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Capitolo "esercizio e terza età" in: Saraceni VM, Fletzer DA. L'esercizio in medicina riabilitativa. Piccin, 2008
No full textQuality of life improved by multidisciplinary back school program in patıents with chronic non-specific low back pain: a single blind randomized controlled trial
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Long-term effects on cortical excitability and motor recovery induced by repeated muscle vibration in chronic stroke patients
No full textMuscle vibration modifies corticomotor excitability in healthy subjects and reduces muscle tonus in stroke patients. This study examined whether repeated muscle vibration (rMV) applied over the flexor carpi radialis (FCR) and biceps brachii (BB) can induce long-lasting changes, using transcranial magnetic stimulation (TMS), in patients with chronic stroke
Extracorporeal shock wave therapy in early osteonecrosis of the femoral head: prospective clinical study with long-term follow-up.
No full textINTRODUCTION:
Extracorporeal shock wave therapy (ESWT) may exert beneficial effects in avascular necrosis of femoral head (AVNFH).
PATIENTS:
The current study evaluated the effectiveness of ESWT in reducing pain and in slowing down the progression of bone damage in 36 patients with unilateral AVNFH of stage Association Research Circulation Osseous (ARCO) I, II and III. At the beginning of the study, 10 hips were classified as stage I, 11 as stage II and 15 as stage III. Each treatment cycle included four sessions, with 2,400 impulses each administered at 0.50 mJ/mm(2), at 48-72 h intervals. Follow-up examinations were scheduled at 3, 6, 12 and then 24 months.
METHOD:
Clinical assessments included assessment of pain scores, Harris Hip Scores and Roles and Maudsley score. Plain radiographs and magnetic resonances of the hip were used to evaluate the size of the lesion, the extent of collapse of subchondral bone, and degenerative changes of the hip joint.
RESULTS:
Patients from ARCO stage I group and stage II group achieved significantly better results than patients from ARCO stage III group at all follow-up time points (p < 0.005). During the follow-up period, 10 of the 15 stage III ARCO patients received an arthroplasty. ARCO stages I and II lesions were unchanged on radiographs and on magnetic resonance images.
CONCLUSION:
ESWT in ARCO stages I and II may help to prevent progression of the area of avascular necrosis and manage pain
Long-term effects on motor cortical excitability induced by repeated muscle vibration during contraction in healthy subjects
No full textObjective: The effects of a novel repeated muscle vibration intervention (rMV; 100 Hz, 90 min over 3
consecutive days) on corticomotor excitability were studied in healthy subjects.
Methods: rMV was applied over the flexor carpi radialis (FCR) during voluntary contraction (experiment 1),
during relaxation and during contraction without vibration (experiment 2). Focal transcranial magnetic
stimulation (TMS) was applied before rMV and one hour, and one, two and three weeks after the last muscle
vibration intervention. At each of these time points, we assessed the motor map area and volume in the FCR,
extensor digitorum communis (EDC) and abductor digiti minimi (ADM). Short-interval intracortical
inhibition (SICI) and facilitation (ICF) were tested for the flexor/extensor muscles alone.
Results: Following rMV under voluntary contraction, we observed a significant reduction in the FCR map
volumes and an enhancement in the EDC. SICI was increased in the FCR and reduced in the EDC. These
changes persisted for up to two weeks and occurred at the cortical level in the hemisphere contralateral to
the side of the intervention.
Conclusion: We conclude that rMV, applied during a voluntary contraction, may induce prolonged changes in
the excitatory/inhibitory state of the primary motor cortex. These findings may represent an important
advance in motor disorder rehabilitation
Calcific tendinopathy of the rotator cuff. Conservative management with 434 Mhz local microwave diathermy (hyperthermia): a case study.
No full textPURPOSE:
To report the effects of local microwave diathermy (hyperthermia) at 434 Mhz on calcific tendinopathy of the shoulder in two middle aged patients.
METHODS:
Two middle-aged women with calcific tendinopathy of the shoulder were treated with local microwave diathermy (hyperthermia) at 434 Mhz three times a week for four weeks. Plain radiographs and ultrasonography demonstrated calcific deposits in the area of infraspinatus or supraspinatus. Shoulder Pain and Disability Index (SPADI) and passive Range of Motion (ROM) were used to assess the response to treatment.
RESULTS:
At the end of the treatment period, the improvement as measured by the SPADI score was respectively 30% for the first patient and 40% for the second patient with an improvement of the shoulder passive ROM for both patients. The calcific deposits seen on the initial radiographs and ultrasonography were no longer visible. At 1 year follow-up, both patients continued to be symptom free.
CONCLUSIONS:
Hyperthermia is a safe option in the management of calcific tendinopathy of the shoulder. Prospective randomized controlled studies with long term assessment are needed to further document its therapeutic efficacy
Riflessione sull’utilizzo delle Superfici Percettive nella rieducazione della percezione della linea mediana: valutazione delle scillazioni del tronco
No full textEfficacia di un trainingcon pedanan Balance Board Nintendo wii Vs Atività Fisicaadattata in Soggetti con osteopenia: uno studio pilota randomizzato e controllato
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