Pub Date : 2018-09-10DOI: 10.12680/BALNEO.2018.193
D. Matei, C. Corciova, B. Ignat, R. Matei
{"title":"Transcranial magnetic stimulation in stroke rehabilitation","authors":"D. Matei, C. Corciova, B. Ignat, R. Matei","doi":"10.12680/BALNEO.2018.193","DOIUrl":"https://doi.org/10.12680/BALNEO.2018.193","url":null,"abstract":"","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41577749","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 : 2018-09-10DOI: 10.12680/balneo.2018.198
A. Farcaș, R. Cluj-Napoca, L. E. Năstasă, F. Anton, M. Stoia, C. Goidescu, Mocan Diana Larisa Hognogi, M. Mocan, C. Vonica, L. Vida-Simiti
Abstract Heart failure is a significant healthcare problem, because of its impact at the individual and populational level, through multiple rehospitalizations and increased morbi-mortality. At the individual level, the multidimensional impact of this clinical condition and its treatment on patients' daily lives is reflected in the quality of life (QoL). QoL needs to be accurately measured, because it’s related to high hospitalization and mortality rates and provides valuable information that cannot be directly obtained using clinical, biological or imaging measurements. For these reasons, QoL evaluation (global score, subscale scores, answers to various items, etc.) is a significant parameter for assessing the impact of and for structuring the cardiac rehabilitation programs (exercise training, nutritional counseling, psychosocial support and interventions, etc). In order to increase the long-term efficiency, these programs need also to include strategies to optimize and increase adherence to lifestyle changes and to medical therapy.
{"title":"Quality of life – an important parameter of cardiac rehabilitation in heart failure patients","authors":"A. Farcaș, R. Cluj-Napoca, L. E. Năstasă, F. Anton, M. Stoia, C. Goidescu, Mocan Diana Larisa Hognogi, M. Mocan, C. Vonica, L. Vida-Simiti","doi":"10.12680/balneo.2018.198","DOIUrl":"https://doi.org/10.12680/balneo.2018.198","url":null,"abstract":"Abstract Heart failure is a significant healthcare problem, because of its impact at the individual and populational level, through multiple rehospitalizations and increased morbi-mortality. At the individual level, the multidimensional impact of this clinical condition and its treatment on patients' daily lives is reflected in the quality of life (QoL). QoL needs to be accurately measured, because it’s related to high hospitalization and mortality rates and provides valuable information that cannot be directly obtained using clinical, biological or imaging measurements. For these reasons, QoL evaluation (global score, subscale scores, answers to various items, etc.) is a significant parameter for assessing the impact of and for structuring the cardiac rehabilitation programs (exercise training, nutritional counseling, psychosocial support and interventions, etc). In order to increase the long-term efficiency, these programs need also to include strategies to optimize and increase adherence to lifestyle changes and to medical therapy.","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42840759","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 : 2018-09-10DOI: 10.12680/BALNEO.2018.195
S. Buduru, R. Cluj-Napoca, Oana Baru, A. Mesaroș
Abstract Temporo-mandibular disorders (TMD) have become a frequently encountered pathology. Its complexity requires a higher degree of knowledge in matters of diagnosis and treatment. Although the diagnosis aspect has a golden standard represented by magnetic resonance imaging (MRI), the treatment part is not completely understood. Low-level laser therapy (LLLT) has been used as one of the tools to treat TMD for more than ten years now. The aim of this study is to evaluate the scientifically based evidence on the efficacy of low-level laser therapy in the treatment of TMD. Material and methods: An electronically search of the PubMed and Science Direct data bases has been performed starting from 2008 and up to June 2018. Selection criteria included: human subjects, articles written in English, review type articles. Results: After a careful review of the aforementioned databases, we have included in this present update a number of 10 articles. Conclusion: The association between TMD and LLLT seems to bring about an improvement of the symptoms related to this pathology. Although the results in reducing pain and improving oral function are encouraging, the heterogeneous laser parameters used in therapy and lack of standardization does not allow the elaboration of a certain clinical guideline. Further research is recommended to establish an evidenced-based protocol.
