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Genova, Italy

Mihailov C.I.,Ovidius University | Mindru T.,Rehabilitation
Journal of Environmental Protection and Ecology | Year: 2015

The use of water for medical treatment is very old tradition and hydrotherapy treatments were very popular until the middle of the last century. However, no modern treatment is fully effective neither in relieving pain, nor in curing much affection, such as rheumatoid arthritis (RA). The aim of this study was to evaluate a cohort of patients with RA in order to determinate the possible association between hydrotherapy and RA. One hundred and eighty eight patients who presented polyarticular pain which was evaluated by visual analogue scale (VAS), morning stiffness over 1 h/day, and the average functional impotence were determined. All these patients effectuated physical therapy (PT) and hydrokinetotherapy (HKT) with the aim of muscle tonification, the rising of articular amplitude, restoring stability, the equilibrium and dynamic control for walking and maintaining the good joints functionality. The 1st group consisted of 110 patients with erythrocyte sedimentation rate (ERS) < 20 div/h and had completed 3 sessions/week of PT at gym. The 2nd group consisted of 78 patients with ESR > 40 div/h and had completed 3 sessions/week of HKT with Techirghiol salt water having temperature of 33°C. After 12 months of follow up, it was seen a reduction of the VAS, morning stiffness (< 30 min), easy functional impotence with the rise of articular mobility for both groups. Furthermore, the ESR was seen to be decreased at < 20 div/h for the 2nd group in respect with the 1st group. Our results suggest that HKT with Techirghiol salt water have improved the algo-functional status of the patients. The effects of the hydrotherapy could represent a useful palliative treatment in rheumatoid diseases. Source


Chang C.-Y.,Rehabilitation | Chang C.-Y.,National Defense Medical Center | Wu Y.-T.,National Defense Medical Center | Chen L.-C.,National Defense Medical Center | And 3 more authors.
Physical Therapy | Year: 2015

Background and Purpose. There are few reports in the literature of adverse effects resulting from massage therapy (MT) and no reports of brachial plexus injury (BPI) associated with MT. This case report describes an uncommon case of BPI that developed after a session of MT and reviews previously published reports of peripheral nerve injury following MT.Case Description. A 58-year-old Asian woman developed sudden unilateral paralysis of her left shoulder girdle after a session of MT. A diagnosis of acute BPI was suspected due to her recent history and the results of several examinations. The results of electrodiagnostic studies indicated a possible location for the lesion and ultimately led to a different diagnosis.Outcomes. The patient regularly participated in a twice-weekly rehabilitation program targeting the left shoulder. The rehabilitation program included supervised passive range of motion, strengthening, and stretching exercises as well as a home exercise program. A 12-month follow-up showed the patient had achieved gradual recovery of shoulder strength, resolution of limitations of range of motion, and relief of shoulder pain.Discussion. This is believed to be the first report of BPI associated with MT. This case report serves as a reminder to massage therapists and physical therapists that MT of the neck should be carefully performed to avoid injury. Further studies will help design safer and more effective MT for the future. © 2015 American Physical Therapy Association. Source


Zvijac J.E.,UHZ Sports Medicine Institute | Toriscelli T.A.,Sports Medicine and Performance | Merrick W.S.,Rehabilitation | Papp D.F.,Johns Hopkins Hospital | Kiebzak G.M.,UHZ Sports Medicine Institute
Journal of Strength and Conditioning Research | Year: 2014

