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- Title
REHABILITATION OF A CASE WITH ALGOFUNCTIONAL SEQUELAE AFTER PELVIC GIRDLE FRACTURE BY USING NATURAL ENVIRONMENTAL FACTORS SPECIFIC TO TECHIRGHIOL RESORT.
- Authors
E., Cristescu; L. E., Stanciu; M., Minea
- Abstract
Pelvic girdle fractures are the consequences of modern times with excessive motorization and speed, with an incidence between 0.3% and 6% of the total fractures and 20% in the case of polytrauma. They are frequently accompanied by other bone or visceral lesions that associate important bleeding and high mortality, but also late complications: chronic pain, inferior limb inequalities, sexual dysfunction. When not surgical, the therapeutic decision involves prolonged immobilization with side effects such as muscle mass loss, joint stiffness, decreased exercise tolerance, which greatly complicates the physician’s recovery task. We presented the case of a 24-year-old patient, who, in February 2017, suffered a polytrauma-related ski accident at the pelvic girdle level - left ischium and pubis ram fracture, comminuted fracture of the iliopubic ramus, fracture of the sacrum, 18 mm pubis disjunction, subperitoneal hematoma - treated conservatively by immobilization for 2 months before entering Techirghiol Balnear and Rehabilitation Sanatorium, for the recovery of the gait and motor deficit installed on the left lower limb. Following a serious accident in the Azuga resort, the patient was carried away, without benefitting from specialized investigations, by two medical units in Prahova County before being transferred to S.C.J.U.C. where a non-surgical treatment approach was decided. The patient stayed at home for two months, during which, the hypotrophy of the lower left leg aggravated, being unable to perform the ADL, and worsening the quality of life. Following a neurological consultation by a visit at home, he was admitted for treatment in Techirghiol Balnear and Rehabilitation Sanatorium, where he benefited from balnear-physical kinetic complex treatment using the specific natural environmental factors: sapropelic mud and salt water from Techirghiol Lake, where he regained total walking independence and reintegration into his activity. There are many indications of recovery treatment in Techirghiol Balnear and Rehabilitation Sanatorium, such as degenerative and inflammatory rheumatic diseases, lesions of central and peripheral nervous system, dermatological, gynecological, and peripheral vascular diseases, etc., most of them with a relief of more than 60% of the symptomatology. Of these, the best and fast results were observed in post-traumatic sequelae mainly due to the immersion in the very salty water of Techirghiol Lake that facilitates orthostatism and walking with the elimination of body weight and increasing muscle strength by opposing resistance to movement.
- Subjects
PELVIC fractures; MEDICAL rehabilitation; SANATORIUMS
- Publication
Journal of Medicine & Life, 2017, Vol 10, p8
- ISSN
1844-122X
- Publication type
Abstract