Tutori, ortesi, protesi, ausili. Testo-Atlante per le Professioni dell'Area Sanitaria

“... un testo aggiornato, completo e di rapida consultazione per comprendere indicazioni e modalità di utilizzo di tutori, ortesi, protesi e ausili; una iconografia dettagliata che consente di visualizzare immediatamente forma e impiego degli stessi...” (dalla prefazione del Prof. Giulio Maccauro) Un testo-atlante che non esaurisce la sua funzione didattica al termine del corso di studi, ma che rimane come utile e maneggevole strumento di consultazione e di formazione nella pratica quotidiana di qualsiasi Professionista dell’Area Sanitaria. Con 164 figure a colori. Maggiori dettagli nel PDF scaricabile (indice, prefazione completa, pagine campione) e sul sito dell’editore UniversItalia.Braces, orthoses, prostheses, assistive devices. Text-Atlas for Healthcare Professionals "... an updated, complete and quick reference text to understand indications and methods of use of braces, orthoses, prostheses and assistive devices; a detailed iconography that allows you to immediately visualize their form and use..." (from the preface by Prof. Giulio Maccauro) A text-atlas that does not exhaust its didactic function at the end of the course of study but remains a useful and handy tool for consultation and training in the daily practice of any Healthcare Professional. With 164 colour figures. Further details in the downloadable PDF (index, full preface, sample pages) and on the website of the publisher UniversItalia

Italian Version of the Risk Assessment and Prediction Tool: Properties and Usefulness of a Decision-Making Tool for Subjects' Discharge after Total Hip and Knee Arthroplasty

Background: Growing attention is being given to standardized outcome measures to improve interventions for total hip arthroplasty (THA) and total knee arthroplasty (TKA). We culturally adapt and validate the Italian version of the Risk Assessment and Prediction Tool (RAPT-I) to allow its predictive use after THA and TKA. Methods: The RAPT-I was adapted by forward-backward translation, a final review by an expert committee and a test of the pre-final version to establish its correspondence with the original version. The psychometric testing included test-retest reliability (intraclass correlation coefficient, ICC). The RAPT score was used to predict the subjects-destination (<6: rehabilitation unit; 6-9: additional intervention before discharging home; or >9: discharge directly at home) by comparing the actual discharge destination with the predicted destination. The predictive effects of RAPT items on the discharge destination were further described by a logistic regression model (repeated leave-one-out bootstrap procedure). Results: The questionnaire was administered to 78 subjects with THA and 70 subjects with TKA and proven to be acceptable. The questionnaire showed excellent test–retest reliability (ICC = 0.839; with 95% confidence interval (CI) of 0.725–0.934 for THA; ICC = 0.973, with 95% CI of 0.930–0.997 for TKA). The RAPT-I overall predictive validity was 87.2%, and the discharge destination was directly related to living condition (odds ratio (OR) = 2.530), mobility (OR = 2.626) and age (OR = 1.332) and inversely related to gait aids (OR = 0.623) and gender (OR = 0.474). Conclusions: The RAPT-I was successfully adapted into Italian and proven to exhibit satisfactory properties, including predictive validity in determining discharge destination

Responsiveness of the Oswestry Disability Index and the Roland Morris Disability Questionnaire in Italian subjects with sub-acute and chronic low back pain

Introduction An ability to assess longitudinal changes in health status is crucial for the outcome measures used in treatment efficacy trials. The aim of this study was to verify the responsiveness of the Italian versions of the Oswestry Disability Index (ODI) and the Roland Morris Disability Questionnaire (RMDQ) in subjects with subacute or chronic low back pain (LBP). Material and methods At the beginning and end of an 8 week rehabilitation programme, 179 patients completed a booklet containing the ODI, the RMDQ, a 0-10 numerical rating scale (NRS), and the 36-item Short-Form Health Survey (SF-36). A global perception of change scale was also completed at the end of the programme, and collapsed to produce a dichotomous outcome (i.e. improved vs. not improved). Responsiveness was assessed by means of distribution methods [minimum detectable change (MDC); effect size (ES); standardised response mean (SRM)] and anchorbased methods (ROC curves). Results The MDC for the ODI and RMDQ was, respectively, 13.67 and 4.87; the ESwas 0.53 and 0.68; and the SRM was 0.80 and 0.81. ROC analysis revealed an area under the curve of 0.71 for the ODI and 0.64 for the RMDQ, thus indicating discriminating capacity; the best cut-off point for the dichotomous outcome was 9.5 for the ODI (sensitivity 76% and specificity 63%) and 2.5 for the RMDQ (sensitivity 62% and specificity 55%). These estimates were comparable between the subacute and chronic subjects. Both the ODI and the RMDQ moderately correlated with the SF-36 and NRS (Spearman's and Pearson's correlation coefficients of>0.30). Conclusion The Italian ODI and RMDQ proved to be sensitive in detecting clinical changes after conservative treatment for subacute and chronic LBP.Our findings are consistentwith those published in the literature, thus allowing cross-cultural comparisons and stimulating cross-national studies. © 2011 Springer-Verlag

