The ongoing concern regarding the management of the metabolic syndrome and its complications requires the permanent approach of therapeutic solutions. Balneotherapy has been used for much time for treatment of different illness. The most common uses of mineral therapeutic waters are represented by drinking or bath cures. The positive influence of this form of therapy can be attributed to the water composition and its physical chemical properties of the water fi rstly, and second to the climatic, nutritional and social factors that are specifi c to the balneary resort. The aim of the study was to express our current experience regarding the impact that balneary support has in managing different metabolic conditions. We performed a review using online databases, and also hand research of the available studies regarding the subject, in order to acquire more information regarding the research that was conducted on this fi eld. The analysis indicates a signifi cant amount of data regarding the use of mineral therapeutic waters, resulting that through their specifi c composition it can provide a modulation of the parameters that defi ne the metabolic syndrome.

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The rehabiliTaTion TreaTmenT of pain syndrome in The chronic phase of spinal cord injuries lecturer florina ojoga 1,2 , md, phd, lecturer brindusa ilinca mitoiu 1,2 , md, phd, univ. assist. delia maria clantau 1,2 , md, phd

Anterior cruciate ligament lessions represent one of the most frequently met injuries of the knee, determining pain and instability and having a decisive impact over the patients functional level and quality of life. Regardless whether or not the decision of surgical intervention is made, patients with ACL tear are at higher risk of developing osteoarthritis, long term disability and an increased risk of additional meniscus tear. Literature data, although it offers a suffi cient amount of information on the subject, still presents debates on the advantages of one rehabilitation program over another. Achieving maximal range of motion as soon as possible is a main objective in ACL injuries, restrictions of mobility leading to prolonged rehabilitation periods. The are also discussions on the benefi ts of using open versus closed kinetic chain exercises, and also to what extend can the rehabititation program be accelerated in order to return the knee to the pre-injury state. The rehabilitation program must contain a multimodal approach composed of not only adapted kinetotherapy programs, but also associated modalities such as cryotherapy, neuromuscular stimulation, use of braces or hydrokinetotherapy in order to reduce pain and effusion and increase range of motion. The purpose of the present material is to analysis the existing data on the subject, and to evaluate the therapeutic benefi t of the rehabilitation modalities used in ACL injuries.

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