Hajrije Hundozi

University of Prishtina, Prishtinë, Komuna e Prishtinës, Kosovo

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Publications (6)3.02 Total impact

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    ABSTRACT: Background:Previous literature has suggested that age, level of amputation, residual limb length, comorbidities, mental disorders, and cause of amputation can affect the ability to successfully ambulate with prosthesis.Objectives:The objective of this study was to analyze the predictors that affect the rehabilitation outcome of war-related transtibial amputees and the relationship of these factors with ambulation ability after prosthetic fitting.Study design:Retrospective observational study.Methods:We reviewed the records of 69 war-related transtibial amputees. The rehabilitation outcome was analyzed according to the grade of rehabilitation summarized in three grades. Multiple logistic regression analysis was used to determine the odds of achieving the first rehabilitation grade.Results:The majority of patients with transtibial amputations achieved the first grade of rehabilitation (59.4%). The factors that significantly influenced the achievement of the first grade of rehabilitation were age and absence of posttraumatic stress disorder. For every 1-year increase in patient age, the odds of achieving first grade of rehabilitation decreased by a factor of 0.9. Patients without posttraumatic stress disorder had 12.9 greater odds of achieving the first rehabilitation grade compared to patients with posttraumatic stress disorder.Conclusion:Achievement of the first grade of rehabilitation among war-related transtibial amputees is dependent on patient age and the absence of posttraumatic stress disorder.Clinical relevanceUnderstanding the factors that may affect the rehabilitation outcome of war-related amputees could lead to a more specific organization of the rehabilitation, especially in a country that has recently been involved in war. This is the first study to focus on determinants of prosthetic rehabilitation in these patients.
    Prosthetics & Orthotics International 07/2013; 38(3). DOI:10.1177/0309364613494084 · 1.07 Impact Factor
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    ABSTRACT: In recent years, disability due to chronic low back pain (LBP) has steadily increased in all industrialized countries. In the treatment of chronic LBP, the objectives are to reduce pain, to improve function and minimize avoiding behavior. Exercise therapy is a management strategy that is widely used as a treatment for LBP. The aim of this study was to investigate the effects of high- intensity aerobic exercise on pain, disability, anxiety or depression in people with chronic LBP. This was a randomized controlled trial Institute of Occupational Medicine, Department of Physical Medicine and Rehabilitation - Outpatient Ward Kosovo power plant workers. Participants with chronic low back pain, excluding those with "red flag" criteria were assigned randomly to one of the two treatment groups: an aerobic exercise group (N.=50), and an passive modalities group (N.=51). Data on low back pain intensity (visual analogue scale), disability (Oswestry Low Back Pain Disability Questionnaire), fingertip-to-floor distance, and psychosocial factors (Hospital Anxiety and Depression Scale) were collected at baseline and after 12-weeks follow-up points. At 12-week follow-up, significant improvements in pain intensity and disability had occurred in the exercise group. We have verified significant improvements in comparison with basic values in pain intensity (6 ± 2.6 vs. 2 ± 1.7, diff. of mean=3.9, P < 0.001), disability (31 ± 17.4 vs. 15.8 ± 12.7, diff. of mean=15.2, P<0.001), anxiety and depression (21.1 ± 8.2 vs. 14 ± 6.7, diff. of mean=7.1, P < 0.001), and fingertip- to-floor distance (27.8 ± -9.1 vs. 14.2 ± -5.7, P<0.001). Whereas, differences in average pain, disability, anxiety and depression and fingertip-to-floor distance are not significant in the control group. High intensity aerobic exercise reduces pain, disability and psychological strain in patients with chronic low back pain. This research is important for the fact that High Intensity Aerobic Exercise Programs are not so exploited in the current available literature for the treatment of LBP. Therefore, this is another modest contribution which can reinforce the need for more frequent use of High Intensity Aerobic Exercise Programs in the treatment of LBP.
    European journal of physical and rehabilitation medicine 05/2011; 47(3):359-66. · 1.95 Impact Factor
