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Research Interests:
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Introduction: Ultrasound is extensively used for soft tissue pathology. Scanning bone superficial structures may reveal clear pathologic features to aid diagnosis. Case presentation: We present the case of a stress fracture in the second... more
Introduction: Ultrasound is extensively used for soft tissue pathology. Scanning bone superficial structures may reveal clear pathologic features to aid diagnosis. Case presentation: We present the case of a stress fracture in the second metatarsal, with the clinical aspect of a gouty attack. Ultrasound examination showed cortical thickening and disruption, hypoechoic periosteal swelling, hyperemia, soft tissue edema, and displacement of the extensor tendon. The diagnosis was confirmed by X-ray and MRI. The value of different diagnostic tools is discussed, and the importance of gray-scale and color Doppler ultrasound as a first-hand modality is underlined. Conclusion: Sonography clearly identifies cortical and periosteal abnormalities, differentiates surrounding soft tissue pathologies, and offers dynamic evaluation, and follow-up possibility with low cost, high accessibility, and no risks. Periosteal and cortical irregularities are important diagnostic issues when performing ultras...
Botulinum neurotoxin (BoNT), a product of Clostridium botulinum, reversibly inhibits the presynaptic release of the neurotransmitter acetylcholine at the neuromuscular junction. In addition, BoNT blocks the transmission of other... more
Botulinum neurotoxin (BoNT), a product of Clostridium botulinum, reversibly inhibits the presynaptic release of the neurotransmitter acetylcholine at the neuromuscular junction. In addition, BoNT blocks the transmission of other substances involved in pain perception and, together with a soft-tissue anti-inflammatory effect, may play a role in analgesia. When first-line treatment fails, second-line therapies might include BoNT. Studies on chronic and recurrent pain using different mechanisms offer heterogenous results that must be validated and standardized. Plantar fasciitis, severe knee osteoarthritis, painful knee and hip arthroplasty, antalgic muscular contractures, and neuropathic and myofascial pain syndromes may benefit from the administration of BoNT. Research on this topic has revealed the main musculoskeletal conditions that can benefit from BoNT, stressing the effects, modalities of administration, doses, and schedule.
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Research Interests: Ultrasound and Medicine
Background: Shoulder pain in stroke survivors has an important negative rol in rehabilitation program. There are a number of known underlying causes of shoulder pain. The most common one is shoulder spasticity, localized on shoulder... more
Background: Shoulder pain in stroke survivors has an important negative rol in rehabilitation program. There are a number of known underlying causes of shoulder pain. The most common one is shoulder spasticity, localized on shoulder internal rotators. Matherial and methods: 63 stroke survivors, in a subacute phase of rehabilitation, with comunication and comprehensive facilities, sphincter control, cardiorespiratory stability and shoulder pain. Other causes than spasticity for shoulder pain were excluded. Patients were included in phase-specific rehabilitation program (the degree of joint mobility-Range of Motion-ROM, stretching, occupational therapy for upper leg function) and were randomly assign to transcutaneous electrical nerve stimulation (TENS, 31 patients) and galvanic application (33 patients) on spastic shoulder internal rotators (e.g. subscapularis muscle), for 20 minutes daily, 15 days. Both investigators and patients were blinded. Results: After completion of 15 days-tr...
