A Romanian Survey on the Impact of Sars-Cov-2 Pandemic on Dystonia Patients

Barbu, Madalina Gabriela; Thompson, Dana Claudia; Popescu, Marius; Beiu, Cristina; Mihai, Mara Mădălina; Enachescu, Catalin Ionel

doi:10.4323/rjlm.2020.208

Cited by 3 publications

(2 citation statements)

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“…Telemedicine for chronic neurological conditions could become part of everyday practice both for practitioners and patients, not only during the COVID-19 pandemic but also in less challenging times [ 5 ]. For many patients with chronic afflictions, access to timely treatment became a great issue during pandemic times, and healthcare plans should be adapted [ 6 ]. Recommendations should focus on regular physical therapy programs at home, as tele-rehabilitation programs showed their utility.…”

Section: Discussionmentioning

confidence: 99%

Tele-Rehabilitation Strategies for a Patient With Post-stroke Spasticity: A Powerful Tool Amid the COVID-19 Pandemic

Mihai¹,

Popescu²,

Beiu³

et al. 2021

Cureus

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During the COVID-19 pandemic, stroke remains a leading cause of death and disability. Since the approach towards patients, treatments, and follow-up regimens has changed, tele-rehabilitation became a pillar for patients with ongoing recovery processes and rehabilitation strategies, especially for post-stroke patients. We describe the case of a 50-year-old male, suffering from right spastic hemiplegia and patellar clonus, for whom rehabilitation services were delivered both in‐person (conventional physical therapy and radial extracorporeal shock wave therapy) as well as with the aid of a tele-rehabilitation program. Assessments were conducted remotely via a self-adapted treadmill and stabilometric equipment, both connected to the Internet. At discharge and at 20 weeks follow-up, the patient showed decreased spasticity grade, improvement in sensorimotor function, balance, functional mobility, clonus score, ambulation distance, and decreased pain intensity. The case highlights the utility of tele-rehabilitation strategies in complementing and enhancing the effects of conventional physical therapy and radial extracorporeal shock wave therapy (rESWT) in post-stroke spasticity.

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Section: Discussionmentioning

confidence: 99%

Tele-Rehabilitation Strategies for a Patient With Post-stroke Spasticity: A Powerful Tool Amid the COVID-19 Pandemic

Mihai¹,

Popescu²,

Beiu³

et al. 2021

Cureus

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“…Therefore, ACh cannot be released from the neurons into the neuromuscular junction and muscle fibers fail to contract. This original indication of BoNT-A leads to its clinical utility in a variety of medical disorders characterized by muscular hyperactivity, including blepharospasm and hemifacial spasm [39], strabismus [40], post-stroke upper-limb or lower-limb spasticity [41], and focal and generalized dystonia [42]. Currently, BoNT-A is also widely used for multiple aesthetic concerns that can be alleviated with local muscle relaxation, such as dynamic facial rhytides, particularly in the upper face [43].…”

Section: Botulinum Toxin Biologymentioning

confidence: 99%

Botulinum Toxin Use for Modulating Neuroimmune Cutaneous Activity in Psoriasis

et al. 2022

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Psoriasis is a complex immune-mediated inflammatory disorder that generates enormous interest within the scientific communities worldwide, with new therapeutic targets being constantly identified and tested. Despite the numerous topical and systemic medications available for the treatment of psoriasis, alternative therapies are still needed for the optimal management of some patients who present with localized, resistant lesions. Novel insights into the contribution of cutaneous neurogenic inflammation in the pathogenesis of psoriasis have yielded exciting new potential roles of nerve-targeting treatments, namely botulinum toxin type A (BoNT-A), for the management of this disease. This paper aims to review the existing literature on knowledge regarding the potential role of BoNT-A in psoriasis treatment, with a focus on its ability to interfere with the immunopathogenetic aspects of psoriatic disease. Furthermore, in our paper, we are also including the first report of psoriatic lesions remission following local BoNT-A injections that were administered for treating upper limb spasticity, in a patient that concomitantly suffered from psoriasis and post-stroke spasticity.

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Improving Functional Capacities and Well-Being in Older Adults: Strategies in Physical Medicine and Rehabilitation

Vancea,

Iliescu,

Aivaz

et al. 2024

Cureus

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As life expectancy continues to increase, improving the quality of life (QoL) for older adults becomes an important issue. This study investigated the impact of a two-week intensive rehabilitation program at the Techirghiol Balneal and Rehabilitation Sanatorium on older adults’ QoL, focusing on physical and cognitive function. The study employed a comprehensive geriatric assessment to evaluate the progress of 156 patients over 65 from admission to discharge. We used the Scale for Identifying Fall Risk Factors (STRATIFY) scale to assess the risk of falling, the Visual Analogue Scale (VAS) to assess pain levels, and the Functional Independence Measure (FIM) to assess motor and cognitive abilities. The program included multi-parametric evaluations and personalized treatment plans. Statistical analysis of these data led to the following results: The STRATIFY scale showed a significant improvement in patient functionality and a decrease in the risk of falling during hospitalization, with a mean difference in scores between admission and discharge ranging from 0.141 to 0.372, with a p-value of less than 0.001, confirming the clinical significance of this improvement. The VAS showed a significant reduction in pain or symptom intensity, reflected by a mean decrease of -3.141 between admission and discharge. The FIM recorded a mean increase of 1.436 in patients' motor capacity between admission and discharge, reflecting improved adaptation to daily activities, especially in the areas of self-care, sphincter control, transfer, and locomotion. Social participation and health status were positively influenced, demonstrating the benefits of short-term, intensive rehabilitation. The two-week rehabilitation program significantly improved the QoL of older adult patients. These outcomes suggested that active aging strategies could be effectively integrated into medical and institutional care frameworks, highlighting the necessity for policies that support older adults’ involvement in economic and social contexts.

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A Romanian Survey on the Impact of Sars-Cov-2 Pandemic on Dystonia Patients

Cited by 3 publications

References 0 publications

Tele-Rehabilitation Strategies for a Patient With Post-stroke Spasticity: A Powerful Tool Amid the COVID-19 Pandemic

Tele-Rehabilitation Strategies for a Patient With Post-stroke Spasticity: A Powerful Tool Amid the COVID-19 Pandemic

Botulinum Toxin Use for Modulating Neuroimmune Cutaneous Activity in Psoriasis

Improving Functional Capacities and Well-Being in Older Adults: Strategies in Physical Medicine and Rehabilitation

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