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Balneo Research Journal DOI: Vol.11, No.1, February 2020 P: 574–579 BALNEO RESEARCH JOURNAL Vol 11 No. 1, February 2020 Climatology Balneology Medical Hydrology Physical and Rehabilitation Medicine Website http://bioclima.ro/Journal.htm E-mail: [email protected] ISSN: 2069-7597 / eISSN: 2069-7619 Balneo Research Journal is part of the international data bases ﴾BDI﴿ as follow: EBSCOhost. CrossRef, DOAJ, Electronic ﴿Journals Library ﴾GIGA﴿, USA National Library of Medicine - NLM, Emerging Sources Citation Index ﴾Thomson Reuters ﴿Publisher: Romanian Association of Balneology ﴾Bucharest Asociatia Romana de Balneologie / Romanian Association of Balneology Editura Balneara Balneo Reserch Journal Table of Contents: Vol 11 No. 1, February 2020 (307) Effectiveness of pulmonary rehabilitation in improving quality of life in patients with different COPD stages - MARC Monica, PESCARU Camelia, ILIE Adrian Cosmin, CRIȘAN Alexandru, HOGEA STANCA Patricia, TRĂILĂ Daniel Balneo Research Journal. 2020;11(1):3–8 Full Text DOI 10.12680/balneo.2020.307 (308) A review of antimicrobial photodynamic therapy (aPDT) in periodontitis - CONDOR Daniela, CULCITCHI Cristian, BARU Oana, CZINNA Julia, BUDURU Smaranda Balneo Research Journal. 2020;11(1):9–13 Full Text DOI 10.12680/balneo.2020.308 (309) Effect of Low Level Laser Therapy (LLLT) on muscle pain in temporomandibular disorders – an update of literature - KUI Andreea, TISLER Corina, CIUMASU Alexandru, ALMASAN Oana, CONDOR Daniela, BUDURU Smaranda Balneo Research Journal. 2020;11(1):14–19 Full Text DOI 10.12680/balneo.2020.309 (310) The control of cardiovascular risk factors – an essential component of the rehabilitation of patients with ischemic heart disease. What are the current targets? - POP Dana, DĂDÂRLAT-POP Alexandra, CISMARU Gabriel, ZDRENGHEA Dumitru Balneo Research Journal. 2020;11(1):20–23 Full Text DOI 10.12680/balneo.2020.310 (311) Clinical-evolutive particularities and therapeutic-rehabilitative approach in the rare case of acute disseminated encephalomyelitis following an episode of viral meningitis of unknown etiology - ILUȚ Silvina, VACARAS Vitalie, RADU M. Roxana, BARAC I. Simina, MURESANU F. Dafin Balneo Research Journal. 2020;11(1):24–28 Full Text DOI 10.12680/balneo.2020.311 (312) Therapeutic difficulties in vegetative epileptic seizures as a sign of acute viral encephalitis: case presentation - ILUȚ Silvina, NISTOR Cristina, NEMES Bianca, DUDEA M. Sorin Balneo Research Journal. 2020;11(1):29-34 Full Text DOI 10.12680/balneo.2020.312 (313) The efficacy of pulmonary rehabilitation in improving the clinical status in idiopathic pulmonary fibrosis - MOTOC Nicoleta Stefania, MAIEREAN Anca Diana, MAN Milena Adina, ALEXESCU Teodora Gabriela, CIUMARNEAN Lorena, TONCA Clau- dia, DOGARU Gabriela, TODEA Doina Adina, DOMOKOS Bianca Balneo Research Journal. 2020;11(1):35–44 Full Text DOI 10.12680/balneo.2020.313 (314) Cardiovascular surgery complication and the benefits of pulmonary rehabilitation in preventing COPD exacerbation - STANCIU Ionut, LIBU Cristiana, DOCU AXELERAD Any, APETREI CORDUNEANU Otilia, DANTES Elena Balneo Research Journal. 2020;11(1):45–49 Full Text DOI 10.12680/balneo.2020.314 (315) Pseudotumor cerebri-Case report - NICULA Cristina, SUCIU Corina, BULBOACĂ Adriana Elena Balneo Research Journal. 2020;11(1):50-54 Full Text DOI 10.12680/balneo.2020.315 (316) Prevention Considerations in Cardiovascular Diseases regarding the premature mortality reduction - RAEVSCHI Elena Balneo Research Journal. 2020;11(1):55-59 Full Text DOI 10.12680/balneo.2020.316 (317) Neurorehatilitation and complex therapeutical approaches in a patient with spinal multiple sclerosis - FILIP Roman Corina, CATANĂ Maria-Gabriela Balneo Research Journal. 2020;11(1):60–63 Full Text DOI 10.12680/balneo.2020.317 (318) Satisfaction of Generations X and Baby Boomers with tourist services in resorts from the Subcarpathians of Oltenia, in line with sustainable tourism destination development - TRUȚESCU Marius-Nicolae Balneo Research Journal. 2020;11(1):64–73 Full Text DOI 10.12680/balneo.2020.318 (319) Remission of progressive multifocal leukoencephalopathy in HIV- positive patient after multidisciplinary rehabilitation: a case report - DUMEA Elena, MIHAI Raluca, MAVRODIN Mihaela, DOGARU Gabriela, PASCU Corina Balneo Research Journal. 2020;11(1):74-79 Full Text DOI 10.12680/balneo.2020.319 (320) Neuromuscular electrostimulation as an adjuvant therapy to pulmonary rehabilitation programs in chronic obstructive pulmonary disease - TRĂILĂ Daniel, PESCARU Camelia, SUPPINI POROJAN Noemi, MIHUTA Camil, HOGEA Patricia, CRIȘAN Alexandru, CIUMARNEAN Lore- na, MARC Monica Balneo Research Journal. 2020;11(1):80-84 Full Text DOI 10.12680/balneo.2020.320 (321) The influence of circadian variation in ischemic stroke onset on the evolution of cognitive status - FODOR Dana Marieta, STANESCU Ioana Cristina, TOHANEAN Nicoleta, PERJU-DUMBRAVA Lăcrămioara Balneo Research Journal. 