Teuta Osmani-vllasolli - Academia.edu (original) (raw)

Papers by Teuta Osmani-vllasolli

Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria

To investigate the influence of factors: the amputation type and the time lag between last surger... more To investigate the influence of factors: the amputation type and the time lag between last surgery and prosthetic rehabilitation, on the rehabilitation duration and outcome, in patients with war-related lower limb amputations. We reviewed the records of 101 war-related lower limb amputees who had inpatient rehabilitation at the National Ortho-Prosthetic Centre (NOPC) of Kosovo in Pristina, from July 1999 to June 2001, a retrospective observational study. Assessment of rehabilitation outcome-ambulation grade with prosthesis, is made on a 3-point scale. The amputation type was shown as an important predictor for the rehabilitation duration and outcome. The analysis by comparative groups has confirmed the amputation type to be of biggest importance. Earlier prosthetic rehabilitation, was shown as a factor of influence on the rehabilitation duration in all cases (r=0.22, P=0.027). This predictor was not relevant for the rehabilitation outcome. The most frequent type of prosthesis manufa...

European journal of physical and rehabilitation medicine

In recent years, disability due to chronic low back pain (LBP) has steadily increased in all indu... more In recent years, disability due to chronic low back pain (LBP) has steadily increased in all industrialized countries. In the treatment of chronic LBP, the objectives are to reduce pain, to improve function and minimize avoiding behavior. Exercise therapy is a management strategy that is widely used as a treatment for LBP. The aim of this study was to investigate the effects of high- intensity aerobic exercise on pain, disability, anxiety or depression in people with chronic LBP. This was a randomized controlled trial Institute of Occupational Medicine, Department of Physical Medicine and Rehabilitation - Outpatient Ward Kosovo power plant workers. Participants with chronic low back pain, excluding those with "red flag" criteria were assigned randomly to one of the two treatment groups: an aerobic exercise group (N.=50), and an passive modalities group (N.=51). Data on low back pain intensity (visual analogue scale), disability (Oswestry Low Back Pain Disability Questionnaire), fingertip-to-floor distance, and psychosocial factors (Hospital Anxiety and Depression Scale) were collected at baseline and after 12-weeks follow-up points. At 12-week follow-up, significant improvements in pain intensity and disability had occurred in the exercise group. We have verified significant improvements in comparison with basic values in pain intensity (6 ± 2.6 vs. 2 ± 1.7, diff. of mean=3.9, P < 0.001), disability (31 ± 17.4 vs. 15.8 ± 12.7, diff. of mean=15.2, P<0.001), anxiety and depression (21.1 ± 8.2 vs. 14 ± 6.7, diff. of mean=7.1, P < 0.001), and fingertip- to-floor distance (27.8 ± -9.1 vs. 14.2 ± -5.7, P<0.001). Whereas, differences in average pain, disability, anxiety and depression and fingertip-to-floor distance are not significant in the control group. High intensity aerobic exercise reduces pain, disability and psychological strain in patients with chronic low back pain. This research is important for the fact that High Intensity Aerobic Exercise Programs are not so exploited in the current available literature for the treatment of LBP. Therefore, this is another modest contribution which can reinforce the need for more frequent use of High Intensity Aerobic Exercise Programs in the treatment of LBP.

A comparison of high intensity aerobic exercise and passive modalities for the treatment of worke... more A comparison of high intensity aerobic exercise and passive modalities for the treatment of workers with chronic low back pain: a randomized, controlled trial. Murtezani A1, Hundozi H, Orovcanec N, Sllamniku S, Osmani T. Author information Abstract BACKGROUND: In recent years, disability due to chronic low back pain (LBP) has steadily increased in all industrialized countries. In the treatment of chronic LBP, the objectives are to reduce pain, to improve function and minimize avoiding behavior. Exercise therapy is a management strategy that is widely used as a treatment for LBP. AIM: The aim of this study was to investigate the effects of high- intensity aerobic exercise on pain, disability, anxiety or depression in people with chronic LBP. DESIGN: This was a randomized controlled trial SETTING: Institute of Occupational Medicine, Department of Physical Medicine and Rehabilitation - Outpatient Ward POPULATION: Kosovo power plant workers. METHODS: Participants with chronic low back p...

