The predictors of exercise capacity impairment in diabetic patients

Self Cite

Arterial dissections are a common cause of stroke in the young (mean age 44 to 46 years). Primary lesion is a tear of the arterial intima, which promotes platelet aggregation, thrombus formation, which further produced vessel stenosis / occlusion, distal embolism or vessel wall rupture. Vertebral artery (VA) dissection appear most commonly in extracranial segments V2 and V3, and could be spontaneous (with underlying predispositions) or triggered by various traumatisms. Clinicaly, VA dissection produces an ischemic stroke or transient ischemic attack , preceded by local symptoms such as neck pain or headache. The diagnosis is confirmed by neurovascular imaging. Treatment of symptomatic VA dissections respect indications of treatment in ischemic strokes. Prognosis is mostly favorable in extracranial dissections. We present the case of a left VA dissection in V2 segment, produced by physical effort (swimming), which causes 2 ischemic lesions, one in the territory of the left posterior cerebral artery and the other in the territory of the left posterolateral chorroidal artery. Patient's treatment included antiplatelet agents, statines, and an adapted physical rehabilitation program. At three months he showed significant clinical improvement with regain of autonomy and partial recanalisation at angio-MRI of the V2 segment of the dissected artery.

Section: Case Presentationmentioning

confidence: 73%

Neurorehabilitation in stroke produced by vertebral artery dissection: case presentation

Stănescu¹,

Bulboacă²,

Kallo³

et al. 2018

Self Cite

“…Besides specific drug therapy for these conditions, rehabilitation treatment should address specific functional impairments caused by these conditions. For that reason, a multidisciplinary team is required, especially for assessing patient's limitations in performing specific tasks and for assisting patient's safety [27]. The choice of a facility who is able to perform multitask rehabilitation is a difficult choice: inpatient rehabilitation hospitals in acute and subacute phase, outpatient ("ambulatory") clinics in subacute phase and balnear resorts in chronic ICH patients.…”

Section: Ich Patients With Co-morbiditiesmentioning

confidence: 99%

Importance of specific rehabilitation methods for patients with intracerebral hemorrage

Stănescu¹,

Cluj-Napoca²,

Dogaru³

et al. 2018

Self Cite

Intracerebral hemorrhage (ICH) is a severe type of stroke which causes bleeding in the brain parenchyma, accounting for 10-15% of all strokes. Prognosis of patients with ICH remains very poor despite new advances in management strategies, and has not improved in the last decades. Disability remains important in ICH survivors, only a small proportion of patients live an independent life after ICH. Development of new strategies in rehabilitation care is expected to improve survival and outcome after intracerebral hemorrhage. The main neurological sequellae after ICH are similar to those seen after ischemic stroke. Given the clinical and pathological differences between the two types of stroke, clinical recovery is expected to be different. Comparisons between rehabilitation results in hemorrhagic versus ischemic stroke have offered mixed results, but all of them agreed that rehabilitation is highly effective after hemorrhagic strokes. There are no standard recommendations regarding the specific procedures used in the rehabilitation program of ICH patients. In the absence of clinical data to guide specific practice, the rehabilitation of ICH patients is largely based on general principles learned from ischemic stroke recovery. Physical therapy, task-specific training, sensory stimulation, use of assistive devices for upper limb or gait functions, speech and language therapy, physiotherapy and balnear therapy are methods used in rehabilitation of patients with hemorrhagic stroke, with improvement in patients functional outcome. There is a need for further development of specific rehabilitation techniques to enhance recovery in ICH patients.

“…There were no side reactions to the treatment applied [10,11]. In the case study of a patient with chronic occlusive arterial disease, the use of carbonated mineral waters in Baile Tusnad led to an improvement of pain, an increase in the walking distance and speed [12]. An important role in the case of cardiovascular patients, the majority of which are also diagnosed with diabetes mellitus, is played, in addition to the use of natural therapeutic factors, by therapeutic exercises [13].…”

Section: Introductionmentioning

confidence: 99%

The effect of carbonated mineral water and mofette treatment in Baile Tusnad after ischemic stroke – a case report

Dogaru¹,

Motricală²,

Bulboacă³

et al. 2018

Self Cite

Carbon dioxide baths might represent an effective therapeutic method in the rehabilitation of coronary heart disease, myocardial infarction and stroke, as well as in the treatment of chronic venous insufficiency, inflammatory diseases and functional disorders. According to the World Health Organization, 5.5 million deaths from stroke were recorded in 2001, and about 15 million people survive stroke every year. Mortality from stroke is 11% for women and 8.4% for men. According to the European Association for Cardiovascular Prevention Rehabilitation, phase II and III cardiovascular rehabilitation is performed in Romania only in a proportion of 10%. The therapeutic effects of carbonated mineral waters are due to the action of carbon dioxide. This induces cutaneous vasodilation, with a decrease in blood pressure values. It also causes an increase of cardiac output, while reducing blood pressure and heart rate. Mofettes are natural emanations along the Harghita volcanic massif, which contain CO2 in concentrations of 90-98% with cutaneous vasodilator effects, increasing cerebral and muscle blood flow. The natural therapeutic factors in Baile Tusnad, consisting of carbonated mineral water baths, mofettes, climate therapy, along with medical physical culture, indicated in the rehabilitation treatment of post-stroke patients had a beneficial effect on clinical and functional symptomatology, improving the quality of gait and balance, functionality and exercise capacity in a patient who suffered stroke five years before and was followed up for three years, while she attended an annual medical rehabilitation program in Baile Tusnad. Continuing medical rehabilitation programs, in the absence of contraindications, in Romanian spa resorts for cardiovascular treatment, as well as conducting randomized clinical studies on the efficiency of these treatments is important.