Pub Date : 2019-09-03DOI: 10.12680/balneo.2019.262
K. Chan, G. Cismaru, S. Istratoaie, M. Puiu, G. Gusetu, B. Caloian, H. Comșa, F. Frangu, D. Gurzău, Alexandru Martis, D. Pop, D. Zdrenghea, R. Roșu
Cardiac rehabilitation remains an indispensable tool of the cardiologist’s arsenal for improving cardiovascular health in his patients. The range of applications of cardiac rehabilitation has increased over time. In recent years outstanding athletic performances of elderly people have been reported. In this article we present the benefits of cardiac rehabilitation for elderly population and for elderly athletes. We also make an analysis of the elderly participation in WizzAir Cluj-Napoca Marathon: number of finishers, best running time, evolution of running time over years, male-to-female ratio participation and results. Key words: cardiac rehabilitation, elderly, marathon, semimarathon, Wizz Air,
{"title":"Cardiac rehabilitation in elderly athletes. Analysis of eldery participation in Wizz Air Cluj-Napoca Marathon","authors":"K. Chan, G. Cismaru, S. Istratoaie, M. Puiu, G. Gusetu, B. Caloian, H. Comșa, F. Frangu, D. Gurzău, Alexandru Martis, D. Pop, D. Zdrenghea, R. Roșu","doi":"10.12680/balneo.2019.262","DOIUrl":"https://doi.org/10.12680/balneo.2019.262","url":null,"abstract":"Cardiac rehabilitation remains an indispensable tool of the cardiologist’s arsenal for improving cardiovascular health in his patients. The range of applications of cardiac rehabilitation has increased over time. In recent years outstanding athletic performances of elderly people have been reported. In this article we present the benefits of cardiac rehabilitation for elderly population and for elderly athletes. We also make an analysis of the elderly participation in WizzAir Cluj-Napoca Marathon: number of finishers, best running time, evolution of running time over years, male-to-female ratio participation and results.\u0000Key words: cardiac rehabilitation, elderly, marathon, semimarathon, Wizz Air,","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42031459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-03DOI: 10.12680/balneo.2019.260
K. Lykhota, O. Petrychenko, V. Ardykutse, L. Mykhailovska, Anatoii Kutsiuk
Introduction: The article deals with the current problems of modern orthodontics, aimed at increasing the effectiveness of treatment of sagittal anomalies of bite, which are complicated by speech disorders, patients in the period of bite. The effectiveness of the proposed methods of treatment is investigated, and their complex approach to the correction of this pathology is evaluated. Materials and methods: We were taken on the treatment of 47 children with temporary bite, aged 3 to 5 years old, who experienced dental anomalies in combination with organic dyslallia. Depending on the pathology of bite, patients were divided into subgroups A and B. Subgroup A included children with distal bite, to subgroup B - with mesial. According to the chosen method of orthodontic treatment, patients of experimental groups were additionally divided into 2 subgroups. In 1 subgroup included children, the treatment of which was carried out according to the proposed method, to 2 subgroups - according to the standard. The control group included 11 children with physiological bites of similar age without speech disorders. Results: The effectiveness of proposed schemes of orthodontic and logopedic rehabilitation was proved by clinical, anthropometric and functional indicators, which were determined prior to and at different times after starting treatment. Clinical efficacy of performed orthodontic treatment is established on the term of treatment, normalization of articulation motility, normalization of anthropometric indices, normalization of palatogram characteristics, indexes of functional activity of the tooth-jaw system, normalization of occlusal ratios of dentitions. Conclusion: Using the proposed method of orthodontic treatment (with the use of orthodontic equipment in combination with modified myogymnastics and facial tapping), the dynamics of all the studied parameters correlated with the timing of the pathology elimination and indicated an increased effectiveness of treatment in applying the proposed method, namely: all patients had normalization forms of dental arches, normalized indexes of width and length of the dental arc. Immediately after the end of the treatment, electromyographic indices were normalized and occlusive relationships restored. Similar indicators for those who were treated according to the standard method, although they showed positive dynamics, but differed both from the indicators of persons who were treated according to the proposed method, and from the indicators of the control group. Key words: maxillofacial area, malocclusions, sagittal anomalies, speech disorders, tapping,
