BackgroundThe cause of heel pain among soccer players is multifactorial and is related to repetitive microtrauma due to impact forces involving technical moves, but also the playground, the exercise mode, the recovery time, the climatic conditions and the footwear used.AimTo investigate the aetiology of plantar heel pain of soccer players with the objective of proposing an example of guidelines for treatment.MethodsWe investigated the prevalence and characteristics of inferior heel pain of 1473 professional, semiprofessional and amateur players. All evaluated subjects were submitted to a specific rehabilitation protocol that involved advanced physical therapies and viscoelastic insoles depending on the aetiology of pain.ResultsClinical and instrumental examinations revealed that 960 of 1473 athletes had inferior heel pain. These patients were divided into seven groups based on aetiology: sural nerve compression, abductor digiti minimi compression, atrophy and inflammation of the fat pad, plantar fasciitis, stress injury of the heel spur, stress fracture of the heel bone and heel spur. The proposed rehabilitation treatment aims for a reduction of pain and an early return to sports, with excellent results.ConclusionsAccording to what was observed in the present study, related also to the specific treatment of inferior heel pain, and considering the technological progress achieved in recent years, we can now propose an integrated therapeutic approach to treatment of heel pain, properly differentiated according to specific aetiology.
Supplemental Digital Content is available in the text
SummaryIntroduction. Osteoporosis is a systemic disease of the skeleton characterized by a reduction in bone mass and alterations in microarchitecture accompanied by increase in fracture risk, with a relevant decline in quality of life and important social, economic, and health implications, representing one of the most common causes of disability and a major financial item of health cost in many Countries. The best therapy for osteoporosis is prevention, consisting in measures to avoid or slow the onset of the disease. Treatment includes measures aimed at osteoporotic individuals, with or without previous fractures and a high risk of a first or additional fracture. Method. We enrolled thirty post-menopausal osteoporotic women, allocated in the first group underwent a 6-month personalized drug therapy and focused mechanoacoustic vibration (2 sessions per week, each lasting 15 minutes); women allocated in the second group underwent only 6-month personalized drug therapy. Patients were evaluated performing dual-energy X-ray absorptiometry (DXA) and isokinetic machine evaluation, and administration of Tinetti scale and ECOS-16 questionnaire. Result. Show improvement of bone mineral density (BMD) and T-score at the lumbar spine and femoral neck, handgrip strength and isokinetic strength of the knee estensors, balance and gait, and quality of life. Conclusion. Hence, the combined treatment with focused mechano-acoustic vibration and pharmacological therapy has a beneficial effect on BMD and T-score as well as on the muscle strength and quality of life of osteoporotic subjects.KEY WORDS: osteoporosis; post-menopausal women; focused vibration; bone mineral density; T-score; muscle strength.
Multiple Sclerosis (MS) is a chronic immune-mediated disease of the central nervous system, most often diagnosed in young and middle-aged subjects (two-third of which are women). Walking disturbances and fatigue are key symptoms in patients with MS, and major causes of discomfort, even in patients with mild disability since the early stages of the disease. Controversy exists about the association between fatigue and physical disability, between elevated fatigue, impaired balance and a higher risk of falls, between perceived fatigue and gait performance. We enrolled 16 patients with relapsing-remitting MS at early stage and low or mild disability, 11 females and 5 males, aged 27.1 (range 23-34 years), randomly divided into two groups: patients in group A underwent a robotic gait rehabilitation treatment which involved the use of SPAD ® (Sistema Posturale Antigravitario Dinamico, Dynamic Antigravity Postural System), patients in group B underwent a cycle of sensory-motor physical activity in our laboratory of performance enhancement; patients in both groups were subjected to neuromuscular manual therapy. All treatment were provided with 3 sessions per week for 6 weeks (for a total of 18 sessions). Patients were evaluated by administration of the Functional Independence Measure (FIM ®), Expanded Disability Status Scale (EDSS), the Fatigue Severity Scale (FSS) and the Modified Fatigue Impact Scale (MFIS), and gait analysis with MTX7 ® (Diagnostic Support, Rome, Italy). Results show statistically significant improvement of the FIM ® average score in all patients, reduction of the EDSS average score in all patients (but in a statistically significant manner only in group A), reduction in average scores obtained in both evaluation questionnaires of fatigue (non-significant improvement of the FSS average score in the overall sample and in both groups, statistically significant reduction of the MFIS average scores), improvement in temporal (but not spatial) gait parameters. So body weight supported gait training is feasible and could be safely used as additional therapeutic option in MS patients with mild walking disability.
Multiple Sclerosis (MS) is a chronic immune-mediated disease of the central nervous system, most often diagnosed in young and middle-aged subjects (two-third of which are women). Walking disturbances and fatigue are key symptoms in patients with MS, and major causes of discomfort, even in patients with mild disability since the early stages of the disease. Controversy exists about the association between fatigue and physical disability, between elevated fatigue, impaired balance and a higher risk of falls, between perceived fatigue and gait performance. We enrolled 16 patients with relapsing-remitting MS at early stage and low or mild disability, 11 females and 5 males, aged 27
Background: Recent studies have highlighted a new use of electrical stimulation called electroceutical therapy that uses electrical stimulation similar to frequency modulated electromagnetic neural stimulation (FREMS) that influence and modify the functions of the body. A pilot study was designed aimed to evaluate the efficacy of "Software Controlled Short Tension Impulses Therapy" (So.Co.Short) in subjects with lumbar and cervical radiculopathy in chronic phase treated with two different protocol one daily or and the other every other day. Furthermore, the second endpoint is monitor analgesic intake for 2 month after the end of protocol. Materials and Methods:60 patients with chronic cervical radiculopathy were included, aged between 31 and 80 years and 70 subjects with chronic lumbar radiculopathy aged between 28 and 80 years. Patients underwent a session, using a newly-developed biomedical device that allows the application of software-controlled electric impulses of variable tension, frequency and duration "Software Controlled Short Tension Impulses Therapy"-(So co.Short) for 10 sessions with two modalities of application: daily or every other day. At the beginning (T0) and the end (T1) of the treatment all patients performed Visual Analogic Scale (VAS), Neck Disability Index (NDI) or Oswestry Disability Index (ODI). A drug diary was kept by each subject to monitor analgesic intake at T0 (before 2 weeks at beginning of study) and 1 month after the end of protocols. Results:Results confirm effectiveness for pain relief and reduction of analgesic intake. Conclusion:In conclusion, the findings of this study confirm that So.Co.Short is safe and leads to pain relief and improvement of healing in lumbar and cervical chronic radiculopathy. Probably the best application is on every other days, because stimulating the production of growth factors and triggering the relief of pain, must leave enough time for the molecules produced to act on the inflammatory process.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.