Systematic training of table tennis players' physical performance based on artificial intelligence technology and data fusion of sensing devices

This research emphasises the value of physical training for table tennis players, particularly as ball speed and spin rate decline and emphasises how important intensity quality is to the game. Chinese table tennis players' dual identities place greater demands on the general growth of their learning and training as a crucial component of talent development preparation. Athletes' general quality, competitive level, and ability to avoid sports injuries are all improved by scientific and focused physical training. In order to achieve the functions of intelligent camera, multi-angle broadcasting, and 3D scene reproduction, this study combines the physical training model of artificial intelligence. This gives the audience a more engaging and in-depth viewing experience. More feature extraction of the match footage is made possible by deep learning and convolutional neural networks when combined with large-scale video data, greatly enhancing the match information for viewers. The experimental findings demonstrate that the accuracy of table tennis human technical movement recognition reaches 98.88 % based on the enhanced AM-Softmax classification algorithm.

Immunologic and nonimmunologic sclerodermal skin conditions - review

Scleroderma-like cutaneous lesions have been found in many pathological conditions and they have the clinical appearance of sclerotic or scleroatrophic lesions. Affected skin biopsies described histopathological changes similar to those of scleroderma located strictly on the skin or those of systemic sclerosis. These skin lesions can be found in inflammatory diseases with autoimmune substrate (generalized morphea, chronic graft versus host disease, eosinophilic fasciitis), tissue storage diseases (scleredema, scleromyxedema, nephrogenyc systemic fibrosis, systemic amyloidosis), metabolic diseases (porphyrya cutanea tarda, phenylketonuria, hypothyroidism, scleredema diabeticorum), progeroid syndromes. Given the multiple etiologies of sclerodermal lesions, a correct differential diagnosis is necessary to establish the appropriate treatment.

QUALITY OF TRAINING IN COMPETITIVE TENNIS SPORTS

ABSTRACT Introduction: The current challenge in tennis training in China is the integration with technology because, with the existing training methods, coaches and players pay little attention to strategies using a simple and retrograde tactical training method. Solutions need to be created to meet the development requirements of modern tennis. Objective: This paper aims to analyze tennis players’ technical level, tactical characteristics, and training methods in sports competitions. Methods: Eight male tennis players were randomly selected as research volunteers. The various tactics employed by the subjects under competition were observed. Based on the collected data, a mathematical-statistical analysis of the tennis players’ technical usage and training performance was prepared. Results: The athletes in this study could use various offensive tactics during and after the experiment. The athletes have a strong offensive baseline and can use a combination of speed, spin, and positioning to restrict each other during the competition. However, there were significant differences in the players’ awareness of offensive tactics on defense (P<0.05). Conclusion: Most athletes perform consistently and heterogeneously in stalemate tactics. A weakness noted was that most athletes are not showing good efficiency in scoring when stalemate presents opportunities. The results of this study can improve the scoring rate of tennis players. At the same time, this study's findings may strengthen tennis players’ ability to control the game during sports competitions. Level of evidence II; Therapeutic studies - investigation of treatment outcomes.

The influence of curricular physical activities on the values of body balance indices in university students

The investigation analyzes the effect of specific motor structures on the indicators of the static and dynamic balance of the students of Dunărea de Jos University in Galați (99 boys aged = 20.29 years, body weight = 84.17 kg, height = 180.08 cm, respectively 96 girls aged = 20.09 years, mass bodyweight = 60.88 kg, height = 164.73 cm. The members of the tested group have no concerns related to performance sports or physical activities as a lifestyle. The application of the experi-mental program was made during the 28 weeks of the academic year 2018-2019, with 3 distinct moments: T1 / initial at the beginning of the 1st semester, T2 / intermediate before the winter break, T3 / final at the end of the academic year. The battery of tests included 7 tests: One leg standing test with eyes closed (sec), Stork test (sec), Flamingo test (number of attempts), Bass test (points), Functional reach test (cm), Walk and turn field sobriety test (errors) and Fukuda test (degrees). The results of the Anova parametric test with repeated measurements revealed statis-tically significant values of F associated with critical thresholds (p <0.05), and the values of Parti-al eta squared (Ƞ2p) indicate strong influences of the proposed program on test performance in most cases, both at the level of the whole group and also for each gender. It should be noted that the performance improvements are greater in the first part of the study (differences between ini-tial and intermediate tests, with p <0.05), compared to those in semester 2 (differences between intermediate and final tests), which can be explained by the adaptation to the planned and ap-plied stimuli, so modifying or changing their dosage is necessary in order to have a better chan-ce of improving the results. Significant differences are confirmed for most tests of both genders (p <0.05), with exceptions being the Walk and turn field sobriety test for boys (at the level of the difference between intermediate and final testing) and the Fukuda test for both genders (for dif-ferences between initial and intermediate testing). However, the results should be viewed with caution, the low level of physical training and sedentary behavior of most students providing the premises for such progress, even with a single weekly physical activity. Keywords: students, balance, postural stability, physical exercise, progress, motor skills