{"title":"Treatment of malocclusions in the temporal period of bite, children with speech disorders by means of myogymnastics and face tapping.","authors":"K. Lykhota, O. Petrychenko, V. Ardykutse, L. Mykhailovska, Anatoii Kutsiuk","doi":"10.12680/balneo.2019.260","DOIUrl":"https://doi.org/10.12680/balneo.2019.260","url":null,"abstract":"Introduction: The article deals with the current problems of modern orthodontics, aimed at increasing the effectiveness of treatment of sagittal anomalies of bite, which are complicated by speech disorders, patients in the period of bite. The effectiveness of the proposed methods of treatment is investigated, and their complex approach to the correction of this pathology is evaluated.\u0000Materials and methods: We were taken on the treatment of 47 children with temporary bite, aged 3 to 5 years old, who experienced dental anomalies in combination with organic dyslallia. Depending on the pathology of bite, patients were divided into subgroups A and B. Subgroup A included children with distal bite, to subgroup B - with mesial.\u0000According to the chosen method of orthodontic treatment, patients of experimental groups were additionally divided into 2 subgroups. In 1 subgroup included children, the treatment of which was carried out according to the proposed method, to 2 subgroups - according to the standard.\u0000The control group included 11 children with physiological bites of similar age without speech disorders.\u0000Results: The effectiveness of proposed schemes of orthodontic and logopedic rehabilitation was proved by clinical, anthropometric and functional indicators, which were determined prior to and at different times after starting treatment. Clinical efficacy of performed orthodontic treatment is established on the term of treatment, normalization of articulation motility, normalization of anthropometric indices, normalization of palatogram characteristics, indexes of functional activity of the tooth-jaw system, normalization of occlusal ratios of dentitions.\u0000Conclusion: Using the proposed method of orthodontic treatment (with the use of orthodontic equipment in combination with modified myogymnastics and facial tapping), the dynamics of all the studied parameters correlated with the timing of the pathology elimination and indicated an increased effectiveness of treatment in applying the proposed method, namely: all patients had normalization forms of dental arches, normalized indexes of width and length of the dental arc. Immediately after the end of the treatment, electromyographic indices were normalized and occlusive relationships restored. Similar indicators for those who were treated according to the standard method, although they showed positive dynamics, but differed both from the indicators of persons who were treated according to the proposed method, and from the indicators of the control group.\u0000Key words: maxillofacial area, malocclusions, sagittal anomalies, speech disorders, tapping,","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43702335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-09-03DOI: 10.12680/balneo.2019.266
A. Bulboacă, C. Nicula, A. Bulboacă, M. Blidaru, Paul-Mihai Boarescu, D. Feștilă, G. Dogaru, I. Stanescu
Background: The continue efforts for long term reducing of intraocular pressure (IOP) in patients with open angle glaucoma, focused the attention on those patients who received different therapies, other that topical drugs for IOP reduction, that can influence this parameter.. The aim of this study was to evaluate the IOP, total oxidative stress and anti-oxidant capacity of plasma before and after nicergoline therapy in patients with ischemic stroke and associated open angle glaucoma. Material and method: a group of 35 patients with ischemic stroke and chronic open angle glaucoma (under topical beta-blockers therapy) was studied regarding the values of IOP, total oxidative stress (TOS) and total antioxidant capacity (TAC) before (T1) and after 6 month (T2) of nicergoline therapy. Results: IOP values for both eyes were significantly reduced when the values of T1 examination were compared with those of T2 assessment. The total oxidative stress parameter was also significantly reduced after nicergoline therapy together with increasing of total antioxidant capacity of plasma. Conclusions: besides its positive effects on neuronal metabolism for ischemic stroke patients, nicergoline is able to influence the IOP in patients with open angle glaucoma and to improve the plasmatic oxidative stress/antioxidant balance. By this mechanism nicergoiline can contribute to a neuroprotection and better visual function preservation for these patients, improving their chances to neuro-motor rehabilitation and their quality of life.
