Adina-Camelia Şlicaru

Background: Manual dexterity (MD) impairment is a frequent and disabling feature in patients with Parkinson’s disease (PD) and paranoid schizophrenia (PS), significantly affecting functional independence and activities of daily living. However, rehabilitation strategies specifically targeting fine motor control remain insufficiently integrated into routine physiotherapy (PT). Objective: This study investigated the effects of a structured, progressive PT program incorporating targeted MD training on upper limb function in patients with PD and PS. Methods: A prospective, exploratory, interventional study was conducted in 30 patients, allocated to either an experimental group (EG, n = 20) or a control group (CG, n = 10). Participants had PD (Hoehn and Yahr stages II–III) or chronic, clinically stable PS. MD was assessed using the Purdue Pegboard Test, Coin Rotation Task, and Kapandji opposition score. The EG completed a four-phase, 40-week dexterity-oriented rehabilitation program, while the CG received standard disease-specific PT. Between-group differences in change scores were analyzed using one-way ANOVA. Results: The EG showed significantly greater improvements than the CG in thumb opposition, psychomotor processing speed, and unilateral and bilateral fine motor performance (p < 0.001 for all), with large to very large effect sizes (η² = 0.45–0.76). No significant between-group differences were observed for complex sequential assembly tasks. Conclusions: Integrating targeted MD training into structured PT programs significantly improves fine motor performance in patients with PD and PS, supporting its inclusion in rehabilitation protocols for residential and outpatient care settings.

Background: It is well established that healthy lifestyle behaviors have significant effects not only on physical health but also on psychological well-being; however, the underlying mechanisms of these effects have yet to be fully elucidated. In this context, the aim of this study is to examine the relationships between a sustainable healthy lifestyle and levels of depression, stress, and anxiety, and to test the mediating role of physical literacy in these associations. Methods: This cross-sectional study was conducted among university students in Malatya, Türkiye, and a total of 652 voluntary participants were included. In the theoretical model of the study, a sustainable healthy lifestyle was positioned as the independent variable, depression, stress, and anxiety as dependent variables, and physical literacy as the mediating variable. Data were analyzed using structural equation modeling with bootstrapping to assess mediation effects. Results: Results obtained from the structural equation modeling indicate that a sustainable healthy lifestyle has significant and protective relationships with psychological well-being. Negative and significant relationships were identified between a sustainable healthy lifestyle and levels of depression, stress, and anxiety. Furthermore, higher levels of physical literacy were associated with lower levels of these psychological symptoms, with physical literacy playing a strong mediating role in these relationships. The model results revealed that lifestyle components such as regular physical activity, balanced nutrition, and sufficient sleep enhance individuals’ physical competence and awareness. Physical literacy was also found to have a significant negative relationship with depression, stress, and anxiety. Conclusions: These results indicate that physical literacy is a key variable not only for physical functioning but also for psychological resilience and well-being. Moreover, the impact of a sustainable healthy lifestyle on psychological symptoms appears to be largely mediated through physical literacy.

Background: It is well established that healthy lifestyle behaviors have significant effects not only on physical health but also on psychological well-being; however, the underlying mechanisms of these effects have yet to be fully elucidated. In this context, the aim of this study is to examine the relationships between a sustainable healthy lifestyle and levels of depression, stress, and anxiety, and to test the mediating role of physical literacy in these associations. (2) Methods: A total of 652 voluntary participants were included in this study, which was conducted within the framework of a relational survey design. In the theoretical model of the study, a sustainable healthy lifestyle was positioned as the independent variable, depression, stress, and anxiety as dependent variables, and physical literacy as the mediating variable. (3) Results: Results obtained from the structural equation modeling indicate that a sustainable healthy lifestyle has significant and protective effects on psychological well-being. Negative and significant relationships were identified between a sustainable healthy lifestyle and levels of depression, stress, and anxiety. Furthermore, higher levels of physical literacy were associated with lower levels of these psychological symptoms, with physical literacy playing a strong mediating role in these relationships. The model results revealed that lifestyle components such as regular physical activity, balanced nutrition, and sufficient sleep enhance individuals’ physical competence and awareness. Physical literacy was also found to have significant direct negative effects on depression, stress, and anxiety. (4) Conclusions: These results indicate that physical literacy is a key variable not only for physical functioning but also for psychological resilience and well-being. Moreover, the impact of a sustainable healthy lifestyle on psychological symptoms appears to be largely mediated through physical literacy.

Background: Any physical trauma, regardless of the chronological age reference, involves the restructuring of psychological functionality, both cognitively and emotionally. The older the age at which physical injuries with post-traumatic sequelae occur, the more the context of mental life is affected in a manner that leads to the development of post-traumatic stress disorder. One of the premises of this research is that the integrated physical and psychological approach of the patient in post-traumatic recovery for elderly patients allows the improvement of their attitude toward the traumatic situation, implicitly activating the patient and reducing the depressive factor, in addition to increasing their awareness of their own body in the recovery process. Results: The experimental group consisted of 35 subjects, who scored a total of 376 points in the initial phase and 178 points in the final phase, resulting in a difference of 198 points between the two phases of testing. The control group also consisted of 35 subjects, who scored 339 points in the initial phase and 298 points in the final phase, with a difference of 41 points between the two phases. Conclusions: Given this, collaboration among doctors, physical therapists, and psychologists becomes essential in the physical recovery process for elderly patients. Reconnecting the individual with their inner self, encouraging voluntary engagement, and identifying personal strengths and past achievements can provide realistic new frames of reference.

Background: The aim of this research is to investigate the associations between physical activity and mental health parameters (depression, anxiety, and stress) among women who have recovered from COVID-19; Methods: This research involved two measurements: the initial test, conducted 2-to-4 weeks post-COVID infection, and the final test, performed 14-to-16 weeks after the virus’s activity. The sample consisted of women (n = 190) aged 20 to 60 (47.60 ± 11.1, 47.60 ± 11.1, mean ± Std.Dev.) who were infected with COVID-19. To assess the level of physical activity, a longer version of the IPAQ questionnaire was used. Self-assessment of mental health was determined by a longer version of the DASS questionnaire; Results: The t-test analysis revealed significant differences in mental health and physical activity levels between the initial and final measurements. After three months, subjects showed lower mental health scores (indicating improvement) and higher Metabolic Equivalent of Task (MET) values across all physical activity domains, with moderate physical activity showing the greatest increase. The regression analysis showed that at the initial measurement, there was no statistically significant association of physical activity with mental health parameters. Three months after the initial measurement, regression analysis showed that there was a statistically significant association of physical activity with anxiety (F = 3.97; p = 0.000) and depression (F = 3.34; p = 0.001) but not with stress (F = 1.67; p = 0.106); Conclusions: This research revealed that higher levels of physical activity improved mental health in post-COVID-19 women, with varying effects on anxiety and depression depending on the activity domain.

Background: The aim of the research is to explore the relationship between psychological factors and nutritional status in adolescence. The issue of adolescent nutrition is related to several psychological problems, as well as to developmental changes during this period. Research on body image dissatisfaction has confirmed that most adolescents are dissatisfied with their bodies. Developmentally oriented scientists are unique in their approach to explaining the problem of body image, focusing on multiple aspects and attempting to understand the intrapersonal and interpersonal factors that are important for the formation of body image. Methods: The sample included 260 adolescents aged 11 to 15. The assessment of sociodemographic factors, emotional states, physical activity levels, and eating habits was included in the questionnaires filled out by the parents (DASS-21 and the Physical Activity & Nutrition Behaviors Monitoring Form questionnaire). Body Mass Index (BMI) was calculated based on information about the height and weight of the adolescents. Results: The results of the correlation between psychological characteristics and BMI indicate a negative low correlation with all psychological aspects: depression (r = −0.25; p < 0.05), anxiety (r = −0.30; p < 0.05), and stress (r = −0.28; p < 0.05). Over 70% of adolescents are classified in the category of normal BMI. Conclusions: The results indicate that subjects who are of normal weight experience less pronounced depression, anxiety, and stress.

(1) Background: The aim of the research was to present and emphasize the importance of magnetic resonance imaging (MRI) in diagnosing Achilles tendon (AT) ruptures by presenting case reports. (2) Materials and Methods: The sample of respondents included 7 patients (4 males and 3 females, 2 athletes and 5 non-athletes), aged 25 to 58 years, with AT injuries, who were examined and treated at the Institute for Treatment and Rehabilitation "Niška Banja", Niš, Serbia. Ankle examinations with MRI were conducted using the Esaote O-scan 0.3 T machine. The examinations were performed without the application of a paramagnetic contrast agent and without the use of anesthesia. Results: The MRI method's sensitivity and overall diagnostic accuracy were excellent, with 100% true positives. In our study, the method accurately detected the presence, location, and severity of AT injuries in all cases. MRI is an important and reliable method for detecting AT injuries, classifying them, monitoring the course of recovery, and assessing the effects of therapy. Conclusions: An unrecognized or delayed diagnosis of an AT injury can lead to chronic changes. Timely diagnosis (clinical examination, ultrasonography, magnetic resonance imaging) and appropriate treatment (conservative or operative) enable patients to return to normal activities, including sports. Unfortunately, the use of MRI is limited by restricted access and the cost of the examination.