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Stefano Masiero - One of the best experts on this subject based on the ideXlab platform.
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Rehabilitation in an Italian Thermal Setting: a new therapeutic strategy for patients with musculoskeletal disability—the results of an Italian survey
International Journal of Biometeorology, 2020Co-Authors: Stefano Masiero, Svetlana Litwocenko, Francesco AgostiniAbstract:Traditionally, in the past, patients with musculoskeletal diseases visit the spa centers ( Salus per aquam ) for traditional treatments, including mud therapy, or for holiday. Spas have begun to offer, as the only means of treatment, rehabilitation therapy for patients with musculoskeletal disabilities alone or in association with other traditional Thermal therapies. The purpose of this paper is to describe the results of a recent survey on Italian Thermal centers conducted by a section of “Rehabilitation in the Thermal Environment” of the Italian Society of Physical Medicine and Rehabilitation. The study investigated the current diffusion, type, and overall quality of rehabilitation treatments performed at the Italian spas. The survey requested information from 174 centers, but only 132 responded by returning the completed questionnaire. Eighty-nine percent of the centers offered rehabilitation therapy for orthopedic-rheumatological diseases, including post-operative conditions (after hip or knee replacement), 37% offered rehabilitation therapy for neurological diseases and 10% rehabilitation for lymph-vascular conditions. Seventy-one percent employed a multidisciplinary team (which included a physiatrist, a physiotherapist, and other figures such as a hydrologist or rheumatologist). The rehabilitative approach generally included therapeutic exercises (land or aquatic therapies), instrumental physical therapies (ultrasounds, electrotherapy, LASER-therapy, and others), and, less frequently, health education and preventive measures. The survey did not investigate respiratory or nasopharyngeal diseases. In conclusion, the results of this survey suggest that rehabilitation, performed in the Thermal environment, could be a new opportunity to treat many musculoskeletal disabilities.
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rehabilitation in an italian Thermal Setting a new therapeutic strategy for patients with musculoskeletal disability the results of an italian survey
International Journal of Biometeorology, 2020Co-Authors: Stefano Masiero, Svetlana Litwocenko, Francesco AgostiniAbstract:Traditionally, in the past, patients with musculoskeletal diseases visit the spa centers (Salus per aquam) for traditional treatments, including mud therapy, or for holiday. Spas have begun to offer, as the only means of treatment, rehabilitation therapy for patients with musculoskeletal disabilities alone or in association with other traditional Thermal therapies. The purpose of this paper is to describe the results of a recent survey on Italian Thermal centers conducted by a section of "Rehabilitation in the Thermal Environment" of the Italian Society of Physical Medicine and Rehabilitation. The study investigated the current diffusion, type, and overall quality of rehabilitation treatments performed at the Italian spas. The survey requested information from 174 centers, but only 132 responded by returning the completed questionnaire. Eighty-nine percent of the centers offered rehabilitation therapy for orthopedic-rheumatological diseases, including post-operative conditions (after hip or knee replacement), 37% offered rehabilitation therapy for neurological diseases and 10% rehabilitation for lymph-vascular conditions. Seventy-one percent employed a multidisciplinary team (which included a physiatrist, a physiotherapist, and other figures such as a hydrologist or rheumatologist). The rehabilitative approach generally included therapeutic exercises (land or aquatic therapies), instrumental physical therapies (ultrasounds, electrotherapy, LASER-therapy, and others), and, less frequently, health education and preventive measures. The survey did not investigate respiratory or nasopharyngeal diseases. In conclusion, the results of this survey suggest that rehabilitation, performed in the Thermal environment, could be a new opportunity to treat many musculoskeletal disabilities.