{"title":"Oxidative stress/antioxidant balance implication in reducing of intra-ocular pressure in patients with stroke, nicergoline therapy and open-angle glaucoma","authors":"A. Bulboacă, C. Nicula, A. Bulboacă, M. Blidaru, Paul-Mihai Boarescu, D. Feștilă, G. Dogaru, I. Stanescu","doi":"10.12680/balneo.2019.266","DOIUrl":"https://doi.org/10.12680/balneo.2019.266","url":null,"abstract":"Background: The continue efforts for long term reducing of intraocular pressure (IOP) in patients with open angle glaucoma, focused the attention on those patients who received different therapies, other that topical drugs for IOP reduction, that can influence this parameter.. The aim of this study was to evaluate the IOP, total oxidative stress and anti-oxidant capacity of plasma before and after nicergoline therapy in patients with ischemic stroke and associated open angle glaucoma. \u0000Material and method: a group of 35 patients with ischemic stroke and chronic open angle glaucoma (under topical beta-blockers therapy) was studied regarding the values of IOP, total oxidative stress (TOS) and total antioxidant capacity (TAC) before (T1) and after 6 month (T2) of nicergoline therapy. \u0000Results: IOP values for both eyes were significantly reduced when the values of T1 examination were compared with those of T2 assessment. The total oxidative stress parameter was also significantly reduced after nicergoline therapy together with increasing of total antioxidant capacity of plasma. \u0000Conclusions: besides its positive effects on neuronal metabolism for ischemic stroke patients, nicergoline is able to influence the IOP in patients with open angle glaucoma and to improve the plasmatic oxidative stress/antioxidant balance. By this mechanism nicergoiline can contribute to a neuroprotection and better visual function preservation for these patients, improving their chances to neuro-motor rehabilitation and their quality of life.","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46082466","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-05-20DOI: 10.12680/BALNEO.2019.255
Lolita Rapolienė, Lina Gedrimė, A. Razbadauskas, A. Skarbalienė
Abstract Introduction. Aim: to evaluate the effect of geothermal water of different mineralization on health state improvement. Material and method. A randomized controlled single blinded parallel groups interventional study was performed. 250 participants were divided into 5 groups: 3 balneotherapy (20, 40 and 60 g/l total mineralization), 1 tap water, and 1 control group. Hydrotherapy was carried out on an outpatient on everyday basis for 5 days a week over a 2-week period. The main effect on health state was measured using SHSQ-25 questionnaire after 2 weeks and each month during 3-month follow-up period. Examination by a physician and common blood and urine tests were done after the treatment period. Results and discussions. After a 2-week treatment, participants receiving all types of hydrotherapy showed a significant therapeutic response compared to the control group, especially in fatigue and mental state subcategories. The biggest total health enhancing effect after therapy was in seen in 40 g/l group, followed by 20 g/l group. The smallest effect was seen in tap water group. The most significant post-therapy effect during 3 months was given by 40 g/l procedures. Health self-rating after 2 weeks improved significantly only in geothermal water groups and lasted 2-3-month post-treatment. 2 weeks of balneotherapy had significant impact on Er, MCV, MCH, MPV, Eo, Tr, urine SG, and pH. According to the physician’s assessment, the best results after 2 weeks were in 20 g/l group, but 40 and 60 g/l water procedures gave more residual effect. Conclusions. The geothermal water of 40 g/l total mineralization has the best positive effect for health enhancement after 2 weeks and during 3-month period. 20 g/l water gives fast and short- term health effect, while 40-60 g/l water has long-lasting effect on health status. Key words: health status, balneotherapy, geothermal water, hydrotherapy,
{"title":"Geothermal water for health state improvement: randomised controlled study","authors":"Lolita Rapolienė, Lina Gedrimė, A. Razbadauskas, A. Skarbalienė","doi":"10.12680/BALNEO.2019.255","DOIUrl":"https://doi.org/10.12680/BALNEO.2019.255","url":null,"abstract":"Abstract\u0000Introduction. Aim: to evaluate the effect of geothermal water of different mineralization on health state improvement.\u0000Material and method. A randomized controlled single blinded parallel groups interventional study was performed. 250 participants were divided into 5 groups: 3 balneotherapy (20, 40 and 60 g/l total mineralization), 1 tap water, and 1 control group. Hydrotherapy was carried out on an outpatient on everyday basis for 5 days a week over a 2-week period. The main effect on health state was measured using SHSQ-25 questionnaire after 2 weeks and each month during 3-month follow-up period. Examination by a physician and common blood and urine tests were done after the treatment period.