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The article presents the proposed method for p lantar print assessment and also the afferent software SInAP for interpreting and calculation of its typical elements (plantar pressures, specific areas, specific indicators for certain... more
The article presents the proposed method for p lantar print assessment and also the afferent software SInAP for interpreting and calculation of its typical elements (plantar pressures, specific areas, specific indicators for certain diseases, etc) in a performant manner but with reduced raw materials and materials consumption. The method and the software for plantar print assessment and interpretation SInAP will be used in the medical field and will p rovide to the doctors working in the medical recover and medical insoles manufacture, important data referring to the following categories of diseases at the foot level: diabetical foot, spastic foot, foot statics disorders, foot with rheumatic polyarthrit is and plantar fasciita. For these deseases it must be studied the different plantar print, must be evaluated the plantar pressures, must be prescribed medical insoles to prevent the complicat ions (deformat ions, ulcerations)
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Adventitial (adventitious) bursae occur as a pathological condition in areas between soft tissues and bone where abnormal friction arises due to professional, traumatic, or sport activity. An atypical localization of an adventitial bursa... more
Adventitial (adventitious) bursae occur as a pathological condition in areas between soft tissues and bone where abnormal friction arises due to professional, traumatic, or sport activity. An atypical localization of an adventitial bursa was noticed on the ulnar margin of the distal forearm in a woman with a mild bone misalignment, as a professional disorder. The clinical presentation was one of subcutaneous mass with mild pain and no local signs of inflammation. A 1-year follow-up visit noted the degeneration of the bursa into a cystic lesion, as proved with a grayscale sonogram, using a 14 MHz linear transducer. This was an unexpected chronic evolution. A quick literature search found either resolution or a chronic course with complications as fibrosis, infection, and ulceration of adventitial bursitis.
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Objective: To demonstrate the efficiency of complex rehabilitation treatment for carpal tunnel syndrome. Material and method: There were selected 30 patients with carpal tunnel syndrome with moderate severity. We used Boston questionnaire... more
Objective: To demonstrate the efficiency of complex rehabilitation treatment for carpal tunnel syndrome. Material and method: There were selected 30 patients with carpal tunnel syndrome with moderate severity. We used Boston questionnaire for the assessment of severity of symptoms and functional status and sonographic exam. Sonographic examination of carpal tunnel was directed towards median nerve CSA (cross-sectional area) measurement. For patients with moderate symptoms we found a CSA between 11.8 and 14.3 mm 2. Patients were randomly divided in two groups. All patients received NSAID and local applications of therapeutic laser and therapeutic ultrasound (three times a week for four weeks) Patients from group B received also a wrist-hand orthosis with wrist joint and MCP joints in neutral (to be worn at night time for 4 weeks). Clinical and sonographic assessment was done at the beginning of the study and at the end of the treatment. Results: Complex rehabilitation treatment (ther...
Vibration stimulates specific receptors, cutaneous and musculo-tendinous. The aff erent impulses travel through spinal neurons to thalamus and cortical structures. The local muscular response to a vibration is a tonic vibratory refl ex.... more
Vibration stimulates specific receptors, cutaneous and musculo-tendinous. The aff erent impulses travel through spinal neurons to thalamus and cortical structures. The local muscular response to a vibration is a tonic vibratory refl ex. This refl ex depends on many factors: frequency, amplitude, and tendon and muscle length. Based upon this refl ex, vibration produced alteration of isometric and isotonic contraction, fl exibility, spasticity. Many studies investigated facilitator eff ects on movement in stroke patients and spinal cord injuries. There is further need to set the place of vibration in the therapeutic fi eld of motor control enhancement.
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A bursa is a thin sac filled with viscous fluid to facilitate friction and gliding. In the human body, there are two types of bursae: synovial bursae in well-defined positions and adventitial bursae, which develop in sites where friction... more
A bursa is a thin sac filled with viscous fluid to facilitate friction and gliding. In the human body, there are two types of bursae: synovial bursae in well-defined positions and adventitial bursae, which develop in sites where friction or pressure increases. This case study is on a young woman with an old distal radial extremity fracture, with occupational exposure to pressure on distal ulnar forearm. She noticed a small and painful mass, with some mobility on the above-mentioned site. Sonography was used to detect a small fluid accumulation with features of adventitial bursitis. This case presents a rare localization of an adventitial bursitis. It is believed to have developed over the distal ulnar epiphysis, with a small bone malalignment, after an old and consolidated fracture, of the distal radial extremity.
