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Bio-psycho-social model of pain treatment. When medical methods of pain treatment are connected with psychological help and therapy

100%
Ortenburger D.
Ból
|
2011
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vol. 12
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issue 3
EN
In the presented work the review of data based on research over the influence of the psychological factors on the effects of analgesic therapy. In many case pain make an illness condition or may become the on moving from acute to chronic. It may initiate the whole cascade of changes in immunologic processes and lead towards secondary system disorders. The inclusion of psychological changes and interactions between exained variables in the analgesic therapy becomes particularly interesting when we come across the patient who suffers from chronic pain (biopsycho- social model of pain treatment). Long-term pain, similarly to other stressors, make sit more difficult for a men to deal with personal problems. In such cases the role of psychologist can be an important element of organized help in copying with chronic pain. The person suffering from chronic pain besides medical problems has a number of increasing psychological, social-economical problems and ignoring them lowers the effects of pain treatment. In the opinion of the Pain Treatment Clinic that are covered by the programme of pain treatment, the analgesic therapy brings better effects when medical methods of pain treatment are connected with psychological help and therapy.
PL
W prezentowanej pracy przedstawiono przegląd danych z badań prowadzonych nad wpływem czynników psychologicznych na efekty terapii przeciwbólowej. Ból w wielu przypadkach sam stanowi stan chorobowy lub też może się nim stać przechodząc od postaci ostrej do przewlekłej. Może inicjować całą kaskadę niekorzystnych zmian w procesach immunologicznych prowadząc do zaburzeń układowych. Uwzględnienieroli czynników psychologicznych oraz zachodzących pomiędzy nimi interakcji w terapii przeciwbólowej nabieraszczególnego znaczenia wtedy, gdy mamy do czynienia z pacjentem zmagającym się z długotrwałym bólem (model biopsychospołeczny leczenia bólu). Długotrwały ból podobnie jak inne stresory sprawia, że człowiekowi trudniej jest razić sobie z problemami. W takich przypadkach praca psychologa może stanowić ważny element zorganizowanej pomocy w radzeniu sobie z bólem przewlekłym. Osoba z bólem przewlekłym poza problemami medycznymi ma szereg narastających psychologicznych, społeczno-ekonomicznych problemów, których niedostrzeganie i nieuwzględnienie może obniżać efekty leczenia bólu. W opinii pacjentów Przychodni Leczenia Bólu (PLB) uczestniczących w programach leczenia bólu, terapia przeciwbólowa może przynosić lepsze efekty, gdy medycznym sposobom towarzyszy psychoterapia i pomoc psychologiczna.
2
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Exercise and psychological factors in low back pain

51%
Szerla M., Ortenburger D., Kluszczyński M., Wyszomierska J.
Physical Activity Review
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2017
|
vol. 5
6-9
EN
Pain is a complex and challenging problem for patients with low back pain and for the psychologists and physiotherapist. One of the most common musculoskeletal pain problems is low back pain. Literature data allow us to assume that possible cause of decreased multifidus size include reflex inhibition and disuse atrophy. Increased fatigability (decreased endurance) of the multifidus muscle has been demonstrated in low back pain (LBP) patients in several research studies. Taking up physical activity belongs to one of the fundamentals of the therapy Formal exercise programmes used in conjunction with other methods of treatment and psychological therapy are one the main forms treatments in low back pain. Lifestyle, physical activity in particular is one on the factors influencing the health of youth and adults. Passiveness and apathy do not facilitate the persistence in realizing the aims of treatment.
3
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Types of convictions concerning coping with pain of the participants of territory defence activities

51%
Ortenburger D., Wąsik J., Tsos A.
Physical Activity Review
|
2020
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vol. 2
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issue 8
97-103
EN
Introduction: The complexity of physiological, emotional and behavioural reactions is connected with experiencing pain. A few components appear here: sensory, affective, motivational and cognitive. Relatively strongly fixed beliefs, concerning the possibilities of coping with this feeling, make an important cognitive effect in coping with pain. Knowledge about beliefs about controlling pain influence understanding of pain mechanisms. Material and methods: The research covered 48 hospitalised participants of territorial defence (33.94±9.54 years old; range: 21-56 years old), provided treatment in hospitals in Luck and in the region (Ukraine) with the use of standardised questionnaires within psychology of health and documents' analysis. The patients differed with respect to diagnosis concerning the presence of neuropathic pain: confirmed neuropathic pain and not fully confirmed neuropathic pain, and the lack of pain of a neuropathic character. Results: In the case of pain of a probable, but not fully confirmed neuropathic pain, the value of conviction relying on one's own internal abilities to coping with pain amounted to 20.73 ± 2.35. The values of the indicators of the two remaining types of convictions analysed in the research are lower. The obtained results indicate that neuropathic pain differentiated beliefs referring to the possibility of coping with pain on one's own (p<0.001). Conclusions: The obtained results indicate that neuropathic pain differentiated beliefs referring to the possibility of copying with pain on one's own. No significant correlations have been noticed between the level of externalised and extinguished anger and certain types of beliefs concerning coping with pain.
4
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The influence of effective distance on the impact of a punch – Preliminary Analysis

