Pub Date : 2018-12-20DOI: 10.12680/BALNEO.2018.228
Doroteea Teoibaș-Șerban, M. Mandu, M. Băilă, A. Ioniță, S. Stoica, C. Badiu, I. Andone, G. Onose
Introduction: This paper, approved by the bioethical commission no. 9181/11.April.2018, features a complex post polytrauma case; this is a severe condition entailing multiple anatomic lesioned structures – at least one of them life-threatening2 – that provoke morphofunctional and social disability1 and, we can assert this case as a politrauma. Materials and methods: 68 years-old female patient, admitted in multiple occasions in our Clinic’s Division for a quadriplegic type of motor dysfunction, sphincter disorders, numbness, tingling, and pricking sensations, sensitivity to touch, dysarthria and severe locomotor and self-grooming dysfunction. The functional incapability was caused by the multitrauma – multiple cranial fractures including the viscerocranium, partial focal seizures, C6 vertebra body and from T11 to L1 spine fractures, pelvic ring breach, and calf bones displacement-with multiple surgeries adjoined to a treated rheumatoid arthritis. At first admittance, the patient was bedridden with retention type neurogenic bladder and urinary catheterization and recently operated sacral bedsore. During the repeated hospitalizations, the patient suffered complications typical for her condition: multiple urinary tract infections, sacral bedsore and superficial venous thrombosis, all of them being successfully approached and treated by a multidisciplinary team. The clinical and functional evaluations were objectified through the assessment scales/scores: AIS, FIM, QoL (Quality of life), Asworth, FAC, and WISCI II3. Results: The patients’ evolution was favorable with improved results in all the assessment scales/scores. She had an increased motor control and muscular strength growth on all levels, now she can perform sitting position without any help, standing and sitting exercises at trellis, achieve the initialization of few steps with support by the kinesio-therapist and perform between the parallel beams around 5 steps. Her dysarthria, mood – initially/organic depression – and related behavior, improved her motivation on continued rehabilitation is now positive. Conclusions: This case represents a suggestive example for the poly-traumatized patients admitted in our Clinics’ Division and the complex approach of each pathology in the wright time for the improvement of the specific neuro-locomotor impairment and the quality of life of our patients. References: 1. Poly-trauma Rehabilitation Procedures – Veterans Health Administration VHA – Handbook 1172.1, Transmittal Sheet, 2005 2. Larousse 3. Guide for the Uniform Data Set for Medical Rehabilitation, Version 5.1 Buffalo, State University of New York at Buffalo – from Uniform Data System for Medical Rehabilitation, UBFA – cited in Braddom) A COMPLEX NEURO – LOCOMOTOR REHABILITATION CASE OF A PATIENT WITH POLITRAUMA ASSOCIATED WITH MULTIPLE COMPLICATIONS / SEQUELA– CASE REPORT
{"title":"A COMPLEX NEURO – LOCOMOTOR REHABILITATION CASE OF A PATIENT WITH POLITRAUMA ASSOCIATED WITH MULTIPLE COMPLICATIONS/SEQUELA– CASE REPORT","authors":"Doroteea Teoibaș-Șerban, M. Mandu, M. Băilă, A. Ioniță, S. Stoica, C. Badiu, I. Andone, G. Onose","doi":"10.12680/BALNEO.2018.228","DOIUrl":"https://doi.org/10.12680/BALNEO.2018.228","url":null,"abstract":"Introduction: This paper, approved by the bioethical commission no. 9181/11.April.2018, features a complex post polytrauma case; this is a severe condition entailing multiple anatomic lesioned structures – at least one of them life-threatening2 – that provoke morphofunctional and social disability1 and, we can assert this case as a politrauma. Materials and methods: 68 years-old female patient, admitted in multiple occasions in our Clinic’s Division for a quadriplegic type of motor dysfunction, sphincter disorders, numbness, tingling, and pricking sensations, sensitivity to touch, dysarthria and severe locomotor and self-grooming dysfunction. The functional incapability was caused by the multitrauma – multiple cranial fractures including the viscerocranium, partial focal seizures, C6 vertebra body and from T11 to L1 spine fractures, pelvic ring breach, and calf bones displacement-with multiple surgeries adjoined to a treated rheumatoid arthritis. At first admittance, the patient was bedridden with retention type neurogenic bladder and urinary catheterization and recently operated sacral bedsore. During the repeated hospitalizations, the patient suffered complications typical for her condition: multiple urinary tract infections, sacral bedsore and superficial venous thrombosis, all of them being successfully approached and treated by a multidisciplinary team. The clinical and functional evaluations were objectified through the assessment scales/scores: AIS, FIM, QoL (Quality of life), Asworth, FAC, and WISCI II3. Results: The patients’ evolution was favorable with improved results in all the assessment scales/scores. She had an increased motor control and muscular strength growth on all levels, now