\u0000Results and discussions. After a 2-week treatment, participants receiving all types of hydrotherapy showed a significant therapeutic response compared to the control group, especially in fatigue and mental state subcategories. The biggest total health enhancing effect after therapy was in seen in 40 g/l group, followed by 20 g/l group. The smallest effect was seen in tap water group. The most significant post-therapy effect during 3 months was given by 40 g/l procedures. Health self-rating after 2 weeks improved significantly only in geothermal water groups and lasted 2-3-month post-treatment. 2 weeks of balneotherapy had significant impact on Er, MCV, MCH, MPV, Eo, Tr, urine SG, and pH. According to the physician’s assessment, the best results after 2 weeks were in 20 g/l group, but 40 and 60 g/l water procedures gave more residual effect.\u0000Conclusions. The geothermal water of 40 g/l total mineralization has the best positive effect for health enhancement after 2 weeks and during 3-month period. 20 g/l water gives fast and short- term health effect, while 40-60 g/l water has long-lasting effect on health status.\u0000Key words: health status, balneotherapy, geothermal water, hydrotherapy,","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44744683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-05-20DOI: 10.12680/balneo.2019.249
Laszlo Irsay, Alexandra Checicheș, Dănuț Perja, Ileana Monica Borda, G. Dogaru, R. Ungur, A. Ciubean, V. Ciortea
Abstract The liver has a central role in the pharmacokinetics (absorption, distribution, elimination, etc.) of drugs. With hepatic insufficiency, the metabolism of drugs decreases, which accumulates metabolically or toxic active products. Some medicines can aggravate a pre-existing liver disease. Medicines used in this group of patients (especially diuretics and centrally acting preparations) can often cause impaired renal function or hepatic encephalopathy. The general principles of assessment, pain management and analgesia should be prescribed taking into account the Word Health Organization (WHO) recommendations for these patients, with careful and frequent monitoring of patient progress during treatment administration. Key words: hepatotoxicity, hepatic dysfunction, cirrhosis, pain medication,
{"title":"Pharmacological pain management in patients with chronic hepatic disease","authors":"Laszlo Irsay, Alexandra Checicheș, Dănuț Perja, Ileana Monica Borda, G. Dogaru, R. Ungur, A. Ciubean, V. Ciortea","doi":"10.12680/balneo.2019.249","DOIUrl":"https://doi.org/10.12680/balneo.2019.249","url":null,"abstract":"Abstract\u0000The liver has a central role in the pharmacokinetics (absorption, distribution, elimination, etc.) of drugs. With hepatic insufficiency, the metabolism of drugs decreases, which accumulates metabolically or toxic active products. Some medicines can aggravate a pre-existing liver disease. Medicines used in this group of patients (especially diuretics and centrally acting preparations) can often cause impaired renal function or hepatic encephalopathy. The general principles of assessment, pain management and analgesia should be prescribed taking into account the Word Health Organization (WHO) recommendations for these patients, with careful and frequent monitoring of patient progress during treatment administration.\u0000\u0000Key words: hepatotoxicity, hepatic dysfunction, cirrhosis, pain medication,","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47103376","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-05-20DOI: 10.12680/BALNEO.2019.248
Oana Moldovan, Balasz Deák, Alin Bian, D. Gurzău, F. Frangu, Alexandru Martis, B. Caloian, H. Comșa, G. Cismaru, D. Pop
Abstract Cardiac rehabilitation is a program which reduces morbidity and mortality in patients with ischemic heart disease. However only some European centers provide these programs for patients diagnosed with cardiac ischemia. Therefore home-based programs were developed for cardiac rehabilitation. Strava is a social network developed to track activities of running and cycling both in athletes and individuals searching for recreation and sport activities. In our work we present an approach based on Strava tracking to improve the quality of cardiac rehabilitation. Real-time monitoring of heart rate, steps per minute and speed during recreational or competitive activities can be used to increase physical capacity in individuals with ischemic heart disease. Key words: cardiac rehabilitation, Strava, ischemic heart disease, home-based,
