Abstract:
BACKGROUND:Osteoarthritis (OA) is a theme currently representing an emerging topic for its increasing incidence. It is well known that it is a chronic disease that could lead to important long-lasting disability; this generates increasing costs for the health care system. OA treatment options vary: localization, etiology, grading and symptomatology should be considered before choosing the most adequate therapy. Currently, a modern approach to managing OA involves SYmptomatic Slow-Acting Drug for OsteoArthritis (SYSADOAs). However, while all preparations may claim to deliver a therapeutic level of glucosamine or chondroitin, not all of them are supported by clinical evidence. Recently the European Society for Clinical and Economic aspects of Osteoporosis, Osteoarthritis and musculoskeletal diseases (ESCEO), produced an evidenced based document providing practitioners with the latest clinical and economic information, thereby allowing them to optimize the management of knee OA. According to this report, only crystalline glucosamine sulphate and the pharmaceutical-grade chondroitin sulphate are considered as effective in the first line approach to treating knee OA as an alternative drug to acetaminophen. However, some OA guidelines do not agree are not concordant in recommending the use of SYSADOA, perhaps because they are generally considered as a class and distinctions among formulations are not made. AIM:Aim of this study was to identify the main aspects involved in patient selection, the choice of therapeutic agents and the safety profile in using SYSADOA. DESIGN:Delphi method Consenus Statement. POPULATION:Italian Physicians having expertise in Osteoarthritis management. METHODS:A committee of 11 experts from Italian universities, public hospitals, territorial services, research institutes and patient associations was set up. Sixty-three clinicians from a large number of Italian medical centers specialized in osteoarthritis management took part in a Delphi process which was aimed at obtaining consensus statements among the participants. RESULTS:Large consensus was obtained for statements grouped under the following main themes: treatment indications; drug/medical devices choice; treatment efficacy. CONCLUSIONS:Results from the Italian consensus on appropriateness of OA therapies in osteoarthritis seems to be in line with the stepwise approach proposed by the ESCEO algorithm, where crystalline glucosamine sulphate shows greater clinical efficacy than other glucosamine-based formulations, according to several independent meta-analyses. CLINICAL REHABILITATION IMPACT:This study may be used as a practical reference tool to help Italian physicians treat osteoarthritis patients using SYSADOA.
journal_name
Eur J Phys Rehabil Medjournal_title
European journal of physical and rehabilitation medicineauthors
Bernetti A,Mangone M,Villani C,Alviti F,Valeo M,Grassi MC,Migliore A,Viora U,Adriani E,Quirino N,Fioravanti A,Paoloni Mdoi
10.23736/S1973-9087.19.05633-8subject
Has Abstractpub_date
2019-10-01 00:00:00pages
658-664issue
5eissn
1973-9087issn
1973-9095pii
S1973-9087.19.05633-8journal_volume
55pub_type
杂志文章abstract::Chronic respiratory conditions are among the top causes of death and disability. The aim of the paper was to improve Physical and Rehabilitation Medicine (PRM) physicians' professional practice for people with chronic respiratory conditions in order to promote their functioning and to reduce activity limitations and/o...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:10.23736/S1973-9087.18.05309-1
更新日期:2018-08-01 00:00:00
abstract:BACKGROUND:In patients affected by multiple sclerosis (MS) the disabilities increase during the progression of the disease, with a negative impact on quality of life. Rehabilitation improves motor performances, but remains unclear the role of psychological variables on motor recovery. AIM:The aim of this study was to ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.16.04158-7
更新日期:2017-02-01 00:00:00
abstract:BACKGROUND:Exercise programmes have important role in prevention of falls, but to date, we have little knowledge about the effects of Adapted Physical Activity programme on balance of older women. AIM:The aim of this study was to investigate the effects of an Adapted Physical Activity programme on balance, risk of fal...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2013-06-01 00:00:00
abstract::Community-based rehabilitation (CBR) is an accepted model to improve the delivery of rehabilitation in the community. It includes the access to health care, education, labor and accessible environments. The role of Specialists in Physical and Rehabilitation Medicine in this strategy (SPRM) is not very well defined. On...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:10.23736/S1973-9087.16.04530-5
更新日期:2018-02-01 00:00:00
abstract:BACKGROUND:Management of the lower urinary tract is crucially important in patients with spinal cord injuries in order to prevent damage to the upper urinary tract and to preserve renal function. AIM:This study was designed to compare the use of standard polyvinyl chloride (PVC), hydrophilic-coated, and gel-lubricated...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2010-12-01 00:00:00
abstract::On the occasion of the 150th Anniversary of the Italian Unification, the discovery of some letters by Giuseppe Garibaldi - referring to a period of thermal treatments at the Baths in Civitavecchia (Rome) - gave us the opportunity for writing a commentary about a not well known experience in the Two World Hero's life: ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 传,历史文章,杂志文章
doi:
更新日期:2011-12-01 00:00:00
abstract:BACKGROUND:Patellofemoral pain syndrome (PFPS) is a common musculoskeletal pain condition, especially in females. Decreased hip muscle strength has been implicated as a contributing factor. Isolated open kinetic chain hip abductors and lateral rotators exercises were added by many authors to the rehabilitation program....
