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Collaborative platform development in nutrition as support for cardiovascular patients’ rehabilitation 营养支持心血管患者康复的协同平台开发
IF 0.2 Pub Date : 2019-05-20 DOI: 10.12680/BALNEO.2019.253
Dan-Andrei Sitar-Tǎut, A. Sitar-Tăut, Daniel Mican, A. Cozma, O. Orasan, C. Mureșan, Ramona Suharoschi, V. Negrean, D. Sâmpelean, R. Vulturar, D. Zdrenghea, D. Pop, G. Dogaru, A. Dǎdârlat, A. Fodor
AbstractIntroduction. Enrollment of patients with cardiovascular disease in rehabilitation programs may contribute to implementation of a healthy lifestyle, including by promotion of a diet adequate for each patient’s profile. In this context, the current study is aimed at creating a traffic light system model allowing to obtain the development, innovation and diversification of menus and to improve the nutritional programs for this category of patients. Material and method. Based on the data provided by USDA Food Composition Databases, the composition in terms of different nutritive principles was determined for each ingredient and for each final menu. Comparison of menus depending on each nutritive principle, as well as comparison between menus and nutrient requirements according to indications for patients attending cardiovascular rehabilitation programs was made. Results. The traffic light system was developed, using color codes, comparing daily nutrient requirements with preparations’ content. Conclusions. The major benefit of the traffic light system would reside in the fact that starting from classic menus, an intervention on these can be achieved, and healthier, more nutritionally balanced models can be created, according to healthy nutrition principles. These new menus will be calorically and nutritionally adapted for patients attending cardiovascular rehabilitation programs. Key words: nutrition, rehabilitation, traffic light system,
AbstractIntroduction。将心血管疾病患者纳入康复计划可能有助于实现健康的生活方式,包括促进适合每位患者的饮食。在此背景下,目前的研究旨在创建一个红绿灯系统模型,以获得菜单的发展,创新和多样化,并改善这类患者的营养计划。材料和方法。根据美国农业部食品成分数据库提供的数据,根据不同的营养原则确定了每种成分和每种最终菜单的成分。根据各营养原理对菜单进行比较,并对参加心血管康复治疗的患者按指征对菜单和营养需求进行比较。结果。开发了红绿灯系统,使用颜色代码,将每日营养需求与制剂含量进行比较。结论。红绿灯系统的主要好处在于,根据健康营养原则,可以从经典菜单开始,对这些菜单进行干预,从而创造出更健康、更营养均衡的模式。这些新的菜单将在热量和营养上适应参加心血管康复计划的病人。关键词:营养康复红绿灯系统
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引用次数: 1
The importance of visuo-motor coordination in upper limb rehabilitation after ischemic stroke by robotic therapy 视索运动协调在缺血性脑卒中机器人治疗后上肢康复中的重要性
IF 0.2 Pub Date : 2019-05-20 DOI: 10.12680/BALNEO.2019.244
A. Bulboacă, I. Stanescu, G. Dogaru, Paul-Mihai Boarescu, A. Bulboacă
AbstractStroke is an acute hypoperfusion of cerebral parenchyma that most often leads to outstanding motor deficits that can last for the rest of the patient’s life. The purpose of the neurorehabilitation process is to limit, as far is possible for the motor deficits and to bring the patient to an independent life. A modern method consists in robotic neurorehabilitation which is more and more used, associated with functional electrical stimulation (FES). At the lower limb, the use of robotic rehabilitation associated with FES is already considered a success due to relatively stereotypical movements of the lower limb. In opposition, the upper limb is more difficult to rehabilitate due to its more complex movements. Therefore, eye-hand coordination (EHC) constitutes an important factor that is conditioning the rehabilitation progress. The eye-hand coordination can