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current issue number 26 / 2011

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content

Romanian Journal Of Physical Therapy

issue number 28 / 2011

Romanian Journal Of Physical Therapy

issue number 28 / 2011

REHABILITATION BALANCE ASSESSMENT IN STROKE PATIENTS USING BAROPODOMETRY

Danelciuc Francisc Tadeus,
Danelciuc Elena Mihaela,
Betiuc Mihail

Key words: ratio, asymmetry, compensation work, muscular performance.

Introduction: Capacităţile coordinative se manifestă sub forme diferite, una dintre ele fiind capacitatea de a se echilibra, cu rol hotărâtor în statică, mers, în desfăşurarea activităţilor cotidiene a persoanelor post AVC. Studiul efectuat şi-a propus să evidenţieze avantajele pe care poate să le ofere un echipament adecvat şi judicios utilizat în recuperarea persoanelor post AVC, atât pentru evaluarea echilibrului cu ajutorul baropodometriei electronice cât şi antrenarea (recuperarea) lui prin utilizarea dispozitivelor de fizioterapie MBT.

STUDY ON THE FED METHOD APPLICATION IN THORACO-LUMBAR SCOLIOSIS

Elena Caciulan,
Daniela Stanca,
Dana Marin

Key words: fastening-elongating-de-rotating, selfcorrectiv physical therapy, ortospinal device.

Introduction: Scoliosis is a chapter that has not yet been resolved, a "black spot" of orthopedics. For this reason we believe that it remains open to explore and search permanent to find more efficient techniques and methods. FED method (fixation, elongation, derotation) was designed to treat spinal deviations and consists in three-dimensional fixation, its elongation and derotation through corrective pressure, performed intermittently or continuously, as well as patient's postural control during periods of relaxation.
Scope of this study is the selection and systematization of existing information about the recovery of scoliosis, using physical means, techniques of elongation-derotation-fixing and physical therapy, and establish an effective therapeutic plan, the implementation in practice of research in recent years.
Material and methods: In this case study we chose DT patient female diagnosed with idiopathic thoraco-lumbar scoliosis with right concavity, aged 11 years. The study was conducted during June 2009-March 2011. The subject was evaluated in dynamic, every 6 months, both by Prof. Santos Sastre and Recovery Team Medical Center kinetic Dema Group.
Results: Height: 168 cm/172 cm, Weight: 49 Kg / 51 Kg, Cobb angle in thoracic region: 250/160, the Cobb angle in the lumbar region 250/160, vertebral rotation 280/150.
Conclusions: The combination of physical means, techniques of fixing- elongation-derotation- and physical therapy are able to correct scolisis. Correcting the spine deviation is closely linked to periods of growth of children. For satisfactory results it is mandatory wearing corset Chêneau.

Spitalul de Neuropsihiatrie Cronici Siret, Romania, ¹Universitatea “Ştefan cel Mare” Suceava, FEFS-secţia Kinetoterapie
E-mail: danelciuc_tadeus@yahoo.com

Centrul Şcolar pentru Educaţie Incluzivă Suceava, Romania

Direcţia de Asistenţă Socială şi Protecţia Copilului Suceava, Romania

Centrul de recuperare Medicala Kineto Dema
E-mail: elena_caciulan@yahoo.com

AN OBJECTIFICATION OF THE RELAXING MASSAGE EFFECTS ON PULMONARY RESPIRATION

Mârza-Dănilă Doina,
Dobreci Lucian,
Stud. Lucaci Diana

Key words: respiration, relaxing massage, optimal function of the body.

Abstract:Pulmonary respiration, as a main stage in performing the breathing act, being very important in ensuring an optimal functioning of the whole body, must be permanently maintained within functional parameters, in healthy people, and especially in the persons who are suffering, or have suffered from respiratory conditions. Among the methods and means used by the physical therapy to rehabilitate, maintain, and/or improve the functionality of the respiratory system, is the massage. Aim:This study aimed to emphasize how much the classical relaxing massage can contribute to influencing in a positive manner the pulmonary respiration, establishing the effects it has on the respiratory rate, and on the respiratory amplitude and duration of the breaths, objectifying them through the recordings made using the BIOPAC computer system. Results: have proven the fact that in the case of applying the relaxing massage on the back, as in the case of applying it on the anterior thorax, there is a drop in the duration of the inhalation, and a decrease of the respiratory rate, as well as an increase in the duration of the exhalation and the respiratory cycle. Conclusions: Objectifying these effects can constitute a solid scientific basis for justifying the use of the relaxing massage on healthy persons and/or with different respiratory conditions, according to their needs.