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2013-10-01 00:00:00
abstract::This article reports the case of a a 29-year-old girl with a right-sided sciatica. Magnetic resonance imaging of the lumbar vertebrae and the pelvic region detected a right L5-S paracentral disc herniation with descending S1 nerve root compression and atrophy in the right piriformis muscle. Magnetic resonance images o...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2009-03-01 00:00:00
abstract:AIM:In the last 40 years, physical and rehabilitation medicine (PRM) has made significant steps forward in Europe with the foundation of the European Federation of Physical Medicine and Rehabilitation (EFPMR) (1963) which gave rise to the European Society of Physical and Rehabilitation Medicine (ESPRM) (2004) the Europ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 历史文章,杂志文章
doi:
更新日期:2010-06-01 00:00:00
abstract:AIM:Since 2007 we focused our attention as EJPRM to the best available clinical evidence as offered by the Cochrane Collaboration. Due to the absence of a specific Rehabilitation Group (only a Field exists), reviews of PRM interest are in different groups and not easy to find. Consequently, the EJPRM offer the service ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2011-03-01 00:00:00
abstract:BACKGROUND:Patellofemoral pain syndrome (PFPS) is a common knee problem characterised by retropatellar or peripatellar pain, which particularly affects adolescents and young adults. Exercise therapy is often prescribed. AIM:To assess the effects of exercise therapy in people with PFPS. DESIGN:Systematic review. SETT...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:
更新日期:2016-02-01 00:00:00
abstract::Fall is a common and a major cause of injuries. It is important to find elderlies who are prone to falls. The majority of serious falls occur during walking among the older adults. Analyzing the spatio-temporal parameters of walking is an easy way of assessment in the clinical setting, but is it capable of distinguish...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:
更新日期:2014-12-01 00:00:00
abstract:BACKGROUND:Microcurrent therapy (MCT) is a novel electrotherapy modality with very low current-levels that may reduce pain especially in joints and muscles. AIM:The aim of this study is to explore potential effects of MCT on pain in patients with knee osteoarthritis, to explore effects of different treatment parameter...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.20.05921-3
更新日期:2020-08-01 00:00:00
abstract:BACKGROUND:Telemedicine has changed over the last years, becoming an integrated service used in various clinical settings such as stroke units or radiological departments, but also as an important tool for home rehabilitation. Assessment of usefulness and efficiency of performing teleconsultations to manage stroke from...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.18.05361-3
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND:New technologies, such as telerehabilitation and gaming devices offer the possibility for patients to train at home. This opens the challenge of safety for the patient as he/she is called to exercise neither with a therapist on the patients' side nor with a therapist linked remotely to supervise the sessions...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.17.04802-X
更新日期:2018-08-01 00:00:00
abstract:AIM:The aim of this paper was to determine whether the injection of alcohol or phenol into the tibialis posterior nerve relive the symptoms and signs of ankle plantar flexor spasticity. METHODS:Twenty patients with hemiplegic stroke were included. Patients were randomly assigned to receive a single treatment of alcoho...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,随机对照试验
doi:
更新日期:2010-03-01 00:00:00
abstract::In the context of the White Book of Physical and Rehabilitation Medicine (PRM), this paper deals with the education of PRM physicians in Europe. To acquire the wide field of competence needed, specialists in Physical and Rehabilitation Medicine have to undergo a well organised and appropriately structured training of ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:10.23736/S1973-9087.18.05153-5
更新日期:2018-04-01 00:00:00
abstract:BACKGROUND:Little is known about the occurrence of nocturnal polyuria (NP) in spinal cord injured (SCI) patients and the definitions which are preferable in this population. AIM:To determine the occurrence of NP in SCI patients during in-patient rehabilitation in the Ghent University Hospital. To study the influence o...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.17.04851-1
更新日期:2019-02-01 00:00:00
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journal_title:European journal of physical and rehabilitation medicine
