Background: Lumbar disc herniation (LDH) is a common condition caused by degenerative lesions of the lumbar intervertebral discs, due to aging or lifting weights. For patients with LDH, a comparative study was conducted to understand the benefits of Vojta therapy and conservative physical therapy versus physical therapy only. The aim of this paperwork was to help physicians select interventions which are most appropriate for this disease. Methods: Seventy-seven patients with LDH from two cohorts were included in analysis (Group A and Group B). Group A benefited from 30 min of Vojta therapy procedures, in addition to the usual physical therapy treatment, and group B received a conservatory physical therapy program. The subjects were assessed with the Visual Analog Scale (VAS), Oswestry Disability Index (ODI), mobility tests, muscle strength tests and the Nottingham Health Profile (NHP) questionnaire. Results: Pain intensity and disability decreased in both groups (p = 0.000 in experimental group and 0.047 in control group for VAS score and p = 0.000 for ODI score in both groups). Moreover, mobility, strength and health-related quality of life scores increased significantly both in groups A and B (p = 0.000 in both). Conclusions: After two weeks of interventions, we saw greater differences in pain intensity, disability level, mobility, strength, and health-related quality of life scores in both study groups, but not across the groups. This was not the case between the groups.

Background: Correct posture during preadolescence is crucial for harmonious physical development and long-term musculoskeletal health. The examination of spinal and lower limb deficiencies in this age group represents a highly relevant and underexplored topic.Objective: To determine the prevalence of postural deficiencies among Romanian preadolescents and to assess their correlations with body composition, coordination, and foot morphology.Methods: A total of 983 children aged 8–12 years (507 boys, 51.6%; 476 girls, 48.4%) were recruited from six middle schools in Oradea, Bihor County, Romania. Postural assessment followed Kendall et al.'s protocol using a plumb line and grid chart. Plantar pressure and center of gravity displacement were evaluated through baropodometry, while general coordination was assessed using the Matorin test.Results: Forward head posture was the most prevalent deficiency (641/983, 65.2%). Boys exhibited a higher prevalence of kyphosis (n = 448, 52.3%) compared with girls (n = 368,40.4%), while scoliosis occurred more frequent in girls (n = 306, 33.6%) vs. (n = 257, 26.1%). Significant correlations were observed between ankle valgus and scoliosis [x²(1) = 7.87, p = .005], flatfoot and scoliosis [x²(1) = 7.87, p = .005], and flatfoot and coordination deficits [x²(3) = 22.96, p = .005].Conclusions: Forward head posture emerged as the most common spinal deficiency. Notable associations were identified between body composition and kyphosis, hyperlordosis, and ankle valgus, as well as between flatfoot, scoliosis, and impaired coordination. These findings underscore the importance of early detection and the implementation of targeted prevention programs to address postural deficiencies during childhood.

Background: Patients with spinal cord injuries, in addition to rehabilitation in specialized facilities, often continue physical therapy at home. At that time, they become highly exposed to indoor pollutants, which can affect the effectiveness of the recovery program and human health. Methods: Thus, the present study presents the monitoring of indoor air quality in a residential facility where a patient with spinal cord injuries undergoes post-traumatic recuperative physical activity. Such a study is useful for ensuring good air quality for the optimal development of a rehabilitation program with the possibility of screening the indoor air quality of the home by the physiotherapist and even by the patient themselves, in the simplest way possible using low-cost equipment. Thus, 11 indoor air quality parameters were monitored for a period of 18 weeks, using low-cost equipment. An air purifier was put into operation for a period of one week to identify differences in the safety of the indoor environment for physical activities. Results: The results indicate an environment with frequent exceedances of the international standards in force for several indicators. After installing the purifier, the air quality stabilized and a much safer and more efficient environment for carrying out the recovery activities was established. Conclusions: Thus, the process of monitoring and optimizing indoor air quality stands as a fundamental requirement for home rehabilitation because it establishes a secure controlled environment that supports recovery in any residential setting.

