Assessing the cervical range of motion in infants with positional plagiocephaly

Purpose: To determine if infants with positional plagiocephaly have limitations of active and passive cervical range of motion measured with simple and reliable methods. Methods: The examiners assessed bilateral active and passive cervical rotations and passive cervical lateral flexion. Cervical assessment was performed twice by 2 different physicians to assess intertester reliability. To assess intratester reliability the first investigator performed a second examination 48 hours after the first one. Results: One-hundred nine subjects were analyzed; 70.7% of the sample had head positional preference on the right, while 29.3% had head positional preference on the left (x2 35.52, P <0.001). Cervical rotations and lateral flexion showed reliable levels of agreement for intra and intertester reliability. Conclusions: The most limited range of motion in infants with positional plagiocephaly was cervical active rotation which affected more than 90% of patients. Passive cervical rotations and lateral flexion were limited in more than 60% of patient

La soberanía latinoamericana

La realidad, que está también está integrada por modas que constituyen la coronación de la hegemonía ideológica, indicó en las últimas décadas que “nación”, “pueblo”, “patria” y “soberanía” cedían su empuje ante la rutilante “globalización”; que “la república” y “la democracia” sometían a “la nación soberana” y al “pueblo soberano”, aun cuando el enunciado de aquellas carecía de sentido desprendido u opuesto a los últimos enunciados. Acompañando a los desplazados de los Oscar del prestigio académico y político están también en lugares de privilegios los fonemas “imperialismo” y “colonialismo”. Debía ser así porque estos dos conceptos se oponen a la “nación” y al “pueblo”. (Párrafo extraído del texto a modo de resumen)Comisión de Defensa de la Soberanía (UNLP)Facultad de Periodismo y Comunicación Socia

Appropriateness of clinical and organizational criteria for intra-articular injection therapies in osteoarthritis. A Delphi method consensus initiative among experts in Italy

OBJECTIVE: The aim of the study was to identify the main aspects involved in patient selection, the choice of therapeutic agents and the safety profile, as well as the medico-legal and organizational aspects of intra-articular injection therapies for osteoarthritis.METHODS: A committee of 10 experts from Italian universities, public hospitals, territorial services, research institutes and patient associations was set up. Fifty-two clinicians from a large number of Italian medical centers specialized in intra-articular injection therapy took part in a Delphi process aimed at obtaining consensus statements among the participants.RESULTS: Large consensus was obtained for statements grouped under the following main themes: treatment indications; drug/medical device choice; treatment efficacy; and appropriate setting.CONCLUSIONS: The consensus statements developed by a large number of experts may be used as a practical reference tool to help physicians treat osteoarthritis patients by means of intra-articular injection therapies

Il desiderio, la violenza e l’identità: un percorso psicologico

Il lavoro intende presentare alcuni elementi teorici e metodologici relativi all’intervento psicologico rivolto agli autori di violenza, frutto di una esperienza decennale in questo specifico ambito. Con questo articolo si propone di valorizzare la domanda d’intervento dell’autore di violenza e si offre un approfondimento teorico sui concetti di ‘desiderio mimetico’ e ‘desiderio dell’identità’

Liberami dalla rabbia, Amen: eliminare o accogliere, dal sintomo all’identità

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La violenza come sintomo: <em>risposta ai commenti al caso clinico</em>

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Effects of underwater exercise on venous return

The effects of water immersion on venous return are discussed

Comment on “efficacy of a single intra-articular injection of ultra-high molecular weight hyaluronic acid for hip osteoarthritis: a randomized controlled study”

We read with great interest the study by Clementi et al. that would like to explore the efcacy of a single intraarticular injection of ultra-high molecular weight hyaluronic acid in patients with hip osteoarthritis. Actually, we believe that investigating just patients’ clinical status using VAS and WOMAC scale should have been supported by further information. In fact, in order to have more data that could infuence the recent clinical practice, it is important to consider also  the efect that the intra-articular injection of ultra-high molecular weight hyaluronic acid could have on walking biomechanics using an objective measurement tool as gait analysis. In our opinion, the work by Clementi and colleagues is very important and useful especially for the long-term follow-up. Osteoarthritis is a theme currently representing a hot topic because the number of people afected by this pathology in the world is growing and this situation is a burden for healthcare system. Hence, modern medicine will meet, more and more, this issue. From this point of view, we believe that osteoarthritis management and rehabilitation should be performed by objectifying functional alterations using movement analysis instrumentations. The use of gait analysis should be desirable during diagnosis and follow-up . Gait analysis is able to assess diferent walking patterns in patient with osteoarthritis of the lower limbs, whereas the radiology can evaluate the status of the joint’s structures. Moreover, gait analysis  allows to identify the precise altered sub-phase of the walking cycle, permitting adequate prescription of a rehabilitation protocol, giving to the clinician information about kinematic and kinetic alterations and also about the muscle activity. Finally, gait analysis is easily applicable to the most of patients, without side efects. Hence, this tool is ideal for repetitive follow-up evaluations and allows assessing any variations of walking biomechanics over time. Furthermore, gait analysis examinations could represent very valid outcome measurements in order  to understand the efcacy of injection therapy to treat hip osteoarthritis. These evaluations should be considered as a completion of clinical assessment, and their use should be always considered in rehabilitation of osteoarthritis

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

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