Case report and related comments in a relatively young male patient with right hemiplegia after left thalamo- mesencephalic hemorrhage and a consequent Parinaud syndrome – interdisci-plinary therapeutic – rehabilitative approach

Thalamo- mesencephalic hemorrhage is a devasting event, with a increased morbidity and mor-tality rate. Parinaud’s syndrome, also known as the dorsal midbrain syndrome, is characterized by a supranuclear vertical gaze disturbing, resulting from an insult to the mesencephalic tectum. Matherial and Method. We report the case of a 45-year-old man with personal antecedents of ar-terial hypertension, obesity and type 2 Diabetus mellitus, who was first admitted in the Neuro-logy Clinic Division of the Teaching Emergency Hospital Bucharest with a sudden onset of com-plete right hemiplegia, mixed aphasia and right central– type facial palsy on 17.04.2021, being diagnosed – following complex paraclinic investigations -with a left thalamo- mesencephalic hemorrhage. Results and discusssion. The patient followed a neuro- muscular rehabilitation program in our Neuro- Rehabilitation Clinic Division with favorable outcomes, the case repre-senting a real challenge regarding the complexity of the factors involved. Conclusions. The cli-nical outcomes and the quality of life of patients suffering from thalamo- mesencephalic hemor-rhage depend both on the prompt diagnosis and the efficient treatment, followed by an appro-priate rehabilitation program. Keywords: neuro-rehabilitation, thalamo-mesencephalic hemorrhage, Parinaud syndrome

Clinical particularities regarding rehabilitation treatment of a young patient with right pontine ischemic stroke, resulting in dysarthria and left side brachial and crural hemiparesis, and quite recent COVID-19 history

Introduction. Cerebrovascular attacks are one of the leading causes of mortality and morbidity in the world. The most severe are considered to be pontine strokes, because of the high risk of vital functions impairment. The clinical presentation of a pontine stroke can vary from the clas-sical crossed syndrome (ipsilateral cranial nerve palsy and contralateral motor and/or sensory impairment) to pure motor hemiplegia or pure sensory stroke, which are less common.1 Materials and methods. This presentation describes the case of a 39-year-old patient with a re-cent history of untreated SARS-COV 2 infection that was followed in the next month by a sudden onset of facial paralysis, dysarthria and a progressive left hemiplegia. The patient’s functional status was assessed in our Neuromuscular Clinical Division and he underwent a rehabilitation program consisting of physical, occupational and speech therapies. Multidisciplinary efforts were made in order to find the underlying cause of the pontine ischemic stroke. Results. The patient had a personal history of cardiovascular disease risk factors (essential hy-pertension and hyperlipidaemia), without other pathological brain imagining outcomes and normal bleeding tests. The suspicion of an interatrial communication was raised. The patient managed to rapidly maintain the standing posture and to practice walking with unilateral sup-port. At discharge, the facial paralysis and dysarthria were almost completely remitted. The left brachial extremity also showed signs of improvement, as the patient was able to perform flexion and extension movements of the fingers, wrist and forearm. Conclusion. To conclude, the patient’s evolution was favourable, although the certain cause of the underlying stroke has not been clarified. The neurological complications of COVID-19 in-clude ischemic strokes, and cases were reported in young adults too2,3. If this were the case, pre-vention of further cerebrovascular attacks and their complications is necessary1. Caution in terms of medium/long-term prophylactic anticoagulant therapy and careful control of associated cardiovascular disease risk factors has been proposed and discussed in the multidisciplinary team: rehabilitation physician, neurologist, cardiologist. Keywords: cerebrovascular attacks, COVID-19, cardiovascular disease risk factors, ischemic strokes, reha-bilitation