{"title":"The low- level laser therapy in temporo-mandibular disorders-an update of the current literature","authors":"S. Buduru, R. Cluj-Napoca, Oana Baru, A. Mesaroș","doi":"10.12680/BALNEO.2018.195","DOIUrl":"https://doi.org/10.12680/BALNEO.2018.195","url":null,"abstract":"Abstract Temporo-mandibular disorders (TMD) have become a frequently encountered pathology. Its complexity requires a higher degree of knowledge in matters of diagnosis and treatment. Although the diagnosis aspect has a golden standard represented by magnetic resonance imaging (MRI), the treatment part is not completely understood. Low-level laser therapy (LLLT) has been used as one of the tools to treat TMD for more than ten years now. The aim of this study is to evaluate the scientifically based evidence on the efficacy of low-level laser therapy in the treatment of TMD. Material and methods: An electronically search of the PubMed and Science Direct data bases has been performed starting from 2008 and up to June 2018. Selection criteria included: human subjects, articles written in English, review type articles. Results: After a careful review of the aforementioned databases, we have included in this present update a number of 10 articles. Conclusion: The association between TMD and LLLT seems to bring about an improvement of the symptoms related to this pathology. Although the results in reducing pain and improving oral function are encouraging, the heterogeneous laser parameters used in therapy and lack of standardization does not allow the elaboration of a certain clinical guideline. Further research is recommended to establish an evidenced-based protocol.","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44372604","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 : 2018-09-10DOI: 10.12680/balneo.2018.189
Bogdan Duțu, Traumatology Tg-Mures, D. Pop, D. Zdrenghea, H. Comșa, A. Iancu
{"title":"The place and role of rehabilitation in patients undergoing endovascular revascularization for chronic critical ischemia","authors":"Bogdan Duțu, Traumatology Tg-Mures, D. Pop, D. Zdrenghea, H. Comșa, A. Iancu","doi":"10.12680/balneo.2018.189","DOIUrl":"https://doi.org/10.12680/balneo.2018.189","url":null,"abstract":"","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43488345","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 : 2018-09-10DOI: 10.12680/balneo.2018.194
I. Zabolotna, S. Gushcha, L MikhailenkoVladimir
Abstract Non-alcoholic fat liver disease (NAFLD) is an urgent problem of modern healthcare and ranks first among all liver diseases worldwide, assuming the nature of an epidemic. The pathogenesis of NAFLD is complex and insufficiently studied, and therefore pharmacological therapy is not always effective and causes negative side effects (or complications). Treatment with mineral waters (MW) is one of the most effective methods of treating diseases of the digestive system and metabolic disorders. Objective: to study the effect of sulphate MW on metabolic disturbances in rats with the experimental NAFLD model for the purpose of scientifically substantiating its use in the complex of treatment of patients. Morphological studies have established that the use of sulfate MW in healthy animals causes an increase in the functional activity of the liver and stomach, which indicates a pronounced biologic activity of this MW. In animals under the influence of sulphate MW was determined a significant reduction in hepatic steatosis according to the morphological study of biopsy specimens, restoration of the processes of bile formation and bile secretion, positive dynamics in the restoration of energy-dependent transmembrane ion transport. Clinical studies in the complex treatment of NAFLD with the use of sulphate MW established normalization of lipid metabolism, improvement of the functional state of the liver, decreased insulin resistance, recovery of adiponectin secretion.
