Browsing by Author "Nulle, Anda"

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    A profile of traumatic spinal cord injury and medical complications in Latvia
    (2017-12-01) Nulle, Anda; Tjurina, Uljana; Erts, Renars; Vetra, Anita; Rīga Stradiņš University
    Study design: A single centre retrospective study. Objectives: To collect data and analyse the epidemiological profile of traumatic spinal cord injury and its medical complications during the subacute rehabilitation period. Setting: Spinal Cord Injury Rehabilitation Programme of the National Rehabilitation Centre, 'Vaivari', Jurmala, Latvia. Methods: Information was collected in 2015 from the medical records of 134 patients with a traumatic spinal cord injury admitted for primary rehabilitation between January 2011 and December 2014. Results: During this period, the median age of patients with a traumatic spinal cord injury was 39.5 years, and the male to female ratio was 5:1. The leading causes of traumatic spinal cord injuries were falls (37%), road traffic accidents (29%), sport and leisure activities (19%), other cause (8%), unidentified causes (5%), and assault (2%). The most common medical complications were pain (77%), spasticity (48%), urinary tract infections (45%), pressure ulcers (25%), and orthostatic hypotension (14%). Conclusions: Preventive measures in Latvia should be aimed primarily to address falls, road traffic accidents, and sport and leisure activities in the young male population. Medical complications are varied, and they are an important factor following traumatic spinal cord injury. The results obtained in this study comply with the data from studies in countries of the Baltic and North Sea regions of Europe.
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    Stress Coping as a Psychological Factor for Chronification of Low Back Pain
    (Rēzeknes Tehnoloģiju akadēmija, 2018) Millere, Anna; Kalnbērza-Ribule, Zaiga; Nulle, Anda; Millere, Inga; Deklava, Liana; Lubkina, Velta; Danilāne, Līga; Rīga Stradiņš University
    Stress is a part of our everyday life and it plays an important role in causing various diseases including low back pain and vice versa chronic pain is a stressor that is challenging stress system of the human body. Purpose of the study is to examine stress coping among patients with low back pain in rehabilitation practice in Latvia. Demographic questionnaire, Visual analogue scale and “The Ways of Coping scale” were used. Results. Almost all stress coping strategies scores for patients with low back pain in their first visit are higher than in patients with revisit to Physical Medicine and Rehabilitation doctor and there is statistically significant difference in the use of problem oriented stress coping. Conclusion. This research is meaningful due to the fact it allows to acknowledge and evaluate the spectrum of stress coping ways for patients with low back pain.