Knee osteoarthritis and Functional re-education. A comparison between dry and water activities

Osteoarthritis (OA) is a heterogeneous group of conditions that lead to joint symptoms and signs which are associated with defective integrity of articular cartilage, in addition to related changes in the underlying bone at the joint margins (American College of Rheumatology). Among others, the joint most commonly affected are the knees. Although there is currently no cure for OA, several treatments focusing on relieving symptoms and improving function are available. Treatments can include a combination of patient education, weight control, use of medications, and physical therapy

TEACHING METHODOLOGY OF ADAPTED PHYSICAL ACTIVITIES IN INCLUSIVE EDUCATION SCHOOL CENTERS

In the process of teaching adapted physical school education a particularly important role is played by the means of education, which can be material, methodical and intuitive. In the present paper, we intend to identify the means of adapted physical activities that respond to the objectives of adapted physical education, depending on the type of disability, in order to improve the didactic process. In this way we applied a questionnaire to physical education teachers from inclusive school centers (n=3) to find out which are the needs of conducting a physical education lesson to children with different impairments. Observing answers, we considered it appropriate to make some methodical factsheets for the acquisition of the right jump on the trampoline, depending on the three most common deficiencies in such centers. The conclusions of this methodological material are: 1. The developed material makes a substantial contribution to the fund of specialized materials in the field of adapted physical education and sports; 2. The exercises presented may be the means to achieve the objectives of the gymnastics lessons in special education

Multiple Bone Metastatic Invasion with Clinical Implications due to Ductal Mammary Carcinoma – Case report and Short Literature Review

Multidisciplinary approach of clinical cases in rehabilitations units can be very complex and divers. Method: We present a case of a woman 30 years old, whose oncological histo-ry begins 9 years ago, when the diagnosis of invasive ductal mammary infiltrating ca-nelular carcinoma grade I was made and treated by tumorectomy (lumpectomy). The pa-tient refused oncological treatment at that time and resorted to alternative medicine dur-ing a period of 7 years: diet without sugar and animal products; regular vitamin B17 treatments; almond kernel cure; high-dose intravenous vitamin C treatment for; intrave-nous ozone therapy; apitherapy with bee venom; oral administration of cannabis oil dur-ing the past four years until now; physical therapy. Results: The evolution is marked by the appearance of multiple bone metastatic lesions. The most worst clinical consequence was a hyperalgesic cervicobrachial neuralgia, due to multiple C6-T3 lytic lesions diag-nosed 2 years ago and C7 compression (close to spinal cord injury), situation which had as medical approach two surgeries interventions, radiotherapy and chemotherapy. Con-clusions: The rehabilitation program was adapted to every stage of clinical evolution and was marked by many complications. All the steps were made for functional improvement and for increase the quality of life

Incidence of spinal cord injuries in Constanta County (Romania) between 2017-2021

The purpose of this study was to investigated cases of spinal cord injury (SCI) during the years 2017-2021, in Constanta County (Romania) to update the data on SCI and thus identify the SCI trends in this region of Romania. Methods: The study retrospectively analysed patients with SCI in Constanța County, whose data (medical records) were provided to us by the Romania Motivation Foundation. This analysis was made for the period January 1, 2017 - August 31, 2021. Results: Ninety-six new traumatic cases of SCI were reported between 2017 and 2021 in Constanța County. It was found that the annual incidence is 2.48 per hundred thousand inhabitants. The male / female ratio was 5:1 and the mean age at injury was 33.52 ± 15.1 (33.41 ± 14.80 for men and 33.92 ± 16.01 for women). The most common cause of injury was unintentional fall (48.95%), followed by road accidents (39.58%), stab wounds (4.16%), gunshot wounds (3.12%) and injuries caused by diving 2.08%). Fifteen patients (15.62%) were quadriplegic, and 81 patients (84.37%) were paraplegic. The most common level of lesions was C4 (33.33%) in tetraplegics and T12 (25.92%) in paraplegics. The most common associated injury was head trauma (15.8%), followed by limb fractures (9.5%). The incidence rate of SCI in Constanta County increased (p <0.05) and the highest increase in the incidence of spinal cord injuries was observed among patients in the age groups 29 - 49 years. Conclusions: Due to the existence of limitations, it is difficult to obtain accurate epidemiological data for SCI. Therefore, more studies are needed to provide a large amount of data and evidence. Our data indicate the need to take measures both for prevention and to provide specialized care for this type of traumatic pathology

PROMOTING LEISURE PHYSICAL ACTIVITIES WITHIN STUDENTS

Objectives. The present work aims to improve the working methodology at the level of 1st and 2nd year students, in order to develop the skills of constant and continuous practice of physical leisure activities. Methods. The study was applied for 23 weeks totaling 46 practical hours on 120 students, out of which 80 boys and 40 girls. In order to verify the hypothesis, the study began with an offer made available to the students by means of presentation sheets of leisure activities. The proposals made to the students concerned activities that are not included in the university program with the possibility of choosing a schedule according to their own regime of professional activities and their own pace of life. Results. Following the analysis of the frequency of the proposed leisure activities we obtained positive results, 71% of the students having a frequency of 91% during the experiment, the rest of 29% of the students having a frequency at the practical hours of the didactic activity, of 88% hours. 53% of students opted for a single activity, and the remaining 47% of students also opted for a second activity, which denotes the attractiveness and favorable impact of the proposed activities. Most students asked for leisure activities in the natural environment (beach, forest, lake, etc.), which denotes the pleasure with which they practiced the proposed activities, preferring a different place than the usual, imposed and frequently used in didactic activity. Conclusion. The factor that determines the future of leisure is the attitude that people will adopt in this regard. Due to changing perceptions on the pleasures of life leisure will play an important role in the coming years

The Importance of Rehabilitation Programs Using Balneary Treatments in Patients with Spinal Cord Injury

The rehabilitation tools that are designed to improve the function of patients with spinal cord injury (SCI) have various effects. The goals of rehabilitation are to prevent secondary complications, maximize physical functioning, and integrate them into the community. The objective of this study is to evaluate the functional and neurological outcomes of patients with SCI after in-patient rehabilitation in a balneary unit. Methods: one hundred forty-two patients, admitted for primary rehabilitation in a two-year period (2020&ndash;2021), aged &ge;18 years with SCI, divided into traumatic SCI (T-SCI) and nontraumatic SCI (NT-SCI). The following demographic information was collected: gender, age, studies, occupation, and environment. All patients underwent an initial clinical examination which included diagnosis, causes of SCI, medication, Carmeli score, fall risk, Visual Analogue Scale (VAS) for pain, Functional Independence Measure Motor (FIMm), Functional Independence Measure Cognitive (FIMc), and Functional Independence Measure Total (FIMt). At discharge, the fall risk, VAS, FIMm, FIMc, and FIMt were analyzed. We compared the results between the two groups. Results: T-SCI group was 65 (45.77%) and the NT-SCI group was 77 (54.23%). The study analyzed the effects of rehabilitation on the functional presentation of patients with SCI. It also compared the effects of rehabilitation on T-SCI versus NT-SCI on different outcomes such as age, gender, and clinical&ndash;functional impairment. Conclusions: Physical medicine and rehabilitation increase the autonomy of patients. Neurological improvement begins in the first 10 days of complex rehabilitation treatment and is not significantly different between the two groups. The cause of the injury in SCI does not affect the results of the rehabilitation