Medicinski arhiv, 2009

Emotional alterations are frequent after stroke. Anxiety is a response due to the fear from disea... more Emotional alterations are frequent after stroke. Anxiety is a response due to the fear from disease, although depression is a result of potential disability and restrictive lifestyle. The aim of this study was to investigate the relation between reintegration to normal living (community reintegration) of patients after stroke and their functional disabilities. Data were collected from 44 patients with chronic stroke receiving physical therapy services at Physical Medicine and Rehabilitation Clinic, University Clinical Center of Prishtina. Activities of Daily Living (ADL) were measured with the Barthel index (BI). Reintegration to Normal Living Index (RNLI) was used to measure reintegration into normal social activities, functional capacity was measured with six-minute walk test (6MWT), balance was evaluated with Berg Balance Scale (BBS),and motor functioning was assessed with Fugl- Meyer Motor Assessment (FMA). Based on statistical results it can be concluded that the RNLI score has...

Acta Informatica Medica, 2015

The Physiological Cost Index (PCI) was introduced by MacGregor to estimate the energy cost in wal... more The Physiological Cost Index (PCI) was introduced by MacGregor to estimate the energy cost in walking of healthy people, also it has been reported for persons with lower limb amputation, walking with prosthesis. To assess energy cost and walking speed in two level lower limb amputation: transfemoral and transtibial amputation and to determine if the age and prosthetic walking supported with walking aids have impact on energy cost and walking speed. A prospective cross sectional study was performed in two level lower limb amputees with no vascular disease who were rehabilitated at the Department of Prosthetics and Orthotics at the University Clinical Center of Kosovo. The Physiological Cost Index (PCI) was assessed by five minutes of continuous indoor walking at Comfort Walking Speed (CWS). Eighty three lower limb amputees were recruited. It is shown relevant impact of level of amputation in PCI (t=6.8, p<0.001) and CWS (T=487, p<0.001). The great influence of using crutches during prosthetic walking in PCI (ANOVA F= 39.5 P < 0.001) and CWS (ANOVA F=32.01, P <0.001) has been shown by One Way ANOVA test. The correlation coefficient (R) showed a significant correlation of age with PCI and CWS in both groups of amputation. Walking with transfemoral prosthesis or using walking aids during prosthetic ambulation is matched with higher cost of energy and slower walking speed. Advanced age was shown with high impact on PCI and CWS in both groups of amputees.

Folia Medica, 2011

The aim of the present study was to determine the prevalence of low back pain (LBP) in industrial... more The aim of the present study was to determine the prevalence of low back pain (LBP) in industrial workers, check for possible LBP related risk factors and investigate the associations between physical activity and severity of low back pain. We conducted a cross-sectional study among 430 workers of an industrial company over the previous 12 months. The industrial workers were given questionnaires and assigned to two groups: (1) with low back pain, (2) without low back pain. Group 1 was then divided into three subgroups according to the answer to question (a) LBP without irradiation, called mild cases, (b) LBP with irradiation above the knee, called moderate cases, LBP with the irradiation below the knee, called severe cases. LBP was found in 61.6% of workers. The prevalence of LBP was significantly associated with physical activity (p = 0.03). There was a significant difference between frequent physical activity and severity of LBP (p = 0.01). Work-related physical factors showed strong associations with LBP. The main risk factors for low back pain among production workers were extreme trunk flexion (OR = 3.5, 95% CI 1.7-7.3), as well as lifting of loads (OR = 3.5, 95% CI 1.9-6.2), pushing or pulling heavy loads (OR = 3.5, 95% CI 1.9-6.2) and exposure to whole body vibration (OR = 1.7, 95% CI 1.0 -3.0). Daily life conditions, job-related factors are associated with the occurrence of low back pain. These results suggest that individuals with LBP should avoid nonspecific physical activities to reduce pain and improve psychological health.