{"title":"Non-alcoholic fatty liver disease and mineral waters of Ukraine – opportunities of application (experimental-clinical studies)","authors":"I. Zabolotna, S. Gushcha, L MikhailenkoVladimir","doi":"10.12680/balneo.2018.194","DOIUrl":"https://doi.org/10.12680/balneo.2018.194","url":null,"abstract":"Abstract Non-alcoholic fat liver disease (NAFLD) is an urgent problem of modern healthcare and ranks first among all liver diseases worldwide, assuming the nature of an epidemic. The pathogenesis of NAFLD is complex and insufficiently studied, and therefore pharmacological therapy is not always effective and causes negative side effects (or complications). Treatment with mineral waters (MW) is one of the most effective methods of treating diseases of the digestive system and metabolic disorders. Objective: to study the effect of sulphate MW on metabolic disturbances in rats with the experimental NAFLD model for the purpose of scientifically substantiating its use in the complex of treatment of patients. Morphological studies have established that the use of sulfate MW in healthy animals causes an increase in the functional activity of the liver and stomach, which indicates a pronounced biologic activity of this MW. In animals under the influence of sulphate MW was determined a significant reduction in hepatic steatosis according to the morphological study of biopsy specimens, restoration of the processes of bile formation and bile secretion, positive dynamics in the restoration of energy-dependent transmembrane ion transport. Clinical studies in the complex treatment of NAFLD with the use of sulphate MW established normalization of lipid metabolism, improvement of the functional state of the liver, decreased insulin resistance, recovery of adiponectin secretion.","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66297791","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 : 2018-09-10DOI: 10.12680/BALNEO.2018.199
A. Sitar-Tăut, R. Cluj-Napoca, Dan-Andrei Sitar-Tǎut, O. Cramariuc, V. Negrean, D. Sâmpelean, L. Rusu, O. Orasan, A. Fodor, G. Dogaru, A. Cozma
Abstract Introduction Recent statistics show an increase in the prevalence of the elderly population. The year 2012 was declared European Year for Active Ageing and Solidarity between Generations, and the European Commission launched campaigns like The Active and Assisted Living Joint Program (AAL JP). Rehabilitation in the elderly is a desideratum, but the problems of rehabilitation in the elderly are numerous. The aim of the study was to evaluate degree of acceptance/implementation of different technologies in Romania, of monitoring in the rehabilitation activity conducted at home. Material and methods the study comprised 154 persons with a mean age of 73.37 ± 7.33 years, of which 64 (41.6%) male and 90 (58.4%) female. All subjects completed a questionnaire regarding the living conditions and health status, about the degree of acceptance of intelligent technologies for monitoring current health status/reporting acute events. Results 18.2% used the Internet frequently, and the rest used it almost never or rarely. 71.9 % of patients agreed to wear a portable sensor (p=0.07 between men and women), 33.1% accepted videocam, 47.4% accepted a screen, 41.3% accepted living room monitoring, 68% sensor in the room on the wall and 69.1% accepted fall detection sensor. No significant differences were found regarding the acceptance vs rejection of personal sensors, living room monitoring, sensors in the room, fall detection sensors depending on the gender, income level, type of caregiving. Using of videocam and screen was influenced by type of care giving and income (p=0.002, p<0.001, respectively for screen p=0.032 and p=0.003). In conclusion, Romanian old people are not keen on using intelligent devices for health status related to acute event monitoring. More programs and measures are needed for device implementation in real life.
