o:1912 Efekat nesanice na ishode fizikalne terapije kod pacijenata sa cervikalnim i lumbalnim bolom u kliničkoj praksi The effect of insomnia on physical therapy outcomes in patients with cervical and lumbar pain in clinical practice : doctoral dissertation sr Nesanica je jedan od najčešće prijavljenih komorbiditeta kod hroničnog bola u kičmi. Međutim, osnovni mehanizmi koji objašnjavaju odnos između sna i bola još uvek nisu u potpunosti shvaćeni. Cilj istraživanja je bio da utvrdi razlike u ishodima fizikalne terapije i kvaliteta života kod pacijenata sa cervikalnim i/ili lumbalnim bolom koji imaju nesanicu u odnosu na pacijente bez nesanice tokom dvonedeljnog perioda aktivnog tretmana u uslovima rutinske kliničke prakse. Kao istraživački alati korišćeni su: upitnik o socio-demografskim karakteristikama ispitanika, Kratki oblik Mek-Gilovog upitnika o bolu (The McGill Pain Questionnaire, Short Form; SF-MPQ), Indeks težine nesanice (Insomina Severity Index-ISI) i Evropski upitnik za kvalitet života (European Quality of Life- EuroQol; EQ-5D). Rezutati su pokazali da se na kraju posete tretmanu, kod pacijenata obe studijske grupe pojavio se značajan odgovor na lečenje u skoro svim domenima istraživanja. Na kraju posete tretmanu, nivo bola ostaje nešto viši kod ispitanika eksperimentalne grupe, ali je statistička značajnost početne razlike nestala zbog većeg relativnog odgovora na terapiju u kontrolama (mereno procentom promene od početne vrednosti). Tretman je poboljšao kvalitet života pacijenata mnogo više kod eksperimentalnih nego kod kontrolnih subjekata, što je dokazano statistički značajnom razlikom u procentu promene u odnosu na početne vrednosti (približno 31% naspram približno 14). Saznanja o povezanosti bola i nesanice u praksi fizikalne medicine i rehabilitacije su od velikog značaja za kreiranje mera prevencije i adekvatne terapije za pacijenate sa bolnim sindromima. Insomnia is one of the most commonly reported comorbidities in chronic spinal pain.However, the underlying mechanisms explaining the relationship between sleep and pain arestill not fully understood. The aim of the study was to determine the differences in physicaltherapy outcomes and quality of life in patients with cervical and/or lumbar pain who haveinsomnia compared to patients without insomnia during a two-week active treatment periodin routine clinical practice. The following research tools were used: a questionnaire on sociodemographic characteristics of the subjects, the McGill Pain Questionnaire, Short Form (SFMPQ), the Insomnia Severity Index (ISI), and the European Quality of Life Questionnaire(EuroQol; EQ-5D). The results showed that at the end of the treatment visit, patients in bothstudy groups showed a significant response to treatment in almost all study domains. At theend of the treatment visit, pain levels remained slightly higher in the experimental group, butthe statistical significance of the initial difference disappeared due to the greater relativeresponse to therapy in the controls (measured as a percentage change from baseline). Thetreatment significantly improved the quality of life of patients in the experimental than in thecontrol subjects, as evidenced by a statistically significant difference in the percentagechange from baseline (approximately 31% versus approximately 14%). Knowledge about therelationship between pain and insomnia in the practice of physical medicine andrehabilitation is of great importance for the creation of methods of prevention and adequatetherapy of patients with pain syndrome. - 91552100 176323337 91552101 8932 2026-06-02T17:25:49.053Z 45 no 46 Milan, 1994- Đorđić 83177481 2025 63 komentor Branimir, 1979- Radmanović 22562919 2025 63 komentor Aleksandra, 1968- Jurišić-Škevin 25906023 2025 63 predsednik komisije Vladimir, 1971- Janjić 13585767 2025 63 član komisije Ivana, 1973- Stašević-Karličić 20161895 2025 63 član komisije Vesna, 1972- Grbović 3055207 2025 66 lista 1455522 http://phaidrakg.kg.ac.rs/o:1912 no yes 14 2026-06-02T17:25:49.320Z 70 bol, nesanica, SF-MPQ, EQ-5D, cervikalni bol, lumbalni bol pain, insomnia, SF-MPQ, EQ-5D, cervical pain, lumbar pain 615.82/.84(043.3)616.89(043.3) 1738 34A05 2025