Study on the impact of the therapeutic swimming on elderly women diagnosed with osteoporosis

Introduction The adult woman has a complex of endocrine metabolic changes that can influence and cause various disorders in the body regarding the decrease of functional and regulatory ca-pacities. The involuntary changes in a woman's aging highlight both the appearance and the functionality. In this sense, we intend to conduct a study on morphological changes, parameters that represent risk factors in the development of osteoporosis. Studies by Kanis (1) and Munshi (2) show that maintaining adequate bone mass as well as ensuring adequate muscle tone can prevent osteoporosis, and a pronounced incidence of the onset and development of chronic de-generative pathologies can promote fractures. Material and method. In connection with the elu-cidation of this aspect, we will use the Frax estimation method, which is based on the introduc-tion of values obtained from medical evaluations. Regarding the study, we propose to the sub-jects a therapeutic swimming program to avoid the occurrence of osteoporotic fractures. Results and discussions. Regarding the field of factors favoring the estimation of a fracture in the items regarding cortisone treatments, alcohol consumption, digestive problems, minor traumas, the investigated subjects answered with No 100%.In order to obtain objective results, the study will continue for a period of 1 year, the intermediate tests will be performed after 4 months from the beginning of the work program and at the same time the program will undergo changes, de-pending on the results obtained from the evaluations. Conclusions. The implementation of this water exercise program will lead to adaptive changes in the direction of limiting the unevolu-tionary processes of senescence. Keywords: elderly women; osteoporosis; estimate; physical activity, therapeutic swimming

Rehabilitation of severe neurological complications post SARS-CoV-2 infection

Medical rehabilitation is a multi-professional / interdisciplinary process aimed at enhancing and restoring functional ability (activity and participation) and quality of life to people with im-pairments or disabilities. Rehabilitation is applied throughout the continuum of care. COVID-19 patients may develop a myriad of acute medical problems (linked to the virus per se, or as con-sequences of the invasive procedures), which can cause acute, post-acute and long-term conse-quences requiring rehabilitation. Information about short and long-term sequelae of COVID-19 indicate an increasing need for rehabilitation. The paper is focused on two main aspects: rehabil-itation of the severe neurological disabilities that occurred during the acute phase and continu-ing in the chronic phase (i.e., different neurological sensory-motor and cognitive deficits sec-ondary to stroke, encephalitis, seizures, encephalopathies). The other main issue is generated by the disruption of regular rehabilitation in people with neurological disabilities and chronic dis-eases (people living with sequels after stroke, Parkinson's disease, multiple sclerosis) due to quarantine, social isolation, movement restriction, and other healthcare systems ’disruptions. Methods Internet literature search (Lit Covid and PubMed) using the following keywords (Covid-19, Coronavirus, neurological complications, rehabilitation). During 2020-2021 were published 88 papers (in 2020 = 54, and in 2021= 54), with 21 reviewes (2020 = 15; 2021 = 8), and 2 systematic reviews, refearing neuroreabilitation in Covid-19 subacutre and long-term cas-es. Discussion REH-COVER Cochrane Rehabilitation WHO initiative (“Rapid Living Systematic Reviews Second Edition, called 2020”), contains the main cornerstones for a tailored rehabilita-tion programme, the best (current) available rehabilitation evidence on recovery interventions, for the patients living with sequelae of COVID-19. Conclusions More than two years since the outbreak of the COVID-19 pandemic, it is obvious that rehabilitation services play a crucial role in post-COVID recovery trajectories. A further achievement of research and evidence focussed on the clinical management, comprehensive treatments, and efficacy need to be targeted on short and long-term (neuro)-rehabilitation service models of care, for COVID-19 survivors. Keywords: Covid-19, rehabilitation, neurological disabilities, SARS-CoV-2

Study on the effects of the use of therapeutic ultrasound in the treatment of osteoarticular diseases

