Postmenopausal osteoporosis is the most common form of osteoporosis and one of the major public health problems in developed countries. The prevalence of this condition, associated with the physiological stage of menopause, is continuously increasing. This study evaluated the effectiveness of soy isoflavones as compared to hormone replacement therapy (HRT) in low doses, on the prevention of postmenopausal osteoporosis, by determining bone mineral density (BMD) and urinary deoxypyridinoline (D-pyr) in physiological postmenopausal women. The study was conducted over a period of 12 months, on three parallel groups, which included a total of 325 postmenopausal women (HRT group: n = 95; phytoestrogens group: n = 124; control group: n = 106). At the one-year evaluation, we observed T-score normalization in a small number of cases (5.26%, 2.42% and 0.00%, respectively). The average values of D-Pyr decreased by 11.38% in the group treated with phytoestrogens (p < 0.05) and by 15.32% in the group that followed HRT (p < 0.05); it increased by 4.38% in the control group (p > 0.05). Both therapies have beneficial effects on bone metabolism, leading to a significant decrease in the evolution of bone resorption and there are no major differences between the efficacy of HRT and phytoestrogens in terms of the effects on BMD and bone resorption.

Spinal cord injuries (SCIs) have major consequences on the patient’s health and life. Voluntary muscle paralysis caused by spinal cord damage affects the patient’s independence. Following SCI, an irreversible motor and sensory deficit occurs (spasticity, muscle paralysis, atrophy, pain, gait disorders, pain). This pathology has implications on the whole organism: on the osteoarticular, muscular, cardiovascular, respiratory, gastrointestinal, genito-urinary, skin, metabolic disorders, and neuro-psychic systems. The rehabilitation process for a subject having SCIs can be considered complex, since the pathophysiological mechanism and biochemical modifications occurring at the level of spinal cord are not yet fully elucidated. This review aims at evaluating the impact of robotic-assisted rehabilitation in subjects who have suffered SCI, both in terms of regaining mobility as a major dysfunction in patients with SCI, but also in terms of improving overall fitness and cardiovascular function, respiratory function, as well as the gastrointestinal system, bone density and finally the psychosocial issues, based on multiple clinical trials, and pilot studies. The researched literature in the topic revealed that in order to increase the chances of neuro-motor recovery and to obtain satisfactory results, the combination of robotic therapy, a complex recovery treatment and specific medication is one of the best decisions. Furthermore, the use of these exoskeletons facilitates better/greater autonomy for patients, as well as optimal social integration.

Background and Objectives: Quarantine, isolation and bed rest associated with COVID-19 infection favored the loss of muscle and bone mass, especially in elderly patients. The current study aims to compare the presence of sarcopenia and osteoporosis in patients with a recent (one month) history of SARS-CoV-2 infection versus the general population. Materials and Methods: A cross-sectional study was conducted in which 157 patients were enrolled, divided into two groups, comparable in structure. The COVID-19 group (group C) consisted of 86 patients who were diagnosed with SARS-CoV-2 respiratory infection within the last 30 days. The non-COVID-19 group (group NC) consists of 71 patients who had no clinical signs of respiratory infection and were not quarantined/hospitalized in the last 3 months. Muscle strength, incidence of sarcopenia (using SARC-F score) and osteoporosis (DEXA determination) and physical performance (SPPB score) in the two groups were assessed and compared. Results: No statistically significant differences were found between the SPPB scores of the C group versus the NC group. Statistically significant differences were found in the evaluation of three parameters included in the SARC-F score. Patients in the C group had difficulties in standing up from a chair (p = 0.009) and climbing stairs (p = 0.030) due to lower muscle strength (p = 0.002) compared with patients in the NC group. No correlation of the SARC F and SPPB scores with the T score values obtained by osteo-densitometry was found. Conclusions: The sudden and significant reduction in physical activity, through various measures taken in the general population during the pandemic, led to an increased incidence of sarcopenia, both in patients who did not have COVID-19 infection and among those quarantined/hospitalized for this condition.