{"title":"How do I track Cardiac Rehabilitation in my patient with ischemic heart disease using Strava","authors":"Oana Moldovan, Balasz Deák, Alin Bian, D. Gurzău, F. Frangu, Alexandru Martis, B. Caloian, H. Comșa, G. Cismaru, D. Pop","doi":"10.12680/BALNEO.2019.248","DOIUrl":"https://doi.org/10.12680/BALNEO.2019.248","url":null,"abstract":"Abstract\u0000Cardiac rehabilitation is a program which reduces morbidity and mortality in patients with ischemic heart disease. However only some European centers provide these programs for patients diagnosed with cardiac ischemia. Therefore home-based programs were developed for cardiac rehabilitation. Strava is a social network developed to track activities of running and cycling both in athletes and individuals searching for recreation and sport activities. In our work we present an approach based on Strava tracking to improve the quality of cardiac rehabilitation. Real-time monitoring of heart rate, steps per minute and speed during recreational or competitive activities can be used to increase physical capacity in individuals with ischemic heart disease.\u0000Key words: cardiac rehabilitation, Strava, ischemic heart disease, home-based,","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43398186","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-05-20DOI: 10.12680/BALNEO.2019.245
S. Silisteanu, E. Antonescu, M. Totan
Abstract Intrduction.Etoricoxibum belongs to the group of non-steroidal anti-inflammatory inhibitors selective of cyclooxygenase-2. The non-steroidal anti-inflammatory drugs are used to treat acute musculoskeletal disorders as they result in pain-relieving therapeutical effect. Etoricoxibum intervenes by blocking cyclooxygenase-2 and by reducing the painful and inflammatory phenomena. Material and method. The trial focused on the evolution of patients diagnosed with knee osteoarthritis after making the treatment by etoricoxibum. This study was conducted in the ambulatory regime for a period of 6 months and included 77 patients. Results and discussions It was assessed the efficacy of the complex recovery treatment for the patients diagnosed by knee osteoarthritis wich use of Etoricoxibum, in a dose of 60 mg /day, in order to improve the pain and the inflammation. The pursued objectives were: the assessment of the effects by using Etoricoxibum for the reduction of the pain and inflammation, the increase of the articular mobility and stability, the recovery of the walk and motor control, the decrease of the body weight, the increase of the quality of life. Conclusions. This trial show that, by making a combined treatment of medication and recovery, there was an reducing the pain and the inflammation as well as increasing the articular mobility. Key words: osteoarthritis, pain, ultrasound, recovery, disability,
{"title":"Study on the importance of medical treatment and physical methods in recovering patients with knee osteoarthritis","authors":"S. Silisteanu, E. Antonescu, M. Totan","doi":"10.12680/BALNEO.2019.245","DOIUrl":"https://doi.org/10.12680/BALNEO.2019.245","url":null,"abstract":"Abstract Intrduction.Etoricoxibum belongs to the group of non-steroidal anti-inflammatory inhibitors selective of cyclooxygenase-2. The non-steroidal anti-inflammatory drugs are used to treat acute musculoskeletal disorders as they result in pain-relieving therapeutical effect. Etoricoxibum intervenes by blocking cyclooxygenase-2 and by reducing the painful and inflammatory phenomena. Material and method. The trial focused on the evolution of patients diagnosed with knee osteoarthritis after making the treatment by etoricoxibum. This study was conducted in the ambulatory regime for a period of 6 months and included 77 patients. Results and discussions It was assessed the efficacy of the complex recovery treatment for the patients diagnosed by knee osteoarthritis wich use of Etoricoxibum, in a dose of 60 mg /day, in order to improve the pain and the inflammation. The pursued objectives were: the assessment of the effects by using Etoricoxibum for the reduction of the pain and inflammation, the increase of the articular mobility and stability, the recovery of the walk and motor control, the decrease of the body weight, the increase of the quality of life. Conclusions. This trial show that, by making a combined treatment of medication and recovery, there was an reducing the pain and the inflammation as well as increasing the articular mobility. Key words: osteoarthritis, pain, ultrasound, recovery, disability,","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48759821","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-05-20DOI: 10.12680/BALNEO.2019.250
Ovidiu Anchidin, D. Pop
Abstract Acute coronary syndromes (ACS) are one of the main causes of morbidity and mortality in the world. It affects people in the middle and late-life, but the biggest psycho-social and financial impact is among the active young population. After the acute event they have to return to work and to their families for which they represent the principal support. Besides medication and prompt revascularization therapies, cardiac rehabilitation (CR) has an important role in regaining most of the initial physical and psychological state. Despite the proved benefit of the CR, referral and participation rate is very low, suggesting that there is more to do in this old but very underappreciated field. Key words: acute coronary syndromes, myocardial infarction, young, cardiac rehabilitation, secondary prevention,