ASPECTS OF SOCIAL INTEGRATION OF MENTALLY DISABLED PEOPLE THROUGH SPORTS

Mirela Dan,
Ioan-Cosmin Boca

Key words: social integration, mental disability, sports.

Abstract:Practiced in educational institutions but also in leisure, sport became a profession requiring not only active involvement but also participation to the show offered by him, thus having a large social area. Purpose: Emphasizing the importance of sport as a primary approach of social integration for people with mental disabilities.Methods: We analyzed the specialized literature using bibliographic study and we identified a total of 23 references from which we selected a number of 12 bibliographic materials that were representative to bring an additional argument to the importance of sport as a primary approach of social integration of persons with mental disabilities. In terms of form documents were consulted books and journals, various graphic and electronic information sources (internet). Results: Bibliographic references cited support the idea of the importance of social integration of people with mental disabilities through sports and they are addressing different aspects that together provide an overview of the complexity of this process, emphasizing the necessity to develop the right environment, both in terms of material and human resources, to achieve this goal in optimal conditions. Discussions: Scientific research results and practical experience have shown the importance of exercise practice in general, and sport, especially for people with disabilities, which leads to the idea that the state, society must give more importance to the role of sport in his social policy and strategy regarding the protection of persons with disabilities.

Prof. Univ. dr., Universitatea Vasile Alecsandri din Bacau, Facultatea de Ştiinţe ale Mişcării, Sportului şi Sănătăţii, Departamentul de Kinetoterapie şi Terapie ocupaţională
email: marzad2001@yahoo.com

Lect. Univ.dr. Universitatea Vasile Alecsandri din Bacau, Facultatea de Ştiinţe ale Mişcării, Sportului şi Sănătăţii, Departamentul de Kinetoterapie şi Terapie ocupaţională

Student, Universitatea Vasile Alecsandri din Bacau, Facultatea de Ştiinţe ale Mişcării, Sportului şi Sănătăţii, Departamentul de Kinetoterapie şi Terapie ocupaţională

Conf.univ.dr. - Universiatetea de Vest “Vasile Goldiş” din Arad
email: kineto2004@yahoo.com

Prep.univ.drd. - Universiatetea de Vest “Vasile Goldiş” din Arad

CONSIDERATIONS ON DEPRESSION AND STRESS KINETOPROPHILAXY

Veronica Dan,
D. Luiuz,
B.A. Hagiu

Key words: depression, stress, fitness.

Abstract: All sports activities induce a state of psychological well-being, reduce anxiety, depression and psychosocial stress.Purpose: We set investigation level of depression, energy and stress compared to a lot of male fitness practitioners from the non-practicing. Materials and methods: Research was conducted on 20 male subjects, 10 fitness practitioners and 10 sedentary who have completed 20 questionnaires containing 12 items each for three scales (depression, stress and energy), adapted to the two categories.Results: Exercicers have a lower level of depression, perceive themselves as less stressed and feel more energetic compared with nonathletes.Conclusions: The results suggest the possibility possibility of kinetic prophylaxis of depression, due to induction of testosterone secretion through exercise, hormone endowed with antidepressant effect.

PSYCHO-MOTRIC REHABILITATION IN CHILDREN WITH AGENESIS OF CORPUS CALLOSUM (Case study)

Zărnica I. Manuela Mirela

Key words: multiple sclerosis, daily activities, balance, Frenkel method.corpus callosum, agenesis, callous disconexion, assessment, psicho-motric rehabilitation, game.

