Application of T-Thesys Therapy in post-operative recovery in knee-surgical interventions: A case study

T-Thesys therapy is an innovative treatment that can be used even in the presence of recent injuries. For this reason, we studied the T-Thesys use in the post-operative phase of the anterior cruciate ligament (ACL) reconstruction of the knee. For our study, we selected 51 patients for ACL surgery, and we divided participants in two groups: the Experimental Group (EG) and the Control Group (CG). The EG consisted of 34 patients (age: 26.9 ± 7.65 years) who underwent T-Thesys therapy after surgery, while the CG included 17 patients (age: 26.7 ± 6.8 years) who was not subjected to T-Thesys therapy after surgery. T-Thesys therapy was performed on a daily basis and participants' parameters were monitored throughout the treatment. For the EG, we did not find any significant differences, however, subjective disorders seemed to disappear, almost entirely, at the seventh application. The CG showed no significant differences, even in the subjective disorders investigated. Therefore, the therapeutic treatment associated with T-Thesys therapy seems to not show any efficacy compared to the surgical treatment alone. However, from our findings emerged differences which tend to highlight a better clinical response, a faster recovery time, an improvement on the quality of life in patients, and, moreover, a better use of the National Health System resources

Functional evaluation of the diabetic athlete: Role of the sports doctor

Obesity is a multifactorial disease and the most primary risk of this is the development of type 2 diabetes. Numerous studies show that the effects of obesity on glucose metabolism result in the deterioration of glucose tolerance, the development of insulin resistance and the consequent damage of the secretory function of beta-cells. The type 2 diabetes is a worldwide health problem associated with obesity and sedentary lifestyle. As reported the American Diabetes Association, the physical activity is fundamental for type 2 diabetes patients, reducing blood pressure, cardiovascular events, and improve glucose metabolism and insulin sensitivity. In the light of these evidences, the aim of this study is to analyse the effects of healthy lifestyle, characterized by a correct diet and by adequate physical activity program in type 2 diabetes patients. We analysed 25 sedentary type 2 diabetes patients subjected to a correct diet and therapeutic treatment and 20 active type 2 diabetes patients subjected to a correct nutrition and a program of physical activity. We found an amelioration in biochemical and anthropometric parameters such as blood pressure, glycemia, glycated haemoglobin, body mass index (BMI). Given these results we can conclude that the physical activity has always been considered one of the cornerstones of type 2 diabetes therapy together with diet and pharmacotherapy. However, the results obtained show that physical activity deserves the same level of consideration as diet and insulin therapy even in the subject with type 2 diabetes

Immune system and physical activity

Regular physical activity and sport are able to modify the diffused neuro-immuno-endocrine-endothelial system. This emerges from careful scientific research that finds deep interconnections between the psyche, the nervous system, endocrine organs and the immune response. There is an interconnection between the psychoendocrine-immunological system and respiratory infections in athletes. The appearance of leucocytosis during intense physical activity can explain to us how strenuous exercise is responsible for a temporary depression of the immune system; indeed, the physical activity reduces the proliferative activity and function of T-lymphocytes and Natural Killer cells. This is associated with the influence of multiple factors such as age and gender. The respiratory mechanics during strenuous physical activity favours the dehydration of the mucous membranes, the modification of the mucociliary clearance and therefore the predisposition to infections, until the appearance of more complicated diseases such as neoplasms, as reported by data literature. In conclusion, regular and moderate exercise improves the immune system, reduces environmental and psychological stress, decreases the demand and administration of chemotherapy and immunosuppressants

Fascia and movement: The primary link in the prevention of accidents in soccer. Revision and models of intervention

Accident prevention is certainly the topic of greatest interest in the football medical field. Data literature reported that the risk of injuries is approximately 1000 times greater in professional football than in other occupations; for these reasons, it is very important the prevention. The costs of an accident, both in economic terms and in terms of time away from the playing fields, have pushed researchers from more fields (sports doctors, orthopedists, physiotherapists, sports scientists and physiologists) to find causes regarding muscle and joint injuries and to prevent them. Many researchers have tried the cause of the damage in the anatomic setting: in the single muscle, in the muscular bundle and from the fasciculus to the single myofibril, losing the general system, studying the single function and muscular structure, and not the real physiology movement and the complex connectivity of the anatomical network. For these reasons, we think that the anatomical network and the relationships between the various structures of the body in motion represent the substrate on which we must research. For many years the anatomists have divided the body, while in recent decades it is understood the importance of the elements that unite the body, and in particular to the mechanical connection element: the fascia