The goal of the study was to review the definition of ataxia, a movement disorder in which there is in coordination of movements and postural control, its subtypes, causes, to analyze the assessment methods in rehabilitation ant the treatment modalities from the point of view of the rehabilitation team. We observed that after a long term rehabilitation treatment, the patients with ataxia improved their balance and postural reactions, increased postural stabilization, developed new upper extremity functions and independent, functional gait. Physical therapy applications play a crucial part in the rehabilitation treatment of ataxia. Of major importance are the evaluation of the patient and the establishment of the treatment methods keeping in mind that every patient has a particular form of evolution of the disease.
Ulnar neuropathy at the elbow (UNE) is the second most frequent entrapment syndrome in the upper limb after carpal tunnel syndrome. Clinical features are validated through electromyographic and sonographic examination. Although the two aforementioned entrapment syndromes share common pathophysiological traits, the conservative treatment approach for mild and moderate cases of UNE differs from that for median nerve entrapment. The present study identified 23 different types of scientific articles aimed to address this issue. The research stressed the importance of patient education and activity modification. Night splinting offers clinical and functional improvement. Although corticosteroid injections play a role in selected cases, their utility remains to be validated. Physiotherapy trials evaluated ultrasound, low-level laser therapy, diathermy, extracorporeal shock wave therapy and dry cupping. Neurodynamic mobilization may add value to therapeutic approaches and should be a part of it.
Rehabilitation of patients with low back pain is very important because the incidence of this symptom is very high among all ages, but especially after forty years. The rehabilitation team must perform a detailed clinical exam and an assessment of the functional limitations and functional goals to achieve at the end of the treatment for every patient. The goals of the therapy are normalization of impairments in flexibility, strength and endurance, and of course, reducing of pain.
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
Introduction. Stroke, followed by a suite of various clinical manifestations grouped around spastic hemiparesis characterized by the motor component, represents the third leading cause of mortality and morbidity and the leading cause of long term disability in adults at European level. In this context, the selection of optimal models for assessing functional status is a key element to outline then the real objectives of the rehabilitation program. Methods. A survey was taken in a series of patients with spastic hemiparesis 2 months to 4 years after stroke, with cognitive level and adherence tailored for the rehabilitation program and no history of mental illness or locomotor impairement. Patients were evaluated at admission using FIM and SF-36, followed a personalized therapeutic program consisting of physical therapy, electrotherapy, thermotherapy, massage, orthotics and specific treatment of the underlying disease. The same assessment was done at discharge and 6 months after it. Results and discussion. Biostatistics finds a strong, direct and statistically significant correlation between the motor component of FIM and the same one of the SF-36, and a moderate, direct and statistically significant correlation between the cognitive component of FIM and the same one of the SF-36. Conclusions. SF-36 provides important information about motor and cognitive state of patients with spastic hemiparesis and is a useful alternative for evaluation in a rehabilitation clinic, especially for patients with post stroke sequelae.
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