be brutally disturbed by stroke with critical consequences on motor-executive component. The EHC development depends on the interaction between a feedback complex and the prediction of the upper limb motility in the space, and requires the association between visual system, oculomotor system and hand motor system. We analyzed the stroke impact on this sensorial-motor functional integration and looked for a possible solution for the interruption of coordination between eyes and the movements of the superior limb. We consider that our study can contribute to a better understanding and to a faster rehabilitation of the motor deficit in the upper limb after stroke. Key words: stroke, rehabilitation, eye-hand coordination, robotic neurorehabilitation,
摘要中风是一种急性脑实质灌注不足,通常会导致严重的运动缺陷,这种缺陷会持续患者的余生。神经康复过程的目的是尽可能限制运动缺陷,并使患者过上独立的生活。一种现代的方法是机器人神经康复,它越来越多地被使用,与功能性电刺激(FES)相关。在下肢,由于下肢的运动相对刻板,与FES相关的机器人康复的使用已经被认为是成功的。在反对派中,上肢由于其更复杂的运动而更难恢复。因此,眼手协调(EHC)是制约康复进展的一个重要因素。中风会严重干扰眼手协调,对运动执行元件产生严重影响。EHC的发展取决于反馈复合体与空间中上肢运动预测之间的相互作用,并需要视觉系统、动眼器系统和手部运动系统之间的关联。我们分析了中风对这种感觉运动功能整合的影响,并寻找一种可能的解决方案来中断眼睛和上肢运动之间的协调。我们认为,我们的研究有助于更好地理解和更快地康复中风后上肢的运动缺陷。关键词:中风,康复,眼手协调,机器人神经康复,
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引用次数: 4
Functional outcome after symtomatic internal carotid artery occlusion 症状性颈内动脉闭塞后的功能结果
IF 0.2 Pub Date : 2019-05-20 DOI: 10.12680/BALNEO.2019.252
I. Stanescu, A. Bulboacă, Dana Marieta Fodor, G. Dogaru
AbstractInternal carotid artery occlusion accounts for 15-20% of ischemic strokes, caused by atherosclerosis or dissection. Clinical symptoms are variable, from asymptomatic cases to minor or severe strokes. Diagnosis in internal carotid artery (ICA) occlusion is based on imaging techniques. Prognosis after ICA occlusion depends on many factors: severity of neurologic deficit, spontaneous recanalization of the artery, and the occurrence of recurrent strokes. Patients with spontaneous recanalization of the occluded ICA tend to have a retained functional ability and favorable clinical outcomes. Medical treatment, recanalization techniques and intensive rehabilitation program are essential in improving functional outcome of patients with stroke produced by ICA occlusion. We present the case of a young patient diagnosed with ischemic stroke produced by internal carotid artery occlusion, with consecutive severe neurologic deficit, and an unfavorable functional outcome, as evaluated with the Modified Rankin Scale. Spontaneous recanalization of the occluded ICA was observed after 6 weeks, suggesting a carotid dissection. The patient was included in an intensive rehabilitation program, associated with best medical therapy, showing improvement of its functional status at 3 months follow up. Key words: ischemic stroke, carotid artery occlusion, carotid dissection, spontaneous recanalization, functional outcome,
颈内动脉闭塞占缺血性中风的15-20%,由动脉粥样硬化或夹层引起。临床症状多种多样,从无症状病例到轻微或严重中风。颈内动脉闭塞的诊断是基于影像学技术。ICA闭塞后的预后取决于许多因素:神经功能缺损的严重程度、动脉的自发再通以及复发性中风的发生。闭塞ICA自发再通的患者往往具有保留的功能能力和良好的临床结果。药物治疗、再通技术和强化康复计划对于改善ICA闭塞引起的中风患者的功能结果至关重要。我们报告了一名年轻患者的病例,该患者被诊断为颈内动脉闭塞引起的缺血性中风,连续出现严重的神经功能缺损,并用改良的Rankin量表进行评估,结果为不良的功能结果。6周后观察到闭塞ICA自发再通,提示颈动脉夹层。患者被纳入强化康复计划,并接受最佳药物治疗,在3个月的随访中显示其功能状态有所改善。关键词:缺血性中风,颈动脉闭塞,颈动脉夹层,自发再通,功能结果,
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引用次数: 1
The importance of early neurorehabilitation in the recovery of post-vaccination Guillain-Barre syndrome – a case report 早期神经康复在疫苗接种后格林-巴利综合征恢复中的重要性——一例报告
IF 0.2 Pub Date : 2019-05-20 DOI: 10.12680/BALNEO.2019.246