{"title":"Young patients with myocardial infarction – particularities of cardiovascular rehabilitation","authors":"Ovidiu Anchidin, D. Pop","doi":"10.12680/BALNEO.2019.250","DOIUrl":"https://doi.org/10.12680/BALNEO.2019.250","url":null,"abstract":"Abstract Acute coronary syndromes (ACS) are one of the main causes of morbidity and mortality in the world. It affects people in the middle and late-life, but the biggest psycho-social and financial impact is among the active young population. After the acute event they have to return to work and to their families for which they represent the principal support. Besides medication and prompt revascularization therapies, cardiac rehabilitation (CR) has an important role in regaining most of the initial physical and psychological state. Despite the proved benefit of the CR, referral and participation rate is very low, suggesting that there is more to do in this old but very underappreciated field. Key words: acute coronary syndromes, myocardial infarction, young, cardiac rehabilitation, secondary prevention,","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45866536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-05-20DOI: 10.12680/BALNEO.2019.243
A. Anghelescu, F. Bica, Ionut Colibeaseanu, Raluca Poganceanu, G. Onose
Abstract Introduction Traumatic brain injury (TBI) and / or spinal cord injury (SCI) usually occur in a polytraumatic context, and may produce catastrophic central nervous system (CNS) damages and secondarily extensive dysfunctional biomechanical alterations. This study aims to illustrate the interdisciplinary collaboration between neurorehabilitation and orthopedic clinics in our hospital, focusing on the results of surgical interventions intended to correct the fixed-flexion deformity of knees, in patients with disabling sequelae after CNS severe lesions. Material and methods Between 2005-2018, in the Neuromuscular Rehabilitation Clinic of Teaching Emergency Hospital "Bagdasar-Arseni", 13 young patients (mean age 37.4 +/- 12.6; median 31; limits 26-43) with multiple articular stiffness and joint deposturing sequelae after severe CNS trauma have been transferred from other medical units. Twelve had bilateral knee flexion contractures, two associated additional elbow stiffness, and in three patients ectopic ossifications of the hips, with ankylosis in extension or painful flexion were found. Patients were subsequently transferred for iterative orthopedic interventions: hamstring lengthening (pes anserinus and femoral biceps tendon transpositions) in 12 cases, associated with posterior knee capsulotomy, traction and/or resection of neurogenic heterotopic ossification around the knee or hip joints and casting in 8 of them. All orthopedic interventions were followed by progressive rehabilitation programs. Spasticity was assessed with modified Ashworth scale (mAS). In pre-/ and post orthopedic surgery, all patients were assessed using an adaptation for adults of the Gross Motor Function Classification Scale, Expanded and Revised (GMFCS – E&R). Results Twelve patients had knee joint stiffness and chronic flexion contracture: 77% were severely limited in their walking ability, depending on wheelchair (GMFCS – E&R level IV), respectively 23% were bedridden, non-ambulate and totally dependent in all aspects of care (GMFCS – E&R level V). Knee orthopedic serial interventions were followed by iterative, individualized rehabilitation treatments, and 50% subjects have regain their capacity to walk independently (GMFCS – E&R level II), respectively 50% succeeded to walked with assistive devices (GMFCS – E&R level III). Discussion Both neuro-muscular system deficits and joint disorders can produce locomotor system abnormalities, joint complications and limb dysfunctional problems. These disturbances represent targets and therapeutic objectives for rehabilitation. Chronic knee flexion contracture, stiff elbows and/or hips, periarticular neurogenic heterotopic ossification: all represents major challenges in the complex management of patients with sequelae after CNS severe traumatic events. Posterior capsulotomy addressed to a stiffed, distorted knee joint, corrects the limb axis and expands the range of motion (through the angle gained by the eliminated fle
