{"?xml":{"@version":"1.0"},"edm:RDF":{"@xmlns:dc":"http://purl.org/dc/elements/1.1/","@xmlns:edm":"http://www.europeana.eu/schemas/edm/","@xmlns:wgs84_pos":"http://www.w3.org/2003/01/geo/wgs84_pos","@xmlns:foaf":"http://xmlns.com/foaf/0.1/","@xmlns:rdaGr2":"http://rdvocab.info/ElementsGr2","@xmlns:oai":"http://www.openarchives.org/OAI/2.0/","@xmlns:owl":"http://www.w3.org/2002/07/owl#","@xmlns:rdf":"http://www.w3.org/1999/02/22-rdf-syntax-ns#","@xmlns:ore":"http://www.openarchives.org/ore/terms/","@xmlns:skos":"http://www.w3.org/2004/02/skos/core#","@xmlns:dcterms":"http://purl.org/dc/terms/","edm:WebResource":[{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-JUWVLWUZ/151addce-9edf-4c5c-b2ee-610324d733da/PDF","dcterms:extent":"392 KB"},{"@rdf:about":"http://www.dlib.si/stream/URN:NBN:SI:doc-JUWVLWUZ/5954b373-4e88-41e6-aa67-696350afc669/TEXT","dcterms:extent":"27 KB"}],"edm:TimeSpan":{"@rdf:about":"2008-2025","edm:begin":{"@xml:lang":"en","#text":"2008"},"edm:end":{"@xml:lang":"en","#text":"2025"}},"edm:ProvidedCHO":{"@rdf:about":"URN:NBN:SI:doc-JUWVLWUZ","dcterms:isPartOf":[{"@rdf:resource":"https://www.dlib.si/details/URN:NBN:SI:spr-FQ9JBKO1"},{"@xml:lang":"sl","#text":"Rehabilitacija (Ljubljana)"}],"dcterms:issued":"2017","dc:creator":["Hočevar Posavec, Bojana","Horvat Rauter, Barbara","Jamnik, Helena","Vipavec, Branka","Žen Jurančič, Marijana"],"dc:format":[{"@xml:lang":"sl","#text":"letnik:16"},{"@xml:lang":"sl","#text":"številka:2"},{"@xml:lang":"sl","#text":"str. 4-9"}],"dc:identifier":["ISSN:1580-9315","COBISSID_HOST:2371945","URN:URN:NBN:SI:doc-JUWVLWUZ"],"dc:language":"sl","dc:publisher":{"@xml:lang":"sl","#text":"Univerzitetni rehabilitacijski inštitut Slovenije - Soča"},"dc:subject":[{"@xml:lang":"en","#text":"autonomic nervous system"},{"@xml:lang":"sl","#text":"avtonomno živčevje"},{"@xml:lang":"en","#text":"Chronic Pain"},{"@xml:lang":"en","#text":"Heart Function Tests"},{"@xml:lang":"en","#text":"heart rate variability"},{"@xml:lang":"sl","#text":"kronična bolečina"},{"@xml:lang":"sl","#text":"obremenitveno testiranje"},{"@xml:lang":"en","#text":"Pain Perception"},{"@xml:lang":"en","#text":"stress testing"},{"@xml:lang":"sl","#text":"veriabilnost srčne frekvence"},{"@xml:lang":"sl","#text":"zaznavanje bolečine"}],"dcterms:temporal":{"@rdf:resource":"2008-2025"},"dc:title":{"@xml:lang":"sl","#text":"Vpliv pettedenske Interdisciplinarne obravnave pri bolnikih s kronično razširjeno nerakavo bolečino na variabilnost srčne frekvence pri obremenitvenem testiranju in občutenje bolečine| The  impact of a 5-week interdisciplinary program in patients with chronic nonmalignant pain syndrome to the change of the variability of the heart frequency in stress testing and the perception of pain|"},"dc:description":[{"@xml:lang":"sl","#text":"Background: Patients with chronic widespread nonmalignant pain syndrome are known to have a disturbance in the regulation of the autonomic nervous system. Their tonus activation of the sympathetic nervous system is increased. The aim of our study was to verify the impact of a five-week interdisciplinary program that includes aerobic training of moderate intensity on the change in variability of heart frequency during stress testing, and the impact on the perception of pain. Methods: Thirty-two patients, who were included in the interdisciplinary program for chronic widespread nonmalignant pain treatment at the University Rehabilitation Institute in Ljubljana during 2014 and 2015, participated in the study. Before the program, they passed the stress testing and completed two psychological questionnaires (Chronic Pain Acceptance Questionnaire and The Pain Catastrophizing Scale). The program included aerobic interval training two times a day, for five weeks. After five weeks of interdisciplinary rehabilitation treatment, the patients were tested again. We analysed maximum heart rate, peak power (W), maximum blood pressure, maximum achieved blood pressure, and LF/HF (n.u.) ratio as a marker of the variability of the heart frequency. We also analysed the results of the psychological questionnaires. Results: The participants were 52 years old on average; 91% were women. For most outcome measures (maximum heart rate, power and oxygen consumption), we observed a statistically significant improvement (p<0.005) after the program. The results of psychological tests showed a significantly lower rate of pain catastrophizing at the end of the program. Participants reported that they were able to calm down easier after the program, they observed less repetitive thoughts about pain and were experiencing more strength in coping with pain. Conclusion: Our results confirm the improvement of aerobic capacity in subjects with chronic widespread nonmalignant pain after the five-week interdisciplinary rehabilitation program. Our results did not confirm changes of heart rate variability. Participants reported higher involvement in daily activities and less catastrophic and intense pain experience after the program"},{"@xml:lang":"sl","#text":"Izhodišče: Pri bolnikih s kroničnim razširjenim bolečinskim sindromom je potrjena motnja v regulaciji avtonomnega živčevja s povečanim tonusom simpatičnega živčevja. Z raziskavo smo želeli preveriti vpliv pettedenskega interdisciplinarnega programa, ki je vseboval tudi aerobni trening zmerne intenzitete, na spremembo variabilnosti srčne frekvence pri obremenitvenem testiranju in vpliv na občutenje bolečine. Metode: V raziskavo smo vključili 32 bolnikov, ki so bili v letih 2014 in 2015 vključeni v interdisciplinarni program za obravnavo kronične razširjene nerakave bolečine na Univerzitetnem rehabilitacijskem inštitutu RS Soča. Pred vključitvijo v program so opravili obremenitveno testiranje z meritvijo parametrov variabilnosti srčne frekvence ter izpolnili dva vprašalnika, in sicer Vprašalnik katastrofičnega doživljanja bolečine in Vprašalnik o sprejemanju bolečine. Program je vključeval aerobno intervalno vadbo dvakrat dnevno. Po petih tednih programa smo testiranje ponovili. Rezultate obeh testiranj smo analizirali in primerjali maksimalno srčno frekvenco, maksimalna moč (W), maksimalni krvni tlak, maksimalni dosežen krvni tlak in razmerje LF/HF (n.u.) kot pokazatelj variabilnosti srčne frekvence. Analizirali smo tudi rezultate psiholoških vprašalnikov. Rezultati: Povprečna starost bolnikov, ki so bili vključeni v preiskavo, je bila 52 let; prevladovale so ženske. Pri večini mer izida (maksimalna srčna frekvenca, moč in poraba kisika) smo ugotovili statistično značilno izboljšanje (p<0,005). Pri razmerju LF/HF (n.u.) razlika med testiranjema ni bila statistično značilna. Rezultati psiholoških testov so pokazali nižjo stopnjo katastrofičnega doživljanja bolečine ob koncu programa. Udeleženci so po pettedenskem programu rehabilitacije poročali, da se lažje pomirijo, ponavljajoče misli o bolečini in njeno poveličevanje sta bila manj intenzivna, prav tako so doživljali več moči pri soočanju z bolečino. Zaključek: Pettedenski intervalni aerobni trening v sklopu multidisciplinarne obravnave kronične bolečine je izboljšal aerobno zmogljivost pri osebah s kronično bolečino. Spremembe variabilnosti srčne frekvence med obremenitvenim testiranjem nismo potrdili. Po zaključenem programu so se preiskovanci pomembno pogosteje vključevali v dnevne aktivnosti in manj katastrofično in intenzivno doživljali bolečino"}],"edm:type":"TEXT","dc:type":[{"@xml:lang":"sl","#text":"znanstveno časopisje"},{"@xml:lang":"en","#text":"journals"},{"@rdf:resource":"http://www.wikidata.org/entity/Q361785"}]},"ore:Aggregation":{"@rdf:about":"http://www.dlib.si/?URN=URN:NBN:SI:doc-JUWVLWUZ","edm:aggregatedCHO":{"@rdf:resource":"URN:NBN:SI:doc-JUWVLWUZ"},"edm:isShownBy":{"@rdf:resource":"http://www.dlib.si/stream/URN:NBN:SI:doc-JUWVLWUZ/151addce-9edf-4c5c-b2ee-610324d733da/PDF"},"edm:rights":{"@rdf:resource":"http://rightsstatements.org/vocab/InC/1.0/"},"edm:provider":"Slovenian National E-content Aggregator","edm:intermediateProvider":{"@xml:lang":"en","#text":"National and University Library of Slovenia"},"edm:dataProvider":{"@xml:lang":"sl","#text":"Univerzitetni rehabilitacijski inštitut RS – Soča"},"edm:object":{"@rdf:resource":"http://www.dlib.si/streamdb/URN:NBN:SI:doc-JUWVLWUZ/maxi/edm"},"edm:isShownAt":{"@rdf:resource":"http://www.dlib.si/details/URN:NBN:SI:doc-JUWVLWUZ"}}}}