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Iliescu MG, Stanciu LE, Uzun AB, Cristea AE, Motoască I, Irsay L, Iliescu DM, Vari T, Ciubean AD, Caraban BM, Ciufu N, Azis O, Ciortea VM. Assessment of Integrative Therapeutic Methods for Improving the Quality of Life and Functioning in Cancer Patients-A Systematic Review. J Clin Med 2024; 13:1190. [PMID: 38592012 PMCID: PMC10931598 DOI: 10.3390/jcm13051190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2023] [Revised: 02/13/2024] [Accepted: 02/15/2024] [Indexed: 04/10/2024] Open
Abstract
Background: Cancer rehabilitation represents a series of measures adopted for the recovery of psychological, emotional, social, and financial functioning in the case of cancer patients. The purpose of this study is to identify the main elements of therapeutic management in the field of medical rehabilitation, as well as integrative, complementary medicine and holistic approaches that can be performed on the oncological patient. Methods: This systematic literature review follows the methodology outlined in the "Preferred Reporting Items for Systematic Reviews and Meta-Analysis" ("PRISMA") statement, which is an internationally recognized and widely accepted standard. Results: Active rehabilitative therapies offer therapeutic options for improving the functioning and quality of life of oncological patients; these therapies comprehensively address both the physical and psychological aspects of the disease. This review also includes the latest novelties and nanotechnologies applied in oncological rehabilitation, for example, drugs (or supplements) inspired by nature. Conclusions: Physical and rehabilitation medicine, mostly using stimulating therapeutic methods, was recently added to the list of contraindications in the management of oncological patients, both as an approach to the pathological concept itself and as an approach to the main clinical consequences and functional aspects of oncological therapies. Integrative, complementary medicine presents an important therapeutic resource in the case of oncological patients. Advanced studies are needed in the future to further ascertain the role of these therapies.
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Affiliation(s)
- Mădălina Gabriela Iliescu
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Ovidius University of Constanta, 1 University Alley, Campus-Corp B, 900470 Constanta, Romania
- Medical Doctoral School, Faculty of Medicine, Ovidius University of Constanta, 1 University Alley, Campus-Corp B, 900470 Constanta, Romania
| | - Liliana-Elena Stanciu
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Ovidius University of Constanta, 1 University Alley, Campus-Corp B, 900470 Constanta, Romania
| | - Andreea-Bianca Uzun
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Ovidius University of Constanta, 1 University Alley, Campus-Corp B, 900470 Constanta, Romania
- Medical Doctoral School, Faculty of Medicine, Ovidius University of Constanta, 1 University Alley, Campus-Corp B, 900470 Constanta, Romania
| | - Adelina-Elena Cristea
- Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Ovidius University of Constanta, 1 University Alley, Campus-Corp B, 900470 Constanta, Romania
- Medical Doctoral School, Faculty of Medicine, Ovidius University of Constanta, 1 University Alley, Campus-Corp B, 900470 Constanta, Romania
| | - Irina Motoască
- Department of Rehabilitation Medicine, University of Medicine and Pharmacy "Iuliu Hatieganu", 8 Victor Babes Street, 400012 Cluj-Napoca, Romania
| | - Laszlo Irsay
- Department of Rehabilitation Medicine, University of Medicine and Pharmacy "Iuliu Hatieganu", 8 Victor Babes Street, 400012 Cluj-Napoca, Romania
| | - Dan Marcel Iliescu
- Department of Anatomy, Faculty of Medicine, Ovidius University of Constanta, 1 University Alley, Campus-Corp B, 900470 Constanta, Romania
| | - Titus Vari
- Department of Rehabilitation Medicine, University of Medicine and Pharmacy "Iuliu Hatieganu", 8 Victor Babes Street, 400012 Cluj-Napoca, Romania
| | - Alina Deniza Ciubean
- Department of Rehabilitation Medicine, University of Medicine and Pharmacy "Iuliu Hatieganu", 8 Victor Babes Street, 400012 Cluj-Napoca, Romania
| | - Bogdan Marian Caraban