Ortopedia Traumatologia Rehabilitacja, 2014

Background. Energy expenditure and walking speed are generally recommended for use as measures of... more Background. Energy expenditure and walking speed are generally recommended for use as measures of status and outcome for walking. The objective of this study was to measure the physiological cost index (PCI) and comfort walking speed (CWS) at three levels of lower limb amputation: transfemoral, transtibial and Syme level, and the relationship of these physiological variables to prosthetic ambulation supported with walking aids and stump length. Material and methods. This study was a prospective cross-sectional study.Eighty-nine individuals with lower limb amputation for reasons other than peripheral vascular disease (PVD) were recruited among patients at the Department of Prosthetics and Orthotics in University Clinical Center of Kosovo. PCI was assessed by five minutes of continuous indoor walking at CWS. Results. Significant differences were found in PCI (F=29.87, P < 0.001) and CWS (F=19.33, P < 0.001) among the three amputation groups. Prosthetic ambulation supported with crutches showed an important impact on PCI (F=35.1, P < 0.001) and CWS (F=28.42, P < 0.001). Stump length was associated with significantly increased PCI (r=0.53, P = 0.02) and reduced CWS (r=0.58, P = 0.004) in transfemoral amputees. Conclusions. 1. A higher level of amputation is associated with less energy-efficient walking and with lower walking speed. 2. Prosthetic ambulation supported with crutches has significant impact on increasing of energy expenditure and decreasing walking speed. 3. Stump length is shown to have a major impact on PCI and CWS in transfemoral amputees.

Prosthetics and Orthotics International, 2014

Previous literature has suggested that age, level of amputation, residual limb length, comorbidit... more Previous literature has suggested that age, level of amputation, residual limb length, comorbidities, mental disorders, and cause of amputation can affect the ability to successfully ambulate with prosthesis. The objective of this study was to analyze the predictors that affect the rehabilitation outcome of war-related transtibial amputees and the relationship of these factors with ambulation ability after prosthetic fitting. Retrospective observational study. We reviewed the records of 69 war-related transtibial amputees. The rehabilitation outcome was analyzed according to the grade of rehabilitation summarized in three grades. Multiple logistic regression analysis was used to determine the odds of achieving the first rehabilitation grade. The majority of patients with transtibial amputations achieved the first grade of rehabilitation (59.4%). The factors that significantly influenced the achievement of the first grade of rehabilitation were age and absence of posttraumatic stress disorder. For every 1-year increase in patient age, the odds of achieving first grade of rehabilitation decreased by a factor of 0.9. Patients without posttraumatic stress disorder had 12.9 greater odds of achieving the first rehabilitation grade compared to patients with posttraumatic stress disorder. Achievement of the first grade of rehabilitation among war-related transtibial amputees is dependent on patient age and the absence of posttraumatic stress disorder. Understanding the factors that may affect the rehabilitation outcome of war-related amputees could lead to a more specific organization of the rehabilitation, especially in a country that has recently been involved in war. This is the first study to focus on determinants of prosthetic rehabilitation in these patients.

Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria

To investigate the influence of factors: the amputation type and the time lag between last surger... more To investigate the influence of factors: the amputation type and the time lag between last surgery and prosthetic rehabilitation, on the rehabilitation duration and outcome, in patients with war-related lower limb amputations. We reviewed the records of 101 war-related lower limb amputees who had inpatient rehabilitation at the National Ortho-Prosthetic Centre (NOPC) of Kosovo in Pristina, from July 1999 to June 2001, a retrospective observational study. Assessment of rehabilitation outcome-ambulation grade with prosthesis, is made on a 3-point scale. The amputation type was shown as an important predictor for the rehabilitation duration and outcome. The analysis by comparative groups has confirmed the amputation type to be of biggest importance. Earlier prosthetic rehabilitation, was shown as a factor of influence on the rehabilitation duration in all cases (r=0.22, P=0.027). This predictor was not relevant for the rehabilitation outcome. The most frequent type of prosthesis manufa...

Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria

To investigate the influence of factors: the amputation type and the time lag between last surger... more To investigate the influence of factors: the amputation type and the time lag between last surgery and prosthetic rehabilitation, on the rehabilitation duration and outcome, in patients with war-related lower limb amputations. We reviewed the records of 101 war-related lower limb amputees who had inpatient rehabilitation at the National Ortho-Prosthetic Centre (NOPC) of Kosovo in Pristina, from July 1999 to June 2001, a retrospective observational study. Assessment of rehabilitation outcome-ambulation grade with prosthesis, is made on a 3-point scale. The amputation type was shown as an important predictor for the rehabilitation duration and outcome. The analysis by comparative groups has confirmed the amputation type to be of biggest importance. Earlier prosthetic rehabilitation, was shown as a factor of influence on the rehabilitation duration in all cases (r=0.22, P=0.027). This predictor was not relevant for the rehabilitation outcome. The most frequent type of prosthesis manufa...

European journal of physical and rehabilitation medicine

In recent years, disability due to chronic low back pain (LBP) has steadily increased in all indu... more In recent years, disability due to chronic low back pain (LBP) has steadily increased in all industrialized countries. In the treatment of chronic LBP, the objectives are to reduce pain, to improve function and minimize avoiding behavior. Exercise therapy is a management strategy that is widely used as a treatment for LBP. The aim of this study was to investigate the effects of high- intensity aerobic exercise on pain, disability, anxiety or depression in people with chronic LBP. This was a randomized controlled trial Institute of Occupational Medicine, Department of Physical Medicine and Rehabilitation - Outpatient Ward Kosovo power plant workers. Participants with chronic low back pain, excluding those with "red flag" criteria were assigned randomly to one of the two treatment groups: an aerobic exercise group (N.=50), and an passive modalities group (N.=51). Data on low back pain intensity (visual analogue scale), disability (Oswestry Low Back Pain Disability Questionnaire), fingertip-to-floor distance, and psychosocial factors (Hospital Anxiety and Depression Scale) were collected at baseline and after 12-weeks follow-up points. At 12-week follow-up, significant improvements in pain intensity and disability had occurred in the exercise group. We have verified significant improvements in comparison with basic values in pain intensity (6 ± 2.6 vs. 2 ± 1.7, diff. of mean=3.9, P < 0.001), disability (31 ± 17.4 vs. 15.8 ± 12.7, diff. of mean=15.2, P<0.001), anxiety and depression (21.1 ± 8.2 vs. 14 ± 6.7, diff. of mean=7.1, P < 0.001), and fingertip- to-floor distance (27.8 ± -9.1 vs. 14.2 ± -5.7, P<0.001). Whereas, differences in average pain, disability, anxiety and depression and fingertip-to-floor distance are not significant in the control group. High intensity aerobic exercise reduces pain, disability and psychological strain in patients with chronic low back pain. This research is important for the fact that High Intensity Aerobic Exercise Programs are not so exploited in the current available literature for the treatment of LBP. Therefore, this is another modest contribution which can reinforce the need for more frequent use of High Intensity Aerobic Exercise Programs in the treatment of LBP.

A comparison of high intensity aerobic exercise and passive modalities for the treatment of worke... more A comparison of high intensity aerobic exercise and passive modalities for the treatment of workers with chronic low back pain: a randomized, controlled trial. Murtezani A1, Hundozi H, Orovcanec N, Sllamniku S, Osmani T. Author information Abstract BACKGROUND: In recent years, disability due to chronic low back pain (LBP) has steadily increased in all industrialized countries. In the treatment of chronic LBP, the objectives are to reduce pain, to improve function and minimize avoiding behavior. Exercise therapy is a management strategy that is widely used as a treatment for LBP. AIM: The aim of this study was to investigate the effects of high- intensity aerobic exercise on pain, disability, anxiety or depression in people with chronic LBP. DESIGN: This was a randomized controlled trial SETTING: Institute of Occupational Medicine, Department of Physical Medicine and Rehabilitation - Outpatient Ward POPULATION: Kosovo power plant workers. METHODS: Participants with chronic low back p...

