Józef Opara - Academia.edu (original) (raw)
Papers by Józef Opara
Pielȩgniarka i połozna, 1988
Multiple sclerosis is a progressive disease of the central nervous system that inevitably conclud... more Multiple sclerosis is a progressive disease of the central nervous system that inevitably concludes with permanent disability. Despite a significant in immunotherapy, there is an increase in the number of patients requiring full-time care and assistance in performing basic everyday tasks. Specific symptoms of the disease are caused by damage in almost every functional systems of the central nervous system. The consequences of psychological, cognitive and psychosocial nature cause a major decrease in the quality of life. Palliative care is reserved mostly for oncological patients, rarely involving other groups of patients. Multiple sclerosis patients also require such care, but in most of the cases it is unavailable in the Polish scale of things. Thus there is a need for providing support for the patients with the most serious disability, who are forced to rely only on symptomatic treatment and are deprived of therapy that modifies the course of the disease.
Spine, 2006
Cultural adaptation and cross-sectional psychometric testing. The aim of this study was to valida... more Cultural adaptation and cross-sectional psychometric testing. The aim of this study was to validate the Polish translation of the Roland-Morris Questionnaire (RMQ), which evaluates the functional level of activity of patients with discogenic low back pain with radicular radiation, caused by intervertebral herniation, according to category A1 in the Kirkaldy-Willis classification and Type QTF6 in classification Quebec Task Force. The main concern of patients with low back pain is the functional limitation that the symptoms cause. It is important to find a validation tool by means of which their functional level can be assessed. The RMQ was compared with MOS Short Form-36 Health Survey Questionnaire (SF-36), to pain scale, to depression scale, to functional scale that measures activities of daily living, and to measuring forward and side bending of the spine. Independently, two professionals made a translation and then two native speakers made a translation-back of the RMQ. Then 104 patients with lumbar disc herniation completed the RMQ, SF-36, VAS and FIR (ADL scale). The study group comprised 39 women and 65 men with an average age of 44 years. The significant correlation between the RMQ and other questionnaires was found. RMQ and SF-36 Physical, r = 0.47, P < 0.00001, RMQ and Pain, r = 0.462, P < 0.00001. Cronbach's alpha showed a value of 0.88 (scale 0-1). The correlation between severity of disease and quality of life, between bending of spine and quality of life, between depression and quality of life, and between activities of daily living and quality of life has been found. According to this study, the RMQ can be used as a valid tool in the assessment of the functional level of patients with lumbar pain and previous lumbar herniation. The RMQ is fast and easy to complete; it is valid, reliable, and sensitive. We recommend the questionnaire to be used in research of quality of life in low back pain.
BACKGROUND Botulinum toxin (BTX is currently a recognised treatment for local spasticity, especia... more BACKGROUND Botulinum toxin (BTX is currently a recognised treatment for local spasticity, especially in children with cerebral palsy. The following paper presents the early result of BTX treatment for adult patients with spastic paresis of the lower limbs. MATERIAL AND METHODS Twenty adult paraplegic patients (mean age 42 years) following cervical or thoracic SCI or suffering from MS, with moderate-to-severe spasticity in the lower extremities received BTX for the first time in life into the thigh adductor, knee flexor and foot flexor muscle groups. Results were evaluated using Modified Ashworth's Scale, Visual (Analogue) Scale for Pain Assessment, Modified Rivermead Mobility Index and Repty Functional Index prior to and three weeks after the administration of the toxin. RESULTS Improvement was observed in most patients, usually manifesting as reductions or resolution of pain. Mild side effects (low-grade fever and flu-like symptoms) occurred in only one patient. CONCLUSIONS Our...
Australian Journal of Physiotherapy, 2009
Pielȩgniarka i połozna, 1988
Multiple sclerosis is a progressive disease of the central nervous system that inevitably conclud... more Multiple sclerosis is a progressive disease of the central nervous system that inevitably concludes with permanent disability. Despite a significant in immunotherapy, there is an increase in the number of patients requiring full-time care and assistance in performing basic everyday tasks. Specific symptoms of the disease are caused by damage in almost every functional systems of the central nervous system. The consequences of psychological, cognitive and psychosocial nature cause a major decrease in the quality of life. Palliative care is reserved mostly for oncological patients, rarely involving other groups of patients. Multiple sclerosis patients also require such care, but in most of the cases it is unavailable in the Polish scale of things. Thus there is a need for providing support for the patients with the most serious disability, who are forced to rely only on symptomatic treatment and are deprived of therapy that modifies the course of the disease.
Spine, 2006
Cultural adaptation and cross-sectional psychometric testing. The aim of this study was to valida... more Cultural adaptation and cross-sectional psychometric testing. The aim of this study was to validate the Polish translation of the Roland-Morris Questionnaire (RMQ), which evaluates the functional level of activity of patients with discogenic low back pain with radicular radiation, caused by intervertebral herniation, according to category A1 in the Kirkaldy-Willis classification and Type QTF6 in classification Quebec Task Force. The main concern of patients with low back pain is the functional limitation that the symptoms cause. It is important to find a validation tool by means of which their functional level can be assessed. The RMQ was compared with MOS Short Form-36 Health Survey Questionnaire (SF-36), to pain scale, to depression scale, to functional scale that measures activities of daily living, and to measuring forward and side bending of the spine. Independently, two professionals made a translation and then two native speakers made a translation-back of the RMQ. Then 104 patients with lumbar disc herniation completed the RMQ, SF-36, VAS and FIR (ADL scale). The study group comprised 39 women and 65 men with an average age of 44 years. The significant correlation between the RMQ and other questionnaires was found. RMQ and SF-36 Physical, r = 0.47, P < 0.00001, RMQ and Pain, r = 0.462, P < 0.00001. Cronbach's alpha showed a value of 0.88 (scale 0-1). The correlation between severity of disease and quality of life, between bending of spine and quality of life, between depression and quality of life, and between activities of daily living and quality of life has been found. According to this study, the RMQ can be used as a valid tool in the assessment of the functional level of patients with lumbar pain and previous lumbar herniation. The RMQ is fast and easy to complete; it is valid, reliable, and sensitive. We recommend the questionnaire to be used in research of quality of life in low back pain.
BACKGROUND Botulinum toxin (BTX is currently a recognised treatment for local spasticity, especia... more BACKGROUND Botulinum toxin (BTX is currently a recognised treatment for local spasticity, especially in children with cerebral palsy. The following paper presents the early result of BTX treatment for adult patients with spastic paresis of the lower limbs. MATERIAL AND METHODS Twenty adult paraplegic patients (mean age 42 years) following cervical or thoracic SCI or suffering from MS, with moderate-to-severe spasticity in the lower extremities received BTX for the first time in life into the thigh adductor, knee flexor and foot flexor muscle groups. Results were evaluated using Modified Ashworth's Scale, Visual (Analogue) Scale for Pain Assessment, Modified Rivermead Mobility Index and Repty Functional Index prior to and three weeks after the administration of the toxin. RESULTS Improvement was observed in most patients, usually manifesting as reductions or resolution of pain. Mild side effects (low-grade fever and flu-like symptoms) occurred in only one patient. CONCLUSIONS Our...
Australian Journal of Physiotherapy, 2009