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

COVID-19-Associated Cerebellitis: A Case Report and Rehabilitation Outcome DOI Creative Commons
Roberto Tedeschi, Vincenza Amoruso, Valentina Boetto

et al.

The Cerebellum, Journal Year: 2024, Volume and Issue: 23(6), P. 2629 - 2637

Published: July 15, 2024

The COVID-19 pandemic has brought attention to neurological complications, including cerebellitis, characterized by inflammation of the cerebellum. Despite its rare occurrence, cerebellitis been associated with infection, albeit pathogenic mechanisms remain unclear.

Language: Английский

Citations

1
Improving physician-patient communication in rehabilitation: Is the patient’s understanding truly verified? DOI
Roberto Tedeschi

Journal of Musculoskeletal Surgery and Research, Journal Year: 2024, Volume and Issue: 8, P. 430 - 432

Published: July 31, 2024

Language: Английский

Citations

1
The Influence of Pelvic Tilt and Femoral Torsion on Hip Biomechanics: Implications for Clinical Assessment and Treatment DOI Creative Commons
Danilo Donati,

Federica Giorgi,

Giacomo Farì

et al.

Applied Sciences, Journal Year: 2024, Volume and Issue: 14(20), P. 9564 - 9564

Published: Oct. 20, 2024

Background: Hip biomechanics are crucial in understanding movement disorders and joint pathologies. Pelvic tilt femoral torsion key factors influencing hip function stability. This review aims to elucidate their effects on acetabular orientation, range of motion (ROM), associated compensatory mechanisms. Methods: A comprehensive search databases, including PubMed, Scopus, Pedro, was conducted. Studies were selected based Population, Concept, Context (PCC) criteria, focusing those examining the relationship between pelvic tilt, torsion, biomechanics. Eight studies included, utilizing methodologies such as CT imaging, musculoskeletal modeling, gait analysis, covering populations ranging from asymptomatic adults elderly women with retroversion. Results: The identified significant retroversion anteversion extension. Some found no correlation index (PI) while others reported a linear increase Subjects showed greater Additionally, linked increased internal rotation altered contact forces during gait, changes ROM force distribution. No patients osteoarthritis. Conclusions: significantly affect biomechanics, ROM, Future should include symptomatic explore these relationships further. These findings emphasize critical need for individualized clinical assessments further research enhance our torsion’s impact

Language: Английский

Citations

1
Focal Vibration Therapy for Motor Deficits and Spasticity Management in Post-Stroke Rehabilitation DOI Creative Commons

Federica Giorgi,

Danilo Donati, Daniela Platano

et al.

Brain Sciences, Journal Year: 2024, Volume and Issue: 14(11), P. 1060 - 1060

Published: Oct. 25, 2024

Focal mechanical vibration therapy has gained attention as a potential intervention to improve motor function while decreasing spasticity and pain in post-stroke patients. Despite promising results, there remains variability study designs outcomes, warranting review of its clinical efficacy.

Language: Английский

Citations

1
Harnessing Foot Mechanics: The Role of Lacing Techniques in Enhancing Comfort and Reducing Injury Risk DOI Creative Commons
Roberto Tedeschi,

Federica Giorgi,

Danilo Donati

et al.

Applied Sciences, Journal Year: 2024, Volume and Issue: 14(22), P. 10190 - 10190

Published: Nov. 6, 2024

Background: Lacing techniques are often viewed as a functional necessity, but recent research has highlighted their role customization tool for foot health and comfort. This review synthesizes findings from studies examining the biomechanical effects of different lacing patterns on pressure distribution, tendon loading, mechanics. Methods: We analyzed that investigated various techniques, including tightness patterns. Objective measurements, such insoles cadaveric models, were used to quantify effects. Diverse study populations, individuals with concerns athletes, considered. was conducted scoping following JBI methodology, adhering PRISMA-ScR guidelines. Results: The collectively reveal significantly influence dorsal distribution during activities like running. Customized can optimize biomechanics, reducing risk injuries related abnormal distribution. A total 27 records identified initial search. After removing duplicates screening, four articles included in final review. Additionally, certain configurations found reduce peak Achilles tension, crucial finding injury-prone individuals. Conclusions: Proper not just aspect means enhance prevent injuries. Healthcare professionals provide personalized recommendations patients, implications those specific conditions, at importance patient education significance cannot be overstated, emphasizing need informed choices when shoes. These underscore multifaceted promoting well-being.