Introduction. The use of therapeutic ultrasounds is a method that proved its efficiency in articu-lar and periarticular pathology, in the subacute and chronic stages. The biological effects of the ultrasound use are determined by their interaction with the cellular structures whereas the re-sults depend on the used parameters. The purpose of the survey is to evaluate / identify the ef-fects of using ultrasounds in the treatment of musculoskeletal conditions (lumbar discopathy), knee osteoarthritis). Material and method. The survey was conducted on an outpatient basis in a period of 7 months and it is of the longitudinal type. It included 151 patients diagnosed with low back pain and knee osteoarthritis. The evaluated parameters were: pain, functional skills, articu-lar rigidity and the quality of life. Results. The effects of the use of ultrasounds is found in the decrease of pain, the stiffness of the joints and the contracture of the muscles, as shown by the re-sults of several surveys. Our survey proves that the use of ultrasounds decreases pain and in-creases the functional skills, it influences the physical function more obviously in patients with knee osteoarthritis, which is an aspect found in others surveys. Discussion. The use of a complex ultrasound treatment (in the pulsed way to avoid thermal effects) and kinesiotherapy enabled in our research the decrease of the pain and of the rigidity in the joints, the increase of the function-al skills and the quality of life, whereas these obtained results are in accordance with those of others surveys. Conclusions. The use of the therapeutic ultrasounds can have the following ef-fects: the decrease of the pain and of the joint rigidity, the improvement of the physical capacity for daily activities and the improvement of the quality of life. The use of low intensity ultra-sounds can determine biological effects with actions for a short period or for an average one. Keywords: therapeutic ultrasound, treatment, osteoarticular diseases, quality of life

Rehabilitation of post-COVID patients with chronic fatigue and cognitive disorders syndromes

Almost all patients, who have experienced acute manifestations of COVID-19, regardless of the severity of the acute phase of the disease, are only at the beginning of a long way to recovery. According to experts, SARS-CoV-2 infection should affect almost 80% of the world's population, so all these patients to a greater or lesser extent will need a rehabilitation of certain manifesta-tions of postcovid syndrome. Purpose: to study the effectiveness of rehabilitation program and the dynamics of cognitive im-pairment and manifestations of chronic fatigue syndrome in patients after coronavirus disease. Methods: The study design included 60 patients after SARS-Cov-2 infection. Among the exam-ined patients there were 26 (43,3%) women and 34 (56,7%) men. An average age of the patients was 43,9±1,08 years. Patients were referred to the Department of Physical Rehabilitation after coronavirus disease with chronic fatigue and cognitive disorders syndromes. Accordingly, all patients, who participated in the study, were divided into two groups: group I - 28 patients with a general condition of moderate severity at the hospital stage and 32 patients - group II, with se-vere course of the disease and oxygen demand at the hospital stage. Depending on the duration of rehabilitation, two observation periods were used - on the 7th and 14th day of rehabilitation program. Results: It has been proven, that patients, who didn’t need oxygen, were complaining about an-osmia, cephalgia, cognitive impairment, increased anxiety and fatigue. Dysgeusia, dyssomnia, and depression were more common in patients, requiring oxygen therapy at the hospital stage. Rehabilitation program eliminated cognitive dysfunction, depression, cephalgia, drowsiness and dyssomnia on the 7th day in patients, who did not require oxygen therapy (p>0,05), and in patients, who needed oxygen therapy - on the 14th day of the rehabilitation program (p>0,05). However, 2 (6,3%) and 3 (9,4%) patients, who needed oxygen therapy, even after 14 days of reha-bilitation had manifestations of minor recurrent headache and drowsiness. Conclusion: Thus, patients after coronavirus disease, who needed oxygen therapy at the hospital stage, need long-term rehabilitation program. Keywords: postcovid syndrome, anxiety, depression, drowsiness, rehabilitation

Clinical and rehabilitative considerations in a complex case of spastic tetraplegia, mixed aphasia, secondary encephalopathy – post severe traumatic brain injury with hemorrhagic and is-chemic lesions – with favorable late evolution and post-symptomatic status after SARS-COV-2 infection

The traumatic brain injury remains a current research topic considering the severity and the in-creased incidence of this pathology. Both physical and neuro-psychological sequelae require a complex rehabilitation program. Material and methods. We describe the evolution of a 20-year-old case, victim of a severe traumatic brain injury due to physical aggression, with spastic te-traplegia, extended ischemia in the left cerebral hemisphere, mixed aphasia, post-traumatic en-cephalopathy, left eyelid ptosis, right paresis of nerve III, post remitted status of left subdural hematoma, post remitted status of right fronto-parietal subarachnoid hemorrhage, severe joint stiffness (right elbow and fist, bilateral hips and knees), cachexia and SARS-COV-2 infection. In our clinic the patient followed medical, complex kinetotherapeutic treatments and was functio-nally assessed using the following scales: modified Ashworth, Penn Spasm Frequency Scale ( Penn), Life Quality Assessment ( QOL ), Montreal Cognitive Assessment ( MoCA ), FAC Interna-tional Scale, Glasgow Outcome Scale-Extended (GOS-E), modified Rankin scale (mRS ). Results. During the hospitalization, the patient presented a favorable late evolution with a great impro-vement of motor and neurological deficit, aphasia in remision, improvement of eyelid ptosis and joint stiffness, fact also confirmed by the increasing scores from the evaluated scales. Con-clusions. Consequently in traumatic brain injury the proper medication, personalized rehabilita-tion program, ergotherapy, speech therapy, a great deal of involvement and documentation of current information is required to improve the patient's quality of life. Keywords: traumatic brain injury, neuro-rehabilitation program, spastic tetraplegia

Estimating the effectiveness of the multi-/interdisciplinary therapeutic program in elderly patients with incomplete myeloradicualar injuries after cervical spinal cord injury

Nowadays elderly persons may be frequent victims of traumatic cervical spinal cord injury (CSCI). A selected group of 28 (7 women (25%) and 21 (75%) men) elderly tetraplegic patients with traumatic CSCI, were admitted to the THEBA Neuromuscular Rehabilitation Clinic with incomplete (AIS-B, -C, -D) myeloradicular injuries. The female patients had an average age of 71.42 years, 5 of them coming from rural areas and 2 from urban areas. The male patients had an average age of 69.11 years, 10 of them living in rural areas, and 11 in urban areas. The spine lesi-on location was at the C2 vertebral level (in 3 women and 4 men), C3 (in a woman and 4 men), C4 (in a woman and 6 men), C5 (in 1 woman and 5 men); C6 (in a woman); C7 (for 2 men). The patients' neurological levels of injuries were: C2 (in 3 women and 4 men), C3 (in one woman and 4 men), C4 (in one woman and 6 men), C5 (in one woman and 5 men), C6 (in one woman) and C7 (in 2 men). The AIS / Frankel degree at admission, was: complete lesion (AIS-A), in 1 women patient, incomplete lesion AIS-B (in 2 male patients), AIS-C (for 2 women and 10 men), AIS-D (for 4 women and 9 men). The average muscle strength at admission was 62.71 (SD 23.32) for women patients and 59.44 (SD 26.89) for male patients; and at discharge these averages were 70.5 (SD 21.23) for women and 69.22 (SD 27.06) for men. In the study group there were 19 opera-ted patients (3 women and 16 men); in which the anterior osteosynthesis was performed (for 3 women patients and 10 male patients) and respectively the posterior vertebral approach (in 6 male patients). The neurological evolution was favorable, so that at discharge were only patients with incomplete lesions AIS-C (1 women and 11 men), AIS-D (6 women and 10 men). The follo-wing comorbidities were associated: obesity (in 2 men), arterial hypertension (in 7 women and 11 men), diabetes (in 2 women and 4 men), traumatic brain injury (in 7 men), chronic alcoholism (in 2 men), pneumonia (in one woman and 6 men), neoplastic diseases (in 2 men), osteoporosis (in one woman and one man), anemia (in one woman and one man), glaucoma (in one woman), depression (in one woman), Lyme disease (in one woman), ischemic heart disease (in 3 women and 1 man), gastric ulcer in one man and ankylosing spondylitis (in 2 men). Complications of the immobilization syndrome were enterocolitis (in 2 men), bronchopneumonia (in 6 male pati-ents), urinary tract infections (in 6 women patients and in 12 male patients) and bedsores (in one male patient). Effectiveness of the final therapeutic approach was assessed (in percentage) by evaluating the progress of the muscle strength (quantified and compared at discharge vs. admis-sion) reported to the number of days of treatment. Statistics was performed for small groups (Anova and Pearson) to establish the effectiveness of the rehabilitation program, evaluating the level of correlation between the scores quantified with the aforementioned the scales. An inver-sely proportional relationship was found between spasticity and kinetic therapy efficacy (F 0.000, Pearson -0.09), between the PENN scale scores and kinetic therapy efficacy (F 0.000, Pear-son -0.24) and a directly proportional relationship between the scores assessing quality of life, FIM and the efficacy of kinetic therapy (F 0.02, Person 0.42). These results underline the impor-tance of a multi-interdisciplinary team approach in the management of the tetraplegic patients after CSCI during the subacute post-lesional/ post-operative stage.

