14,951 research outputs found
Equinus foot classification in cerebral palsy: an agreement study between clinical and gait analysis assessment.
No full textBACKGROUND: Excessive ankle plantar flexion (equinus foot) is a common problem in cerebral palsy (CP) and several treatment options can be considered depending on the equinus type. Few attempts have been made to classify different forms of equinus foot for specific treatment.AIM: This study is aimed at defining equinus foot types in CP patients according to the Ferrari classification, integrating clinical and instrumental assessments. The hypothesis is that clinical differentiation of equinus foot can be evidenced by recurrent anomalies identifiable through gait analysis (GA), which can make the assessment, usually based only on clinician semeiotics, more objective.DESIGN: Clinical and instrumental assessments were performed separately by a senior CP physiatrist and a senior GA physiatrist, the latter was blind to the clinical diagnosis of equinus type.SETTING: OutpatientsPOPULATION: Twenty patients, 16 diplegics and 4 hemiplegics (mean age 11 years, SD 4 years 11 months).METHODS: Clinical assessment by means of Modified Ashworth Scale, Gross Motor Function Measure (GMFM), Observational Gait Analysis (OGA), and measurement of lower limb muscle strength by dynamometer were used to classify the equinus type. Gait analysis assessed the kinematics and EMG of affected lower limbs.RESULTS: Ten different equinus types were identified. Since various forms of equinus can be present in the same patient, we were able to classify a total of 61 types of equinus in 36 feet. Substantial agreement was found between Clinical and Gait Analysis equinus assignment matched in 50 out of 61 types (Index of agreement with Fleiss' Kappa 79.3 % ). In some case only Gait Analysis was able to identify the equinus type, while in others it did not confirm clinical assignment.CONCLUSION: Gait analysis is able to distinguish different equinus types according to Ferrari classification, making the clinical decision less arbitrary. CLINICAL REHABILITATION IMPACT: Correct objective diagnosis of equinus foot in CP patients is of paramount importance when choosing suitable rehabilitative interventions
Hepatitis C virus genotype distribution in B-Cell non-Hodgkin lymphoma
No full textNo abstract availabl
Mortalità in età giovanile e sostanze d’abuso: indagine nel settorato medico legale di Brescia
No full textTraumatic thrombosis of the internal carotid artery: two cases by different pathogenesis
No full textRetrograde hydration sequence in disordered Mg-amphiboles: a TEM investigation
No full textAcicular Mg amphibole in thermal-metamorphic serpentinites from Elba Island, Italy, is affected by polytypic disorder (with the possible coexistence of Pnmn, Pnma, and C2/m structures), chain-width defects, and retrograde hydration reactions. Based on HR-TEM nanostructures, we documented three main hydration stages: (1) formation of chain-multiplicity faults (CMFs); (2) formation of fibrous topotactic talc, elongated parallel to [001]Tlc and resulting from progressive polymerization of CMFs; and (3) pervasive serpentinization.
Incipient serpentinization produces isolated inclusions within Mg amphibole, rhombic in shape and parallel to {210}Mg-Am, or elongated parallel to (100)Mg-Am; the inclusions are filled by not-topotactic, curved (001)Srp layers or chrysotile partial fibers. As the Mg amphibole-to-serpentine replacement proceeds, the isolated serpentine inclusions merge together, producing a sponge-like texture, with interconnected fluid paths, from which serpentine can rapidly grow at the expense of enclosing amphibole.
We suggest that whereas the first hydration reactions to CMFs and fibrous talc take place at relatively high T and low fluid/rock ratio (fluid circulation confined to microfractures, cleavage planes, and subgrain boundaries), subsequent serpentinization requires significant changes in physical conditions, with definitely lower T and pervasive fluid circulation
Nanoifiltrazione e adattamento interno di corone singole in zirconia con preparazione a finire e differenti cementi da fissaggio
No full textCONDUCTIVITY AND PHOTOCONDUCTIVITY OF N-DOPED HYDROGENATED AMORPHOUS-SILICON TREATED WITH A CO2-LASER
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