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National Repository of Grey Literature

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Variables predicting the effects of surgery in patients with low back pain Hollasová, Sára ; Kavka, Tomáš (advisor) ; Šembera, Martin (referee) Variables predicting the effects of surgery in patients with low back pain Abstract The theoretical part of the thesis summarizes the knowledge about pain and its types, especially chronic pain. Than we focus on low back pain and currently used approaches in the treatment of this syndrome. In this work we summarize the influence of central sensitization and adverse life experineces and posttraumatic stress disorder on pain (especially low back pain). In the practical part, we investigated the effect of central sensitization and adverse life events and posttraumatic stress disroder on the effect of spinal surgery in low back region. The results were obtained using Central Sensitization Inventory (CSI), PTSD Cecklist dor DSM-5 (PCL- 5) a Life Event Checklist (LEC-5 Standard), Short Form 36 Helth Survey Questionnaire (SF- 36), NASS Lumbar Spine Questionnaire. The obtained data were statistically evaluated and processed. Higher scores of CSI and LEC-5 (more adverse life events) were both statistically significantly correlated with worse low back surgery outcomes. At the same time, a statistically significant relationship between PCL-5 (checklist of PTSD symptoms) and CSI was confirmed. Keywords Pain, central sensitization, adverse life experiences, adverse life events, PTSD, posttraumatic stress disorder,... Detailed record

Influence of chronic backache on everyday-life activities TŮMOVÁ, Hana Despite developing medical technology and pharmacology, the number of people suferring from back pains has been rising. Almost 80% of adult population experience the pains in their life time. Chronic back pain implies both physical and mental problems which strongly affect common activities of patients. Subsequently the back pain is reflected into the patient´s behaviour as a whole. The aim of this Bachelor´s work was to map common activities which are affected by chronic back pains and to find out any differences which can be noticed between men and women patients. There were two research questions developed: 1. Which common patients´ activities are affected by chronic back pains? 2. Do men and women patients with chronic back pains differ while dealing with common daily activities? The research was carried out through qualitative research technique of semi-structured interview. The research data required were collected from patients of the Hospital of Rudolf and Stefanie in Benešov from December 2009 to February 2010. Eight patients with chronic back pains were polled (4 men and 4 women), all of them after the spinal operation. The data obtained were presented casuistically and summarised into tables. The research goal was completed. Based on the research survey the following hypotheses were developed: H1: Chronic back pains affect common daily activities of patients after the spinal operation. H2: Chronic back pains after the spinal operation limit the patients when applying for jobs. H3: Chronic back pains affect leisure time activities of the patients. H4: Chronic back pains affect more women than men when they do their housework. H5: Women are trying to prevent back pains more often than men. Detailed record

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