{"title":"Our experience regarding rehabilitative, orthopedic integrative interdisciplinary approach in patients with disabling neurological posttraumatic sequelae. \u0000Case series and some related literature pointing","authors":"A. Anghelescu, F. Bica, Ionut Colibeaseanu, Raluca Poganceanu, G. Onose","doi":"10.12680/BALNEO.2019.243","DOIUrl":"https://doi.org/10.12680/BALNEO.2019.243","url":null,"abstract":"Abstract\u0000Introduction Traumatic brain injury (TBI) and / or spinal cord injury (SCI) usually occur in a polytraumatic context, and may produce catastrophic central nervous system (CNS) damages and secondarily extensive dysfunctional biomechanical alterations. This study aims to illustrate the interdisciplinary collaboration between neurorehabilitation and orthopedic clinics in our hospital, focusing on the results of surgical interventions intended to correct the fixed-flexion deformity of knees, in patients with disabling sequelae after CNS severe lesions. \u0000Material and methods Between 2005-2018, in the Neuromuscular Rehabilitation Clinic of Teaching Emergency Hospital \"Bagdasar-Arseni\", 13 young patients (mean age 37.4 +/- 12.6; median 31; limits 26-43) with multiple articular stiffness and joint deposturing sequelae after severe CNS trauma have been transferred from other medical units. Twelve had bilateral knee flexion contractures, two associated additional elbow stiffness, and in three patients ectopic ossifications of the hips, with ankylosis in extension or painful flexion were found. Patients were subsequently transferred for iterative orthopedic interventions: hamstring lengthening (pes anserinus and femoral biceps tendon transpositions) in 12 cases, associated with posterior knee capsulotomy, traction and/or resection of neurogenic heterotopic ossification around the knee or hip joints and casting in 8 of them.\u0000All orthopedic interventions were followed by progressive rehabilitation programs. Spasticity was assessed with modified Ashworth scale (mAS). In pre-/ and post orthopedic surgery, all patients were assessed using an adaptation for adults of the Gross Motor Function Classification Scale, Expanded and Revised (GMFCS – E&R). \u0000Results Twelve patients had knee joint stiffness and chronic flexion contracture: 77% were severely limited in their walking ability, depending on wheelchair (GMFCS – E&R level IV), respectively 23% were bedridden, non-ambulate and totally dependent in all aspects of care (GMFCS – E&R level V). \u0000Knee orthopedic serial interventions were followed by iterative, individualized rehabilitation treatments, and 50% subjects have regain their capacity to walk independently (GMFCS – E&R level II), respectively 50% succeeded to walked with assistive devices (GMFCS – E&R level III).\u0000Discussion Both neuro-muscular system deficits and joint disorders can produce locomotor system abnormalities, joint complications and limb dysfunctional problems. These disturbances represent targets and therapeutic objectives for rehabilitation. Chronic knee flexion contracture, stiff elbows and/or hips, periarticular neurogenic heterotopic ossification: all represents major challenges in the complex management of patients with sequelae after CNS severe traumatic events. \u0000Posterior capsulotomy addressed to a stiffed, distorted knee joint, corrects the limb axis and expands the range of motion (through the angle gained by the eliminated fle","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44795144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2019-05-20DOI: 10.12680/BALNEO.2019.256
Pablo López
Abstract Nowadays, a significant number of people experience low back pain during his lifetime. The causes are not clear at all, but several studies attribute this musculoskeletal disease to economical and psychosocial factors. Among all the treatments proposed, this study focuses in balneotherapy. The search in Medline Database through PubMed, PEDro and Cochrane Library, has yielded some interesting results. Consulted bibliography show that balneotherapy may be effective in the treatment of low back pain, but there are not so many correctly-designed studies to affirm this fact with evidence. Key words: balneotherapy, low back pain, medicinal water, mud therapy,
{"title":"Balneotherapy treatment for patients suffering from low back pain","authors":"Pablo López","doi":"10.12680/BALNEO.2019.256","DOIUrl":"https://doi.org/10.12680/BALNEO.2019.256","url":null,"abstract":"Abstract Nowadays, a significant number of people experience low back pain during his lifetime. The causes are not clear at all, but several studies attribute this musculoskeletal disease to economical and psychosocial factors. Among all the treatments proposed, this study focuses in balneotherapy. The search in Medline Database through PubMed, PEDro and Cochrane Library, has yielded some interesting results. Consulted bibliography show that balneotherapy may be effective in the treatment of low back pain, but there are not so many correctly-designed studies to affirm this fact with evidence. Key words: balneotherapy, low back pain, medicinal water, mud therapy,","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2019-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41932879","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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