{"title":"Smart homes for older people involved in rehabilitation activities - reality or dream, acceptance or rejection?","authors":"A. Sitar-Tăut, R. Cluj-Napoca, Dan-Andrei Sitar-Tǎut, O. Cramariuc, V. Negrean, D. Sâmpelean, L. Rusu, O. Orasan, A. Fodor, G. Dogaru, A. Cozma","doi":"10.12680/BALNEO.2018.199","DOIUrl":"https://doi.org/10.12680/BALNEO.2018.199","url":null,"abstract":"Abstract Introduction Recent statistics show an increase in the prevalence of the elderly population. The year 2012 was declared European Year for Active Ageing and Solidarity between Generations, and the European Commission launched campaigns like The Active and Assisted Living Joint Program (AAL JP). Rehabilitation in the elderly is a desideratum, but the problems of rehabilitation in the elderly are numerous. The aim of the study was to evaluate degree of acceptance/implementation of different technologies in Romania, of monitoring in the rehabilitation activity conducted at home. Material and methods the study comprised 154 persons with a mean age of 73.37 ± 7.33 years, of which 64 (41.6%) male and 90 (58.4%) female. All subjects completed a questionnaire regarding the living conditions and health status, about the degree of acceptance of intelligent technologies for monitoring current health status/reporting acute events. Results 18.2% used the Internet frequently, and the rest used it almost never or rarely. 71.9 % of patients agreed to wear a portable sensor (p=0.07 between men and women), 33.1% accepted videocam, 47.4% accepted a screen, 41.3% accepted living room monitoring, 68% sensor in the room on the wall and 69.1% accepted fall detection sensor. No significant differences were found regarding the acceptance vs rejection of personal sensors, living room monitoring, sensors in the room, fall detection sensors depending on the gender, income level, type of caregiving. Using of videocam and screen was influenced by type of care giving and income (p=0.002, p<0.001, respectively for screen p=0.032 and p=0.003). In conclusion, Romanian old people are not keen on using intelligent devices for health status related to acute event monitoring. More programs and measures are needed for device implementation in real life.","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41959712","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 : 2018-09-10DOI: 10.12680/balneo.2018.209
C. Daia, D. Nita, Sabina Solcan, A. Mihai, Nicoleta Chiriloi, G. Onose, Bucharest Romania Pharmacy ”Carol Davila”
Abstract Introduction: Anoxic encephalopathy is one of the hardest rehabilitation condition which can generate cognitive dysfunction and tetraparesis. The multimodal/ pleiotropic therapeutical approach by influencing endogenous defense activity, a fundamental biological processes of neurogenesis, neuroprotection, neuroplasticity and neurotrophicity and counteracting neurogenic inflammation and the secondary phenomenoms according to the “tooth paste theory” combined with a specific rehabilitation program could be a benefic therapeutical association.1-2 Matherials and methods: A 42 years old patient without any previous medical conditions was admitted in our Neural-Muscular clinic division with cognitive impairment and spastic tetraparesis after anoxic encephalopathy. The case report presentation was approved by TEHBA Bioethics Commission (No.9181/11.April.2018). The patient was clinically, para-clinically and functionally assessed according to the standardized protocols implemented in our clinic through the assessment scales (AIS, FIM, QoL-Quality of Life, Asworth, Penn, FAC, WISCI II). Results: The combined and complex rehabilitation program led in this specific case to a complete cognition remission and substancial locomotor regaining: at discharge the patients having independence of walking. Conclusions: The modern ambivalent approach of spastic tetraparesis and cognitive impairment emerging from anoxic encephalopathy could be a succeful therapeutical management leading in some cases to a complete recovery.
{"title":"Succesful rehabilitation program – including multimodal strategies of a patient with spastic tetraparesis due to anoxic encephalopathy","authors":"C. Daia, D. Nita, Sabina Solcan, A. Mihai, Nicoleta Chiriloi, G. Onose, Bucharest Romania Pharmacy ”Carol Davila”","doi":"10.12680/balneo.2018.209","DOIUrl":"https://doi.org/10.12680/balneo.2018.209","url":null,"abstract":"Abstract Introduction: Anoxic encephalopathy is one of the hardest rehabilitation condition which can generate cognitive dysfunction and tetraparesis. The multimodal/ pleiotropic therapeutical approach by influencing endogenous defense activity, a fundamental biological processes of neurogenesis, neuroprotection, neuroplasticity and neurotrophicity and counteracting