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patient education and rehabilitation after hip arthroplasty in an italian spa center a pilot study on its feasibility
International Journal of Biometeorology, 2018Co-Authors: Alfredo Musumeci, Giulia Pranovi, Stefano MasieroAbstract:Nowadays, some spa centers are suitable for providing rehabilitative and preventive treatment in association with traditional spa therapy. This study aims to evaluate the feasibility and the effectiveness of an intensive rehabilitation program after hip arthroplasty in an Italian spa center. Early after total hip arthroplasty for severe osteoarthritis (≤ 10 days after the intervention), 12 consecutive patients (5 males and 7 females) aged between 50 and 85 years were enrolled for this study. All the patients performed a 2-week Thermal multimodal rehabilitation program, which consisted of education and physical rehabilitative measures. Patients had 2-h and half/day session of land-based and hydrokinesitherapy (aquatic therapy) consisted in active and passive joint mobilization, respiratory and functional re-education exercises, gait and balance training, resistance exercise, and power training mainly for the upper limb associated to physical therapy modalities (electrotherapy and low-level laser therapy). An educational program was performed to both patients and families. Both before and after the rehabilitation treatment, patients underwent clinical evaluation, hip flexion/abduction range of motion, and Numeric Pain Rating Scale. Harris Hip Score (HHS) and SF-12 questionnaires (physical—PCS-12—and mental health component—MCS-12) were also administered. After the 2-week Thermal spa treatment, hip flexion/abduction improved significantly (p < 0.05), but there was no statistically significant reduction in pain (p = 0.350). The HHS score improved significantly from 62.6 ± 12.8 to 82.15 ± 12.7 (p < 0.05), and the PCS-12 score from 36.37 ± 8.4 to 43.61 ± 8.95 (p < 0.05). There was no adverse event during spa treatment. After total hip arthroplasty, patients who underwent an intensive post-acute multimodal rehabilitation program showed an improvement in motor and functional recovery and a positive impact on quality of life. Therefore, we believe that the Thermal Setting is a suitable place for providing intensive rehabilitative treatment in orthopedic musculoskeletal disability.
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the role of Thermal balneotherapy in the treatment of obese patient with knee osteoarthritis
International Journal of Biometeorology, 2018Co-Authors: Stefano Masiero, Filippo Vittadini, Costanza Ferroni, Anna Bosco, Roberto Serra, Anna Chiara Frigo, Antonio FrizzieroAbstract:Osteoarthritis (OA) is the most common form of arthritis clinically characterized by joint pain, functional limitation, and reduced quality of life. Several studies have shown a clear link between obesity and higher risk of knee OA. According to the multifactorial OA pathogenesis, the management of this condition requires a multidisciplinary approach. The objective of this study is to evaluate hydrokinesitherapy effects in Thermal Setting in obese patients with knee OA. Fifty-three patients were assessed for eligibility, of which 33 refused the treatment, while 10 patients dropped out after the enrollment for personal reasons or inability to adhere to the program. Ten patients (8 females, 2 males, mean age of 59.4 years) with obesity (range BMI 30–45 kg/m2) and knee OA (II-III grade of Kellgren-Lawrence scale) treated with hydrokinetic therapy in Thermal water (two sessions per week for 8 consecutive weeks) completed the study. Primary outcome measure was pain (VAS). Secondary outcomes were clinical knee evaluation (range of motion—ROM, lower-limb muscle strength), WOMAC, and Lequesne Algofunctional Index. Patellar tendon and peri-articular soft tissue ultrasound evaluation and gait analysis at baseline (T0), at the end of treatment (T1), and at 6 months of follow-up (T2) were performed. Significant decrease on VAS pain during walking on a flat surface and going up/down stairs was reached from baseline at T1 (p = 0.0039; p = 0.0098) and was maintained at T2 (p = 0.00954) exclusively for VAS pain during walking on a flat surface. WOMAC score showed a significant reduction between T0 and T1 (p = 0.0137) and between T0 and T2 (p = 0.006438), as ROM evaluations. Kinematic path assessment did not show significant results in individual gait steps, except for the space-time variables of the average speed and the values of ground reaction force (GRF) obtained with force platforms. Hydrokinesitherapy in Thermal environment in obese patients with knee OA may determine pain relief, joint function improvement, and walking speed increase until 6 months of follow-up.
Francesco Agostini - One of the best experts on this subject based on the ideXlab platform.
