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Complex Neuro-Muscular favorable rehabilitation program of a patient with politrauma including spinal cord injury and multiple bone fractures 一名包括脊髓损伤和多发性骨折在内的政治创伤患者的复杂神经-肌肉康复计划
IF 0.2 Pub Date : 2018-09-10 DOI: 10.12680/balneo.2018.192
C. Daia, Sabina Solcan, A. Mihai, D. Nita, Nicoleta Chiriloi, G. Onose, Bucharest Romania Pharmacy ”Carol Davila”
Materials and Methods: This paper presents the case of a 43-yearold patient (having the The Teaching Emergency Hospital “Bagdasar-Arseni”, TEHBA, Bioethics Committee approval no 9181/11.04.2018), who is hospitalized in our Neuro-muscular Clinic presenting incomplete AIS / Frankel C tetraplegia with C4 neurological level and neurogenic bladder and bowel. Also she associated multiple fractures such as: left scapular fractures, right humerus fracture (surgically stabilized), pelvic fractures, right fibular head fracture without displacement. This polytrauma was caused by a car accident (pedestrian 9.11.2017). At admission the patient had severe motor and functional impairment and was assessed functionally using the following scales: AIS / Frankel, modified Ashworth Functional Independence Measure (FIM), Life Quality Assessment (QOL), FAC International Scale, Independence Assessment Scale in Daily Activities (ADL / IADL), Walking Scale for Spinal Cord Injury (WISCI). Results: The patient benefited from a complex neuro-muscular rehabilitation programme, having a favourable evolution, therefore the patient reaches incomplete AIS / Frankel D tetraplegia with an increase in the evaluated scales scores and thus, with a final performance of walking for short distances with a supporting frame, as well as a sphincter re-education with the neurogenic bladder remission. Conclusions: Based on the collaboration with orthopedic and surgeon fellows the PRM physician developed a complex rehabilitation programme leading to the re-expression of locomotion function, sphincterian control recovery, selfcare ability, all of the mentioned factors improving the patient’s quality of life.
材料和方法:本文介绍了一名43岁的患者(拥有教学急救医院“Bagdasar Arseni”,TEHBA,生物伦理委员会批准号9181/11.04.2018),他在我们的神经肌肉诊所住院,表现为不完全性AIS/Frankel C四肢瘫痪,C4神经水平和神经源性膀胱和肠道。此外,她还伴有多处骨折,如:左肩胛骨骨折、右肱骨骨折(手术稳定)、骨盆骨折、无移位的右腓骨骨折。这种多发性创伤是由车祸引起的(行人9.11.2017)。入院时,患者有严重的运动和功能损伤,并使用以下量表进行功能评估:AIS/Frankel、改良Ashworth功能独立性测量(FIM)、生活质量评估(QOL)、FAC国际量表、日常活动独立性评估量表(ADL/IADL),脊髓损伤步行量表(WISCI)。结果:患者受益于复杂的神经肌肉康复计划,具有良好的发展,因此患者达到了不完全的AIS/Frankel D四肢瘫痪,评估量表得分增加,因此,最终表现为使用支撑架进行短距离行走,以及括约肌再教育与神经源性膀胱缓解。结论:在与骨科和外科医生合作的基础上,PRM医生制定了一个复杂的康复计划,可以重新表达运动功能、括约肌控制恢复、自我护理能力,所有这些都可以提高患者的生活质量。
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引用次数: 2
Low-level LASER therapy effects vs. placebo in the treatment of temporo-mandibular joint disorders 低水平激光治疗与安慰剂治疗颞下颌关节疾病的疗效比较
IF 0.2 Pub Date : 2018-09-10 DOI: 10.12680/BALNEO.2018.196
S. Buduru, R. Cluj-Napoca, Daniel Tălmăceanu, Oana Baru, C. Culcițchi, R. Cosgarea
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引用次数: 4
A comparative Analysis of Antioxidant capacity of aqueous and methanolic leaf extracts of Scoparia dulcis and Schleichera oleosa 茯苓叶水提液和甲醇提液抗氧化能力的比较分析
IF 0.2 Pub Date : 2018-09-10 DOI: 10.12680/BALNEO.2018.185
Sophy Jose, M. Sinha
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引用次数: 2