neurogenic inflammation and the secondary phenomenoms according to the “tooth paste theory” combined with a specific rehabilitation program could be a benefic therapeutical association.1-2 Matherials and methods: A 42 years old patient without any previous medical conditions was admitted in our Neural-Muscular clinic division with cognitive impairment and spastic tetraparesis after anoxic encephalopathy. The case report presentation was approved by TEHBA Bioethics Commission (No.9181/11.April.2018). The patient was clinically, para-clinically and functionally assessed according to the standardized protocols implemented in our clinic through the assessment scales (AIS, FIM, QoL-Quality of Life, Asworth, Penn, FAC, WISCI II). Results: The combined and complex rehabilitation program led in this specific case to a complete cognition remission and substancial locomotor regaining: at discharge the patients having independence of walking. Conclusions: The modern ambivalent approach of spastic tetraparesis and cognitive impairment emerging from anoxic encephalopathy could be a succeful therapeutical management leading in some cases to a complete recovery.","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44753692","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 : 2018-09-10DOI: 10.12680/balneo.2018.210
A. Dumitrașcu, Iulia Nohai, S. Stoica, Carmen Chihpăruș, M. Lăpădat, I. Andone, G. Onose, Bucharest Romania Pharmacy ”Carol Davila”
Introduction: We live in a multisensory environment and the interaction between our genes and the environment shapes our brains. Cortical blindness as a result of head trauma (to the brain's occipital cortex) is a rare phenomenon and can be a total or partial loss of vision in a normal-appearing eye. How patients will adjust to the loss of vision and its consequences might be a challenge let along if they have mobility impairment (tetraplegia) as well. Adaptation and reintegration of patients into society after motor recovery in the context of visual sensory deficit is mandatory. Cognitive and behavioral changes, difficulties maintaining personal relationships and coping with school and work are reported by survivors as more disabling than any residual physical deficits. As with all rehabilitation, the goal is to help the person achieve the maximum degree of return to their previous level of functioning. Material and method: Having the patient and TEHBA Bioethics Committee approval No.9181/11.04.2018, we will present the evolution of a case with posttraumatic spastic tetraplegia post severe traumatic brain injury, blindness post traumatic bilateral occipital lesions and psycho-cognitive syndrome. Clinical and paraclinical aspects will be discussed (patient history and clinical examination, results of imaging and laboratory tests, the nerve, muscles, joint and kinesiology exams, specific rating scales, both medical and kinesio-therapeutic treatments). Results: We will address the case in terms of particularities and treatment approach (neurorehabilitation of a motor deficit in the context of a major sensory deficiency) and evolution during hospitalization. Conclusions: Trauma has been known to result in cortical blindness but the exact pathophysiology remains unknown and remains a matter of continued debate. Cortical blindness may occur after trauma, however, most cases regardless of etiology, are reversible and have no long-term sequelae. While TBI can cause long-term physical disability, it is the complex neurobehavioral sequelae that produce the greatest disruption to quality of life. As with all rehabilitation, the goal is to help the person achieve the maximum degree of return to their previous level of functioning. In the setting of polytrauma, a careful ophthalmologic and neurologic examination of the trauma patient, together with a high index of suspicion, is necessary for the diagnosis of this condition. Heightened awareness of the causes should be followed with appropriate imaging and management. PSYCHO-COGNITIVE SYNDROME, BLINDNESS AND TETRAPLEGIA AFTER SEVERE TRAUMATIC BRAIN INJURY IN POLYTRAUMATIC CONTEXT (ROAD ACCIDENT) WITH FAVORABLE RECOVERY OF COGNITIVE AND MOTOR DEFICITS