she can perform sitting position without any help, standing and sitting exercises at trellis, achieve the initialization of few steps with support by the kinesio-therapist and perform between the parallel beams around 5 steps. Her dysarthria, mood – initially/organic depression – and related behavior, improved her motivation on continued rehabilitation is now positive. Conclusions: This case represents a suggestive example for the poly-traumatized patients admitted in our Clinics’ Division and the complex approach of each pathology in the wright time for the improvement of the specific neuro-locomotor impairment and the quality of life of our patients. References: 1. Poly-trauma Rehabilitation Procedures – Veterans Health Administration VHA – Handbook 1172.1, Transmittal Sheet, 2005 2. Larousse 3. Guide for the Uniform Data Set for Medical Rehabilitation, Version 5.1 Buffalo, State University of New York at Buffalo – from Uniform Data System for Medical Rehabilitation, UBFA – cited in Braddom) A COMPLEX NEURO – LOCOMOTOR REHABILITATION CASE OF A PATIENT WITH POLITRAUMA ASSOCIATED WITH MULTIPLE COMPLICATIONS / SEQUELA– CASE REPORT","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43281653","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 : 2018-12-20DOI: 10.12680/BALNEO.2018.224
M. Băilă, M. Mandu, Raluca Petcu, A. Ioniță, R. Oprea, Anca Chilaridis, Doroteea Teoibaș-Șerban, G. Onose
Introduction: Neurotrauma within polytrauma, defined as “an ensemble of troubles due to many lesions with traumatic origin, among which, at least one, threatens patient’s life”1, is the subject matter of the present scientific paper – approved by the ethics commission of SCUBA, no. 9181, of 11.04.2018 – which encompasses the complex therapeutic and rehabilitation management of a polytraumatized patient with severe traumatic brain injury and cervical spinal cord injury, that led to serious functional consequences – cognitive, motor, sensitive, autonomic. Material and Methods: A 45 years-old, male, patient, suffered severe traumatic neurological injuries and multiple bone fractures and visceral contusions after a traffic accident (driver). The stabilized patient is admitted in our Clinic’s Division for the following reasons: cognition impairment (minimally conscious state), neuromotor impairment in the form of right hemiplegia, dysphagia, neurogenic bladder and gut and eschars. Results: After a serialized, two-year, multidisciplinary rehabilitation approach, aggravated by many complications, the patient has a favorable outcome, both cognitive – in the present moment he can communicate relatively satisfying by pronouncing words correctly, without motor speech disorders and motor: he can maintain the sitting posture for long periods of time and walk several steps with support from another person. These acquisitions are confirmed by the improvement of the following evaluation scales: AIS, FIM, QoL (motor AIS-scale improved with 4 points, motor FIM-scale with 3 points, QoL-scale doubled). Conclusions: This case represents an exhaustive example of multidisciplinary and therapeutic neurorehabilitation approach, with both clinical and scientific impact.
{"title":"Complex rehabilitation and therapeutic care involving a polytraumatized patient with traumatic brain injury, cervical spinal cord injury and multiple associated lesions - case report","authors":"M. Băilă, M. Mandu, Raluca Petcu, A. Ioniță, R. Oprea, Anca Chilaridis, Doroteea Teoibaș-Șerban, G. Onose","doi":"10.12680/BALNEO.2018.224","DOIUrl":"https://doi.org/10.12680/BALNEO.2018.224","url":null,"abstract":"Introduction: Neurotrauma within polytrauma, defined as “an ensemble of troubles due to many lesions with traumatic origin, among which, at least one, threatens patient’s life”1, is the subject matter of the present scientific paper – approved by the ethics commission of SCUBA, no. 9181, of 11.04.2018 – which encompasses the complex therapeutic and rehabilitation management of a polytraumatized patient with severe traumatic brain injury and cervical spinal cord injury, that led to serious functional consequences – cognitive, motor, sensitive, autonomic. Material and Methods: A 45 years-old, male, patient, suffered severe traumatic neurological injuries and multiple bone fractures and visceral contusions after a traffic accident (driver). The stabilized patient is admitted in our Clinic’s Division for the following reasons: cognition impairment (minimally conscious state), neuromotor impairment in the form of right hemiplegia, dysphagia, neurogenic bladder and gut and eschars. Results: After a serialized, two-year, multidisciplinary rehabilitation approach, aggravated by many complications, the patient has a favorable outcome, both cognitive – in the present moment he can communicate relatively satisfying by pronouncing words correctly, without motor speech disorders and motor: he can maintain the sitting posture for long periods of time and walk several steps with support from another person. These acquisitions are confirmed by the improvement of the following evaluation scales: AIS, FIM, QoL (motor AIS-scale improved with 4 points, motor FIM-scale with 3 points, QoL-scale doubled). Conclusions: This case represents an exhaustive example of multidisciplinary and therapeutic neurorehabilitation approach, with both clinical and scientific impact.","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49299365","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 : 2018-12-20DOI: 10.12680/balneo.2018.220