Medicinski arhiv, 2009

Emotional alterations are frequent after stroke. Anxiety is a response due to the fear from disea... more Emotional alterations are frequent after stroke. Anxiety is a response due to the fear from disease, although depression is a result of potential disability and restrictive lifestyle. The aim of this study was to investigate the relation between reintegration to normal living (community reintegration) of patients after stroke and their functional disabilities. Data were collected from 44 patients with chronic stroke receiving physical therapy services at Physical Medicine and Rehabilitation Clinic, University Clinical Center of Prishtina. Activities of Daily Living (ADL) were measured with the Barthel index (BI). Reintegration to Normal Living Index (RNLI) was used to measure reintegration into normal social activities, functional capacity was measured with six-minute walk test (6MWT), balance was evaluated with Berg Balance Scale (BBS),and motor functioning was assessed with Fugl- Meyer Motor Assessment (FMA). Based on statistical results it can be concluded that the RNLI score has...

Acta Informatica Medica, 2015

The Physiological Cost Index (PCI) was introduced by MacGregor to estimate the energy cost in wal... more The Physiological Cost Index (PCI) was introduced by MacGregor to estimate the energy cost in walking of healthy people, also it has been reported for persons with lower limb amputation, walking with prosthesis. To assess energy cost and walking speed in two level lower limb amputation: transfemoral and transtibial amputation and to determine if the age and prosthetic walking supported with walking aids have impact on energy cost and walking speed. A prospective cross sectional study was performed in two level lower limb amputees with no vascular disease who were rehabilitated at the Department of Prosthetics and Orthotics at the University Clinical Center of Kosovo. The Physiological Cost Index (PCI) was assessed by five minutes of continuous indoor walking at Comfort Walking Speed (CWS). Eighty three lower limb amputees were recruited. It is shown relevant impact of level of amputation in PCI (t=6.8, p<0.001) and CWS (T=487, p<0.001). The great influence of using crutches during prosthetic walking in PCI (ANOVA F= 39.5 P < 0.001) and CWS (ANOVA F=32.01, P <0.001) has been shown by One Way ANOVA test. The correlation coefficient (R) showed a significant correlation of age with PCI and CWS in both groups of amputation. Walking with transfemoral prosthesis or using walking aids during prosthetic ambulation is matched with higher cost of energy and slower walking speed. Advanced age was shown with high impact on PCI and CWS in both groups of amputees.

Folia Medica, 2011

The aim of the present study was to determine the prevalence of low back pain (LBP) in industrial... more The aim of the present study was to determine the prevalence of low back pain (LBP) in industrial workers, check for possible LBP related risk factors and investigate the associations between physical activity and severity of low back pain. We conducted a cross-sectional study among 430 workers of an industrial company over the previous 12 months. The industrial workers were given questionnaires and assigned to two groups: (1) with low back pain, (2) without low back pain. Group 1 was then divided into three subgroups according to the answer to question (a) LBP without irradiation, called mild cases, (b) LBP with irradiation above the knee, called moderate cases, LBP with the irradiation below the knee, called severe cases. LBP was found in 61.6% of workers. The prevalence of LBP was significantly associated with physical activity (p = 0.03). There was a significant difference between frequent physical activity and severity of LBP (p = 0.01). Work-related physical factors showed strong associations with LBP. The main risk factors for low back pain among production workers were extreme trunk flexion (OR = 3.5, 95% CI 1.7-7.3), as well as lifting of loads (OR = 3.5, 95% CI 1.9-6.2), pushing or pulling heavy loads (OR = 3.5, 95% CI 1.9-6.2) and exposure to whole body vibration (OR = 1.7, 95% CI 1.0 -3.0). Daily life conditions, job-related factors are associated with the occurrence of low back pain. These results suggest that individuals with LBP should avoid nonspecific physical activities to reduce pain and improve psychological health.