The importance of a multidisciplinary approach to improve the life quality for patients with Parkinson's disease

Parkinson's disease is defined as a complex degenerative neurological disease with progressive evolution, which is part of motor system of the brain disorders, being the second degenerative disease as a frequency after Alzheimer's disease. It is characterized by tremor when muscles are at rest (rest tremor), increased muscle tone (stiffness), slow voluntary movements and difficulty maintaining balance (postural instability). Occupational therapy helps Parkinson's patients im-prove their ability to perform daily tasks. The intervention consists in assisting patients in deve-loping a self-care routine, taking into account the limitations of functional mobility, encoura-ging patients to maintain maximum function of daily activities for as long as possible, learning adaptive techniques to reduce tremor. Materials and methods. The devices used for this purpose are commercially available but they are quite expensive, which is why we wanted to make devi-ces made of material as cheap and affordable as possible. Some of the devices can be successfully made of material that every person has in their home. We also took into account the variant of making them without the need to use complicated tools and devices that are not available to pa-tients. Starting from these premises, we thought and made in our occupational therapy laborato-ry various devices designed to offer patients a variety of techniques and exercises and also a fle-xible work environment. On a pallet plate we fixed a series of elements such as zippers, snap button, hook-and-eye closure, systems that patients use on a regular basis. We also manufactu-red a device designed to help patients with household chores such as dish washing. The device is provided at one end with a washing sponge, its handle being a detergent tank. The size and sha-pe have been adapted to the needs of patients with Parkinson's disease. Results and discussions. In order to obtain the devices, cheap materials were used at the disposal of every person eager to make them. It started with simple objects that any patient uses for personal hygiene and more. The technique of making the devices was a very simple one, from the very beginning the steps that must be followed in order to make them were clearly established. Conclusions. Using the devices made during the physiotherapy sessions, significant improvements of the life quality for patients with Parkinson's disease were observed. Keywords: Parkinson, Occupational therapy, Devices, ADL

Effectiveness of the multi-/interdisciplinary neurorehabilitati-on program in young patients with incomplete myeloradicualar injuries after spinal cord injury