M. Mocan, R. Cluj-Napoca, R. Chiorescu, O. Banc, B. Mocan, F. Anton, M. Stoia, A. Farcaș
{"title":"Cardiac rehabilitation protocols outcome in frail patients undergoing transcatheter aortic valve implantation","authors":"M. Mocan, R. Cluj-Napoca, R. Chiorescu, O. Banc, B. Mocan, F. Anton, M. Stoia, A. Farcaș","doi":"10.12680/balneo.2018.220","DOIUrl":"https://doi.org/10.12680/balneo.2018.220","url":null,"abstract":"","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49483571","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 : 2018-12-20DOI: 10.12680/BALNEO.2018.229
D. Comsa, C. Pharmacy, D. Zdrenghea, I. Berindan‐Neagoe, L. Budisan, G. Gusetu, A. Sitar-Tăut, B. Caloian, D. Pop
{"title":"Particularities of traditional and novel atherosclerotic risk factors in women with peripheral arterial disease in a Romanian Rehabilitation Hospital","authors":"D. Comsa, C. Pharmacy, D. Zdrenghea, I. Berindan‐Neagoe, L. Budisan, G. Gusetu, A. Sitar-Tăut, B. Caloian, D. Pop","doi":"10.12680/BALNEO.2018.229","DOIUrl":"https://doi.org/10.12680/BALNEO.2018.229","url":null,"abstract":"","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45762109","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 : 2018-12-20DOI: 10.12680/balneo.2018.222
Dana Marieta Fodor, I. Stanescu, L. Perju-Dumbravă
{"title":"The evolution of disability after ischemic stroke depending on the circadian variation of stroke onset","authors":"Dana Marieta Fodor, I. Stanescu, L. Perju-Dumbravă","doi":"10.12680/balneo.2018.222","DOIUrl":"https://doi.org/10.12680/balneo.2018.222","url":null,"abstract":"","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47735043","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 : 2018-12-20DOI: 10.12680/balneo.2018.225
S. Silisteanu, A. Silișteanu, Ș. Mare
{"title":"The role of ultrasound in the recovery of patients with knee osteoarthritis","authors":"S. Silisteanu, A. Silișteanu, Ș. Mare","doi":"10.12680/balneo.2018.225","DOIUrl":"https://doi.org/10.12680/balneo.2018.225","url":null,"abstract":"","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42141931","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 : 2018-12-20DOI: 10.12680/BALNEO.2018.217
A. Bulboacă, R. Cluj-Napoca, M. Blidaru, G. Dogaru, I. Stanescu, A. Bulboacă
{"title":"The effect of nitro-oxidative stress on platelet aggregability in migraine patients in a Rehabilitation Hospital - a pilot study","authors":"A. Bulboacă, R. Cluj-Napoca, M. Blidaru, G. Dogaru, I. Stanescu, A. Bulboacă","doi":"10.12680/BALNEO.2018.217","DOIUrl":"https://doi.org/10.12680/BALNEO.2018.217","url":null,"abstract":"","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46698443","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 : 2018-12-20DOI: 10.12680/balneo.2018.213
A. Anghelescu, C. Cîmpeanu, A. Băjenaru, Ionut Octavian Frecea, Gheorghe Checiu, G. Onose, Bagdasar-Arseni, Romania Bucharest
{"title":"From “cage to independence”: good outcomes of an unstable (burst) lumbar fracture, surgically managed with an expandable titanium vertebral cage implant, with posterior transpedicular instrumentation, and rehabilitation program – case presentation","authors":"A. Anghelescu, C. Cîmpeanu, A. Băjenaru, Ionut Octavian Frecea, Gheorghe Checiu, G. Onose, Bagdasar-Arseni, Romania Bucharest","doi":"10.12680/balneo.2018.213","DOIUrl":"https://doi.org/10.12680/balneo.2018.213","url":null,"abstract":"","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49328834","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 : 2018-12-20DOI: 10.12680/BALNEO.2018.223
Dana Marieta Fodor, L. Perju-Dumbravă
{"title":"The circaseptan variation of stroke onset – a hospital-based study","authors":"Dana Marieta Fodor, L. Perju-Dumbravă","doi":"10.12680/BALNEO.2018.223","DOIUrl":"https://doi.org/10.12680/BALNEO.2018.223","url":null,"abstract":"","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45973888","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 : 2018-12-20DOI: 10.12680/balneo.2018.212
A. Anghelescu, C. Cîmpeanu, A. Băjenaru, Ionut Octavian Frecea, D. Șerban, G. Onose, Bagdasar-Arseni, Romania Bucharest
{"title":"ACUTE SPINAL EPIDURAL HEMATOMA, CLINICAL AND ETIOPATHOGENIC DIAGNOSTIC DIFFICULTIES – CASE PRESENTATION AND SYNTHESIS OF THE LITERATURE","authors":"A. Anghelescu, C. Cîmpeanu, A. Băjenaru, Ionut Octavian Frecea, D. Șerban, G. Onose, Bagdasar-Arseni, Romania Bucharest","doi":"10.12680/balneo.2018.212","DOIUrl":"https://doi.org/10.12680/balneo.2018.212","url":null,"abstract":"","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42063476","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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