Manoleva, Maja
Preferred name
Manoleva, Maja
Official Name
Manoleva, Maja
Main Affiliation
7 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, 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, Fast track surgery protocol for total joint arthroplast(Department of Anaesthesia and Reanimation, Faculty of Medicine, “Ss. Cyril and Methodius” University in Skopje, R.N.Macedonia, 2019); Background and objectives: Safe and effective clinical pathway is needed for the growing numbers of patients for joint arthroplasty in our hospital. Our primary objective was to deter- mine whether implementing a new protocol can reduce length of hospital stay of the patients for total hip or knee arthroplasty while maintaining patient safety, without increasing perioperative complications. Methods: In this retrospective-prospective study, 61 patients for total hip or knee arthroplasty, are treated according to the new multidisciplinary protocol (prospectively) and compared to 61 patients treated with a standard one (retrospectively). The new protocol emphasizes preoperative patient education, postoperative multimodal analgesia, pre and postoperative use of tranexamic acid, early mobilization and rehabilitation. The primary outcome was the number of hospital days. Secondary outcomes were concerned with patient safety and involved evaluating postoperative side effects, complications, number of blood transfusions and pain scores. Results: The number of hospital days was reduced for the patients in the new protocol com- pared with the standard protocol. There was a statistically significant difference with the pain scores in favor of the new protocol in all six measurement times. Significantly more patients received blood transfusion intra and postoperatively with the standard protocol compared to the patients in the fast track protocol. There was no significant difference between the two groups in the rate and severity of complications. Conclusion: Multidisciplinary approach in forming a clinical pathway in total joint arthro- plasty reduces length of hospital stay without increasing the complication rate. - Some of the metrics are blocked by yourconsent settings
Item type:Publication, Physical Therapy and Rehabilitation After Anterior Cruciate Ligament Reconstruction - Case Report(Acta Scientific Publications Pvt. Ltd., 2025-07-07); ; ; - 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.