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Vertebral echinococcosis: A study of 5 cases
Spine / Annals of Physical and Rehabilitation Medicine 60S (2017) e16–e21
Material/Patients and methods This is a cross-sectional descriptive and analytical study of 170 health professional (28 midwives and 142 nurses) of medicines and surgical specialties of the CNHUCotonou that occurred from March to May 2015. Results The mean age were 40.89 ± 7.45 and 40.31 ± 7.43 and BMI were 29.35 ± 4.03 and 26.92 ± 4.74 respectively for midwives and nurses. Every other participant practices sport (54.12%), particularly nurses (80.43%) but the difference is not significant (2 = 1.396; P = 0.23). The overall prevalence of low back pain is 67.64%, including 54.70% with a moderate functional impact at EIFEL and 3.52% with severe repercussions. Nurses are slightly most affected (69.01%) but the difference was not statistically significant (2 = 0.28; P = 0.89); 21% of the subject with low back pain have been off work for an average of 23 days. This health rest is influenced by the importance of the functional impact at EIFEL (2 = 21.78; P < 0.001) and the gender (female) (2 = 5.22; P = 0.022). The occurrence of low back pain is delayed by the use of materials with adjustable height (2 = 10.54; P = 0.014) and the observation of a break of 15 to 60 minutes at work (2 = 6.33; P = 0.042). Discussion/Conclusion The prevalence of low back pain among midwives and nurses of CNHU is in line with Alcouffe et al. (2002) and Bejia (2007), but greater than those found by Debbabi et al. (2006) and Ando et al. (2000). The factors involved are consistent with other authors. The detrimental effect observed by EIFEL scale, causes job performance decline and can lead to physical deconditioning (Zerkaka et al., 2006). The use of materials with adjustable height can slightly reduce this prevalence (Verbeek et al., 2011). Keywords Low back pain; Nurses; Midwives; Hospital Disclosure of interest The author has not supplied his declaration of competing interest. http://dx.doi.org/10.1016/j.rehab.2017.07.147 P032
Vertebral echinococcosis: A study of 5 cases
Rihab Moncer ∗ , Ines Loubiri , Nadia Lazreg , Sawsen Layouni , Sonia Jemni , Faysel Khachnaoui
e21
Hôpital Sahloul, médecine physique et réadaptation fonctionnelle, Jawhara, Tunisia ∗ Corresponding author. E-mail address: [email protected] (R. Moncer) Objective To determine clinical characteristics of vertebral hydatidosis, its management and the main prognosis factors. Material/Patients and methods We report 5 cases of paraplegia secondary to vertebral hydatidosis and we evaluate functional and psychological outcome after rehabilitation. Results They are four women and a man with a mean age 43.2 years. Symptoms were dorsal pain in two cases, low back pain in one case with gait disorders in all cases. Clinical exam found paraplegia and some bladder sphincter dysfunctions. Spine MRI showed cystic lesion. Surgery consisted on posterior laminectomy and removing the hydatid cystis lesion followed by a long rehabilitation period (mean period 14.6 years). Three patients mentioned functional improvement after treatment. Two patients suffered from a recurrent dorsal pain due to a recurrence of vertebral hydatidosis. Discussion/Conclusion Despites its rare prevalence, the prognosis of vertebral hydatidosis is regarded as very poor due to its neurological complications and the high risk of its recurrence. Prevention and sanity educations stay the best measures. Keywords Spinal infection; Hydatidosis Disclosure of interest The authors have not supplied their declaration of competing interest. http://dx.doi.org/10.1016/j.rehab.2017.07.148
Material/Patients and methods This is a cross-sectional descriptive and analytical study of 170 health professional (28 midwives and 142 nurses) of medicines and surgical specialties of the CNHUCotonou that occurred from March to May 2015. Results The mean age were 40.89 ± 7.45 and 40.31 ± 7.43 and BMI were 29.35 ± 4.03 and 26.92 ± 4.74 respectively for midwives and nurses. Every other participant practices sport (54.12%), particularly nurses (80.43%) but the difference is not significant (2 = 1.396; P = 0.23). The overall prevalence of low back pain is 67.64%, including 54.70% with a moderate functional impact at EIFEL and 3.52% with severe repercussions. Nurses are slightly most affected (69.01%) but the difference was not statistically significant (2 = 0.28; P = 0.89); 21% of the subject with low back pain have been off work for an average of 23 days. This health rest is influenced by the importance of the functional impact at EIFEL (2 = 21.78; P < 0.001) and the gender (female) (2 = 5.22; P = 0.022). The occurrence of low back pain is delayed by the use of materials with adjustable height (2 = 10.54; P = 0.014) and the observation of a break of 15 to 60 minutes at work (2 = 6.33; P = 0.042). Discussion/Conclusion The prevalence of low back pain among midwives and nurses of CNHU is in line with Alcouffe et al. (2002) and Bejia (2007), but greater than those found by Debbabi et al. (2006) and Ando et al. (2000). The factors involved are consistent with other authors. The detrimental effect observed by EIFEL scale, causes job performance decline and can lead to physical deconditioning (Zerkaka et al., 2006). The use of materials with adjustable height can slightly reduce this prevalence (Verbeek et al., 2011). Keywords Low back pain; Nurses; Midwives; Hospital Disclosure of interest The author has not supplied his declaration of competing interest. http://dx.doi.org/10.1016/j.rehab.2017.07.147 P032
Vertebral echinococcosis: A study of 5 cases
Rihab Moncer ∗ , Ines Loubiri , Nadia Lazreg , Sawsen Layouni , Sonia Jemni , Faysel Khachnaoui
e21
Hôpital Sahloul, médecine physique et réadaptation fonctionnelle, Jawhara, Tunisia ∗ Corresponding author. E-mail address: [email protected] (R. Moncer) Objective To determine clinical characteristics of vertebral hydatidosis, its management and the main prognosis factors. Material/Patients and methods We report 5 cases of paraplegia secondary to vertebral hydatidosis and we evaluate functional and psychological outcome after rehabilitation. Results They are four women and a man with a mean age 43.2 years. Symptoms were dorsal pain in two cases, low back pain in one case with gait disorders in all cases. Clinical exam found paraplegia and some bladder sphincter dysfunctions. Spine MRI showed cystic lesion. Surgery consisted on posterior laminectomy and removing the hydatid cystis lesion followed by a long rehabilitation period (mean period 14.6 years). Three patients mentioned functional improvement after treatment. Two patients suffered from a recurrent dorsal pain due to a recurrence of vertebral hydatidosis. Discussion/Conclusion Despites its rare prevalence, the prognosis of vertebral hydatidosis is regarded as very poor due to its neurological complications and the high risk of its recurrence. Prevention and sanity educations stay the best measures. Keywords Spinal infection; Hydatidosis Disclosure of interest The authors have not supplied their declaration of competing interest. http://dx.doi.org/10.1016/j.rehab.2017.07.148