Language: Английский

Citations

1
Neurorehabilitation in multiple sclerosis: evaluating the efficacy of the Bobath Concept on motor and balance outcomes DOI Creative Commons
Roberto Tedeschi

Egyptian Rheumatology and Rehabilitation, Journal Year: 2024, Volume and Issue: 51(1)

Published: Nov. 11, 2024

Abstract Background Multiple sclerosis (MS) is a progressive neurodegenerative disorder, that presents unique challenges for rehabilitation. The Bobath Concept, an individualized physiotherapy approach, has been explored its potential benefits in addressing these challenges. Main body of the abstract Five distinct MS studies were reviewed. These encompassed range interventions based on targeting various symptoms and functional domains MS. Subjects varied from individual cases to larger cohort studies, with differing eligibility criteria, treatment periods, assessment tools. Additionally, some incorporated innovative techniques, such as tear biomarker evaluation, assess therapy outcomes. In smaller samples, patients exhibited improvements postural stability, balance, mobility after undergoing Bobath-based physiotherapy. Larger cohorts showcased enhancements cognitive functions, reductions depression scores post-treatment. Moreover, reflex locomotion Concept potentially led symptom correlating biomarkers indicating disease progression. However, results across showing no significant difference between traditional rehab methods. Short conclusion emerges promising avenue rehabilitation, emphasizing active patient participation. Nevertheless, while are evident, further extensive research required establish long-term efficacy place comprehensive care.

Language: Английский

Citations

1
Revisión de la ortonixia y las intervenciones no quirúrgicas de los trastornos ungueales DOI Creative Commons
Roberto Tedeschi

Piel, Journal Year: 2024, Volume and Issue: 39(7), P. 435 - 440

Published: May 25, 2024

Las uñas encarnadas y las deformidades en los pies son problemas comunes que afectan a personas de todas edades. A lo largo años, se han propuesto varios tratamientos, pero faltaba un análisis comparativo completo. Esta revisión examinó incluyendo el procedimiento Emmert, la ortonixia hebilla VHO-Osthold® Perfect, comparándolos términos resultados, satisfacción del paciente, tiempos recuperación tasas recurrencia. Los resultados mostraron tratamientos como Perfect llevaron más cortos una reducción dolor después tratamiento. Incluso enfoque combinado para onicólisis crónica arrojó prometedores. En resumen, esta resalta importancia considerar enfoques combinados e innovadores tratamiento pies, con objetivo mejorar paciente calidad vida. Ingrown nails and foot deformities are common issues that affect individuals of all ages. Over the years, various treatments have been proposed, but comprehensive comparative analysis was lacking. This review examined several treatments, including Emmert procedure, orthonyxia, buckle, comparing them in terms outcomes, patient satisfaction, recovery times, recurrence rates. The results showed such as buckle orthonyxia led to shorter times reduced post-treatment pain. Even combined approach for chronic onycholysis yielded promising results. In summary, this highlights importance considering innovative approaches treatment nail feet, with goal improving satisfaction quality life.

Citations

0
Reevaluating root: Challenges and limitations in modern biomechanical practice DOI
Roberto Tedeschi

Journal of Musculoskeletal Surgery and Research, Journal Year: 2024, Volume and Issue: 9, P. 160 - 162

Published: Aug. 30, 2024

Language: Английский

Citations

0
Role of customized insoles in improving foot biomechanics and posture in individuals with Down Syndrome: a scoping review DOI
Roberto Tedeschi, Daniela Platano, Gianluca Melotto

et al.

Minerva Orthopedics, Journal Year: 2024, Volume and Issue: 75(5)

Published: Nov. 1, 2024

Language: Английский

Citations

0
Evaluating the Efficacy of Action Observation Training in Improving Upper Limb Functionality in Children with Cerebral Palsy: A Scope Review DOI Open Access
Danilo Donati,

Giacomo Farì,

Federica Giorgi

et al.

OBM Neurobiology, Journal Year: 2024, Volume and Issue: 08(04), P. 1 - 19

Published: Nov. 22, 2024

This review evaluates the efficacy of Action Observation Training (AOT) in improving upper limb functionality children with cerebral palsy (CP). Five studies were selected based on strict inclusion criteria, focusing clinical interventions that assessed AOT's effects motor skills pediatric CP populations. Across these studies, significant improvements observed such as reach, grasp, and spontaneous use affected limb, underscoring potential functional benefits. Compared to traditional therapies, AOT shows promise a supplementary intervention leverages neuroplasticity through action observation, unique applications CP. However, limitations related sample size variability presentations highlight need for further research, specifically aimed at standardizing protocols including more comprehensive array types improve generalizability application. Integrating into rehabilitation programs may significantly enhance quality life CP, making it promising addition therapeutic strategies.

Language: Английский

Citations

0