The Rehabilitation Tailor: Applying Personalized Medicine to Cancer Recovery

Bongiorno, Giulia; Biancuzzi, Helena; Mas, Francesca Dal; Bednarova, Rym; Miceli, Luca

doi:10.3389/fgwh.2022.914302

Cited by 5 publications

(3 citation statements)

References 10 publications

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“…Furthermore, the data object of the kinematic protocol requires about an hour to be collected and processed integrally, even with the proposed semi-automated algorithm, so the organization of the department must take these times into account. In conclusion, as part of the search for a personalized rehabilitation program underway at the national cancer center in Aviano, a new kinematic and electromyographic analysis protocol of the shoulder was developed and tested for patients operated on at the breast ( Bongiorno et al, 2022a ). Starting from previous experiences with patients and athletes, the algorithm in use has been modified by adding the indexing of the electromyographic values on MVIC, the description of the coactivations statically and dynamically, and the greatest simplification and speed possible in the use, potentially even at the bedside, to make the reports produced comparable with those of other subjects or the same subject at different times.…”

Section: Discussionmentioning

confidence: 99%

Case report: Movement analysis in oncological rehabilitation: proposal of a kinematic and surface electromyographic protocol in breast oncology

Bongiorno,

Tomasi,

Vigni

et al. 2024

Front. Hum. Neurosci.

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IntroductionBreast cancer disease often affects the ipsilateral shoulder joint, with pain and joint limitation. Proper pain management, which can be obtained using, for example, pulsed radiofrequency of the suprascapular nerve, can help the physiotherapist mitigate patient pain. The modern technologies of kinematic analysis and surface electromyography of movement analysis can give further support in building a personalized rehabilitation program, based on the quantitative study of movement, in this case of the upper limb.MethodsA brief case report was conceived to develop and test the evolution of a shoulder joint analysis protocol based on an inertial accelerometer and non-invasive surface electromyography.ResultsAn analysis algorithm was defined to adapt to the needs of patients operated on at the breast based on a kinematic component (ROM - range of movement - and Jerk index) and an electromyographic one (study of muscle behavior in groups of four). The coactivations were also evaluated, both as an average value and in graphical form, to offer the physiotherapist a complete overview of the movement of the upper limb.DiscussionThe promising protocol results underline its strengths, including the simplicity of use, combined with the reduced time required for processing the reports and the portability of the PC-sensors complex, making these analyses potentially valuable for patient care.

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Section: Discussionmentioning

confidence: 99%

Case report: Movement analysis in oncological rehabilitation: proposal of a kinematic and surface electromyographic protocol in breast oncology

Bongiorno,

Tomasi,

Vigni

et al. 2024

Front. Hum. Neurosci.

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“…Physicians and other healthcare professionals should balance the patients’ right to analgesia and the need to prevent the overuse and abuse of opioids [ 68 ]. As mentioned in some of the studies included in the review, it is mandatory to act on several fronts: on the one hand, to increase the knowledge, skills, and competencies of healthcare providers on the topic of “pain therapy” [ 69 ], often placed in the background of the study programs of medical and healthcare professions degrees [ 70 ]. On the other hand, reaching favorable conditions for rapid and early identification of patients who may be at risk of addiction is essential.…”

Section: Discussionmentioning

confidence: 99%

Opioid Misuse: A Review of the Main Issues, Challenges, and Strategies

Biancuzzi

Mas

Brescia

et al. 2022

IJERPH

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In the United States, from 1999 to 2019, opioid overdose, either regularly prescribed or illegally acquired, was the cause of death for nearly 500,000 people. In addition to this pronounced mortality burden that has increased gradually over time, opioid overdose has significant morbidity with severe risks and side effects. As a result, opioid misuse is a cause for concern and is considered an epidemic. This article examines the trends and consequences of the opioid epidemic presented in recent international literature, reflecting on the causes of this phenomenon and the possible strategies to address it. The detailed analysis of 33 international articles highlights numerous impacts in the social, public health, economic, and political spheres. The prescription opioid epidemic is an almost exclusively North American problem. This phenomenon should be carefully evaluated from a healthcare systems perspective, for consequential risks and harms of aggressive opioid prescription practices for pain management. Appropriate policies are required to manage opioid use and prevent abuse efficiently. Examples of proper policies vary, such as the use of validated questionnaires for the early identification of patients at risk of addiction, the effective use of regional and national prescription monitoring programs, and the proper dissemination and translation of knowledge to highlight the risks of prescription opioid abuse.

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“…However, since 2001, medicine has progressed from the ICD classification system to the ICF system [3], and much progress has been made in the study of pain itself [4][5][6]. The combination of modern analgesic techniques and recent methods of kinematic assessment of movement can lead to a personalized rehabilitation project based on the individual impairment of the patient rather than on the specific pathology or level of pain [7]. First, it should be emphasized that the assessment of the movement and the reduction of pain have long been at the center of rehabilitation therapies [8][9][10], but these two paths are far from being well integrated.…”

Section: Introduction Adhesive Capsulitismentioning

confidence: 99%

Pulsed Radiofrequency as a Standalone Treatment for Adhesive Capsulitis

et al. 2023

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Adhesive capsulitis is a pathology that affects the shoulder and can have a particularly long and disabling course. The usual therapies are treatment with non-steroidal anti-inflammatory drugs (NSAID) and painkillers, steroid injections, physiotherapy, and surgical treatment. This case report describes the effect of a single treatment with pulsed radiofrequency of the suprascapular nerve in a diabetic patient affected by this pathology, for whom steroid injections were contraindicated. Three weeks after the treatment, the reduction of pain and the improvement of ROM (range of movement) allowed the patient to start an adequate physiotherapy treatment, which was not feasible until that moment due to the severe pain despite NSAIDS therapy. The peculiarity of this work consists in the accurate measure of the impact of the analgesic treatment alone in improving the ROM and muscular activation in the patient. The patient was able to correctly perform physiotherapy only once the pain was reduced, after PRF (pulsed radio frequency) treatment. This study has two limitations: being a case report and not a prospective randomized study, and observing the kinematic and pain aspects for a limited period of time. Finally, the case report draws attention to the importance of cooperation between the various health figures involved in the treatment of patients suffering from adhesive capsules.

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The Rehabilitation Tailor: Applying Personalized Medicine to Cancer Recovery

Cited by 5 publications

References 10 publications

Case report: Movement analysis in oncological rehabilitation: proposal of a kinematic and surface electromyographic protocol in breast oncology

Case report: Movement analysis in oncological rehabilitation: proposal of a kinematic and surface electromyographic protocol in breast oncology

Opioid Misuse: A Review of the Main Issues, Challenges, and Strategies

Pulsed Radiofrequency as a Standalone Treatment for Adhesive Capsulitis

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