pub_type: 共识发展会议,杂志文章,评审
doi:
更新日期:2015-02-01 00:00:00
abstract::In this review we will describe newly developed techniques that are being used to recover levels of motor function after a severe spinal cord injury that have not been observed previously. These new approaches include pharmacological neuromodulation and/or epidural stimulation of the spinal cord circuitries in combina...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:
更新日期:2012-03-01 00:00:00
abstract:INTRODUCTION:Adult scoliosis (AS) is the most common spine deformity in adults. Back pain is the main symptom leading patients to seek medical consultation. Stabilization exercise has been shown effective for reducing back pain. No literature review has examined the effects of such exercises in adults with scoliosis. T...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
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更新日期:2018-10-01 00:00:00
abstract:BACKGROUND:The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) is a well-known questionnaire used to evaluate disability. We can not only evaluate disability but also obtain additional information by using the standardized WHODAS 2.0 scores. AIM:To predict the institutionalization of the pati...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.17.04615-9
更新日期:2017-12-01 00:00:00
abstract:BACKGROUND:Hip dislocation is common in children with cerebral palsy (CP). At birth they do not have musculoskeletal deformities but they develop over time due to the combined effects of the movement disorder and impaired gross motor function. Early detection and treatment of a hip at risk is needed to modify the natur...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2016-10-01 00:00:00
abstract::The World Health Organization's International Classification of Functioning, Disability and Health (ICF) has provided a new foundation for our understanding of health, functioning, and disability. However, different challenges have to be addressed during its implementation process. The objective of this paper is to ad...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:
更新日期:2008-09-01 00:00:00
abstract::Recent proposals of classification for cerebral palsy (CP), mainly revised for epidemiological purposes, suggest to abandon the use of the term diplegia. Conversely, in this paper data are presented to support the proposal to maintain the distinction between spastic tetraplegia and diplegia, and to subdivide this latt...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2008-06-01 00:00:00
abstract:BACKGROUND:Despite the positive health effects of (intensive) exercise in patients with inflammatory rheumatic diseases, they are very often inactive. Motivational exercise interventions in other patient samples have shown good effects in promoting exercise behaviours. AIM:To evaluate the short- and long-term effects ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2014-08-01 00:00:00
abstract:BACKGROUND:Mesenchymal stem cells can be differentiated into muscle satellite cells. Testosterone replacement therapy (TRT) promotes the differentiation of satellite cells into muscle cells. CASE REPORT:A 31-year-old male with a T4 complete chronic spinal cord injury (SCI) had fixation for a mid-shaft fracture of the ...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:10.23736/S1973-9087.17.04452-5
更新日期:2017-08-01 00:00:00
abstract::The translation of scientific knowledge into clinical practice is still not consistently achieved and the Cochrane Knowledge Translation (KT) Strategy, has been developed in response to this issue, as key step in moving from knowledge to action. "Blogshots" are a new means of presenting evidence in a way that can be e...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:10.23736/S1973-9087.18.05313-3
更新日期:2018-06-01 00:00:00
abstract:INTRODUCTION:Stroke may result in decreased trunk muscle strength and limited trunk coordination, frequently determining loss of autonomy due to the trunk impairment. Furthermore, sitting balance has been repeatedly identified as an important predictor of motor and functional recovery after stroke. Given the importance...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章,评审
doi:10.23736/S1973-9087.18.05178-X
更新日期:2018-10-01 00:00:00
abstract:AIM:The aim of the study was to evaluate the proportion of left and right congenital muscular torticollis (CMT) in both genders and age groups of the patients as well as to evaluate the duration of physical therapy and treatment outcome in observed population. METHODS:In our study, 980 children with CMT without hemato...
journal_title:European journal of physical and rehabilitation medicine
pub_type: 杂志文章
doi:
更新日期:2010-06-01 00:00:00