101,916 research outputs found
Correction to: The “Risser+” grade: a new grading system to classify skeletal maturity in idiopathic scoliosis (European Spine Journal, (2019), 28, 3, (559-566), 10.1007/s00586-018-5821-8)
No full textUnfortunately, the affiliation of the author Negrini S has been incorrectly published in the original version. The complete correct affiliation of this author should read as follows
The 3rd Cochrane Rehabilitation Methodology Meeting: "Rehabilitation definition for scientific research purposes"
No full textNegrini S, Meyer T, Arienti C, et al. The 3rd Cochrane Rehabilitation Methodology Meeting: "Rehabilitation definition for scientific research purposes". European journal of physical and rehabilitation medicine. 2020
In search of solutions for evidence generation in rehabilitation: the second Cochrane Rehabilitation Methodology Meeting.
No full textNegrini S, Meyer T, Arienti C, Malmivaara A, Frontera W. In search of solutions for evidence generation in rehabilitation: the second Cochrane Rehabilitation Methodology Meeting. American journal of physical medicine & rehabilitation. 2019;99(3):181-182.The availability of evidence to support rehabilitation has been a long-standing challenge. We believe that now is the time to start a systematic process of improvement. For this reason, Cochrane rehabilitation is producing an effort to improve the methodology used to generate evidence. Two Cochrane Rehabilitation Methodology Meetings (CRMM) have been performed (Paris, France, July 2018; Kobe, Japan, June 2019) and 2 others programmed (Milan, Italy, February 2020; Orlando, USA, March 2020). All material discussed during CRMMs is published. In this issue we have the papers from the Kobe CRMM about blinding, current reporting standards for population and comparison groups, and the protocol of the RCT Rehabilitation Checklists (RCTRACK) project.The articles published in this issue aim to help the rehabilitation scientific community to move forward, to improve the process of generating evidence in rehabilitation, and to strengthen our field as presented to the general scientific community. To accomplish these goals we need to clearly describe our methods and our approach to future rehabilitation research. Not all fields of study can apply the same methodology in science, but each field must define its research methodology and demonstrate the characteristics that make it a specific field of inquiry
Scoliosis-Specific exercises can reduce the progression of severe curves in adult idiopathic scoliosis: A long-term cohort study
No full textBackground: Scoliosis fusion surgery is generally considered the only means to stop the progression of adult idiopathic scoliosis (ADIS), but for patients refusing surgery there is lack of evidence in favour of conservative treatment. The aim of the present study was to verify the possible effectiveness of scoliosis-specific exercises when facing ADIS progression. Methods: We designed a retrospective cohort study. Instrumentation: SEAS exercises are scoliosis-specific exercises. In adult patients they are aimed to recover postural collapse, postural control and vertebral stability through an active self-correction. Postural integration is a key element, including the neuromotor integration of correct postures and an ergonomic education program. Therapy includes at least two weekly exercise sessions each lasting 45 min. Outcome measures: Radiographic progression was the main outcome and it was analysed as a continuous variable. Statistics: One way ANOVA and paired t-test were applied for continuous data, while chi-square test was applied for categorical data. Alpha was set at 0.05. Results: The mean Cobb angle of the patients included into the present study, was 55.8 ± 13.2 °. Fifteen patients had previous x-rays testifying scoliosis progression: the average curve progression (worsening) was 9.8 ± 6.6 ° at a median of 25 (range 17-48) years. The remaining were characterized by more severe curves, exceeding 40 ° Cobb (mean curvature 50.9 ± 13.6) but it was not possible to prove that the curves had progressed in these cases. After an average period of 2 years of treatment (range 1-18y), 68 % of the patients experienced an improvement in their scoliosis. However in one patient (3 %) the scoliosis worsened by 5 ° in 18 years (progression rate reduced from 0.5 ° to 0.27 ° per year). Patients improved 4.6 ± 5.0 ° Cobb (P < 0.05), with no differences based on the localization of the curve, gender, age, length of treatment, Cobb degrees at the start of observation or treatment. Conclusions: Scoliosis Specific SEAS Exercises proved to be superior to natural history in ADIS, at least in individual cases and should be considered as a first line treatment especially in patients refusing scoliosis surgery. © 2015 Negrini et al