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Vibration stimulates specific receptors, cutaneous and musculo-tendinous. The aff erent impulses travel through spinal neurons to thalamus and cortical structures. The local muscular response to a vibration is a tonic vibratory refl ex.... more
Vibration stimulates specific receptors, cutaneous and musculo-tendinous. The aff erent impulses travel through spinal neurons to thalamus and cortical structures. The local muscular response to a vibration is a tonic vibratory refl ex. This refl ex depends on many factors: frequency, amplitude, and tendon and muscle length. Based upon this refl ex, vibration produced alteration of isometric and isotonic contraction, fl exibility, spasticity. Many studies investigated facilitator eff ects on movement in stroke patients and spinal cord injuries. There is further need to set the place of vibration in the therapeutic fi eld of motor control enhancement.
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We present the case of an old patient with a painful shoulder, diagnosed in the ambulatory practice with an impingement syndrome and supraspinatus thendinopathy, with no response to appropriate therapeutically approach. As the MRI and... more
We present the case of an old patient with a painful shoulder, diagnosed in the ambulatory practice with an impingement syndrome and supraspinatus thendinopathy, with no response to appropriate therapeutically approach. As the MRI and diagnostic arthroscopy were not suitable for this patient, the sonographic examination changes the diagnosis to a supraspinatus complete tear with glenohumeral reaction and oriented the therapy, which proved to be successful.
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Objective: To demonstrate the efficiency of complex rehabilitation treatment for carpal tunnel syndrome. Material and method: There were selected 30 patients with carpal tunnel syndrome with moderate severity. We used Boston questionnaire... more
Objective: To demonstrate the efficiency of complex rehabilitation treatment for carpal tunnel syndrome. Material and method: There were selected 30 patients with carpal tunnel syndrome with moderate severity. We used Boston questionnaire for the assessment of severity of symptoms and functional status and sonographic exam. Sonographic examination of carpal tunnel was directed towards median nerve CSA (cross-sectional area) measurement. For patients with moderate symptoms we found a CSA between 11.8 and 14.3 mm2. Patients were randomly divided in two groups. All patients received NSAID and local applications of therapeutic laser and therapeutic ultrasound (three times a week for four weeks) Patients from group B received also a wrist-hand orthosis with wrist joint and MCP joints in neutral (to be worn at night time for 4 weeks). Clinical and sonographic assessment was done at the beginning of the study and at the end of the treatment. Results: Complex rehabilitation treatment (thera...
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A new therapy laser device is presented. The device consists of a central unit and different types of laser probes. The laser probe model SL7-650 delivers seven red (650 nm), 5 mW diode lasers convergent beams. The beams converge at about... more
A new therapy laser device is presented. The device consists of a central unit and different types of laser probes. The laser probe model SL7-650 delivers seven red (650 nm), 5 mW diode lasers convergent beams. The beams converge at about 30 cm in front of the laser probe and the irradiated area might be varied by simple displacement of the laser probe with respect to the target. The laser probe SL1-808 emits single infrared laser beam up to 500 mW. The efficiency of the use of this device in physiotherapy, and rheumatology, has been put into evidence after years of testing. Dermatology and microsurgery are users of infrared powerful laser probes. The device has successfully passed technical and clinical tests in order to be certified. The laser device design and some medical results are given.
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A new therapy laser device is presented. The device consists of a central unit and different types of laser probes. The laser probe model SL7-650 delivers seven red (650 nm), 5 mW diode lasers convergent beams. The beams converge at about... more
A new therapy laser device is presented. The device consists of a central unit and different types of laser probes. The laser probe model SL7-650 delivers seven red (650 nm), 5 mW diode lasers convergent beams. The beams converge at about 30 cm in front of the laser probe and the irradiated area might be varied by simple displacement of the laser probe with respect to the target. The laser probe SL1-808 emits single infrared laser beam up to 500 mW. The efficiency of the use of this device in physiotherapy, and rheumatology, has been put into evidence after years of testing. Dermatology and microsurgery are users of infrared powerful laser probes. The device has successfully passed technical and clinical tests in order to be certified. The laser device design and some medical results are given.