1,064 research outputs found
Superficial peroneal nerve schwannoma presenting as lumbar radicular syndrome in a non-competitive runner
No full textINTRODUCTION: Running is one of the most common sports practices in the world due to the beneficial impact on the health,
despite the relatively high risk of getting injuries. In fact, running is one of the most common sports capable to induce overuse
injuries of the lower back and leg. In previous studies, the symptoms in the lower limb have been attributed to lumbosacral
degenerative pathology. When the symptoms are unclear, they must be studied with great attention by carrying out an accurate
process of screening and differential diagnosis.
MATERIALS AND METHODS: A 42-year-old non-competitive male runner who complained of left leg pain was referred to
a physiotherapist. He reported a continuous, deep, sharp, shooting pain of the left leg. The symptoms began one year earlier.
Symptoms worsened during prolonged driving and long distance running. The patient had been previously diagnosed with lumbar
radicular irradiation in the leg by a general practitioner. Initial management, in another physical therapy outpatient setting, was
without any improvement.
RESULTS: After surgical excision, symptoms gradually regressed shortly and the patient was referred to a physiotherapist in
order to fully recover and restore work and running activities.
CONCLUSION: This case report describes the history, assessment and treatment of a runner with a rare cause of leg pain. After
surgery excision, treatment focused on education and loading the tissues over many weeks through a graded program of loaded
exercises and running retraining
LOW BACK PAIN IN RUNNING: FROM PREVALENCE TO DIFFERENTIAL DIAGNOSIS
No full textGeneral organization of the research project
The main goal of this PhD research project is to investigate the relevance of LBP in running, the specific risk factor for onset LBP on runners, the differential diagnosis in runners with LBP and the real impact of these data on therapeutic strategies to adopt in physiotherapy. Different studies were conducted during the 3-year period of PhD training (2016-2019).
The results, relative discussions and implications are reported in the following chapters of the present dissertation as follows:
• Chapter I: A brief overview on running and etiology of Running-Related Injury;
• Chapter II: Analysis of The Prevalence and The Incidence of Low Back Pain in running;
• Chapter III: The knowledge, attitude and behaviour of Italian physiotherapists specialized in manual therapy towards Low Back Pain as Related Running Injuries;
• Chapter IV: The prevalence, behaviours and risk factors of Low back pain about Italian runners;
• Chapter V: The Differential Diagnosis in Physical Therapy Practice, through two review:
- The use of Red Flags in screening patients in physiotherapy. Narrative Review;
- The diagnostic value of Red Flags in Thoracolumbar pain: A Systematic Review;
• Chapter VI: The study of Red Flags identification as an important step to Screening for Referral Process in runners with Low Back Pain through four Cases Reports;
• Chapter VII: General Discussion and Implication in physical therapy, and future research
A Florentine family in crisis: the Strozzi in the fifteenth century.
No full textPhDIn 1434 the Strozzi lineage had held a leading position in
Florentine society and government for at least one hundred and fifty
years, and was one of the largest and wealthiest of the city's
patrician lineages. The records of the catasto of 1427 and of the
scrutiny of 1433 are used to give a profile of the dominant social,
economic and political position of the Strozzi before the advent of
Medicean dominance. Their record of electoral success, and the
political and cultural leadership of influential and respected men
such as Palla di Nofri and Matteo di Simone, with other factors, put
the Strozzi amongst the greatest enemies of the victorious Medicean
regime of late 1434. The effects of political opposition and exile
on the lineage are examined both directly, through records of office-holding,
and indirectly through such indicators as marriage alliances
and household wealth. The two most prominent lines of the Strozzi
were exiled after 1434. Palla di Nofri's life and preoccupations in
his Paduan exile are examined, together with the lives of his sons;
none of these Strozzi ever returned to Florence, pursued as they were
by the enmity of the Medicean regime. The very different careers of
Filippo di Matteo and his brother Lorenzo are also examined: how they
succeeded in founding a lucrative bank in Naples, and in returning to
Florence to 'rebuild' (rifare) the position of the Strozzi lineage
there. The final decades of the century saw the Strozzi in an
economically more secure position, due substantially to the efforts
of Filippo. Except for a very small number of its members admitted
into the regime, most of the lineage is here shown to have remained
excluded from significant political office until after the fall of
the Medici regime in 1494
Red flags o red herrings: qual è il reale peso dei segni e sintomi di allarme nella valutazione del paziente con lombalgia
No full textPopulation Viability Analysis and genetic features in lepus corsicanus and L. europaeus living simpatrically
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Population Viability Analysis su Lepus corsicanus nel Parco Nazionale del Cilento e Vallo di Diano
No full textAn unusual presentation of acute myocardial infarction in physiotherapy direct access: findings from a case report
No full textAbstract Background Shoulder pain (SP) may originate from both musculoskeletal and visceral conditions. Physiotherapists (PT) may encounter patients with life-threatening pathologies that mimic musculoskeletal pain such as Acute Myocardial Infarction (AMI). A trained PT should be able to distinguish between signs and symptoms of musculoskeletal or visceral origin aimed at performing proper medical referral. Case presentation A 46-y-old male with acute SP lasting from a week was diagnosed with right painful musculoskeletal shoulder syndrome, in two successive examinations by the emergency department physicians. However, after having experienced a shift of the pain on the left side, the patient presented to a PT. The PT recognized the signs and symptoms of visceral pain and referred him to the general practitioner, which identified a cardiac disease. The final diagnosis was acute myocardial infarction. Conclusion This case report highlights the importance of a thorough patient screening examination, especially for patients treated in an outpatient setting, which allow distinguishing between signs and symptoms of musculoskeletal from visceral diseases
A different use of patellar pubic percussion test (PPPT) to identify an unrecognized hip stress fracture
No full textPop Sound ed efficacia delle High Velocity low Amplitude Thrust: realtà clinica o mito?
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