(1) Background: This study investigated the relationship between weather conditions, diurnal patterns, and total knee range of motion (ROM), as well as the severity of symptoms (pain and stiffness) in older adults with knee osteoarthritis. (2) Methods: An exploratory longitudinal study was conducted on 28 older adults with knee osteoarthritis (mean age 71.86 ± 4.49 years; 46.4% men, 53.6% women). We used as assessment tools the Visual Analog Scales (VAS) for self-reported local knee pain and stiffness, and goniometry for ROM. Measurements were taken twice, six months apart, in winter and summer, in the morning and evening of each selected day. Recorded weather factors comprised temperature, relative humidity, barometric pressure, and maximum wind speed. (3) Results: The study revealed significant effects of season and time of day on pain and stiffness, respectively (p < 0.001). Additionally, a significant interaction between season and time influenced total knee ROM (p < 0.001). Moreover, there was a statistically significant relationship between time and total knee ROM (p < 0.001). (4) Conclusions: This research underscores the complex link between seasonal fluctuations and daily variations in some symptomatic and functional aspects of knee osteoarthritis in older adults.

(1) Background: Due to its frequency and possible complications, low back pain (LBP) has a high social impact, it is a common problem of the active population and the second reason for visiting a physician. In patients with lumbar disc protrusion (LDP), one of the most common causes of LBP, the nucleus pulposus bulges against the disc and then protrudes into the spinal cord, but the annulus fibrosus remains intact; (2) Objectives: The primary objective of this study was to determine the efficacy of a rehabilitation treatment (RT) comprising electrotherapy (ET), hydrotherapy (HT) and individualized physical therapy (PT) versus ET alone in patients with LDP. The second objective was to investigate whether there is a correlation between early RT and the symptomatology of patients with LDP; (3) Methods: The research was conducted between July 2021 and January 2022 at the Ceres Hotel Treatment Centre from Baile 1 Mai, Romania, and all the study subjects signed an informed consent form. For this study, the block randomization method was used to randomize subjects into groups that resulted in equal sample size, in order to maintain a reasonably good balance among groups. Therefore, the two groups had the same number of subjects (30 subjects) and the randomization was made taking into account the patient’s motivation or the subject’s willingness to receive not only electrotherapy treatment, but also the physical exercises and hydrotherapy. The eligibility criteria were: low back pain for more than three months, an MRI confirmed diagnosis of LDP (without dural compression), and ability to perform a PT program. The control group received only a classical ET program. In addition, the patients in the experimental group received a complex individualized PT program associated with HT and ET. To achieve these objectives, the study subjects were monitored for spinal mobility (lateral lumbar flexion—LLF, index fingers-ground—IFG, lumbar Schober tests for flexion—LS, Inverted Schober test for extension—ILS), trunk flexor and extensor muscle strength (LF strength, LE strength), level of pain (Short Form McGill Pain Questionnaire—SF-MPQ, Visual Analogue Scale—VAS), and the degree of limitation in activities of daily living (Oswestry Disability Index—ODI); (4) Results: Comparing the evolution of the subjects, using the One-Way ANOVA between groups, we observed a significant improvement in all variables [SF-MPQ (95% CI, 7.996/11.671), VAS (95% CI, 1.965/3.169), mobility FTF (95% CI, −7.687/−3.940), LS (95% CI, 2.272/2.963), LE strength (95% CI, −5.676/−3.324), LF strength (95% CI, −5.970/−3.630), disability (95% CI, 8.026/10.441) after six months of treatment for the experimental group subjects. A clear correlation was found, using the Bravis–Pearson test, between the earliest possible initiation of RT and improvement of patients’ symptoms; (5) Conclusion: The current study proves the importance of combining ET with HT and PT. The earlier the RT is implemented, the lower the pain perception and level of disability associated with the lumbar disease.

Background: This study examines how socio-demographic factors relate to post-pandemic physical activity patterns among Romanian adults. Methods: A cross-sectional study explores post-COVID-19 physical activity levels (PAL) and their correlation with socio-demographic factors in Romanian adults (n = 237, average age 28.23 ± 9.91 years). An online questionnaire covering constitutional, socio-demographic, and physical activity-related variables was administered for data collection. Data analysis involves descriptive and inferential statistics, including Kendall’s tau correlation, along with multinomial regression analyses. Results: Noteworthy correlations emerged, including a robust association (r = 0.79, p < 0.001) between testing and history of clinical signs of COVID-19; a significant moderate correlation between health status and PAL compared to the period before the pandemic (τ = 0.56, p < 0.001); and significant moderate correlation between health status and current PAL (τ = −0.51, p < 0.001). Multinomial regression underscores an intricate relationship; testing for COVID-19 relates to clinical sign severity, health status changes influence post-pandemic PAL, and self-perceived health associates with current PAL (p < 0.001). Conclusions: Revealing significant links between PAL and socio-demographic factors among adults in Romania’s post-pandemic landscape, this study emphasizes the interaction between health changes and activity involvement. It also highlights the potential to guide interventions for rehabilitation and healthier living.

Low back pain is a common problem in the active population, and the second reason for visiting a physician. In patients with lumbar disc protrusion, the nucleus pulposus bulges against the disc and the latter protrudes into the spinal column, but the annulus fibrosus remains intact. The purpose of this study was to prove that starting an early complex rehabilitation treatment results into pain and disability reduction, and increased muscle strength and mobility in patients with lumbar disc protrusions. We performed a prospective cohort study, enrolling 60 patients (25 men and 35 women) aged between 26 to 76 years, diagnosed with lumbar disc protrusion. Patients in the experimental group registered significant improvements in all studied variables (pain, mobility, muscle strength, disability) after 6 months of treatment. The results of our study suggest that, in the lumbar disc disease, a combined rehabilitation program may be more effective in terms of pain and disability reduction, if it starts early after diagnosis. The current study proves the importance of combining electrotherapy with hydrotherapy and physical therapy. Patients who received this treatment combination showed an extremely significant improvement in pain relief, and reduction of functional disability after 6 months of treatment.

Introduction: Chronic obstructive pulmonary disease (COPD) is a progressive, preventable, and treatable respiratory disease strongly associated with tobacco exposure. Because its clinical expression is heterogeneous, rehabilitation planning requires assessment beyond spirometry. Methods and materials: This retrospective observational study included 767 patients with COPD evaluated between October 2014 and January 2021 in the Pneumology Department of the "Victor Babes" Infectious Diseases Hospital, Timisoara, Romania. Patients were divided according to smoking status into current smokers (n=337) and former smokers (n=430). COPD diagnosis was based on specialist clinical assessment and spirometric evidence of airflow obstruction; post-bronchodilator FEV1/FVC (reported as BPI in the database) 0.70 was used as the reference criterion according to GOLD recommendations. Demographic data, body mass index, spirometric parameters, CAT, mMRC, exacerbations, and comorbidities were analysed. Results: The cohort included 593 men and 174 women, aged 37-92 years. Mean age was 63.5 ± 9.5 years and mean BMI was 28.6 ± 6.7 kg/m2. Mean forced vital capacity (FVC) was 2.78 ± 1.02 L, mean forced expiratory volume in one second (FEV1) was 1.69 ± 0.72 L, and mean FEV1% was 58.87 ± 20.57%. Current smokers had slightly higher mean FVC and FEV1 values than former smokers, without statistically significant spirometric differences. Former smokers reported higher CAT scores (24.8 ± 6.9 vs. 23.1 ± 7.0; p 0.001) and mMRC scores (2.79 ± 0.66 vs. 2.63 ± 0.67; p 0.001), indicating a greater symptom burden. Arterial hypertension was the most frequent comorbidity (n=514), followed by heart failure (n=147), diabetes mellitus (n=120), and pulmonary neoplasm (n=62). Exacerbations were present in 404 patients (53%). Conclusion: In this cohort, smoking status was associated with small spirometric differences, whereas former smokers reported greater symptom burden. Multidimensional assessment combining spirometry, CAT, mMRC, smoking exposure history, comorbidity screening, and individualized pulmonary rehabilitation is essential in COPD management.