Rehabilitation in Osteoporosis - therapeutic chalenge?

Stanciu, Liliana-Elena; Ionescu, Elena Valentina; Oprea, Corneliu I.; Elena-Roxana, Almasan; Vrăjitoru, Andreea-Bianca; Iliescu, Mădălina Gabriela

doi:10.12680/balneo.2020.388

Cited by 6 publications

(1 citation statement)

References 34 publications

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“…Glazachev's study from 2017 demonstrated that blood glucose was significantly lower at one-month follow-up after intermittent hypoxia-hyperoxia therapy (12). Clinical research indicates that there is a common occurrence of disturbed glucose metabolism, often manifesting as increased blood glucose levels, even when grade 1 obesity is not specifically mentioned (15).…”

Section: Discussionmentioning

confidence: 99%

Impact of Intermittent Hypoxia-Hyperoxia Therapy in COPD Patients - Pilot Study

Uzun,

Nedelcu,

Stanciu

et al. 2023

ARS Medica Tomitana

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Introduction. Intermittent hypoxia-hyperoxia therapy can contribute to increasing exercise tolerance in patients with cardiovascular, bronchopulmonary, metabolic, and neuropsychiatric pathologies, according to studies in the specialized literature. This therapy consists of the use of hypoxic intervals, interspersed with hyperoxic episodes. Material and methods. We present 7 clinical cases of patients admitted to the Balneal and Rehabilitation Sanatorium of Techirghiol (SBRT) for 2 weeks, complaining of polyarticular mechanical pain. These patients were diagnosed with chronic obstructive pulmonary disease (COPD) by the pulmonologist according to the GOLD criteria. During hospitalization, the patients underwent a complex balneo-physical-kinetic treatment, simultaneously with intermittent hypoxia-hyperoxia therapy. Patients were evaluated both at admission and discharge. Results. The evolution of the patients was favorable, with improvement in symptoms, spirometry, scales used, 6-minute walk test, HTi index and paraclinical investigations. Improvements were identified in respiratory volumes, but also in total serum cholesterol and blood glucose levels. Conclusions. Obtaining promising results gives indications that intermittent hypoxia-hyperoxia therapy can be an alternative treatment for multiple pathologies, including COPD. The therapy proved to be safe and well tolerated, representing a non-pharmacological therapy that can be included in the therapeutic management of patients with COPD.

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Section: Discussionmentioning

confidence: 99%

Impact of Intermittent Hypoxia-Hyperoxia Therapy in COPD Patients - Pilot Study

Uzun,

Nedelcu,

Stanciu

et al. 2023

ARS Medica Tomitana

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Mud therapy and rehabilitation - scientific relevance in the last six years (2015 – 2020) Systematic literature review and meta-analysis based on the PRISMA paradigm

Munteanu¹,

Rotariu

Dogaru

et al. 2020

Balneo and PRM Research Journal

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Background. Balneotherapy is a stimulation - adaptation treatment method applied in the forms of bathing, drinking, and inhalation cures performed with natural therapeutic factors, a method which is acting in three main ways: thermally, mechanically, and chemically. Mud or peloids are natural therapeutic factors formed by natural processes under the influence of biological and geological phenomena, which in a finely dissolved state and mixed with water (mud) are used in medical practice in the form of baths or local procedures. Objective. This systematic review aims to rigorously select related articles and identify within their content, the main possible uses of therapeutic mud and physiological mechanisms, to see the main region of scientific interest for pelotherapy, and to discuss the value of mud therapy in rehabilitation medicine. Methods. The working method is based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. We searched for open-access articles published in English, between January 2015 and December 2020, from the following databases: Cochrane, Elsevier, NCBI/PubMed, NCBI/PMC, PEDro, and ISI Web of Knowledge/Science (the latter was also used to identify ISI indexed articles). The contextually searched syntax used was ”Pelotherapy/Peloidotherapy/Mud-therapy/ /Fango-therapy AND Rehabilitation”. The selected articles were analyzed in detail regarding pathologies addressed by mud therapy and country scientific relevance for this therapeutic method. The meta-analysis proceeded was designated to estimate the prevalence of various pathologies in the use of mud therapy. Results. Our search identified, first, 394 articles. Based on the successive filtering stages and, respectively, on the classification criteria of the Physiotherapy Evidence Database (PEDro), we finally identified/retained and analyzed 68 articles. Although, in principle, a rigorous method – and we have followed the PRISMA type paradigm – there still might be some missing works of our related article selection. On the other hand, to augment/ consolidate our documentation base, we have used also 40 papers freely found in the literature, and even – aiming, too, at an as exhaustive knowledge underpinning as possible – derogatively, we have also considered some articles which, probably being very new, couldn't yet have reached the PEDro threshold score we have settled. Conclusions. This paper overviews the current state-of-the-art knowledge in the approach of peloidotherapy in rehabilitation, with a focal point on the therapeutic properties of peloids. Keywords: mud-therapy, pelotherapy, peloidotherapy, fango therapy, rehabilitation, balneotherapy, natural therapeutic factors,

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The importance of association between sexsteroids deficiency, reduction of bone mineral density and falling risk in men with implications in medical rehabilitation

Popa

Boicean²,

Iliescu

et al. 2021

Balneo and PRM Research Journal

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Introduction. Endocrino-metabolic rehabilitation represent one of the most complex sector in clinical medicine, regarding functional rehabilitation. Sex hormones deficiency plays an important role in the etiology of osteoporosis in men. At the same time, with age, the trophic role of androgens on muscle decreases and determines an increased frequency of falls. The objective of our study is to determine the association between sexsteroids deficiency, reduction of bone mineral density (BMD) and falling risk in men. Methods. Our retrospective cross-sectional study included 146 men aged between 65–85 years with low BMD (study group) and 121 men with normal BMD (control group). The measurement of Total testosterone (Tt), free testosterone (Tf) and estradiol (E2) serum levels was performed using the immunoassay or the immunoenzymatic methods. Femoral neck and lumbar spine BMD was determined using Dual-energy X-ray absorptiometry (DEXA). The risk of falls was assessed by Tandem Standing, Up & Go, Chair – Rising and walking speed tests. Results. We found a significantly association between Tf and E2 deficiency and low BMD (p=0.007). Also, in men with reduced BMD (study group) we observed significant lower levels of Tf (p<0.001) and E2 (p=0.003) compared to control group. E2 deficiency was associated significantly with low BMD and increased fall risk (p=0.001). At the same time the results highlighted significant lower levels of Tf in patients with BMD reduction and increased risk of falls (p=0.002). Tt deficiency was not associated with BMD reduction (p=0.088) or increased risk of falling (p=0.277). Conclusions. This research revealed a significant association between male sexsteroids deficiency, low BMD and increase of falling risk, with implications in rehabilitation program. The risk of ostoporosis and for falling in man can be estimated by determining serum Tf and E2 levels. Keywords: sexsteroids deficiency; bone mineral density; falling risk,

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Rehabilitation in Osteoporosis - therapeutic chalenge?

Cited by 6 publications

References 34 publications

Impact of Intermittent Hypoxia-Hyperoxia Therapy in COPD Patients - Pilot Study

Impact of Intermittent Hypoxia-Hyperoxia Therapy in COPD Patients - Pilot Study

Mud therapy and rehabilitation - scientific relevance in the last six years (2015 – 2020) Systematic literature review and meta-analysis based on the PRISMA paradigm

The importance of association between sexsteroids deficiency, reduction of bone mineral density and falling risk in men with implications in medical rehabilitation

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