Fibromyalgia (FM) affects millions of people around the world, causing widespread physical pain, exhaustion, and psychological disorders. Through this study, we aim to observe the effectiveness of two different rehabilitation programs in reducing the impact of FM on daily functioning and psychological factors. Specifically, we compare a complex conservative program that combines physical therapy and hydrokinetotherapy in a hospital setting with a therapy focused on intrinsic relaxation. Methods: This comparative study involved 63 patients aged between 19 and 69 years diagnosed with FM, divided into two groups: the study group (SG, 32 participants) and the control group (CG, 31 participants). Over 90% of participants are female, 30 in the study group and 28 in the control group. SG followed a conservative physiotherapy combined with thermal water therapy, and CG followed a recovery program through intrinsic relaxation. Participants were evaluated on the first and last day of the rehabilitation program using the Revised Fibromyalgia Impact Questionnaire (FIQR) and the Hamilton Anxiety Rating Scale (Ham—A). The rehabilitation program consisted of 10 sessions conducted over a period of two weeks. Results: After the two-week recovery period, the results showed a significant improvement in both FIQR and Ham—A scores in the study group (p < 0.001). In the control group, there were no significant changes in FIQR variables (p > 0.05), while a significant improvement was observed on the anxiety scale (p < 0.001). Conclusions: The combination of hydrokineto-therapy and physical therapy is more effective in improving the overall condition of patients with FM compared to relaxation.

The treatment for multiple sclerosis (MS) does not cure the disease, but it is intended to reduce the intensity, duration, and frequency of symptoms. Rehabilitation therapy (RT), including an individualized physical therapy program (PTP) and adapted occupational therapy (OT), has benefits in terms of aerobic capacity, muscle strength, coordination, and ability to perform activities of daily living (ADL). The primary objective of this study was to examine the efficacy of RT comprising PTP, OT, and drug treatment (DT) versus DT alone in patients with MS. Another objective was to highlight the importance of continuing the PT and OT at home, in the long term, practically for their entire life.Materials and methods: Between 2020 and 2022, a follow-up observational study was conducted that included 77 patients diagnosed with MS, independent in terms of ability to perform ADL, divided into two groups: group A (39 patients who complied with the RT) and group B (38 patients who did not comply). At the beginning and end of the study, the following parameters were assessed: timed walk for 25 feet [Timed 25-Foot Walk test (T25FW test)], dexterity of the upper limbs [9-Hole Peg Test (9HPT)], and cognitive function [Paced Auditory Serial Addition Test (PASAT)].Results: Significant improvement in the experimental group was observed regarding the mobility and the performance of leg function (T25FW, p < 0.05) and finger dexterity (9HPT, p < 0.05) for the dominant hand.Conclusion: The current study proves the importance of combining DT with RT in MS therapy with clear benefits in regaining muscle strength in the lower limbs, thus improving coordination and balance while walking and improving dexterity in the dominant hand.

Background and Objectives: Fibromyalgia (FM), through the presence of widespread chronic pain, stiffens the musculoskeletal system and causes sleep disturbances and fatigue. Through this study, we aimed to compare the effectiveness of two different recovery interventions for improving sleep quality: a standard, multidisciplinary intervention in a recovery hospital versus a therapy focused on intrinsic relaxation at home. Materials and Methods: This study included 60 adult patients who participated voluntarily and were diagnosed with FM by a rheumatologist, randomly divided into two groups. During this study, 30 patients out of the 60 were randomly assigned to experimental group 1 and underwent treatment at the Recovery Clinical Hospital in Băile Felix. The other 30 patients were assigned to experimental group 2 and underwent treatment at home. They were assessed on the first and last day of the recovery program using the Fatigue Severity Scale (FSS) and the Pittsburgh Sleep Quality Index (PSQI). Results: In experimental group 1, where by patients underwent hospital recovery (EG1), the results show that the severity of fatigue (FSS) was significantly reduced, with p = 0.00 and an effect size of 0.77, which suggests a general improvement in the state of fatigue, as well as in the quality of sleep evaluated with the PSQI (p = 0.00, effect size = 0.55). In experimental group 2 (EG2), no change was observed between assessments in terms of the FSS, but in terms of the quality of sleep, there was a small decrease in the PSQI score (p = 0.083), with a small effect size of 0.09. Conclusions: The results show that, from a clinical point of view, a complex treatment carried out daily improves sleep quality and reduces fatigue.