Ortopedia Traumatologia Rehabilitacja, 2014

Background. Energy expenditure and walking speed are generally recommended for use as measures of... more Background. Energy expenditure and walking speed are generally recommended for use as measures of status and outcome for walking. The objective of this study was to measure the physiological cost index (PCI) and comfort walking speed (CWS) at three levels of lower limb amputation: transfemoral, transtibial and Syme level, and the relationship of these physiological variables to prosthetic ambulation supported with walking aids and stump length. Material and methods. This study was a prospective cross-sectional study.Eighty-nine individuals with lower limb amputation for reasons other than peripheral vascular disease (PVD) were recruited among patients at the Department of Prosthetics and Orthotics in University Clinical Center of Kosovo. PCI was assessed by five minutes of continuous indoor walking at CWS. Results. Significant differences were found in PCI (F=29.87, P < 0.001) and CWS (F=19.33, P < 0.001) among the three amputation groups. Prosthetic ambulation supported with crutches showed an important impact on PCI (F=35.1, P < 0.001) and CWS (F=28.42, P < 0.001). Stump length was associated with significantly increased PCI (r=0.53, P = 0.02) and reduced CWS (r=0.58, P = 0.004) in transfemoral amputees. Conclusions. 1. A higher level of amputation is associated with less energy-efficient walking and with lower walking speed. 2. Prosthetic ambulation supported with crutches has significant impact on increasing of energy expenditure and decreasing walking speed. 3. Stump length is shown to have a major impact on PCI and CWS in transfemoral amputees.

Prosthetics and Orthotics International, 2014

Previous literature has suggested that age, level of amputation, residual limb length, comorbidit... more Previous literature has suggested that age, level of amputation, residual limb length, comorbidities, mental disorders, and cause of amputation can affect the ability to successfully ambulate with prosthesis. The objective of this study was to analyze the predictors that affect the rehabilitation outcome of war-related transtibial amputees and the relationship of these factors with ambulation ability after prosthetic fitting. Retrospective observational study. We reviewed the records of 69 war-related transtibial amputees. The rehabilitation outcome was analyzed according to the grade of rehabilitation summarized in three grades. Multiple logistic regression analysis was used to determine the odds of achieving the first rehabilitation grade. The majority of patients with transtibial amputations achieved the first grade of rehabilitation (59.4%). The factors that significantly influenced the achievement of the first grade of rehabilitation were age and absence of posttraumatic stress disorder. For every 1-year increase in patient age, the odds of achieving first grade of rehabilitation decreased by a factor of 0.9. Patients without posttraumatic stress disorder had 12.9 greater odds of achieving the first rehabilitation grade compared to patients with posttraumatic stress disorder. Achievement of the first grade of rehabilitation among war-related transtibial amputees is dependent on patient age and the absence of posttraumatic stress disorder. Understanding the factors that may affect the rehabilitation outcome of war-related amputees could lead to a more specific organization of the rehabilitation, especially in a country that has recently been involved in war. This is the first study to focus on determinants of prosthetic rehabilitation in these patients.

Nigerian journal of medicine : journal of the National Association of Resident Doctors of Nigeria

To investigate the influence of factors: the amputation type and the time lag between last surger... more To investigate the influence of factors: the amputation type and the time lag between last surgery and prosthetic rehabilitation, on the rehabilitation duration and outcome, in patients with war-related lower limb amputations. We reviewed the records of 101 war-related lower limb amputees who had inpatient rehabilitation at the National Ortho-Prosthetic Centre (NOPC) of Kosovo in Pristina, from July 1999 to June 2001, a retrospective observational study. Assessment of rehabilitation outcome-ambulation grade with prosthesis, is made on a 3-point scale. The amputation type was shown as an important predictor for the rehabilitation duration and outcome. The analysis by comparative groups has confirmed the amputation type to be of biggest importance. Earlier prosthetic rehabilitation, was shown as a factor of influence on the rehabilitation duration in all cases (r=0.22, P=0.027). This predictor was not relevant for the rehabilitation outcome. The most frequent type of prosthesis manufa...