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rehabilitation in an italian Thermal Setting a new therapeutic strategy for patients with musculoskeletal disability the results of an italian survey
International Journal of Biometeorology, 2020Co-Authors: Stefano Masiero, Svetlana Litwocenko, Francesco AgostiniAbstract:Traditionally, in the past, patients with musculoskeletal diseases visit the spa centers (Salus per aquam) for traditional treatments, including mud therapy, or for holiday. Spas have begun to offer, as the only means of treatment, rehabilitation therapy for patients with musculoskeletal disabilities alone or in association with other traditional Thermal therapies. The purpose of this paper is to describe the results of a recent survey on Italian Thermal centers conducted by a section of "Rehabilitation in the Thermal Environment" of the Italian Society of Physical Medicine and Rehabilitation. The study investigated the current diffusion, type, and overall quality of rehabilitation treatments performed at the Italian spas. The survey requested information from 174 centers, but only 132 responded by returning the completed questionnaire. Eighty-nine percent of the centers offered rehabilitation therapy for orthopedic-rheumatological diseases, including post-operative conditions (after hip or knee replacement), 37% offered rehabilitation therapy for neurological diseases and 10% rehabilitation for lymph-vascular conditions. Seventy-one percent employed a multidisciplinary team (which included a physiatrist, a physiotherapist, and other figures such as a hydrologist or rheumatologist). The rehabilitative approach generally included therapeutic exercises (land or aquatic therapies), instrumental physical therapies (ultrasounds, electrotherapy, LASER-therapy, and others), and, less frequently, health education and preventive measures. The survey did not investigate respiratory or nasopharyngeal diseases. In conclusion, the results of this survey suggest that rehabilitation, performed in the Thermal environment, could be a new opportunity to treat many musculoskeletal disabilities.
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Rehabilitation in an Italian Thermal Setting: a new therapeutic strategy for patients with musculoskeletal disability—the results of an Italian survey
International Journal of Biometeorology, 2020Co-Authors: Stefano Masiero, Svetlana Litwocenko, Francesco AgostiniAbstract:Traditionally, in the past, patients with musculoskeletal diseases visit the spa centers ( Salus per aquam ) for traditional treatments, including mud therapy, or for holiday. Spas have begun to offer, as the only means of treatment, rehabilitation therapy for patients with musculoskeletal disabilities alone or in association with other traditional Thermal therapies. The purpose of this paper is to describe the results of a recent survey on Italian Thermal centers conducted by a section of “Rehabilitation in the Thermal Environment” of the Italian Society of Physical Medicine and Rehabilitation. The study investigated the current diffusion, type, and overall quality of rehabilitation treatments performed at the Italian spas. The survey requested information from 174 centers, but only 132 responded by returning the completed questionnaire. Eighty-nine percent of the centers offered rehabilitation therapy for orthopedic-rheumatological diseases, including post-operative conditions (after hip or knee replacement), 37% offered rehabilitation therapy for neurological diseases and 10% rehabilitation for lymph-vascular conditions. Seventy-one percent employed a multidisciplinary team (which included a physiatrist, a physiotherapist, and other figures such as a hydrologist or rheumatologist). The rehabilitative approach generally included therapeutic exercises (land or aquatic therapies), instrumental physical therapies (ultrasounds, electrotherapy, LASER-therapy, and others), and, less frequently, health education and preventive measures. The survey did not investigate respiratory or nasopharyngeal diseases. In conclusion, the results of this survey suggest that rehabilitation, performed in the Thermal environment, could be a new opportunity to treat many musculoskeletal disabilities.
Svetlana Litwocenko - One of the best experts on this subject based on the ideXlab platform.
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rehabilitation in an italian Thermal Setting a new therapeutic strategy for patients with musculoskeletal disability the results of an italian survey
International Journal of Biometeorology, 2020Co-Authors: Stefano Masiero, Svetlana Litwocenko, Francesco AgostiniAbstract:Traditionally, in the past, patients with musculoskeletal diseases visit the spa centers (Salus per aquam) for traditional treatments, including mud therapy, or for holiday. Spas have begun to offer, as the only means of treatment, rehabilitation therapy for patients with musculoskeletal disabilities alone or in association with other traditional Thermal therapies. The purpose of this paper is to describe the results of a recent survey on Italian Thermal centers conducted by a section of "Rehabilitation in the Thermal Environment" of the Italian Society of Physical Medicine and Rehabilitation. The study investigated the current diffusion, type, and overall quality of rehabilitation treatments performed at the Italian spas. The survey requested information from 174 centers, but only 132 responded by returning the completed questionnaire. Eighty-nine percent of the centers offered rehabilitation therapy for orthopedic-rheumatological diseases, including post-operative conditions (after hip or knee replacement), 37% offered rehabilitation therapy for neurological diseases and 10% rehabilitation for lymph-vascular conditions. Seventy-one percent employed a multidisciplinary team (which included a physiatrist, a physiotherapist, and other figures such as a hydrologist or rheumatologist). The rehabilitative approach generally included therapeutic exercises (land or aquatic therapies), instrumental physical therapies (ultrasounds, electrotherapy, LASER-therapy, and others), and, less frequently, health education and preventive measures. The survey did not investigate respiratory or nasopharyngeal diseases. In conclusion, the results of this survey suggest that rehabilitation, performed in the Thermal environment, could be a new opportunity to treat many musculoskeletal disabilities.