{"title":"Psycho-cognitive syndrome, blindness and tetraplegia after severe traumatic brain injury in polytraumatic context (road acc.) with favorable recovery of cognitive and motor deficits","authors":"A. Dumitrașcu, Iulia Nohai, S. Stoica, Carmen Chihpăruș, M. Lăpădat, I. Andone, G. Onose, Bucharest Romania Pharmacy ”Carol Davila”","doi":"10.12680/balneo.2018.210","DOIUrl":"https://doi.org/10.12680/balneo.2018.210","url":null,"abstract":"Introduction: We live in a multisensory environment and the interaction between our genes and the environment shapes our brains. Cortical blindness as a result of head trauma (to the brain's occipital cortex) is a rare phenomenon and can be a total or partial loss of vision in a normal-appearing eye. How patients will adjust to the loss of vision and its consequences might be a challenge let along if they have mobility impairment (tetraplegia) as well. Adaptation and reintegration of patients into society after motor recovery in the context of visual sensory deficit is mandatory. Cognitive and behavioral changes, difficulties maintaining personal relationships and coping with school and work are reported by survivors as more disabling than any residual physical deficits. As with all rehabilitation, the goal is to help the person achieve the maximum degree of return to their previous level of functioning. Material and method: Having the patient and TEHBA Bioethics Committee approval No.9181/11.04.2018, we will present the evolution of a case with posttraumatic spastic tetraplegia post severe traumatic brain injury, blindness post traumatic bilateral occipital lesions and psycho-cognitive syndrome. Clinical and paraclinical aspects will be discussed (patient history and clinical examination, results of imaging and laboratory tests, the nerve, muscles, joint and kinesiology exams, specific rating scales, both medical and kinesio-therapeutic treatments). Results: We will address the case in terms of particularities and treatment approach (neurorehabilitation of a motor deficit in the context of a major sensory deficiency) and evolution during hospitalization. Conclusions: Trauma has been known to result in cortical blindness but the exact pathophysiology remains unknown and remains a matter of continued debate. Cortical blindness may occur after trauma, however, most cases regardless of etiology, are reversible and have no long-term sequelae. While TBI can cause long-term physical disability, it is the complex neurobehavioral sequelae that produce the greatest disruption to quality of life. As with all rehabilitation, the goal is to help the person achieve the maximum degree of return to their previous level of functioning. In the setting of polytrauma, a careful ophthalmologic and neurologic examination of the trauma patient, together with a high index of suspicion, is necessary for the diagnosis of this condition. Heightened awareness of the causes should be followed with appropriate imaging and management. PSYCHO-COGNITIVE SYNDROME, BLINDNESS AND TETRAPLEGIA AFTER SEVERE TRAUMATIC BRAIN INJURY IN POLYTRAUMATIC CONTEXT (ROAD ACCIDENT) WITH FAVORABLE RECOVERY OF COGNITIVE AND MOTOR DEFICITS","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46357249","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 : 2018-09-10DOI: 10.12680/BALNEO.2018.207
C. Daia, A. Mihai, D. Nita, Sabina Solcan, Nicoleta Chiriloi, G. Onose, Bucharest Romania Pharmacy ”Carol Davila”
Abstract The multidisciplinary approach of polytrauma cases including traumatic brain and spinal cord injuries, the survival represents one of the greatest challenges, but the decrease of dysfunction and minimizing the psycho-cognitive sequels are at least as important, regarding the patient’s future quality of life. Material and method Under THEBA Bioethics Commission approval (9181 / 11.04.2018), this paper presents a case of a 28-year-old patient with AIS / Frankel (A) paraplegia after a spinal cord injury SCI T3 level secondary to T4-T5 fracture surgically treated. SCI was associated with moderate traumatic brain injury TBI (subarachnoid haemorrhage), thoraco-abdominal contusion (pneumothorax stg, hepatic trauma) and multiple fractures (sternum and costal, operated), neurogenic bladder and bowel. This condition was due to a car accident, occurred on November 13, 2017. The patient was admitted with a psycho-cognitive status, complete bilateral motor deficit in the lower limbs paraplegia, sensitivity disorders anaesthesia type and sphincter disorders. The patient was clinically, paraclinical and functionally assessed according to the standardized protocols implemented in our clinic through the assessment scales: AIS, FIM, QoL-Quality of Life, Ashworth, Penn, FAC, WISCI II. Results: The patient's evolution was slow but favourable. He benefited of neurosurgical care and had thoracic surgery to extract the osteosynthesis material at the sternum. Meanwhile he learned the technique of intermittent catheterisation. As a result of rehabilitation program the patients finally reached the level of wheelchair locomotion and have completely restored the cognitive function. Conclusion: The multidisciplinary team approach consisting of physicians, kinetotherapist, nurses and auxiliary healthcare personnel was the key of the patient’s survival, eliminated the cognitive dysfunction and reduced as much as possible the locomotor one.