Nowadays young persons may be frequent victims of traumatic cervical spinal cord injury (CSCI). Material and methods A retrospective study (January 2019-March 2021) we conducted with the approval of the Ethics Commission of THEBA, to assess the results of the complex me-dical rehabilitation program during the subacute period. A selected group of 23 young tetraple-gic patients with traumatic CSCI, were admitted to the THEBA Neuromuscular Rehabilitation Clinic with incomplete (AIS-B, -C, -D) myeloradicular injuries. All patients were males, aged between 19 and 57 years (with a mean of 44.35 years, SD 12.9). Patients came from urban areas 11 (48%) and the remaining 12 (52%) from rural areas. Results The spine lesion location was located at C2 vertebral level (4 men), C3 (4 men), C4 (3 men), C5 (6 men); C6 (in 2 patients); C7 (in 2 men); T6 and T7 in 1 patient each. The patients' neurological levels of injury were: C1 (in 2 pati-ents), C2 (in 2 patients), C3 (in 4 patients), C5 (in 7 patients), C6 (in 4 patients) and C7 (in 2 pati-ents). The AIS/ Frankel degree at admission was: incomplete lesion AIS-B 3 patients, AIS-C 11 pa-tients, AIS-D 9 men. The average muscle strength at admission was 60.72 (SD 25.74). In the study group 20 patients were operated: anterior osteosynthesis was performed in 16 patients and pos-terior vertebral approach in 4 patients. The neurological evolution was favorable: at discharge there were only patients with incomplete AIS-C (8 men), respectively AIS-D (15 men) grade type of lesions, and their average muscle strength at discharge was 71.97 (SD 22.30). The following comorbidities were associated: arterial hypertension (in 2 patients), traumatic brain injury (in 14 patients), alcoholism (in 9 patients), pneumonia (in 6 patients), neoplastic disorders (in 1 pati-ent), gastric ulcer (in 2 patients), depression (in 2 patients). Complications of the immobilization syndrome were: enterocolitis (in 3 men), bronchopneumonia (in 3 patients), urinary tract infec-tions (in 13 patients) and bedsores (in 2 patients). Discussion Effectiveness of the final therapeutic approach was assessed (in percentage) by evaluating the progress of the muscle strength (quanti-fied and compared at discharge vs. admission) reported to the number of days of treatment. The external-internal variations of the numeric scores of the quality of life, FIM, Ashworth and Penn were evaluated. Statistics was performed for small groups (Anova and Pearson) to establish the effectiveness of the rehabilitation program, evaluating the level of correlation between the sco-res quantified with the aforementioned the scales. An inversely proportional relationship was found between spasticity and efficacy of physical therapy (F 0.000, Pearson -0.35), between the scores of Penn scale and the effectiveness of physical therapy (F test 0.000, Pearson -0.18), respec-tively directly proportional relationship between the kinetic therapy and FIM (F test 0.000, Pear-son 0.74), similar to the relationship between physical therapy and the scores assessing the quali-ty of life (F test 0.01, Pearson 0.02). Conclusions These results underline the importance of a multi-interdisciplinary team approach in the management of the tetraplegic patients after CSCI during the subacute post-lesional/ post-operative stage. Keywords: neurorehabilitation program, incomplete myeloradicualar injuries, spinal cord injury

Features of complex therapeutical rehabilitation management with favorable evolution in a patient with right hemiplegia, mixed aphasia and optic atrophy post surgical removal of be-nign intraventricular tumor (central neurocytoma)

Central neurocytoma (CN) is a benign brain tumor located intraventricularly and classified as grade II by the World Health Organization in 2000 (classification of tumours of the central nerv-ous system). CN is frequently found in young adults and may increase intracranial pressure causing obstructive hydrocephalus, manifested by neurological symptoms such as headaches and vision problems. CN has a relatively good prognosis, provided a complete surgical resec-tion is performed. Materials and Methods: In this presentation, we describe the case of a 21-year-old patient with a personal history of headache, vomiting and decreased visual acuity in both eyes, who was admitted to the Neurosurgery Clinic III of THEBA. Following clinical and para-clinical assesements, the patient was diagnosed with a left lateral ventricular tumor with exten-sion in the right lateral ventricle and the third ventricle. The neurosurgery team decided a total resection of the tumor would be the best approach in this case. The biopsy report revealed that it was a central neurocytoma. After the surgery the patient’s neurological status improved and she was admitted in the Neuromuscular Rehabilitation CinicalDivision with flaccid right hemi-plegia and mixed aphasia. The patient was functionally assessed using the following scales: Functional Independence Measure (FIM), Montreal Cognitive Assessment (MOCA), modified Ashworth, Penn Spasm Frequency Scale (Penn), Life Quality Assessment (QOL), FAC Interna-tional Scale, Glasgow Outcome Scale-Extended (GOS-E), modified Rankin scale (mRS), Aphasia Screening Test (AST-Whurr). Results: The patient showed a favorable evolution with remitted aphasia and walking traing with self-support in tertrapod walking stick. At the same time, the patient can use the plegic upper limb in performing feeding activities. Conclusion: It should be noted that neurosurgical intervention and pharmacological treatment, associated with an indi-vidual rehabilitation program consisting of: physical, occupational and speech therapies and al-so rehabilitation nursing interventions in a patient diagnosed with flaccid right hemiplegia and mixed aphasia after total surgical resection of the intraventricular central neurocytoma has im-proved the control of symptoms and the patient's quality of life. Keywords: benign brain tumor, central neurocytoma, hemiplegia, rehabilitation