BALNEO-RESEARCH JOURNAL - Asociatia Romana de Balneologie

Material and Method: In this study were included 34 patients with isolated grade 1 and 2 injury.
They were assessed clinically (instability at vallgus stress in 30 degrees of flexion) and by sonographic
examination. Visual analog scale (VAS) for pain was also used in clinical evaluation. Patients were
randomly assigned to group A (17) and group B (17). All patients were required to wear a hinged knee
orthosis for 4 weeks and received NSAID for 14 days. Full weightbearing was allowed as tolerated, with
an initial period of 7 days of partial weightbearing. Patients from group A were limited to the protective
programme mentioned above and NSAID therapy. Patients from group B were additionally included in an
early rehabilitation programme with ROM exercises and strengthening exercises.
Results: Patients from group A and group B showed an improvement in weightbearing tolerance
and intensity of pain after 4 weeks of treatment. The diminution of instability at valgus stress and pain at
weight bearing and exercise was significant better in group B patients comparing to group A.
Sonographic exam showed at admission a thickened and heterogeneous ligament and an important
diminution of ligament dimensions after 4 weeks of treatment.
Conclusions: Isolated minor medial collateral knee ligament injuries (grade 1 and 2- incomplete
tears) can be diagnosed by sonographic exam and the effect of treatment can be successfully assessed by
sonographic means. Conservative treatment for isolated medial collateral knee injury is an efficient
method of treatment with greater improvement if the focus is placed on active rehabilitative programme
(ROM exercises and strengthening exercises) instead of protective measures.
EFECTELE UNUI ANTRENAMENT AEROB DE 10 SAPTAMANI ASUPRA PACIENTILOR
CU SM CU NIVEL INALT DE DIZABILITATE
S.Diaconescu, D.Cinteza, S.Popescu, G.Galbeaza, V.Marcu, A.Dima, D.Poenaru
Institutul National de Recuperare, Medicina Fizica si Balneologie
Introducere Ca un lucru general cunoscut, exista dovezi destul de puternice si
consistente ca pacientii cu SM sunt mult mai inactivi in comparatie cu indivizii sanatosi similari. Studiile
actuale demonstreaza ca activitatea fizica la pacientii cu SM contracareaza oboseala si poate imbunatati
calitatea vietii. Nu exista studii care sa analizeze activitatea fizica in cazul pacientilor cu SM cu
dizabilitate severa.Acest studiu si-a propus sa evalueze un program de antrenament aerob supervizat la o
populatie de pacienti non ambulatorii cu SM (EDSS intre 6,5 si 7,5).
Material si metoda:Programul de antrenament aerob s-a desfasurat pe durata a 10
saptamani, cu o frecventa de 3 ori/saptamana. Protocolul a constat in 15 minute de exercitii active la
nivelul membrelor superioare, urmate de 20 minute de exercitii pasive la nivelul membrelor
inferioare.Calitatea vietii (SEP-59), nivelul de activitate (NAP), spasticitatea (Ashworth), capacitatea
functionala (Functional Independence Measurement) si oboseala (Fatigue Severity Scale) au fost evaluate
initial, la 10 saptamani, 3 si 6 luni dupa terminarea programului.
Resultate: 50 pacienti cu SM au fost inclusi; 43 au incheiat studiul: 18 barbati, 25
femei, varsta medie 50.5 ani, EDSS mediu:6,74. Comparativ cu faza initiala, pacientii au demonstrat
crestere semnificativa (p