{"title":"Complex therapeutical rehabilitation approach in the case of a polytrauma patient with traumatic brain and spinal cord injuries – Case report","authors":"C. Daia, A. Mihai, D. Nita, Sabina Solcan, Nicoleta Chiriloi, G. Onose, Bucharest Romania Pharmacy ”Carol Davila”","doi":"10.12680/BALNEO.2018.207","DOIUrl":"https://doi.org/10.12680/BALNEO.2018.207","url":null,"abstract":"Abstract The multidisciplinary approach of polytrauma cases including traumatic brain and spinal cord injuries, the survival represents one of the greatest challenges, but the decrease of dysfunction and minimizing the psycho-cognitive sequels are at least as important, regarding the patient’s future quality of life. Material and method Under THEBA Bioethics Commission approval (9181 / 11.04.2018), this paper presents a case of a 28-year-old patient with AIS / Frankel (A) paraplegia after a spinal cord injury SCI T3 level secondary to T4-T5 fracture surgically treated. SCI was associated with moderate traumatic brain injury TBI (subarachnoid haemorrhage), thoraco-abdominal contusion (pneumothorax stg, hepatic trauma) and multiple fractures (sternum and costal, operated), neurogenic bladder and bowel. This condition was due to a car accident, occurred on November 13, 2017. The patient was admitted with a psycho-cognitive status, complete bilateral motor deficit in the lower limbs paraplegia, sensitivity disorders anaesthesia type and sphincter disorders. The patient was clinically, paraclinical and functionally assessed according to the standardized protocols implemented in our clinic through the assessment scales: AIS, FIM, QoL-Quality of Life, Ashworth, Penn, FAC, WISCI II. Results: The patient's evolution was slow but favourable. He benefited of neurosurgical care and had thoracic surgery to extract the osteosynthesis material at the sternum. Meanwhile he learned the technique of intermittent catheterisation. As a result of rehabilitation program the patients finally reached the level of wheelchair locomotion and have completely restored the cognitive function. Conclusion: The multidisciplinary team approach consisting of physicians, kinetotherapist, nurses and auxiliary healthcare personnel was the key of the patient’s survival, eliminated the cognitive dysfunction and reduced as much as possible the locomotor one.","PeriodicalId":43815,"journal":{"name":"Balneo Research Journal","volume":" ","pages":""},"PeriodicalIF":0.2,"publicationDate":"2018-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43991612","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 : 2018-09-10DOI: 10.12680/balneo.2018.202
I. Stanescu, R. Cluj-Napoca, G. Dogaru, Rita Kallo, A. Bulboacă
Abstract Intracerebral hemorrhage (ICH) is a severe type of stroke which causes bleeding in the brain parenchyma, accounting for 10-15% of all strokes. Prognosis of patients with ICH remains very poor despite new advances in management strategies, and has not improved in the last decades. Disability remains important in ICH survivors, only a small proportion of patients live an independent life after ICH. Development of new strategies in rehabilitation care is expected to improve survival and outcome after intracerebral hemorrhage. The main neurological sequellae after ICH are similar to those seen after ischemic stroke. Given the clinical and pathological differences between the two types of stroke, clinical recovery is expected to be different. Comparisons between rehabilitation results in hemorrhagic versus ischemic stroke have offered mixed results, but all of them agreed that rehabilitation is highly effective after hemorrhagic strokes. There are no standard recommendations regarding the specific procedures used in the rehabilitation program of ICH patients. In the absence of clinical data to guide specific practice, the rehabilitation of ICH patients is largely based on general principles learned from ischemic stroke recovery. Physical therapy, task-specific training, sensory stimulation, use of assistive devices for upper limb or gait functions, speech and language therapy, physiotherapy and balnear therapy are methods used in rehabilitation of patients with hemorrhagic stroke, with improvement in patients functional outcome. There is a need for further development of specific rehabilitation techniques to enhance recovery in ICH patients.
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