Medicina Fisica e Riabilitativa: nuovi aspetti di una disciplina di interesse per la Medicina Generale

La Medicina Fisica e Riabilitativa (MFR) è una disciplina medico-specialistica con compiti assistenziali, didattici e di ricerca per la prevenzione, la valutazione e il trattamento delle disabilità conseguenti a malattie di origine congenita o acquisita. La caratteristica della MFR non è quella di guarire la malattia, compito delle tradizionali discipline d’organo, bensì quello di curare il malato, nella sua unicità e specificità. La MFR viene spesso definita la “professione della qualità di vita”, che mira a migliorare in tutti i suoi aspetti: medico, sociale, emozionale, lavorativo

Development of the Italian version of the pain stages of change questionnaire in patients with chronic low back pain: Cross-cultural adaptation, confirmatory factor analysis, reliability and validity

Translating, culturally adapting and validating the Italian version of the Pain Stages of Change Questionnaire (PSOCQ-I) to allow its use with Italian-speaking patients with low back pain. The PSOCQ-I was developed by forward-backward translation, a final review by an expert committee and a test of the prefinal version to establish its correspondence with the original English version. Psychometric testing included confirmatory factor analysis, reliability by internal consistency (Cronbach's α) and test-retest reliability (intraclass coefficient correlation), and construct validity by comparing PSOCQ-I with the Pain Catastrophising Scale (PCS), the Tampa Scale of Kinesiophobia (TSK), the Roland Morris Disability Scale (RMDQ), a pain Numerical Rating Scale (NRS), and the Hospital Anxiety and Depression Scale (Pearson's correlation). The questionnaire was administered to 308 patients with chronic low back pain. Factor analysis confirmed a four-factor solution (namely, Precontemplation, Contemplation, Action, and Maintenance), achieving an acceptable data-model fit. Internal consistency (α=0.91-93) and test-retest reliability (intraclass coefficient correlation=0.74-0.81) were satisfactory. Construct validity showed moderate correlations between Precontemplation and PCS (r=0.318), TSK (r=0.385), RMDQ (r=0.320) and NRS (r=0.335); low correlations were found between the other PSOCQ subscales and PCS (r=-0.062; 0.039), TSK (r=-0.164; 0.024), RMDQ (r=-0.073; 0.004) and NRS (r=-0.170; 0.020). Low correlations were found between the PSOCQ-I subscales and anxiety (r=-0.132; 0.150) and depression (r=-0.113; 0.186). The PSOCQ was translated successfully into Italian, and proved to have a good factorial structure and psychometric properties that replicated the results of other versions. Its use is recommended for research purposes. © 2014 Wolters Kluwer Health

Surgical repair of muscle laceration: biomechanical properties at 6 years follow-up

Muscle injuries are challenging problems for surgeons. Muscle trauma is commonly treated conservatively with excellent outcome results while surgical repair is advocated for larger tears/lacerations, where the optimal goal is restore of function. Repair of muscle belly lacerations is technically demanding because the sutures pull out and the likelihood of clinical failure is high. Different suture techniques have been described but still the best suture is debated. We show a case of a pure vastus medialis muscle laceration surgically repaired at 6 years of follow-u

Surgical repair of muscle laceration: biomechanical properties at 6 years follow-up