M. Sava, M. Catană, C. Roman-Filip
AbstractGuillain-Barre syndrome (GBS) is the most common cause of acute flaccid paralysis worldwide, having an incidence of about 1/100,000 across several studies in a number of countries. We present the case of a 60-year-old female patient, with known hypertension, admitted to our department for paresthesia and muscle weakness predominantly in the distal upper and lower limbs. Symptomatology had an acute onset after 14 days from influenza vaccine administration. Lumbar puncture revealed CSF glucose (91 mg/dl), CSF protein (0.508 g/l) and no pleocytosis. Electromyography supported the presumptive diagnosis of polyradiculoneuritis. The patient underwent three sessions of double filtration and the final diagnosis was Guillain-Barre polyradiculoneuritis secondary to influenza vaccination. Approximately 80% of patients with polyradiculoneuritis recover completely within a few months to one year; however, 5-10% of these patients experience one or more recurrences. It should be emphasized that acute-phase rehabilitation must start immediately and include an individualized program of gentle strengthening, and manual resistive and progressive resistive exercises. Key words: polyradiculoneuropathy, influenza vaccine, neurorehabilitation,
摘要格林-巴利综合征(GBS)是世界范围内急性弛缓性麻痹最常见的病因,在许多国家的几项研究中,其发病率约为1/100000。我们报告了一例60岁的女性患者,患有已知的高血压,因感觉异常和肌肉无力(主要是上肢和下肢远端)而入院。接种流感疫苗14天后症状出现急性发作。腰椎穿刺显示CSF葡萄糖(91mg/dl)、CSF蛋白(0.508g/l),无白细胞增多症。肌电图支持多神经根神经炎的推定诊断。患者接受了三次双重过滤,最终诊断为流感疫苗接种后继发的格林-巴利多神经根神经炎。大约80%的多发性神经根神经炎患者在几个月到一年内完全康复;然而,这些患者中有5-10%经历了一次或多次复发。应该强调的是,急性期康复必须立即开始,并包括一个个性化的轻度强化计划,以及手动阻力和渐进阻力练习。关键词:多发性神经根病变,流感疫苗,神经康复,
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引用次数: 3
Is segmental muscle strength recovery different in patients with dominant versus non-dominant hemispheric ischemic stroke? 显性与非显性半球缺血性脑卒中患者的节段性肌力恢复不同吗?
IF 0.2 Pub Date : 2019-05-20 DOI: 10.12680/BALNEO.2019.251
Dana Marieta Fodor, I. Mutter, I. Stanescu, M. Fodor, A. Bulboacă, Lăcrămioara Perju Dumbravă
AbstractIntroduction & objectives: Starting from the well-known functional hemispheric asymmetry and concomitantly, from the clinical findings of practitioners involved in the post-stroke rehabilitation process, the aim of this study was to evaluate whether ischemic stroke in the dominant hemisphere results in more severe initial motor deficit and if its motor recovery is decreased compared to that of the non-dominant hemisphere.Material and method: This was a retrospective study, comprising 39 patients with ischemic stroke in the middle cerebral artery territory, divided into two groups depending on the hemispheric location of the lesion (left/right). They were evaluated for their segmental muscle strength using the Medical Research Council Muscle Strength Grading Scale, both in terms of initial value and evolution between two successive admissions. Results and conclusions: No significant difference was found for motor deficit evaluated on the occasion of the first admission between patients with left-side stroke and those with right-side stroke. Motor recovery was more obvious proximally in the paretic limbs, but without statistical significance. Key words: hemispheric dominance, functional laterality, stroke, motor rehabilitation,
摘要简介与目的:本研究从众所周知的半球功能不对称出发,从参与脑卒中后康复过程的医生的临床发现出发,旨在评估优势脑半球缺血性脑卒中是否会导致更严重的初始运动缺陷,以及与非优势脑半球相比,其运动恢复是否会减少。材料和方法:这是一项回顾性研究,包括39例大脑中动脉区域缺血性卒中患者,根据病变的半球位置(左/右)分为两组。使用医学研究委员会肌肉力量分级量表对他们的节段肌肉力量进行评估,包括初始值和两次连续入院之间的演变。结果与结论:左脑卒中患者与右脑卒中患者首次入院时的运动缺陷评估无显著差异。近端麻痹肢体运动恢复更明显,但无统计学意义。关键词:半球优势,功能偏侧,脑卒中,运动康复,
