three groups: the first group of 32 patients underwent physical procedures, the second group of 30 patients did not undergo physical modalities, and the third control group comprised 30 patients. Physical therapy consisted of physical modalities and exercises. Physical modalities included interferential currents and pulsed low-frequency electromagnetic field conducted each day for 21 days with weekend breaks. Patients from the first and the second group performed exercises 3 times per week during the entire follow-up period. The third group of patients did not practice exercises. Two check-ups were made, on day 21 and at the end of the twelfth month. Assessment of pain intensity was made by the use of a numeric pain rating scale. Results: No significant difference among the groups was observed regarding the mean age of patients (p<0.21). The first check-up showed а significantly higher pain score in the third group of patients (p=0.0003). At the end of the twelfth month the number of patients with pain was significantly reduced as compared to the control group of patients (p=0.0029). Conclusion: Physical therapy modalities and exercises influence on pain in patients with osteoporosis.