2020;11(1):85-87 Full Text DOI 10.12680/balneo.2020.321 (322) The quality of life - an indicator for assessing the recovery program in patients diagnosed with degenerative disorders - ANTONESCU Elisabeta, TOTAN Maria, SILIȘTEANU Sînziana Călina Balneo Research Journal. 2020;11(1):88–94 Full Text DOI 10.12680/balneo.2020.322 (323) Study on the correlation between knee osteoarthritis and anxiety in patients aged over 55 - DUICA Lavinia, SZAKÁCS Juliánna, SILIȘTEANU Sînziana Călina Balneo Research Journal. 2020;11(1):95–104 Full Text DOI 10.12680/balneo.2020.323 Evaluating risk factors involved in the alteration of biomechanics in relation to knee osteoarthritis 1 2 3 TUDORACHI Nicoleta-Bianca , EVA Iuliana , MOSCALU Mihaela , AL- HIARY Rami1, MORARU Aurelian-Corneliu4, BARBIERU Bogdan2, STANCIU Costin2, CORCIOVA Calin3, ARDELEANU Valeriu5 Corresponding author: Moscalu Mihaela, E-mail: [email protected] Balneo Research Journal DOI: http://dx.doi.org/10.12680/balneo.2019.305 Vol.11, No.1, February 2020 p: 574–579 1. „Ovidius” University of Constanta, Faculty of Medicine, PhD student, România 2. „Iacob Czihac” Emergency Military Clinical Hospital, Iasi, România 3. “Grigore T. Popa” University of Medicine and Pharmacy, Iasi, România 4. „Iacob Czihac” Emergency Military Clinical Hospital, Hospital Manager, Iasi, România 5. „Ovidius” University, Constanta, „Dunarea de Jos” University, Galati, General Hospital CF, Galati, România Abstract The knee joint is very complex in terms of degrees of mobility and for normal biomechanics it is necessary for all the anatomical structures at this level to be within physiological limits. Problems can be caused by a number of risk factors such as age, sex, weight, or local risk factors such as patellar changes represented by patela alta or patella baja, which can lead to instability of the lower limb. Risk factors that may influence the development and progression of knee osteoarthritis have been evaluated. Changes in patellar position in relation to knee osteoarthritis were also studied. A group of 377 patients hospitalized for unilateral or bilateral knee pain with instability were included in the study. 239 of the 377 starting group presented knee osteoarthritis, constituting the study group. The risk factors analyzed were age, patient sex, BMI, weight status, anatomical changes in position of the patella (patella alta and patella baja), COBB angle and spine deviation. The results indicated that obesity, anatomical changes in the position of the patella, (patella alta), COBB angle and spine deviations represent significant risk factors in the onset of knee osteoarthritis. Key words: risk factors, joint instability, knee osteoarthritis, Introduction The knee is a very complex joint from a Anatomical changes in patellar position are biomechanical point of view and for the joint to described using the terms patella alta and patella function properly it is necessary for all of the baja, both of which may be due to a congenital anatomical structures that make up the knee to be defect, however, patella alta could be the result of within normal limits (1). various conditions such as patellar dislocation, The knee joint has a high degree of mobility in terms neurological pathologies or idiopathic. of flexion and extension, and is comprised of the Patella baja is associated with trauma, ischemia of femuro-tibial joint that has the role of bearing the the patellar ligament or with knee surgery (6). weight of the body, and the patellofemoral joint with In the context of local anatomical changes, a role in reducing friction caused by muscle alterations of the biomechanics lead to a reduction in contractions (2). the joint functions, in association with pain and There are various conditions that produce changes in instability, leading to progression of osteoarthritis in the joint load distribution, which alter the the femoral-tibial compartment (7). mechanical properties at the level of the cartilage, The knee joint is one of the most frequently affected muscles and ligaments as well as affecting their joints by osteoarthritis, along with the hip joint or normal composition and structure (3). interphalangeal joints (8). Local risk factors that can lead to disturbances in One of the most frequently encountered articular knee joint biomechanics, such as anatomical changes pathology in the USA is osteoarthritis; 19% of adults in position involving the patella or abnormalities in aged 45 and above are affected, and the alarming the patellofemoral surface, in combination with a fact is that the number of people diagnosed is number of general risk factors (such as age, sex or constantly increasing,
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