A complex case of Neuro-Muscular rehabilitation with favorable evolution in a patient with incomplete paraplegia post thoracic osteomyelitis, surgicaly treated, with multiple pulmonary and reno-vesical determinations 一个复杂的病例神经肌肉康复与有利的进展,患者不完全截瘫后胸椎骨髓炎,手术治疗,多肺和肾膀胱的确定
IF 0.2 Pub Date : 2018-09-10 DOI: 10.12680/BALNEO.2018.203
I. Andone, C. Chipăruș, M. Lăpădat, I. Colibăşeanu, Iulia Nohai, L. Onose, A. Spînu, G. Onose, Bucharest Romania Pharmacy ”Carol Davila”
Abstract Introduction: Vertebral osteomyelitis refers to an infectious disease that affects the vertebral body, the intervertebral disk, or adjacent paraspinal tissue (2-7% of all musculoskeletal infections) and can determine severe or rather permanent sequels. Materials and Methods: This paper presents the case of a 61-year-old obese patient (having the TEHBA Bioethics Committee approval no 9181/11.04.2018), with personal antecedents of arterial hypertension and chronic obstructive broncho-pneumopathy hospitalized at the Neurosurgery Clinic (NS) II of TEHBA in a critical condition, for incomplete AIS/Frankel C paraplegia with sphincter’s discontrol and renal and respiratory failure. After complex paraclinical investigations, was discovered a T6-T7 osteomyelitis (probably with renal start point the onset of the disease being with a urinary infection), left pleural empyema with left pleural chistic collection, emphysema bubbles in both hemi-thorax. After repeated thoracic surgery examinations, it was made a left pleural puncture and after 5 days a pleurostomy was decided with removal of 1000 ml sero-hematic fluid and subsequently a new incision was done, with partial evacuation, as a result of subcutaneous emphysema in the left hemi-thorax. When the patient became hemodynamic and respiratory stable it was decided a neuro-surgical intervention with T6 discectomy. In our clinic, the patient initially followed a complex nursing program and subsequently a rehabilitation adequate program. The patient's evolution was initially severe, requiring oxygen therapy for a long time and presenting an episode of swelling with macular eruption with urticaria in the lower limbs followed by an acute urinary retention (with removal of 3000 ml urine, followed by fixed urinary catheterisation – possibly autonomous disreflexia). After stabilizing the patient, her evolution was favourable with oedema and rash disappearance, with respiratory function improvement and quitting oxygen therapy. The patient was assessed functionally using the following scales: AIS / Frankel, modified Ashworth, Functional Independence Measure (FIM), Life Quality Assessment (QOL), FAC International Scale, Independence Assessment Scale in Daily Activities (ADL / IADL), Walking Scale for Spinal Cord Injury (WISCI). Results: The patient benefited from a complex neuro-muscular rehabilitation program, having a favourable evolution, with an increase in the evaluated scales scores and thus, with a final performance of walking without a support for short distances, including climbing/ descending stairs, as well as a sphincter re-education with the neurogenic bladder remission. Conclusions: The paraclinical assessments fallowed by prompt thoracicand neuro-surgery intervention, associated with complex nursing measures, with personalized rehabilitative kinethological programs, in an obese patient with post-osteomyelitis paraplegia determined the neuro-locomotor impairment and respiratory dysfunction impro