- Department of Plastic Surgery, Faculty of Medicine, Ovidius University of Constanta, 1 University Alley, Campus-Corp B, 900470 Constanta, Romania
| | - Nicolae Ciufu
- Department of General Surgery, Faculty of Medicine, Ovidius University of Constanta, 1 University Alley, Campus-Corp B, 900470 Constanta, Romania
| | - Olgun Azis
- Department of Urology, Faculty of Medicine, Ovidius University of Constanta, 1 University Alley, Campus-Corp B, 900470 Constanta, Romania
| | - Viorela Mihaela Ciortea
- Department of Rehabilitation Medicine, University of Medicine and Pharmacy "Iuliu Hatieganu", 8 Victor Babes Street, 400012 Cluj-Napoca, Romania
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Georgeanu VA, Russu OM, Obada B, Iliescu MG, Popescu MN, Iliescu DM, Predescu V. Common peroneal nerve palsy after primary total hip arthroplasty. Int Orthop 2022; 46:1963-1970. [PMID: 35711003 DOI: 10.1007/s00264-022-05477-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/12/2022] [Accepted: 06/06/2022] [Indexed: 11/26/2022]
Abstract
PURPOSE The study wants to evaluate the incidence, the clinical evolution, and treatment of common peroneal nerve (CPN) palsy after primary total hip arthroplasty. METHODS Our clinical prospective study was made between January 2016 and December 2020. The study group comprised 1240 total hip replacements over a period of five years. Six cases were diagnosed with CPN palsy (0.48%). Five were women and one man, aged from 52 to 71 years old. The common peroneal nerve lesion was diagnosed clinically and by electromyography. RESULTS The follow-up period was at least 24 months post-operatively. In all six cases, there was a complete common peroneal nerve palsy, documented by electromyography. The poorest results were obtained in the older patients and those who had the highest body mass index, which at two years post-operatively achieved only a partial sensory rehabilitation, with complete motor deficit. All patients can walk unassisted, without support, with one case having complete rehabilitation achieved 18 months postoperatively and three with partial rehabilitation. CONCLUSION CPN palsy after primary THA is a very serious complication with poor functional outcome. There is no consensus regarding the treatment. The age and the intensity of the rehabilitation program are the only significant factors for the medical rehabilitation after this debilitating post-operative complication.
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Affiliation(s)
- Vlad Alexandru Georgeanu
- University of Medicine and Pharmacy "Carol Davila", Bucharest, Romania
- Clinic of Orthopaedics and Trauma Surgery, "St. Pantelimon" Hospital, Bucharest, Romania
| | - Octav Marius Russu
- Department of Orthopaedics and Traumatology, Clinical County Hospital, Tîrgu Mureș, Romania
- Department of General Medicine, University of Medicine, Pharmacy, Sciences and Technology "George Emil Palade", Tîrgu Mureș, Romania
| | - Bogdan Obada
- Department of Orthopedics, Faculty of Medicine, Ovidius University of Constanta, Constanta, Romania.
| | - Madalina-Gabriela Iliescu
- Department of Rehabilitation, Faculty of Medicine, Ovidius University of Constanta, Constanta, Romania
| | - Marius Nicolae Popescu
- University of Medicine and Pharmacy "Carol Davila", Bucharest, Romania
- Department of Rehabilitation, Elias Teaching Hospital, Bucharest, Romania
| | - Dan Marcel Iliescu
- Department of Anatomy, Faculty of Medicine, Ovidius University of Constanta, Constanta, Romania
| | - Vlad Predescu
- University of Medicine and Pharmacy "Carol Davila", Bucharest, Romania
- Ponderas Academic Hospital, Bucharest, Romania
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Iliescu DM, Micu SI, Ionescu C, Bulbuc I, Bordei P, Obada B, Voinea F, Gheorghe E, Iliescu MG. Axial and para-axial loading response evaluation on human cadaver-harvested lumbar vertebral blocks: In vitro experiment with possible clinical implications for clinical practice. Exp Ther Med 2021; 22:1192. [PMID: 34475982 PMCID: PMC8406812 DOI: 10.3892/etm.2021.10626] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2021] [Accepted: 07/15/2021] [Indexed: 01/22/2023] Open
Abstract