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引用次数: 1
Left ventricular diastolic dysfunction in diabetes mellitus and the therapeutic role of exercise training 糖尿病左室舒张功能不全及运动训练的治疗作用
IF 0.2 Pub Date : 2019-05-20 DOI: 10.12680/BALNEO.2019.254
A. Albu, Ioana Para
AbstractLeft ventricular diastolic dysfunction (LVDD) with normal ejection fraction is considered common among people with diabetes mellitus (DM). LVDD is a progressive condition and an independent predictor of mortality in diabetic patients. The etiopathogenesis of LVDD is multifactorial, including diabetes associated comorbidities, such as hypertension, coronary atherosclerosis and obesity, as well as myocardial vascular and metabolic disturbances which lead to diabetic cardiomyopathy. Early stages of LVDD may be detected using echocardiographic techniques. Treatment strategies evolve, based on a better understanding of pathogenic mechanisms, although it is still difficult to efficiently control LVDD evolution. This review synthesizes the main pathophysiological processes and clinical features that characterize DM associated LVDD. Among treatment options, the therapeutic relevance of exercise training programs is underlined. Key words: diabetes mellitus, left ventricular diastolic dysfunction, physical training,
射血分数正常的左心室舒张功能障碍(LVDD)被认为在糖尿病(DM)患者中很常见。LVDD是一种进展性疾病,是糖尿病患者死亡率的独立预测指标。LVDD的发病机制是多因素的,包括糖尿病相关的合并症,如高血压、冠状动脉粥样硬化和肥胖,以及导致糖尿病心肌病的心肌血管和代谢紊乱。可以使用超声心动图技术检测LVDD的早期阶段。治疗策略在更好地了解致病机制的基础上不断发展,尽管仍难以有效控制LVDD的发展。这篇综述综合了糖尿病相关LVDD的主要病理生理过程和临床特征。在治疗方案中,强调了运动训练项目的治疗相关性。关键词:糖尿病、左心室舒张功能障碍、体育锻炼、,
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引用次数: 3
Vol 10 No. 2, May 2019 2019年5月第10卷第2期
IF 0.2 Pub Date : 2019-05-20 DOI: 10.12680/balneo.2019.0102
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引用次数: 0
Non Cystic Fibrosis Bronchiectasis-new clinical approach, management of treatment and pulmonary rehabilitation 非囊性纤维化支气管扩张——新的临床方法、治疗管理和肺康复
IF 0.2 Pub Date : 2019-05-20 DOI: 10.12680/BALNEO.2019.247
A. Maierean, T. Alexescu, L. Ciumărnean, N. Motoc, A. Chiș, M. Ruta, G. Dogaru, M. Aluaș
Abstract Non-Cystic Fibrosis Bronchiectasis (NCFB) are characterised by abnormal, permanently damaged and dilated bronchi due to the innapropiate clearence of various microorganisms and recurrent chronic infections.The diagnosis is suggested by the clinical presentation and is confirmed by multiple investigations. There are some comorbidities associated with bronhciectasis, such as chronic obstructive pulmonary disease (COPD), cardiovascular disorders, gastro-esophageal reflux disease (GERD), psychological illnesses, pulmonary hypertension, obstructive apnea syndrome(OSA). The condition has a substantial socioeconomic impact because it requests a multidisciplinary management and periods of exacerbations are common. The aims of the management of bronchiectasis are to reduce symptoms (such as sputum volume and purulence, cough and dyspnea), reduce the frequency and severity of exacerbations, preserve lung function and improve health-related quality of life. The multidisciplinary approach of bronchiectasis patients require along with the medical treatment, a specific plan of nonphamarcological strategies, including balneological intervention. There are a lot of techniques improving the airway clearence, such as: active cycle of breathing techniques (which include breathing control, thoracic expansion exercises, forced expiratory technique), oscilatting possitive expiratory pressure, autogenic drainage, gravity-assisted-positioning, modified postural drainage. Together with specific medication, these techniques can diminuate symptoms and improve the quality of life. Key words: NCFB, airway clearence, physiotherapy,
