Physical Therapy and Functional Motor Recovery in Patient with Guillain-Barré Syndrome - Case Report

Introduction: Guillain-Barré syndrome (GBS) is an autoimmune disease with sudden onset and progressive impairment of the peripheral nerves. Aim: To study the influence of applied physical therapy (PT) on functional recovery in patient with a prolonged complicated course of GBS, Landry ascending paralysis and assisted breathing and 4 months in-hospital stay. Case report: The study was conducted with a 34-year-old woman in subacute stage of GBS, over the course of 2 months in the patient’s home, after discharge. PT sessions were performed 3-4 times per week for 1-hour duration, moderate intensity, without reaching fatigue. Correct positioning in bed, passive-active exercises, analytical exercises, exercises for strength of abdominal muscles, breathing exercises, training balance and coordination of sitting and standing, and massage were applied. PT included correct positioning in bed, passive-active exercises, analytical exercises, exercises for strength of abdominal muscles, breathing exercises, training balance and coordination of sitting and standing, and massage. Tests for bed mobility and transfers, Five Times Sit-To-Stand Test (FTSTS) and 10 Meters Walking Test (10MW) were applied twice in order to monitor the effect of PT. Results and Discussion: The results showed an improvement in the speed of patient’s response for transfers. Time for performing FTSTS decreased 33 sec. Improvement in bed mobility, walking speed and cadence are also observed. Conclusion: After two months of treatment functional mobility of the patient was improved

INFLUENCE OF PHYSIOTHERAPY AND BALNEOTHERAPY IN PATIENTS WITH SPINAL DISC DISEASE

Chronic spinal disc disease has a large socioeconomic impact on the health care system. A lot of researchers confirm that physiotherapy (PT) is an effective choice of treatment for many patients. The aim of the present study is to evaluate the combined effect of physiotherapy and balneotherapy the treatment of lumbar disc disease and to compare the results with those obtained only after physio-therapy. Twenty patients with lumbar disc disease in the chronic period, divided into two groups – experimental and control were studied. The experimental group did exercises in a thermal mineral pool and underwent a general PT program for ten days, while the control group had only general PT program for ten days. The general PT program was the same for both groups. Before and after the treatment the Schober test and the static part of the Kraus-Weber test were conducted. We revealed significant positive changes in the lumbar flexibility, endurance and strength of the back muscles, mm. glutei, abdominal muscles and the hip flexors among the patients from the experimental group, objectified by the increased time to perform the static test positions of Kraus-Weber Test and Schober test. We recommend our program with PT and balneotherapy as appropriate when dealing with patients with chronic lumbar spine disease in balneological resorts and SPA hotels

Errata Corrige. Orthostatic Reactivity in Patients with Ischemic Stroke in the Chronic Period. http://dx.doi.org/10.3889/oamjms.2015.090

[See http://dx.doi.org/10.3889/oamjms.2015.090 and http://dx.doi.org/10.3889/oamjms.2015.094]AIM: This study aims to trace the influence of specialized kinesitherapeutic methodology (SKTM) on orthostatic reactivity in patients with ischemic stroke in the chronic period (ISChP).MATERIAL AND METHODS: An active orthostatic test is used for the evaluation of the orthostatic reactions. The arterial blood pressure and heart rate were defined in the 10 minutes of supine position, before and after 1, 5 and 10 minutes of active upright position. The orthostatic autoregulation is evaluated four times - at the beginning of the study, on the 10th day, on the 1st month and three months after the start of the KT. The classification by Thulesius was used to separate the patients into two groups depending on the type of their orthostatic reactivity.RESULTS: At the beginning of the study of infringements symptomatic type orthostatic reactivity (SOR) was observed in 24 patients and hypertensive type orthostatic reactivity (HOR) was observed in the remaining 32 patients. Once applied SKTM establish improvement of orthostatic autoregulation for the groups SOR and HOR at the 10th day and the 1st month with a level of significance p <0.05.CONCLUSION: The applied specialized kinesitherapeutic methodology continued later as an adapted exercise program at home, has significantly improved the orthostatic reactivity in patients with orthostatic dysregulation due to the ISChP

