Treatment of Fatigue in Multiple Sclerosis Patients: A Neurocognitive Approach

The objective of the study was to treat fatigue in patients with multiple sclerosis (MS) by a neurocognitive rehabilitation program aimed at improving motor planning by using motor imagery (MI). Twenty patients with clinically definite MS complaining of fatigue were treated for five weeks with exercises of neurocognitive rehabilitation twice a week. Patients were evaluated by Fatigue Severity Scale (FSS), Modified Fatigue Impact Scale (MFIS), MSQoL54, Expanded Disability Status Scale (EDSS), and MS Functional Composite (MSFC). After treatment, a decrease in fatigue was detected with both FSS (P = 0.0001) and MFIS (P = 0.0001). MSFC (P = 0.035) and MSQoL54 (P = 0.002) scores improved compared to baseline. At six-month followup, the improvement was confirmed for fatigue (FSS, P = 0.0001; MFIS P = 0.01) and for the physical subscale of MSQoL54 (P = 0.049). No differences in disability scales were found. These results show that neurocognitive rehabilitation, based on MI, could be a strategy to treat fatigue in MS patients

Percutaneous repair of Achilles tendon ruptures with Tenolig: Quantitative analysis of postural control and gait pattern

none6noBackground: Surgical approach in Achilles tendon's rupture involved during the last years has becoming safer and less invasive as possible. Lots of study investigate the outcomes of the mini-invasive technique with Tenolig proving its good results, but never in the long-term. Objectives: Our study want to emphasize the effectiveness of this treatment exploring the postural and gait patterns in a 24-month follow up. Method: Patients did self-training exercises without specific supervision, instead of a particular postoperative rehabilitation protocol. We compared 21 patients to a control group of 19 health subjects using a clinical examination, a podobarometric and an optokinetic analysis. Results: Data shows no differences in time-distance parameters, despite a reduction of propulsion phase data, confirmed also by kinetic analysis. Podobarometric results show only a decrease in the anterior pressure of the injured limb (p= 0.09). In standing an increase of anterior-posterior oscillation of the COP (center of pressure) (p= 0.03). Conclusions: The results underline the long-term outcome effectiveness of the technique but some functional alterations remain. This could be the reason of the weakness, which always affected the patients. Reduction of the triceps elongation and restoration of strength during the propulsion phase should be the key points in postoperative physiotherapy. © 2012 Elsevier Ltd.mixedMezzarobba S.; Bortolato S.; Giacomazzi A.; Fancellu G.; Marcovich R.; Valentini R.Mezzarobba, S.; Bortolato, S.; Giacomazzi, A.; Fancellu, G.; Marcovich, R.; Valentini, R

Relation between Motor and Cognitive Skills in Italian Basketball Players Aged between 7 and 10 Years Old

There is evidence supporting a correlation between motor, attention and working memory in children. This present study focuses on children aged between 7 and 10 years, who have been playing basketball in the last two years. The aim of this study is to verify the correlation between cognitive and motor abilities and to understand the importance of this correlation in basketball practice. A total of 75 children who were 7.2–10.99 years old were assessed in terms of their attention, motor manual sequences and visuo-spatial working memory. A regression analysis was provided. In this sample, the motor abilities of children were found to be correlated with attention (denomination task, R2 = 0.07), visuo-spatial working memory (R2 = 0.06) and motor manual sequencing (aiming and catching task, R2 = 0.05; and manual dexterity task, R2 = 0.10). These correlations justify the suggestion to introduce deeper cognitive involvement during basketball training. The development of executive functions could have an important impact on basketball practice and the introduction of attention and memory tasks could help coaches to obtain optimal improvement in performance during the training sessions