51%
Wąsik J., Ortenburger D., Góra T., Mosler D.
Physical Activity Review
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2018
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vol. 6
81-86
EN
Introduction: Distance between competitors in fighting sports and their target have an influence on kinematics of motion and as an consequence, its effectiveness. Therefore, the aim of this study is to extent the knowledge about influence of effective distance affects velocity of an object after hit. Material and Methods: Analysis were performed based on captured data of a male competitor with black belt in taekwondo (age: 20 yrs., body mass: 65kg, height: 171 cm). During data capturing, he performed sport punch strike 3 times with his left upper limb, and 3 times with the right one. The target was a ping pong ball. Data capturing was performed in HML (Human Motion Lab). Results: Velocities of sport punch strike were in range from 6.20 -8.01 m/s. Significant increase in passed momentum to the object were in -between 1.12 -1.73 % of effective distance. However, when effective distance were in -between 3.70 -3.95%, there were significant decrease (nearly half) in velocity of hit object. Conclusions: Our findings allows to formulate assumptions for further analysis, which states, tha t when maximum velocity of a punch occurs closer to the moment of hitting a target ( ∆ d), the higher it will be in a moment of that hit (r=0.95; p<0.01). Therefore, it allows to assume, that the lower will be a value of ∆ d, the higher will be destructive f orce for target ( ∆ E)
5
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Musculoskeletal pain as a challenging problem for patients and occupational therapists

51%
Spałek R., Ortenburger D., Szerla M., Bitner B.
Physical Activity Review
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2017
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vol. 5
196-201
EN
The aim of the present work is to present the problems connected with occupational therapy that make the major part of the programmes for the treatment for mobility limitations connected with different dysfunctions. In many cases, the obstacle in performing the comprehensive programme for the treatment for mobility is pain of a musculoskeletal character. This difficult problem is still connected with many questions and requires further research. In this paper some aspects of the problem are presented. Many occupational therapists, psychologists, physiotherapists, find the employment in this tough area of musculoskeletal pain is a very difficult challenging. Chronic pain has some features making occupational therapy difficult to conduct. An extensive review of the literature suggests that the knowledge around personalized medicine, rehabilitation and occupational therapy continues to grow.
6
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Selected problems of the relation between pain-immunity and depression

45%
Ortenburger D., Rodziewicz - Gruhn J., Jacek W., Marfina O., Polina N.
Physical Activity Review
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2017
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vol. 5
74-77
EN
The paper presents selected problems of the coexistence of chronic pain and depression . It has been assumed that chronic pain and depression make two se parate ailments that often coexist. The phenomenon of the coexistence of physical symptoms (including pain) and depression have been widely popularised. Over 65% of patients with pain ailments suffer from depression that is often undiagnosed. The therapi sts specify this phenomenon as a “closed circle”, as it is not known what the beginning of its appearance was. On one hand, pain often hides the symptoms of depression so effectively that its recognition by a physician seems impossible; on the other, it is known that chronic pain causes continual lowering of mood and depression that increases pain ailments. Moreover, the existence of common neurobiological mechanisms makes depression and pain escalate mutually.
7
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Constructive and destructive methods of copying with anger at students - measurement trial in an international perspective

33%
Lisiecka K., Cieślik M., Kolisetska A., Wyszomierska J. K., Stachowicz M., Ortenburger D., Bakota D., Wąsik J.
Physical Activity Review
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2016
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vol. 4
200-203
EN
The objective of the presented paper was to compare the selected variables of ways to deal with anger students at two countries (Poland and Sweden). Throughout history, traditionally psychotherapists have conceptualized two primary ways to deal with anger - anger turned inward or anger turned outward. Anger can be the most difficult emotion and reaction to modify. The focus of the deliberations has been the area of selected constructive and destructive methods of copying with anger at students. The presen ted research was aiming at finding an answer to the question: how students in Poland and students in Sweden deal with anger? The research sample group consisted of the students in Poland (n=37) and students in Sweden (n=30). Questionnaires of an accepted psychometric value were applied in the research (Anger Scale, Emotional Control Scale ). Data concerning expression of experienced anger were obtained. The information refers to general situations and reactions that are usually revealed, typical for a par ticular student. T he obtained data are of a self - descriptive character. The current study present that there are no significant differences between anger turned inward (p=0. 293). In the light of the obtained data, the factor referred to as anger turned in ward not differentiates the examined groups. The findings showing the higher level of anger turned outward at the students in Poland, but its not enough data to draw conclusions.
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