Zvijac, JE, Toriscelli, TA, Merrick, WS, Papp, DF, and Kiebzak, GM. Isokinetic concentric quadriceps and hamstring normative data for elite collegiate American football players participating in the NFL scouting combine. J Strength Cond Res 28(4): 875- 883, 2014-Isokinetic concentric quadriceps and hamstring strength data using a Cybex dynamometer are collected for elite collegiate American football players invited to the annual National Football League Scouting Combine.We constructed a normative (reference) database of the Cybex strength data for the purpose of allowing comparison of an individual's values to his peers. Data reduction was performed to construct frequency distributions of hamstring/quadriceps (H/Q) ratios and side-to-side strength differences. For the cohort (n = 1,252 players), a statistically significant but very small (1.9%) mean quadriceps strength preference existed for dominant side vs. nondominant side. Peak torque (Newton meters, best repetition) for quadriceps and hamstrings was significantly correlated to player body mass (weight) (the same relationship was found for other variables using peak torque in the calculation). Peak torque varied by player position, being greatest for offensive linemen and lowest for kickers (p < 0.0001). Adjusting for body weight overcorrected these differences. The H/Q ratios and frequency distributions were similar across positions, with a mean of 0.6837 ± 0.137 for the cohort dominant side vs. 0.6940 ± 0.145 for the nondominant side (p = 0.021, n = 1,252). Considerable variation was seen for dominant-to-nondominant side difference for peak torque. For quadriceps, 47.2% of players had differences between -10% and +10%, 21.0% had a peak torque dominant-side deficit of 10% or greater compared to nondominant side, and for 31.8% of players, dominant-side peak torque was greater than 10% compared to nondominant side. For hamstrings, 57.0% of players had differences between -10%and +10%, 19.6%had a peak torque dominant-side deficit of 10% or greater compared to nondominant side, and 23.4% of players, dominant-side peak torque was greater than 10% compared to nondominant side. We observed that isokinetic absolute strength variables are dependent on body weight and vary across player position. The H/Q ratios vary only within a relatively narrow range. Side-to-side differences in strength variables >10% are common, not the exception. © 2014 National Strength and Conditioning Association. Source


Bansi J.,Rehabilitation | Bloch W.,German Sport University Cologne | Gamper U.,Rehabilitation | Kesselring J.,Rehabilitation
Multiple Sclerosis Journal | Year: 2013

Background: The influences of exercising on cytokine response, fatigue and cardiorespiratory values are important aspects of rehabilitation in persons with multiple sclerosis (PwMS). Exercise performed within these programs is often practised in water but the effects of immersion on PwMS have not been systematically investigated. Objective: The objective of this study is to determine differences in cytokine and neurotrophin concentrations, fatigue and cardiorespiratory values in response to 3 week endurance training conducted on a cycle ergometer or an aquatic bike. Methods: A randomized controlled clinical trial was conducted in 60 MS patients (Expanded Disability Status Scale range 1.0-6.5). Resting serum levels of brain-derived neurotrophic factor (BDNF), nerve growth factor (NGF), Interleukin-6, soluble receptor of IL-6 and tumor necrosis factor alpha, and concentrations in response to cardiopulmonary exercise test (CPET), fatigue and cardiorespiratory values were determined at entry and discharge. Subjects performed daily 30 minute training at 60% of VO2max. Results: Cytokines and neurotrophins showed no significant differences between groups over the training intervention. Within the water group BDNF resting and post-CPET concentrations (p<0.05) showed a significant increase and NGF tended to increase after the training intervention. Short-term effects on BDNF (CEPT) tended to increase at the start and significantly thereafter (p<0.05). No changes occurred in the land group. Other cytokines and fatigue scores remained unchanged over the training period. Cardiorespiratory values improved significantly over time within both groups. Conclusion: This study indicates that aquatic training activates BDNF regulation and can be an effective training method during rehabilitation in PwMS. © The Author(s) 2012. Source


Ohman A.,Gothenburg University | Westblom C.,Habilitation | Henriksson M.,Rehabilitation
Clinical and Experimental Rheumatology | Year: 2014

Objective: The purpose was to investigate the distribution of hypermobility among school children aged five to eight years. Methods: One hundred and twenty-eight participants were assessed using the Beighton score and the Hospital del Mar criteria. Results: With the Beighton score using the cut-off ≥4, the prevalence was 12%, and with the Hospital del Mar criteria the prevalence was 34%. There were significantly higher scores for females on both the Beighton (p=0.01) and Hospital del Mar criteria (p<0.0001). The youngest children aged five to six years scored higher compared with the seven-and eight-year-olds (p=0.016). The knee flexion was most likely to be hypermobile (97%), followed by shoulder rotation (80%), thumb (31%), elbow (27%), metatarsal-phalangeal (16%), hip (15.5%), fingers (10%) or knee (10%), ankle (6%), trunk (4%) and patella (2%). Conclusion: Gender and probably age must be taken into account when children are assessed for hypermobility. The Hospital del Mar criteria need to be modified for some of the motions. © Clinical and Experimental Rheumatology 2014. Source

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