The aim of the present study conducted on the lumbar spine was to confirm that the pronounced decrease in resistance in the system is a phenomenon that can be eminently affected by the adaptive changes that occur at the level of the intervertebral disc at axial mechanical stresses. The biomechanical trial was carried out on 11 lumbar segments L1-L5, gathered from adult human cadavers. The dissection considered the complete keeping of all bone, disc, articulated and ligamentous components in their anatomical position. All 11 samples were frozen 24 h prior to the performance of the biomechanical measurement. The specimens were placed in the testing device, their placement being conditioned by the estimated dimensional values. Thus, to calculate the load and axial resistance, the models were placed vertically, central between the test machine ferries. The testing was carried out by applying variable forces and displacement supervision. The displacement interval was represented by a segment of 0-10 mm with surveillance every 2 mm. Mobility in the sagittal plane (flexion earlier in our case) was much higher than that in the frontal plane, obviously limiting mobility via the intervertebral disc and articular complex through the presence of arches. Statistical analysis demonstrated the lack of any correlation values between the two types of movements (R2=0.005507), underlining the absence of any prediction elements. A noteworthy aspect is that the correlations appeared low, statistically insignificant, even within the same movement in the sagittal plane between the two levels, L1-L3 and L3-L5 (R2=0.610427), which may lead to the possibility of the emergence of significant differences in mobility between respective levels. The behavior type of the monitored specimens and the results obtained allowed the mapping of objective parallelism between the values obtained and the behavior in vivo of the lumbar vertebral segment.
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Affiliation(s)
- Dan Marcel Iliescu
- Department of Anatomy and Histology, Faculty of Medicine, 'Ovidius' University of Constanta, 900527 Constanta, Romania
| | - Sergiu-Ioan Micu
- Department of Gastroenterology, Clinical County Hospital of Constanta, 900591 Constanta, Romania
| | - Costin Ionescu
- Department of Anatomy and Histology, Faculty of Medicine, 'Ovidius' University of Constanta, 900527 Constanta, Romania
| | - Ionut Bulbuc
- Department of Anatomy and Histology, Faculty of Medicine, 'Ovidius' University of Constanta, 900527 Constanta, Romania
| | - Petru Bordei
- Department of Anatomy and Histology, Faculty of Medicine, 'Ovidius' University of Constanta, 900527 Constanta, Romania
| | - Bogdan Obada
- Department of Anatomy and Histology, Faculty of Medicine, 'Ovidius' University of Constanta, 900527 Constanta, Romania.,Department of Orthopaedic Surgery, Clinical County Hospital of Constanta, 900591 Constanta, Romania
| | - Felix Voinea
- Department of Urology, Clinical County Hospital of Constanta, 900591 Constanta, Romania
| | - Emma Gheorghe
- Department of Anatomy and Histology, Faculty of Medicine, 'Ovidius' University of Constanta, 900527 Constanta, Romania
| | - Madalina Gabriela Iliescu
- Department of Anatomy and Histology, Faculty of Medicine, 'Ovidius' University of Constanta, 900527 Constanta, Romania.,Department of Balneo-Physiotherapy and Recuperation, Balneal Recovery Sanatorium of Techirghiol, 906100 Constanta, Romania
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Tica I, Lupu A, Botnarciuc M, Petcu L, Oprea C, Badiu RG, Iliescu DM, Ionescu EV, Tica VI, Iliescu MG. Brain - Derived Neurotrophic Factor - a Marker for the Balneal Treatment of Chronic Low Back Pain? Rev Chim 2019. [DOI: 10.37358/rc.19.9.7511] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Up till now, to our knowledge, there are no studies evaluating serum Brain - Derived Neurotrophic Factor (BDNF) levels in patients with degenerative chronic low back pain under rehabilitation treatment. BDNF is a neuroprotein associated with neuropathic pain and represents an important mediator of the effects of physical exercise. Complex balneal treatment with hot Techirghiol sapropelic mud reduces pain and increases serum levels of BDNF in these patients.