摘要非囊性纤维支气管扩张症(NCFB)的特征是由于各种微生物的内脏清除和反复的慢性感染,导致支气管异常、永久性损伤和扩张。诊断是由临床表现提出的,并通过多次调查得到证实。有一些合并症与支气管炎有关,如慢性阻塞性肺病(COPD)、心血管疾病、胃食管反流病(GERD)、心理疾病、肺动脉高压、阻塞性呼吸暂停综合征(OSA)。这种情况具有重大的社会经济影响,因为它需要多学科的管理,而且病情恶化的时期很常见。支气管扩张症的治疗目的是减少症状(如痰量和脓毒、咳嗽和呼吸困难),减少恶化的频率和严重程度,保护肺功能,提高与健康相关的生活质量。支气管扩张症患者的多学科治疗需要在药物治疗的同时,制定一个具体的非肿瘤策略计划,包括病理干预。有很多技术可以改善气道通畅性,如:主动循环呼吸技术(包括呼吸控制、扩胸运动、用力呼气技术)、振荡呼气正压、自体引流、重力辅助定位、改良体位引流。结合特定的药物,这些技术可以减轻症状,提高生活质量。关键词:NCFB,气道清洁,物理治疗,
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引用次数: 1
Homonymous hemianopsia versus unilateral spatial neglect rehabilitation strategies in stroke patients 脑卒中患者同侧偏盲与单侧空间忽视康复策略的比较
IF 0.2 Pub Date : 2019-05-20 DOI: 10.12680/BALNEO.2019.242
A. Bulboacă, A. Bulboacă, I. Stanescu, Paul-Mihai Boarescu, I. Chirilă, A. Bulboacă, G. Dogaru
Abstract Visual rehabilitation therapy is one of the most problematic issue in stroke rehabilitation. The difficulties consist in specific assessment of visual deficit and poor results reports by the authors of the clinical studies. Opposite, experimental studies reports encouraging results that give hopes in this specific rehabilitation therapy. There are still difficult to analyze different aquisitions concerning various visual residual deficits after stroke, the main rehabilitation targgets being motor rehabilitation in order to ensure at least a partial autonomy in day by day life. All the studies that proved there are chances for a better quality of life if there is an improvement of visual abilities together with motor and cognitive skills with a better rehabilitation prognosis. The aim of this paper is to make a brief report regarding two of the most important visual deficits after stroke as are homonymous hemianopsia and neglect. Starting with differential diagnosis, neuroplasticity and specific rehabilitation available method, the main issues are discussed. a better understanding of phenomena that are associated with spontaneous rehabilitation, or enhancing the progress of recuperation by various method, could be able to bring a new light and hopefully better results in rehabilitation for these patients Key words: stroke, visual impairment, visual rehabilitation, neuroplasticity, homonymous hemianopsia,
摘要视觉康复治疗是脑卒中康复中最有问题的问题之一。困难在于对视力缺陷的具体评估和临床研究作者的不良结果报告。相反,实验研究报告了令人鼓舞的结果,这给这种特定的康复疗法带来了希望。关于中风后的各种视觉残余缺陷,仍然很难分析不同的结论,主要的康复目标是运动康复,以确保在日常生活中至少有部分自主性。所有的研究都证明,如果视觉能力、运动和认知技能得到改善,康复预后更好,就有机会获得更好的生活质量。本文的目的是就中风后最重要的两种视觉缺陷,即同音偏盲和忽视,做一个简短的报告。从鉴别诊断、神经可塑性和具体的康复可用方法入手,讨论了主要问题。更好地了解与自发康复相关的现象,或通过各种方法促进康复的进展,可以为这些患者的康复带来新的曙光,并有望取得更好的结果关键词:中风、视力障碍、视觉康复、神经可塑性、同称偏盲,
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引用次数: 2
Short narrative review on main winter sports-related accidents: epidemiology, injury patterns, arguments for prophylactic behavior to avoid orthopedic and catastrophic neurological injuries 简要回顾主要冬季运动相关事故:流行病学,伤害模式,预防行为以避免骨科和灾难性神经损伤的论点
IF 0.2 Pub Date : 2019-02-20 DOI: 10.12680/BALNEO.2019.238
A. Anghelescu, B. Pharmacy
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引用次数: 1
期刊
Balneo Research Journal
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