PHYSICAL THERAPY AND SWIMMING INFLUENCE ON FEMALE TYPE OF ADIPOSE DEPOSITION AND CELLULITE

Cellulite is a very common problem with women of all ages, and many of them try to solve it using various methods. To evaluate the effect of swimming and physiotherapy on subcutaneous fat in overweight women with female type of adipose deposition. The research was done among 38 women aged between 22 and 48 years, with gynoid accumulation of fat and cellulite II, III-A and III-B classes. For one month, a com-plex of fifteen procedures was applied every other day. The procedures included a combination of the following methods: free style intermittent swimming for 20 min in a pool, a vacuum massage - 30 min, a lymphatic press massage - 20 min, a manual massage with anti-cellulite creams - 20 min. The combination of exercises for the muscles of the abdominal wall, hip muscles and thighs had to be performed at home daily. Five circumferences and ten skin folds were measured before and after the treatment. We found out that a total of ten skin folds was an integral indicator of the nutritional obesity degree and level of subcutaneous fat. At the end of the study, subcutaneous fat was reduced from 222.4 mm to 209.9 mm (10.34%). The reduction of the skin folds, typical for gynoid type deposition of fat and cellulites, was the most pronounced in the following zones: a fold over anterior superior iliac spine, a fold over the patella, a fold in the popliteal fossa and a fold on the medial side of the cruris. The results of the complex therapeutic approach revealed a reduction in the examined indicators within the first month. It is suitable to apply swimming and physiotherapy in the comprehensive treatment of cellulite with women who have female type of adipose deposition

Orthostatic Reactivity in Patients with Ischemic Stroke in the Chronic Period

[This article has been corrected.  See http://dx.doi.org/10.3889/oamjms.2015.094 and http://dx.doi.org/10.3889/oamjms.2015.095] AIM: This study aims to trace the influence of specialized kinesitherapeutic methodology (SKTM) on orthostatic reactivity in patients with ischemic stroke in the chronic period (ISChP).MATERIAL AND METHODS: An active orthostatic test is used for the evaluation of the orthostatic reactions. The arterial blood pressure and heart rate were defined in the 10 minutes of supine position, before and after 1, 5 and 10 minutes of active upright position. The orthostatic autoregulation is evaluated four times - at the beginning of the study, on the 10th day, on the 1st month and three months after the start of the KT. The classification by Thulesius was used to separate the patients into two groups depending on the type of their orthostatic reactivity.RESULTS: At the beginning of the study of infringements symptomatic type orthostatic reactivity (SOR) was observed in 24 patients and hypertensive type orthostatic reactivity (HOR) was observed in the remaining 32 patients. Once applied SKTM establish improvement of orthostatic autoregulation for the groups SOR and HOR at the 10th day and the 1st month with a level of significance p <0.05.CONCLUSION: The applied specialized kinesitherapeutic methodology continued later as an adapted exercise program at home, has significantly improved the orthostatic reactivity in patients with orthostatic dysregulation due to the ISChP

Influence of Kinesitherapy on Balance Reactions in Patients with Ischemic Stroke in the Chronic Period

AIM: The study aims to trace the influence of specialized kinesitherapeutic methodology (SKTM) on balance reactions in patients with ischemic stroke in the chronic period (ISChP).MATERIAL AND METHODS: A prospective, multicenter study with 56 patients with ISChP. Evaluation of balance reactions using Berg Balance Scale - BBS, includes implementation of 14 tasks with increasing difficulty reflecting the usual activities of everyday life. The first 5 assignments are used to assess the main balance potential and the remaining 9 (6th to 14th task) include more sophisticated balance tasks.RESULTS: The patients were found with a significant improvement in balance opportunities, according to the scale of Berg. Compared to initial data there is a significant increase in the number of points in the measured indicators for functional and static balance. In absolute terms, positive change is most pronounced during the 1st month with a level of significance of p <0.001. CONCLUSION: The applied specialized kinesitherapeutic methodology continued later as adapted exercise program at home, and significantly improved equilibrium reactions in patients with postural disorders because of ischemic stroke and is with a supportive prolonged exposure

