Proměnné predikující efekt operace u pacientů s bolestí zad

• Název práce v češtině: Proměnné predikující efekt operace u pacientů s bolestí zad
• Název v anglickém jazyce: Variables predicting the effects of surgery in patients with low back pain
• Klíčová slova: Bolest, centrální senzitizace, životní traumatická událost, psychologické trauma, posttraumatická stresová porucha, PTSD, bolest zad, operace zad, spondylochirurgie
• Klíčová slova anglicky: Pain, central sensitization, adverse life experiences, adverse life events, PTSD, posttraumatic stress disorder, psychological trauma, spinal surgery, low back pain
• Akademický rok vypsání: 2018/2019
• Typ práce: diplomová práce
• Jazyk práce: čeština
• Ústav: Klinika rehabilitace a tělovýchovného lékařství (13-432)
• Vedoucí / školitel: Mgr. Tomáš Kavka
• Řešitel: skrytý - zadáno vedoucím/školitelem
• Datum přihlášení: 26.03.2020
• Datum zadání: 15.04.2020
• Datum a čas obhajoby: 17.09.2020 00:00
• Datum odevzdání elektronické podoby: 21.08.2020
• Datum odevzdání tištěné podoby: 21.08.2020
• Datum proběhlé obhajoby: 17.09.2020
• Oponenti: Mgr. Martin Šembera, Ph.D.

Seznam odborné literatury

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INTERNETOVÉ ZDROJE
Center for Substance Abuse Treatment (US). Trauma-Informed Care in Behavioral Health Services. Rockville (MD): Substance Abuse and Mental Health Services Administration (US); 2014. (Treatment Improvement Protocol (TIP) Series, No. 57.) Exhibit 1.3-4, DSM-5 Diagnostic Criteria for PTSD. Available from: https://www.ncbi.nlm.nih.gov/books/NBK207191/box/part1_ch3.box16/

IASP Terminology. IASP [online]. Seattle, 2017. Dostupné z: https://www.iasp-pain.org/Education/Content.aspx?ItemNumber=1698#Sensitization

NEUROTICKÉ‚ STRESOVÉ A SOMATOFORMNÍ PORUCHY (F40–F48): Posttraumatická stresová porucha. ÚZIS Ústav zdravotnických informací a statistiky ČR: Mezinárodní klasifikace nemocí [online]. 2016. Dostupné z: https://old.uzis.cz/cz/mkn/index.html

Předběžná náplň práce

Diplomová práce v teoretické části shrnuje poznatky ohledně bolesti a jejích typech, především chronické bolesti. Zaměřujeme se také na vertebrogenní algický syndrom a momentálně využívané přístupy léčby tohoto syndromu. V práci shrnujeme, jaký vliv mají centrální senzitizace, potenciálně traumatické zážitky a psychologické trauma na bolest (zejména bolest zad).
V praktické části jsme zjišťovali, jaký vliv má centrální senzitizace a prožitá potenciálně traumatická událost a příznaky posttraumatické stresové poruchy (PTSD) na efekt spondylochirurgické operace. Výsledky byly získány pomocí dotazníků Central Sensitization Inventory (CSI), PTSD Cecklist dor DSM-5 (PCL-5) a Life Event Checklist (LEC-5 Standard), Short Form 36 Helth Survey Questionnaire (SF-36), NASS Lumbar Spine Questionnaire. Získaná data byla statisticky vyhodnocena a zpracována. Vliv vyššího skóru v CSI (vyšší míra centrální senzitizace) a LEC-5 (více prožitých potenciálně traumatických událostí) na horší efekt operace bederní páteře se ukázal jako statisticky signifikantní. Zároveň se potvrdil statisticky významný vztah mezi PCL-5 (hodnotící příznaky PTSD) a CSI.

Předběžná náplň práce v anglickém jazyce

The theoretical part of the thesis summarizes the knowledge about pain and its types, especially chronic pain. Than we focus on low back pain and currently used approaches in the treatment of this syndrome. In this work we summarize the influence of central sensitization and adverse life experineces and posttraumatic stress disorder on pain (especially low back pain).
In the practical part, we investigated the effect of central sensitization and adverse life events and posttraumatic stress disroder on the effect of spinal surgery in low back region. The results were obtained using Central Sensitization Inventory (CSI), PTSD Cecklist dor DSM-5 (PCL-5) a Life Event Checklist (LEC-5 Standard), Short Form 36 Helth Survey Questionnaire (SF-36), NASS Lumbar Spine Questionnaire. The obtained data were statistically evaluated and processed. Higher scores of CSI and LEC-5 (more adverse life events) were both statistically significantly correlated with worse low back surgery outcomes. At the same time, a statistically significant relationship between PCL-5 (checklist of PTSD symptoms) and CSI was confirmed.