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    ABSTRACT: A comparison of high intensity aerobic exercise and passive modalities for the treatment of workers with chronic low back pain: a randomized, controlled trial. Murtezani A1, Hundozi H, Orovcanec N, Sllamniku S, Osmani T. Author information Abstract BACKGROUND: In recent years, disability due to chronic low back pain (LBP) has steadily increased in all industrialized countries. In the treatment of chronic LBP, the objectives are to reduce pain, to improve function and minimize avoiding behavior. Exercise therapy is a management strategy that is widely used as a treatment for LBP. AIM: The aim of this study was to investigate the effects of high- intensity aerobic exercise on pain, disability, anxiety or depression in people with chronic LBP. DESIGN: This was a randomized controlled trial SETTING: Institute of Occupational Medicine, Department of Physical Medicine and Rehabilitation - Outpatient Ward POPULATION: Kosovo power plant workers. METHODS: Participants with chronic low back pain, excluding those with "red flag" criteria were assigned randomly to one of the two treatment groups: an aerobic exercise group (N.=50), and an passive modalities group (N.=51). Data on low back pain intensity (visual analogue scale), disability (Oswestry Low Back Pain Disability Questionnaire), fingertip-to-floor distance, and psychosocial factors (Hospital Anxiety and Depression Scale) were collected at baseline and after 12-weeks follow-up points. RESULTS: At 12-week follow-up, significant improvements in pain intensity and disability had occurred in the exercise group. We have verified significant improvements in comparison with basic values in pain intensity (6 ± 2.6 vs. 2 ± 1.7, diff. of mean=3.9, P < 0.001), disability (31 ± 17.4 vs. 15.8 ± 12.7, diff. of mean=15.2, P<0.001), anxiety and depression (21.1 ± 8.2 vs. 14 ± 6.7, diff. of mean=7.1, P < 0.001), and fingertip- to-floor distance (27.8 ± -9.1 vs. 14.2 ± -5.7, P<0.001). Whereas, differences in average pain, disability, anxiety and depression and fingertip-to-floor distance are not significant in the control group. CONCLUSION: High intensity aerobic exercise reduces pain, disability and psychological strain in patients with chronic low back pain. CLINICAL REHABILITATION IMPACT: This research is important for the fact that High Intensity Aerobic Exercise Programs are not so exploited in the current available literature for the treatment of LBP. Therefore, this is another modest contribution which can reinforce the need for more frequent use of High Intensity Aerobic Exercise Programs in the treatment of LBP.
    European Journal of Physical and Rehabilitation Medicine. http://europepmc.org/abstract/MED/21602759; 01/2011
  • IOF Regionals 1st Middle-East & Africa http://www.iofbonehealth.org/iof-regionals-1st-middle-east-africa-osteoporosis-meeting; 01/2011
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    ABSTRACT: Low back pain (LBP) remains the predominant occupational health problem in most industrialized countries and low-income countries. Both work characteristics and individual factors have been identified as risk factors. More knowledge about the predictors of sickness absence from LBP in the industry will be valuable in determining strategies for prevention. The aim of this longitudinal study was to investigate whether individual, work-related physical risk factors were involved in the occurrence of LBP sickness absence. A follow-up study was conducted among 489 workers, aged 18-65 years, at Kosovo Energetic Corporation in Kosovo. This cross-sectional study used a self-administered questionnaire to collect data on individual and work-related risk factors and the occurrence of LBP sickness absence. Logistic regression models were used to determine associations between risk factors and the occurrence of sickness absence due to LBP. Individual factors did not influence sickness absence, whereas work-related physical factors showed strong associations with sickness absence. The main risk factors for sickness absence due to LBP among production workers were extreme trunk flexion (OR = 1.71, 95% CI = 1.05-2.78) as well as very extreme trunk flexion (OR = 6.04, 95% CI = 1.12-32.49) and exposure to whole-body vibration (OR = 1.75, 95% CI = 1.04-2.95). Reducing sickness absence from LBP among power plant workers requires focusing on the working conditions of blue-collar workers and risk factors for LBP. Increasing social support in the work environment may have effects in reducing sickness absence from LBP.
    Indian journal of occupational and environmental medicine 08/2010; 14(2):49-53. DOI:10.4103/0019-5278.72241
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    ABSTRACT: To investigate the influence of factors: the amputation type and the time lag between last surgery and prosthetic rehabilitation, on the rehabilitation duration and outcome, in patients with war-related lower limb amputations. We reviewed the records of 101 war-related lower limb amputees who had inpatient rehabilitation at the National Ortho-Prosthetic Centre (NOPC) of Kosovo in Pristina, from July 1999 to June 2001, a retrospective observational study. Assessment of rehabilitation outcome-ambulation grade with prosthesis, is made on a 3-point scale. The amputation type was shown as an important predictor for the rehabilitation duration and outcome. The analysis by comparative groups has confirmed the amputation type to be of biggest importance. Earlier prosthetic rehabilitation, was shown as a factor of influence on the rehabilitation duration in all cases (r=0.22, P=0.027). This predictor was not relevant for the rehabilitation outcome. The most frequent type of prosthesis manufactured for the amputees, was the patellar tendon bearing below-knee prosthesis with suspension band (36.9%). Amputation of the limb should be performed as low as possible. If there are possibilities for prosthetic rehabilitation, any delays must be avoided, particularly in war-related lower limb amputees.
    Nigerian journal of medicine: journal of the National Association of Resident Doctors of Nigeria 20(1):39-43.