Physical medicine and Rehabilitation is an integral part of the medical treatment of chronic pulmonary diseases. For many years, the standard of care for pulmonary patients included inactivity and rest. Pulmonary rehabilitation programs encourage the exact opposite. Today, pulmonary rehabilitation is not just an exercise or an education program; it includes assessment, medication, patient training, exercise, psychological intervention and follow-up, with prevention incorporated into every aspect of rehabilitation. In accordance with the Guidelines Panel of the ACCP (American College of Chest Physicians) and AACVPR (American Association of Cardiovascular and Pulmonary Rehabilitation), we consider that pulmonary rehabilitation includes individual patient assessment and multimodality treatment.
The consistency of results of the scientific evidence is demonstrated by the studies on the various aspects of pulmonary rehabilitation programs (lower extremity training, upper extremity training, ventilatory muscle training, psychological, behavioural and educational components and outcomes, dyspnoea control, quality of life and health care utilization).
The pulmonary rehabilitation program should involve an interdisciplinary team. Because of the diversity of impairments (the physiologic deficits), disabilities (the performance deficits of the whole person) and handicap (the societal disadvantages) in the respiratory patients, rehabilitation medicine draws not only on the services of physicians, but also on those of other specialists in the allied health sciences, and the biologic, social and behavioural sciences. All perform efforts to work together to improve the quality of life and the functional capability of the patient.
Previous published articles (in the past 5 years) of the research team related to the pulmonary rehabilitation:
1. Smoking habits and attitudes among young Romanian pulmonologist
Mara Popescu – Hagen, Monica Marc, Rodica Trăistaru, Stefan Mihaicuta, C. Didilescu
16th ERS Annual Congress, september 2 – 6, 2006, Munich, Germany
European Respiratory Journal, Vol 28, Supl 50, sept 2006, ISSN 0904 – 1850
2. Effects of pulmonary rehabilitation in the management of moderate COPD adults
Mara Popescu – Hagen1, Rodica Traistaru2, Cristian Didilescu2; 1Sp. Cl. V. Babes, Craiova, Romania, 2 U.M.F., Craiova, Romania; European Respiratory Journal, vol. 24, supplement 48, september, 2004, 518s; ISSN 0904 – 1850
3. Right postpneumonnectomy gained dextrocardia (Case report – Thoracic general); VNParvulescu, D Camen, L Ioncica, R. Traistaru ; Interactive CardioVascular and Thoracic Surgery, vol 5, No 4, 2006; ISSN 1569 – 9293
4. Immuno-profile in neurotic mild stable bronchial asthma patients; R. (Vladutu) Traistaru, R. Popescu, S. Bezna. Craiova, Romania; Clinical Neurophysiology, 113 (Suppl.1) S1 – S 140 (2002):S1281
5. Physical exercise and bronchial asthma – Rodica Vladutu (Traistaru), Daniela Poenaru; Revista INFOMedica, Nr.8(90), 2001,22–25
6. The benefits of pulmonary rehabilitaiton progrmmes in mild bronchial asthma patients; Roxana Popescu, Rodica Vladutu (Traistaru), A. Bighea; Respiro – Revista trimestriala editata cu sprijinul Schering Plough, Nr. 4 aprilie 2001, pp 12 – 163.
7. Guide for Clinical and Functional Assesment in Medical Rehabilitation vol I si vol II; ISBN 973 – 7757 – 03 – 3, ISBN 973 – 7757 – 04 – 1; Roxana Popescu, Rodica Traistaru, Petrica Badea, Editura Medicala Universitara Craiova, 2004
8. Physical medicine, Balneoclimatology and Rehabilitation ISBN 973-7757-91-2. Sub redactia Roxana Popescu, Editura Medicala Universitara Craiova, 2005
Nevertheless Romania is one of recent European Union countries, the tradition of Physical Medicine and Rehabilitation in Romania is long and rich.
The University of Medicine and Pharmacy of Craiova is one the most important institution with this profile in Romania, including all medicine domains. Now, it has three faculties: Medicine, Pharmacy, Dentistry and one college, and offer a modern and competitive education that meets the requirements of international standards. For more information and details you can access www.umfcv.ro
The Physical Medicine and Rehabilitation Department is one of the most active departments in our University. We are 10 young physiatrists (physicians who are specialized in Physical Medicine and Rehabilitation) under coordination of the Ph.D. professor Roxana Popescu
Until present we have annual scientific workshops, conferences and symposiums about various types of rehabilitation.
In Physical and Rehabilitation Medicine, the diagnosis, treatment and counseling of patients is our core business and our main goal. In practical medicine we consider more about the integrated individual than a dysfunctioning diseased organ; we take care of the patient well – being and his/her quality of life. We believe that collaboration is vital to widespread health problems and to quality of life in disability people.
We will consider not only clinical aspects but also the role of the Rehabilitation Medicine in the First Level of Health Attention, Disability’s laws, Management and Development of Rehabilitation Services, among other subjects.
Clinical practice will only improve when research provides new diagnostic and therapeutic tools and procedures and delivers evidence of the medical and economical efficiency of physical medicine and rehabilitation.
On the other hand, research definitely needs clinicians to define priorities, to raise the most relevant questions, but also to cooperate with researchers, to coach and support patients that are involved in projects and to implement the results of research afterwards.
The purpose of our activity is to advance education and research in all aspects of the rehabilitation of people with disabilities. Our main education and research topics are: