1,721,032 research outputs found

    The Lower Limb Tendinopathies: Etiology, Biology and Treatment

    No full text
    This book examines the subject of lower limb tendinopathy and is divided into two main parts: the first covers the general aspects of tendinopathy, while the second focuses on the specific condition in the lower limb. Each chapter has a clear structure: etiopathogenesis, clinical presentation, imaging, conservative and surgical treatment, and therapeutic indications, making it easy to read. Furthermore, the section on conservative treatment includes important practical application tools

    Effects of underwater exercise on venous return

    No full text
    The effects of water immersion on venous return are discussed

    Hyaluronic acid in the management of osteoarthritis: injection therapies innovations

    No full text
    Subjects with chronic diseases are more likely to be nonpersistent to pharmacological treatment. Lack of persistence is common among subjects using oral anti-osteoporotic drugs, and leads to increased risk of fragility fracture. The aim of our retrospective study is to analyze the rates and reasons for discontinuation of anti-osteoporotic drugs in the Campania Region. Subjects aged over 40 years were included if they had received at least one prescription for any anti-osteoporotic drugs. Data were obtained from an administrative database of regional data on outpatient drug prescriptions reimbursed by the National Health Service. Patients were followed until the discontinuation of anti-osteoporotic therapy or until the end of the observation period. A total of 30,048 were incident users of anti-osteoporotic drugs: 28,317 (94.2%) females. The mean age of the cohort was 69.0±10.0 years. Weekly bisphosphonates (51.1%) were the most commonly prescribed drugs. In the overall population, persistence rates were 34.8% after 6 months and 13.4% at one year. A multivariate Cox proportional hazard analysis showed that daily regimen (HR 1.9) treatments remained at higher risk of early discontinuation compared to weekly regimen therapies. Our data showed that the persistence to osteoporosis therapy is significantly worse than reported in literatur

    Clinical definition of sarcopenia

    No full text
    Sarcopenia is a condition characterized by loss of skeletal muscle mass and function. Although it is primarily a disease of the elderly, its development may be associated with conditions that are not exclusively seen in older persons. Sarcopenia is a syndrome characterized by progressive and generalized loss of skeletal muscle mass and strength and it is strictly correlated with physical disability, poor quality of life and death. Risk factors for sarcopenia include age, gender and level of physical activity. In conditions such as malignancy, rheumatoid arthritis and aging, lean body mass is lost while fat mass may be preserved or even increased. The loss in muscle mass may be associated with increased body fat so that despite normal weight there is marked weakness, this is a condition called sarcopenic obesity. There is an important correlation between inactivity and losses of muscle mass and strength, this suggests that physical activity should be a protective factor for the prevention but also the management of sarcopenia. Furthermore one of the first step to be taken for a person with sarcopenia or clinical frailty is to ensure that the sarcopenic patient is receiving correct and sufficient nutrition. Sarcopenia has a greater effect on survival. It should be important to prevent or postpone as much as possible the onset of this condition, to enhance survival and to reduce the demand for long-term care. Interventions for sarcopenia need to be developed with most attention on exercise and nutritional interventions

    Comment on "Effect of extracorporeal shockwave therapy versus intra-articular injections of hyaluronic acid for the treatment of knee osteoarthritis"

    Full text link
    We read with great interest the study by Lee et al. titled “Effect of Extracorporeal Shockwave Therapy Versus Intra-articular Injections of Hyaluronic Acid for the Treatment of Knee Osteoarthritis. The authors were able to evaluate and compare the effects and outcomes of the extracorporeal shock wave therapy and intraarticular injections of hyaluronic acid in patients with knee osteoarthritis. This research is considered relevant and interesting, especially because it is noted that the authors compare an invasive therapy, such the intraarticular injections, with the administration of an extracorporeal show wave therapy, which is notably a kind of therapy that does not involve the interruption of the integrity of the skin. It is noted that the results from the study are promising from a clinical aspec
    corecore