Stroke is a significant disability and death cause worldwide and is conventionally defined as a neurological impairment relating to the intense focal harm of the central nervous system (CNS) by vascular causative components. Although the applicability of robotic rehabilitation is a topic with considerable practical significance because it has produced noticeably higher improvements in motor function than regular (physical and occupational) therapy and exempted the therapists, most of the existing bibliometric papers were not focused on stroke survivors. Additionally, a modular system is designed by joining several medical end-effector devices to a single limb segment, which addresses the issue of potentially dangerous pathological compensatory motions. Searching the Web of Science database, 31,930 papers were identified, and using the VOSviewer software and science mapping technology, data were extracted on the most prolific countries, the connections between them, the most valuable journals according to certain factors, their average year of publication, the most influential papers, and the most relevant topical issues (bubble map of term occurrence). The most prolific country in the analyzed field and over the entire period evaluated (1975–2022) is the United States, and the most prolific journal is Neurorehabilitation and Neural Repair, observing a marked increase in the three periods of scientific interest for this field. The present paper assesses numerous scientific publications to provide, through statistical interpretation of the data, a detailed description of the use of robotic rehabilitation in stroke survivors. The findings may aid scientists, academics, and clinicians in establishing precise goals in the optimization of the management of stroke survivors via robotic rehabilitation, but also through easier access to scientifically validated literature.

This study aimed to explore the impact of the first two waves of the COVID-19 pandemic on the mental and physical states of sports students from Romania and also to compare the differences according to gender and the type of sport. Initially, in order to collect demographic data and health reports, a cross-sectional survey was developed to evaluate the emotional needs of sports students during the pandemic. After the second wave, the coping strategies used by the participants to fight negative emotions were assessed using the CERQ questionnaire. The results indicate that depression symptoms are the most reported psychological issues among the participants and that there are differences according to gender concerning the cognitive schemas they use in order to reduce the symptoms. Also, it was found that there are differences, corresponding to the type of sport, in choosing adaptive coping mechanisms. Ultimately, it was confirmed that higher levels of hopelessness among sports students are associated with increased vulnerability to substance use, with the correlation between those two indicators being strong. Delving deeper into this relationship can help identify critical points for intervention to prevent substance abuse. At the same time, the dichotomic analysis of the results found as moderators—the gender and the type of sport in decreasing the severity of depression could be an important aspect of the next counseling interventions.

Background/Objectives: Agility and reaction speed are critical components of sports performance and are influenced by both physical conditioning and psychological state. Interventions such as SmartACT, which integrate mindfulness, acceptance, and commitment, guided imagery and hypnosis techniques are still underexplored in high-performance sport, despite their potential to affect both psychological and motor dimensions. Methods: This 7-week controlled trial investigated the effectiveness of SmartACT in reducing psychological and somatic symptoms and enhancing motor performance in adolescent athletes. A total of 193 athletes aged 15–18 years were assigned to three groups: SmartACT (n = 69), MAC (Mindfulness–Acceptance–Commitment, the standardized Gardner & Moore protocol; n = 65), and a control group (n = 59). Agility was measured using the T-Drill Agility Test with Microgate electronic timing, and reaction speed was assessed using BlazePod devices. Psychological and somatic symptoms were evaluated using the Depression, Anxiety, and Stress Scale (DASS-21) and the Ghent Multidimensional Somatic Complaints Scale (GMSCS). Results: The SmartACT group showed significantly improved agility (MD = −1.07 s, p < 0.001, d = 2.50, 95% CI [1.79, 3.35]), faster reaction times (MD = −643.75 ms, p < 0.001, d = 0.85, 95% CI [0.35, 1.41]), and a higher number of BlazePod touches (MD = +2.53, p < 0.001, d = 1.43, 95% CI [0.87, 2.07]). Psychological symptoms (DASS-21) and somatic complaints (GMSCS) decreased significantly more than in the MAC and control groups. Conclusions: SmartACT appears to be an effective hybrid psychological intervention to simultaneously improve physical performance and reduce psychological and psychosomatic distress in adolescent athletes.