Abstract: Agenesis of corpus callosum is a new challenge for the puluridisciplinary team, in their efforts for the rehabilitation of childrens with this diagnose, because is a rare congenital desease with an unknown frequence of emergence. Scope: This paperwork aims to present the approach modalities of the child with agenesis of corpus callousum and the means of physical therapy that may help.
Methods: This is a case study of a 5 years old girl with asenesis of corpus callosum. For assessment we used motor assessment, range of motion, reflexes. Exercises from different positions were done as games and motric songs. Sensory stimulation was also done.
Results: By direct observation of the patient we observed significant improvement in motor function. We also foud unexpected improvement of quiet stance and dynamic balance, sensory-motor coordination. Conclusions: Game, tha main therapeutic method through its form, diversity and characteristics - atractivity, directness, creativity, movement freedom – is the main supplement of child psicho-motric development. A balanced distribution of influences upon motricity, psychic, thinking and action, nonverbal and expression language, represent the qualitative peculiarity of specialist’s and parents efforts.

S.C. INFOMASS-LORENS S.R.L., Punct de lucru Iaşi
e-mail: veronik_1927@yahoo.com
Club Armony, Iaşi
Facultatea de Educaţie Fizică şi Sport, Univ. „Alexandru Ioan Cuza”, Iaşi
Kinetpterapeut, Spitalul Arcadia, Str. Cicoarei nr.2, Iaşi, M: +40 751 012 905
e-mail: manitu1968@yahoo.com

PHYSICAL THERAPY FOR NORMALIZING THE STATO-KINETIC FUNCTION

Pasztai Zoltan

Key words: stato-kinetic function, muscular stretching technique, functional parameters, proportionality indexes.

Abstract:The study assessed the efficiency of physical therapy, in order to normalize the stato-kinetic function:

• the efficiency of the prophylaxis and the treatment through movement;
• assuring the muscular agonist-antagonist balance of the stato-kinetic function

Metods: The study has been performed on 5 grups of children 6 to 10 years old ( n=76), that were examined and tested for this research. During the research we applied different programmes using the modern approaches of physical therapy, hydro-stretching, respiratory techniques, specific methods for increasing the functional parameters. Results : The comparisons between the groups in relations to diagnoses >following index p-p: significant level of p < 0,002, the value t = -1,63 The correlations in relation to the comparison to the entire experimental groups have an average of the minimal values of -3,51 mV with a standard deviation of 0,723, a maxim of 3,47 mV with a standard deviation of 0,760, the variable p-p has an average of 6,99 mV with a standard deviation of 1,48 and a median of -0,014 with a standard deviation of 0,008.Conclusions: The muscular force of the quadriceps shows an increase to all experimental groups which is confirmed by the left/right knee mobility test, the combined box test, and EMG registrations for left and right limbs. As a consequence the studied aspects can be dealt with in a future research, ( modul and model Bernstein and the functional comportament development).

MUSCULAR ASSESSMENT OF PATIENT WITH TITAL HIP ARTROPLASTY –COMPARATIVE TESTS

Marius Neculaes

Key words: muscular testing, muscular hypotonia, endoprosthesis.

Abstract: Having in mind the high frequency of this type of intervention, the essential role of physical therapy in biomechanical assessment and functional rehabilitation of the hip with arthroplasty, is also rising. Scope: This study aims to analyse the muscular evolution of patient with total hip arthroplasty, during the two phases of the treatment, in this way establishing the degree of patient functional rehabilitation. Methods: Study was made on a group of 17 patients with coxarthrosis having an indication for total hip atrhtoplasty. These interventions were made during 19 of Septembre 2009 – 30 of August 2011, in the Orthopedic Department of The Clinic Rehabilitation Hospital from Iași and Arcadia Hospital. For this objective, a comparative assessment has made, between manual muscular testing and muscular testing with Myotest Pro. Results: The middle and final assessment showed a tendence of improvement in muscular strengths, especially in persons who received regular physical therapy, versus patients who had just home care program, with no specialized intervention. Conclusions: Manual muscular testing represents an objective test în muscular strength assessment of the patient with endoprosthesis and not only, being confirmed by testing with Myotest.

Prof.univ.dr. Facultatea de Geografie, Turism şi Sport, Departamentul de Educaţie Fizică, Sport şi Kinetoterapie
email: pasztayzoltan@yahoo.com

Asist univ drd, Universitatea. Alexandru Ioan Cuza din Iaşi
email: neculaes_marius@yahoo.com