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Ţenţ PA, Juncar M, Mureșan O, Arghir OC, Iliescu DM, Onișor F. Post-traumatic occipital psoriatic plaque complicated by extensive necrotizing fasciitis of the head and neck: a case report and literature review. J Int Med Res 2018; 46:3480-3486. [PMID: 30058420 PMCID: PMC6134640 DOI: 10.1177/0300060518788490] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022] Open
Abstract
Necrotizing fasciitis (NF) is a severe infection involving the superficial fascial layers, subcutaneous cellular tissue, and possibly skin. It usually has a fulminant evolution, rapidly leading to death in the absence of early diagnosis and aggressive surgical treatment. We herein report a rare case of NF secondary to a traumatized occipital psoriatic plaque in an alcoholic 47-year-old woman and compare this case with the published literature. The NF extended to the entire scalp, right face, and posterior and lateral cervical region. Despite the initially guarded prognosis, the patient’s survival emphasizes the importance of aggressive surgical treatment with wide excision of all necrotic structures without any aesthetic compromise.
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Affiliation(s)
- Paul Andrei Ţenţ
- 1 Department of Oral and Maxillofacial Surgery, University of Oradea, Oradea, Romania
| | - Mihai Juncar
- 1 Department of Oral and Maxillofacial Surgery, University of Oradea, Oradea, Romania
| | - Ovidiu Mureșan
- 2 Department of Oral and Maxillofacial Surgery, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Oradea, Romania
| | - Oana Cristina Arghir
- 3 Pulmonology Department, Faculty of Medicine, Ovidius University of Constanţa, Constanta, Romania
| | - Dan Marcel Iliescu
- 4 Anatomy Department, Faculty of Medicine, Ovidius University of Constanţa, Constanta, Romania
| | - Florin Onișor
- 2 Department of Oral and Maxillofacial Surgery, Iuliu Hatieganu University of Medicine and Pharmacy, Cluj-Napoca, Oradea, Romania
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Ionescu EV, Tica I, Oprea C, Iliescu DM, Petcu LC, Iliescu MG. ADIPONECTIN CORRELATION WITH BIOCLINICAL BENEFITS OF USING NATURAL THERAPEUTIC FACTORS IN KNEE OSTEOARTHRITIS. Acta Endocrinol (Buchar) 2017; 13:308-313. [PMID: 31149192 DOI: 10.4183/aeb.2017.308] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
Context and objective The new insights in the pathogenesis of osteoarthritis (OA) reveal the implications of adipocytokines. This study aims to analyze the correlations between the serum value of adiponectin and the clinical rehabilitation effects in patients diagnosed with knee OA, admitted and treated in the complex balneal resort of Techirghiol lake. Subjects and methods The prospective randomized clinical study included 23 patients in the study group, diagnosed with knee OA according to ACR criteria, and a matching control group of 23 subjects. Serum level of adiponectin (using ELISA technique), uric acid, triglycerides, cholesterol, HDL-cholesterol and clinical response using a visual analog scale (VAS) were evaluated in all patients on their admission day and after 10 days of balneal treatment. Control group benefited from the same procedures except for cold mud therapy and mineral water baths. Results Plasma adiponectin levels (23.73±6.44 ng/dL) were statistically higher (p<0.05) in the study group compared to the control group (18.15±6.49 ng/dL). The mean VAS in both groups was decreased (p<0.005) compared to the initial moment. Conclusions Cold peloidotherapy combined with physical therapy and balneal factors induces serum adiponectin elevation and improves knee pain in OA. Therapeutic properties of Techirghiol mud still need further research.
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Affiliation(s)
- E V Ionescu
- Balneal and Rehabilitation Sanatorium of Techirghiol, "Ovidius" University of Constanta, Romania
| | - I Tica
- Faculty of Medicine - Medical Department, Constanta, Romania
| | - C Oprea
- Balneal and Rehabilitation Sanatorium of Techirghiol, "Ovidius" University of Constanta, Romania
| | - D M Iliescu
- Faculty of Medicine - Medical Department, Constanta, Romania
| | - L C Petcu
- Faculty of Dentar Medicine - Departament of Biophysics, Biostatistics and Medical Informatics, Constanta, Romania
| | - M G Iliescu
- Departament of Rehabilitation Balneophysiokinetotherapy, Constanta, Romania
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