Recommendations for research studies on treatment of idiopathic scoliosis: Consensus 2014 between SOSORT and SRS non-operative management committee
No full textThe two main societies clinically dealing with idiopathic scoliosis are the Scoliosis Research Society (SRS), founded in 1966, and the international Society on Scoliosis Orthopedic and Rehabilitation Treatment (SOSORT), started in 2004. Inside the SRS, the Non-Operative Management Committee (SRS-NOC) has the same clinical interest of SOSORT, that is the Orthopaedic and Rehabilitation (or Non-Operative, or conservative) Management of idiopathic scoliosis patients. The aim of this paper is to present the results of a Consensus among the best experts of non-operative treatment of Idiopathic Scoliosis, as represented by SOSORT and SRS, on the recommendation for research studies on treatment of Idiopathic Scoliosis. The goal of the consensus statement is to establish a framework for research with clearly delineated inclusion criteria, methodologies, and outcome measures so that future meta- analysis or comparative studies could occur. A Delphi method was used to generate a consensus to develop a set of recommendations for clinical studies on treatment of Idiopathic Scoliosis. It included the development of a reference scheme, which was judged during two Delphi Rounds; after this first phase, it was decided to develop the recommendations and 4 other Delphi Rounds followed. The process finished with a Consensus Meeting, that was held during the SOSORT Meeting in Wiesbaden, 8-10 May 2014, moderated by the Presidents of SOSORT (JP O'Brien) and SRS (SD Glassman) and by the Chairs of the involved Committees (SOSORT Consensus Committee: S Negrini; SRS Non-Operative Committee: MT Hresko). The Boards of the SRS and SOSORT formally accepted the final recommendations. The 18 Recommendations focused: Research needs (3), Clinically significant outcomes (4), Radiographic outcomes (3), Other key outcomes (Quality of Life, adherence to treatment) (2), Standardization of methods of non-operative research (6). © 2015 Negrini et al.; licensee BioMed Central
Introduction to the "Scoliosis" Journal Brace Technology Thematic Series: increasing existing knowledge and promoting future developments.
No full textBracing is the main non-surgical intervention in the treatment of idiopathic scoliosis during growth, in hyperkyphosis (and Scheuermann disease) and occasionally for spondylolisthesis; it can be used in adult scoliosis, in the elderly when pathological curves lead to a forward leaning posture or in adults after traumatic injuries. Bracing can be defined as the application of external corrective forces to the trunk; rigid supports or elastic bands can be used and braces can be custom-made or prefabricated. The state of research in the field of conservative treatment is insufficient and while it can be stated that there is some evidence to support bracing, we must also acknowledge that today we do not have a common and generally accepted knowledge base, and that instead, individual expertise still prevails, giving rise to different schools of thought on brace construction and principles of correction. The only way to improve the knowledge and understanding of brace type and brace function is to establish a single and comprehensive source of information about bracing. This is what the Scoliosis Journal is going to do through the "Brace Technology" Thematic Series, where technical papers coming from the different schools will be published
On the instability of the equilibrium for a Lagrangian system with gyroscopic forces
No full textWe consider a Lagrangian Differential System (L.D.S.) with Lagrangian function L(q, q˙ )=T(q, q˙ )+U(q), sufficiently smooth in a neighbourhood of the critical pointq=0 of the potential functionU(q). The kinetic function T(q, q˙ ) is a non homogeneous quadratic function of the q˙ 's, i.e. the L.D.S. contains the so-called gyroscopic forces. The potential functionU(q) starts with a degenerate (but non zero), semidefinite-negative, quadratic form. Moreover,q=0 is not a proper maximum ofU, and this property has to be recognized in a suitable way. By analizing the problem of the existence of solutions of the L.D.S., which asymptotically tend to the equilibrium solution, (q, q˙ )=(0,0), we provide a sufficient criterium for its instability
Answer to the Comment on the provisory definition of rehabilitation for research purposes.
No full textKiekens C, Meyer T, Selb M, Stucki G, Negrini S. Answer to the Comment on the provisory definition of rehabilitation for research purposes. European journal of physical and rehabilitation medicine. 2021
Letter, [Author unclear] to Paulina T. Merritt
No full textHandwritten letter to Paulina Merritt from an unknown author, October 1, 1876.
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