European Red List of Trees

The European Red List is a review of the status of European species according to IUCN regional Red Listing guidelines. It identifies those species that are threatened with extinction at the regional level – in order that appropriate conservation action can be taken to improve their status. This publication summarises results for all Europe’s native species of tree (454 species), of which 265 species (over 58%) are endemic to continental Europe, with 56% (252 species) endemic to the 28 EU Member States. Of these, 168 (42%) of the species are threatened with extinction at the European level, however, for 57 species (nearly 13%) there was insufficient information to assign a conservation status, and are therefore classified as Data Deficient, and in need of further research. The main threat to tree species in Europe has been identified as invasive or problematic species, impacting 38% of tree species, followed by deforestation and wood harvesting, and urban development (both affecting 20% of tree species). For threatened species, livestock farming, land abandonment, changes in forest and woodland management, and other ecosystem modifications such as fire are the major threats, impacting the survival of trees.Peer reviewe

MINING AND MINERAL PROCESSING 50 years University of Mining and Geology

ABSTRACT The constitution of the three-phase froth is decisive for the selectivity of the running flotation process. The influence of the density of the flotation pulp is investigated as on the process of secondary enrichment of the concentrate also on the selectivity of the process of precipitation of the minerals form the three-phase troth with the drainage waters. This connection of secondary enrichment is investigated as contrary to the hydrophobicity of the minerals and thus with the size of the mineral particles

Effect of kinesitherapy on physical activity in patient with Guillain-Barré syndrome

Introduction: Guillain-Barré syndrome is an autoimmune disease characterized by sudden onset and progressive impairment of peripheral nerves. It is a rare disorder in which weakness and tingling in the extremities are usually the first symptoms. Aim: To study the influence of the applied kinesitherapy in a patient with Guillain-Barré syndrome with severe and protracted course of the disease by deterioration with Landry ascending paralysis and assisted breathing. Material and Methods: The study was conducted with a female, 34 years old in the subacute stage within two months at home. The kinesitherapy sessions are performed 2-3 times per week with 1-hour duration, moderate intensity, more breaks between exercises without reaching fatigue. We applied correct positioning in bed and seating, passive-active exercises, analytical exercises for upper and lower limbs, breathing exercises, training balance and coordination of sitting and standing and massage techniques. To monitor the effect of kinesitherapy the patient performed twice tests for transfers (turning from lying on his back to the left and right side; lying to sitting and sitting to standing). We use also the test "Five Times Sit To Stand" which is appropriate to assess the possibilities for transfer. Results and Discussion: The results showed an improvement in the speed of response of the patient for changing the body position and transfer due to systematic applying of various therapeutic exercises including exercises for strength of lower limbs and abdominal muscles. The time for performing the test "Five Times Sit To Stand" decreased with 33 sec, which is indicative of the strength of the lower limbs and a big step towards the independence of the patient. The correct position of the body and speed is essential. If the speed of movement of the trunk is less, then it will be a greater loading of the lower extremities. The test also aims to establish coordination and consistency of movements between the trunk and lower limbs. Conclusion: After a two-month kinesitherapy an improvement of functional status of the patient was observed. Key words: Guillain-Barré syndrome, kinesitherapy, physical mobilit

Influence of kinesitherapy on functional mobility in patients with Parkinson’s disease

Backround: The management of Parkinson’s disease (PD) has traditionally centred on drug treatment but even with optimal medical management, patients still experience a deterioration of body function, daily activities, participation and decline in mobility. Aim: To investigate the effect of kinesitherapy on general physical activity in patients with PD. Material and Methods: Four patients with Parkinson's disease (Schwab&England 60%) were studied. We assessed the patient's changes in motor activity before treatment, after 10th session and after the 20th session of kinesitherapy. Activities of daily living and motor disability of Unified Parkinson’s Disease Rating Scale, the time of position change (lying to sitting, sitting to standing); 10 meters walking have been studied. Results: Patients performed 20 individual sessions of kinesitherapy, 2-3 times weekly for two months. It was found improved gait, which is expressed by the increased speed of walking. The methodology of kinesitherapy improved the changes of body positions and the daily motor activity of the patients. They improved their general physical activity after treatment. Conclusion: Motor dysfunction in patients with PD is a serious problem and requires special attention, concerning the performance of daily activities. Kinesitherapy is an important therapeutic method and the correct selection of exercises could improve the efficacy of influence on the motor abilities of patients. Key words: Parkinson's disease, kinesitherap