摘要简介:椎体骨髓炎是指一种影响椎体、椎间盘或相邻椎旁组织的传染病(占所有肌肉骨骼感染的2-7%),并可导致严重或永久性的后遗症。材料与方法:本文报道了一名61岁肥胖患者(TEHBA生物伦理委员会批准号:9181/11.04.2018),其个人病史为动脉高血压和慢性阻塞性支气管肺病,在TEHBA神经外科诊所(NS) II住院,病情危重,不完全性AIS/Frankel C截瘫伴括括肌紊乱、肾和呼吸衰竭。经过复杂的临床旁检查,发现T6-T7型骨髓炎(可能以肾脏为起始点,发病时伴有尿路感染),左侧胸膜脓肿伴左侧胸膜胸积,双侧半胸肺气肿泡。反复胸外科检查后,患者行左胸膜穿刺,5天后,由于左半胸皮下肺气肿,取1000ml血清血液液,决定行胸膜造口术,随后行新切口,部分排出。当患者血流动力学和呼吸稳定时,决定进行神经外科干预并切除T6椎间盘。在我们的诊所,患者最初遵循一个复杂的护理计划,随后是一个充分的康复计划。患者最初病情发展严重,需要长时间吸氧治疗,出现肿胀伴黄斑疹伴下肢荨麻疹,随后出现急性尿潴留(抽出3000毫升尿液,随后进行固定导尿-可能是自主反射障碍)。患者病情稳定后,病情发展良好,水肿和皮疹消失,呼吸功能改善,停止氧疗。采用AIS / Frankel、改良Ashworth、功能独立性量表(FIM)、生活质量量表(QOL)、FAC国际量表、日常活动独立性评估量表(ADL / IADL)、脊髓损伤步行量表(WISCI)对患者进行功能评估。结果:患者受益于复杂的神经肌肉康复计划,有一个良好的发展,随着评估量表得分的增加,因此,在没有支持的短距离行走的最终表现,包括爬/下楼梯,以及括约肌再教育与神经源性膀胱缓解。结论:对1例肥胖骨髓炎后截瘫患者进行临床前评估,及时进行胸外科和神经外科干预,配合复杂的护理措施,配合个性化的运动康复方案,可改善神经运动功能障碍和呼吸功能障碍,改善患者的括约肌再教育,从而提高患者的生活质量。
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引用次数: 1
Cardiac rehabilitation after catheter ablation of atrial fibrilation 心房原纤维导管消融后的心脏康复
IF 0.2 Pub Date : 2018-09-10 DOI: 10.12680/BALNEO.2018.208
S. Istratoaie, R. Cluj-Napoca, G. Cismaru, R. Roșu, Alin Bian, D. Gurzău, F. Frîngu, B. Caloian, H. Comșa, Alexandru Martis, G. Gusetu, D. Zdrenghea, D. Pop, A. Buzoianu
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引用次数: 1
Recovery aspects in a case of incomplet paraplegia with a T11 neurological level, acute postischemia due to a hemorrhageic shock through an aorto-sigmoid fistula and communicative anastomotic pseudoaneurysm – Case report 不完全性截瘫伴T11级神经系统,经主动脉乙状结肠瘘及交性吻合口假性动脉瘤引起的出血性休克急性脑缺血恢复1例报告
IF 0.2 Pub Date : 2018-09-10 DOI: 10.12680/balneo.2018.204
M. Mandu, C. Badiu, Doroteea Teoibaș-Șerban, Raluca Petcu, Anca Chiralidis, A. Ioniță, M. Băilă, R. Oprea, G. Onose, Bucharest Romania Pharmacy ”Carol Davila”
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引用次数: 1
Interrelation of risk factors and occurrence of a possible fracture in patients with osteoporosis 骨质疏松症患者发生可能骨折的危险因素的相互关系
IF 0.2 Pub Date : 2018-09-10 DOI: 10.12680/balneo.2018.188
S. Silisteanu, A. Silișteanu, Ș. Mare
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引用次数: 2
Pleurotus tuber- regium (Rumph. ex Fr.) Singer a potent source of antioxidant 王菇(Rumph.exFr.)是抗氧化剂的有效来源
IF 0.2 Pub Date : 2018-09-10 DOI: 10.12680/balneo.2018.186
Sukumar Dandapat, Manoj Kumar, R. Ranjan, M. Sinha
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引用次数: 4
Complex integrative etiological (possibly encephalomyelitis) , clinical, paraclinic and therapeutic aspects in a patient with quite light spastic paraparesis and sensitivity disorders, old objected by medullar mitigation at vertebral level T5-T7 – Case report 一名患有轻度痉挛性轻瘫和敏感性障碍的患者的复杂综合病因(可能是脑脊髓炎)、临床、临床和治疗方面,因脊椎T5-T7级脊髓缓解而受到老年人的反对——病例报告
IF 0.2 Pub Date : 2018-09-10 DOI: 10.12680/BALNEO.2018.197
I. Petcu, M. Mandu, Nicoleta Chiriloi, Anca Chiralidis, M. Băilă, Doroteea Teoibaș-Șerban, S. Stoica, G. Onose, Bucharest Romania Pharmacy ”Carol Davila”
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引用次数: 1
Evaluation of oxidative stress in migraine patients with visual aura - the experience of an Rehabilitation Hospital 有视觉先兆的偏头痛患者氧化应激的评估——康复医院的经验
IF 0.2 Pub Date : 2018-09-10 DOI: 10.12680/balneo.2018.201
A. Bulboacă, R. Cluj-Napoca, G. Dogaru, M. Blidaru, A. Bulboacă, I. Stanescu
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引用次数: 4
期刊
Balneo Research Journal
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