Cueing Interventions for Gait and Balance in Parkinson’s Disease: A Scoping Review of Current Evidence DOI Creative Commons

Federica Giorgi,

Danilo Donati,

Roberto Tedeschi

et al.

Applied Sciences, Journal Year: 2024, Volume and Issue: 14(24), P. 11781 - 11781

Published: Dec. 17, 2024

Background: Cueing interventions, which utilize external auditory, visual, or somatosensory stimuli, are increasingly used to improve motor performance in individuals with Parkinson’s disease (PD). This review explores the effectiveness of cueing on gait, balance, and quality life outcomes PD. Methods: A scoping six studies was conducted, focusing impact interventions gait parameters, balance stability, functional PD patients. Studies were evaluated for methodological using PEDro scale, risk bias assessed RoB 2. Results: consistently improved five showing significant increases step length. The results walking speed more varied, some reporting statistically gains while others found non-significant mixed outcomes. Balance improvements noted dynamic measures, though static effects less consistent. Two observed long-term benefits at follow-up, particularly when structured supervised. limited, only one study measuring this outcome no changes. Conclusions: demonstrate potential enhancing PD, remain uncertain. Early implementation cueing, especially auditory may support management. Further research is required establish optimal protocols benefits.

Language: Английский

“Transcranial direct current stimulation for chronic foot pain: A comprehensive review” DOI Creative Commons
Roberto Tedeschi

eNeurologicalSci, Journal Year: 2024, Volume and Issue: 35, P. 100498 - 100498

Published: March 21, 2024

Chronic foot pain, including conditions such as plantar fasciitis, presents a significant challenge to patients and healthcare providers. Traditional treatments often offer limited relief, prompting exploration of alternative therapies. Transcranial direct current stimulation (tDCS) has emerged noninvasive brain technique with potential for alleviating chronic pain syndromes. A review was conducted following the JBI methodology adhering PRISMA guidelines. Searches were performed in databases MEDLINE, Cochrane Central, Scopus, PEDro, supplemented by grey literature sources expert consultations. Studies included if they investigated tDCS an intervention assessed its efficacy, safety, or mechanisms action, published English. total three papers review. The findings indicate that holds promise managing fasciitis. Main results suggest reductions intensity improvements related outcomes treatment. This underscores therapy severe lower-extremity highlighting need further research optimize parameters long-term effects. emerges promising neuromodulation approach management, offering insights enhancing patient quality life.

Language: Английский

Citations

8

Case study: Gait assessment of a patient with hallux rigidus before and after plantar modification DOI Open Access
Roberto Tedeschi

International Journal of Surgery Case Reports, Journal Year: 2023, Volume and Issue: 114, P. 109197 - 109197

Published: Dec. 24, 2023

Hallux rigidus (HR) is a degenerative arthritis affecting the first metatarsophalangeal joint (MTP), leading to pain and functional impairment, particularly during propulsive phase of walking. The prevalence HR about 2.5 % in individuals over 50, but younger can also be affected, as demonstrated this case. We report case 26-year-old patient with body mass index (BMI) 20.2, who has been suffering from for 5 years. presented walking difficulties, characterized by limp impaired propulsion phase, right foot due HR. A comprehensive gait assessment was conducted using baropodometric platform integrated smartphone motion sensors. Following diagnosis, non-surgical intervention involving application compressed cotton felt orthosis at MTP plantar area initiated. This aimed alleviate improve mobility big toe. Post-treatment assessments showed an increase toe's 0 degrees 35 degrees, measured digital goniometer. soft support, such felt, MTP, potential therapeutic approach reduce discomfort patients. study underscores benefits modification management

Language: Английский

Citations

16

Surgical resolution of chronic thoracic pain stemming from a rare osteo-muscular conflict: A case report DOI Open Access
Fabio Vita, Fabio Davoli,

Galletti Stefano

et al.

International Journal of Surgery Case Reports, Journal Year: 2024, Volume and Issue: 118, P. 109589 - 109589

Published: March 28, 2024

Chronic thoracic pain presents significant diagnostic and therapeutic challenges, particularly when arising from rare osteo-muscular conflicts. This report details a unique case of chronic due to an conflict between the right tenth rib internal oblique muscle, highlighting complexities involved in diagnosis potential for surgical resolution. A 33-year-old male with decade-long history hemithorax pain, unresponsive conservative treatments, underwent evaluation. Advanced imaging techniques, including CT scan, revealed ipodense area ninth ribs, suggesting conflict. Surgical intervention, specifically partial costectomy rib, was pursued, resulting symptom relief improved quality life. underscores importance considering advanced evaluations persistent cases effectiveness targeted interventions resolving anatomical It contributes body knowledge on managing complex musculoskeletal conditions need personalized treatment approaches. intervention selected conflicts can offer enhance patient outcomes. advocates nuanced approach emphasizing role benefits

Language: Английский

Citations

4

Orthotic insoles versus footwear design: reassessing approaches in the management of foot pain DOI
Roberto Tedeschi

Minerva Orthopedics, Journal Year: 2024, Volume and Issue: 75(3)

Published: June 1, 2024

Language: Английский

Citations

4

L’effet de répétition espacée en neuro-rééducation : une stratégie pour optimiser la récupération motrice et cognitive DOI
Roberto Tedeschi

Motricité Cérébrale, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 1, 2025

Citations

0

The Role of Immersive Virtual Reality in Upper Limb Rehabilitation for Subacute Stroke: A Review DOI Open Access
Danilo Donati, Enrico Pinotti,

Monica Mantovani

et al.

Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(6), P. 1903 - 1903

Published: March 12, 2025

Background: Patients with stroke sequelae experience motor impairments that make it difficult to perform many activities of daily living, resulting in reduced social participation. Immersive virtual reality (VR) provides the necessary conditions for learning, such as repetitiveness, intensity, and task meaningfulness, could be a promising rehabilitation tool upper limb recovery individuals sequelae. Objective: The objectives this study are summarize current scientific evidence on use immersive VR patients subacute identify clinical instrumental criteria may inform development standardized treatment protocol. Materials Methods: Bibliographic research primary secondary studies was conducted using keywords “subacute stroke”, “immersive reality/head-mounted display (HMD)”, “upper extremity/arm/hand” following electronic databases: CINAHL, PubMed (MEDLINE), Embase, Web Science, Cochrane Library, PEDro, Google Scholar. Then, we performed selection assessment methodological quality PEDro scale. Finally, qualitative synthesis data extracted from selected carried out. This systematic review according PRISMA 2020 guidelines. Results: After process, five were included (two RCTs, two controlled studies, one protocol). Four reported significant improvements some main outcomes after intervention, including increase Fugl-Meyer Upper Extremity total score, favor group. Conclusions: appears recovery. However, further is needed determine intervention methods long-term effects population.

Language: Английский

Citations

0

Démystification de l’impact du drop des chaussures : perspectives biomécaniques et cliniques en course à pied DOI
Roberto Tedeschi

Journal de Traumatologie du Sport, Journal Year: 2024, Volume and Issue: 41(2), P. 110 - 116

Published: Feb. 14, 2024

Citations

2

Individuell zugeschnittene Rehabilitation bei Steifigkeit eines Interphalangealgelenks: Fallbericht zu neuartigen nichtinvasiven Techniken DOI

Paolo Boccolari,

Damiano Giurati,

Roberto Tedeschi

et al.

Manuelle Medizin, Journal Year: 2024, Volume and Issue: unknown

Published: May 10, 2024

Language: Английский

Citations

2

Harnessing the Power of Water: A Scoping Review of Hydrokinesiotherapy as a Game-Changer in Knee Osteoarthritis Management DOI Open Access
Roberto Tedeschi,

Federica Giorgi,

Danilo Donati

et al.

Journal of Clinical Medicine, Journal Year: 2024, Volume and Issue: 13(19), P. 5811 - 5811

Published: Sept. 28, 2024

Background: Knee osteoarthritis (OA) is a prevalent condition that significantly impairs pain, mobility, and quality of life. Hydrokinesiotherapy, water-based exercise therapy, gaining traction as potential alternative to traditional land-based rehabilitation for managing knee OA symptoms. Methods: This scoping review aimed evaluate the effectiveness hydrokinesiotherapy compared standard physical therapy self-administered regimens in improving joint life, function patients with OA. Five randomized controlled trials (RCTs) were included, assessing outcomes using measures such WOMAC score, Visual Analog Scale (VAS), SF-12. The studies critically appraised PEDro scale RoB-2 tool determine risk bias. Results: Hydrokinesiotherapy consistently demonstrated superior pain reduction, across all studies. Patients groups reported significant improvements which strongly associated enhanced also highlighted serve an effective or complement exercises, particularly populations experiencing severe Conclusions: intervention OA, offering key clinical outcomes. Given its benefits, should be considered valuable addition treatment protocols. However, further research needed confirm long-term effects explore ways improve accessibility this therapeutic option.

Language: Английский

Citations

2

Footwear and Foot Health: Unveiling the Role of Proper Shoe Fit in Preventing Podiatric Issues and Enhancing Well-Being DOI Creative Commons
Roberto Tedeschi,

Federica Giorgi,

Danilo Donati

et al.

Applied Sciences, Journal Year: 2024, Volume and Issue: 14(21), P. 9938 - 9938

Published: Oct. 30, 2024

Background: The appropriate choice of footwear is crucial for foot health, yet its impact on different populations and medical conditions remains understudied. This review explores the effect shoe fit prevention podiatric disorders overall well-being. Methods: research included major academic databases such as MEDLINE, Cochrane Central, Scopus, PEDro, using specific keywords. A scoping was conducted following Joanna Briggs Institute methodology, encompassing studies across diverse conditions. Medical grey literature were also included. Results: Five included, covering topics advice women over 50, shoes in preventing calluses under metatarsals, effectiveness a shoe-related intervention gout patients, custom-fitted physical activity children with Down syndrome. Results showed that well-fitting can prevent callus formation, but efficacy increasing requires further research. Conclusions: should not be solely based aesthetic considerations rather needs each individual. Physicians consider providing characteristics primary

Language: Английский

Citations

2