Muscle injuries are challenging problems for surgeons. Muscle trauma is commonly treated conservatively with excellent outcome results while surgical repair is advocated for larger tears/lacerations, where the optimal goal is restore of function. Repair of muscle belly lacerations is technically demanding because the sutures pull out and the likelihood of clinical failure is high. Different suture techniques have been described but still the best suture is debated. We show a case of a pure vastus medialis muscle laceration surgically repaired at 6 years of follow-u

Report and Abstracts of the 15th Congress of the Mediterranean Forum of Physical and Rehabilitation Medicine: Rome, July 6-8, 2023

The 15th Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM) Congress, held in Rome from 6 to 8 July 2023, brought together over 600 PRM specialists and residents from 51 countries and 5 continents to share knowledge, perspectives, and research findings. The Congress focused on the theme "Beyond COVID," highlighting the resilience and adaptability of PRM in the face of the pandemic. Presentations showcased the latest advancements in PRM across various subspecialties, including orthopedics and sports re-education, neurological disorders, pharmacotherapy and pain, pediatrics disorders, musculoskeletal disease, ergonomics and robotics, spasticity management, ICF and evaluation scales, spinal cord injury, musculoskeletal ultrasounds, rehabilitation of patients with cancers disease, post COVID-19 re-education, cardio-respiratory and urogynecological disorders, and traumatic brain injury. The congress successfully served as a platform for knowledge exchange, collaboration, and innovation in PRM, highlighting the importance of international cooperation and the resilience of PRM in adapting to emerging challenges

Evaluation of long term effects of acupuncture and therapeutic exercises on frozen shoulder in stroke patients

Aim: To determine how acupuncture and exercise therapy affect motor function and spasticity on the hands of stroke patients 6 months after they had received this kind of therapy. Methods: Prospective, randomized, single blind clinical study of 20 patients, age 60-70 years, in the chronic phase 6 months after stroke. Subjects were divided into two groups: Group A, which was treated with acupuncture and exercise therapy (AP-ET) 6 months ago and Group B, which was treated with exercise therapy (ET) alone 6 months ago. Results: Analyses showed a statistically significant difference in the post-treatment SCORES as compared to 6 months after treatment within each study group for all parameters examined (p<0.01 in all cases) except for MAS. Analyses showed a statistically significant differ-ence in some parameters in the ET group as compared to the AP-ET group with greater mean values recorded in the AP-ET group for MAS and CSDQ. All other parameters showed no statistical differences between the two different therapy groups 6 months after the therapy. Conclusion: The results confirm the hypothesis that acupuncture and exercise therapy are useful in the treatment of frozen shoulder in stroke patients and that their effects are still present after 6 months of therapy, however, given the small patient population, further studies are needed to verify these results.Objetivo: Determinar como a acupuntura e a terapia com exercícios afetam a função motora e espasmodicidade das mãos de pacientes com acidente cerebral vascular 6 meses após eles terem recebido este tipo de terapia. Métodos: Estudo clínico prospectivo, aleatório e cego de 20 pacientes, com idades entre 60-70 anos, na fase crônica de 6 meses após o AVC. Os sujeitos do estudo foram divididos em dois grupos: Grupo A, o qual foi tratado com acu-puntura e terapia de exercícios (AP-ET) 6 meses atrás e Grupo B, o qual foi tratado apenas com terapia de exercícios (ET) 6 meses atrás. Resultados: As análises mostraram uma diferença estatisticamente significativa nos SCORES do pós-tratamento em comparação com 6 meses após o tratamento com cada grupo de estudo, para todos os parâmetros examinados (p<0.01 em todos os casos) exceto pelo MAS. As análises mostraram uma diferença estatisticamente significativa em alguns parâmetros no grupo ET em comparação ao grupo AP-ET com valores médios maiores no grupo AP-ET para MAS e CSDQ. Todos os outros parâmetros não mostraram nenhuma diferença estatística entre os grupos diferentes de terapia 6 meses após a terapia. Conclusão: Os resultados confirmam a hipótese de que a acupuntura e a terapia de exercícios são úteis no tratamento de ombro congelado em pacientes com AVC e que seus efeitos ainda estão presentes após seis meses de terapia, no entanto, dado o pequeno número de pacientes, mais estudos são necessários para verificar estes resultados