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Rehabilitation in an Italian Thermal Setting: a new therapeutic strategy for patients with musculoskeletal disability—the results of an Italian survey
International Journal of Biometeorology, 2020Co-Authors: Stefano Masiero, Svetlana Litwocenko, Francesco AgostiniAbstract:Traditionally, in the past, patients with musculoskeletal diseases visit the spa centers ( Salus per aquam ) for traditional treatments, including mud therapy, or for holiday. Spas have begun to offer, as the only means of treatment, rehabilitation therapy for patients with musculoskeletal disabilities alone or in association with other traditional Thermal therapies. The purpose of this paper is to describe the results of a recent survey on Italian Thermal centers conducted by a section of “Rehabilitation in the Thermal Environment” of the Italian Society of Physical Medicine and Rehabilitation. The study investigated the current diffusion, type, and overall quality of rehabilitation treatments performed at the Italian spas. The survey requested information from 174 centers, but only 132 responded by returning the completed questionnaire. Eighty-nine percent of the centers offered rehabilitation therapy for orthopedic-rheumatological diseases, including post-operative conditions (after hip or knee replacement), 37% offered rehabilitation therapy for neurological diseases and 10% rehabilitation for lymph-vascular conditions. Seventy-one percent employed a multidisciplinary team (which included a physiatrist, a physiotherapist, and other figures such as a hydrologist or rheumatologist). The rehabilitative approach generally included therapeutic exercises (land or aquatic therapies), instrumental physical therapies (ultrasounds, electrotherapy, LASER-therapy, and others), and, less frequently, health education and preventive measures. The survey did not investigate respiratory or nasopharyngeal diseases. In conclusion, the results of this survey suggest that rehabilitation, performed in the Thermal environment, could be a new opportunity to treat many musculoskeletal disabilities.
K W Yeung - One of the best experts on this subject based on the ideXlab platform.
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development of shape memory polyurethane fiber with complete shape recoverability
Smart Materials and Structures, 2006Co-Authors: Yong Zhu, Lapyan Yeung, Yan Liu, K W YeungAbstract:To illustrate the shape memory properties of shape memory polyurethane (SMPU) fiber and the difference of Thermal/mechanical properties between SMPU fiber and other various man-made fibers, series of shape memory polyurethane having various hard segment content were synthesized with the pre-polymerization method and spun with the wet spinning process. Differential scanning calorimetry (DSC), dynamic mechanical analysis (DMA), and mechanical testing were conducted to study the particular Thermal/mechanical properties of shape memory polyurethane fiber in comparison with other man-made fibers such as nylon6, polyester, Lycra and XLA. In addition, in the preparation of shape memory polyurethane fiber, the effect of Thermal Setting temperature was systematically investigated by mechanical properties testing, DMA and cyclic tensile testing, suggesting that the Thermal Setting temperature has a huge influence on the mechanical properties and shape memory property due to the elimination of internal stress. Thermal Setting with a higher temperature will give rise to a lower tensile modulus and tenacity and a higher elongation ratio at break. Through employing the optimal Thermal Setting treatment, the complete heating responsive recovery in SMPU fiber can be achieved because of the counteracting effect of the irreversible strain and Thermal shrinkage.
Chuanxin Teng - One of the best experts on this subject based on the ideXlab platform.
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Investigation of a Macro-Bending Tapered Plastic Optical Fiber for Refractive Index Sensing
IEEE Sensors Journal, 2016Co-Authors: Chuanxin Teng, Ning Jing, Fangda Yu, Jie ZhengAbstract:A plastic optical fiber (POF) probe with a macro-bending tapered structure was proposed and optimized for the refractive index (RI) sensing. The principle of operation is based on the macro-bending loss and evanescent wave, which are introduced by the macro-bending tapered structure on the fiber, and modulated by the environmental RI. A heating and drawing method and Thermal Setting process were used to fabricate a tapered POF and form a stable macro-bending structure for the probe. The probes with cladding and without cladding were fabricated. By changing the taper waist and curvature radius, the sensing performance of the probe was optimized. The highest sensitivity of the probe with cladding reached 937%/RIU in the RI range of 1.33-1.41. By removing the cladding, the RI sensing range was expanded to 1.33-1.45, and the sensitivity was about 800%/RIU, lower than the ones with cladding. In addition, the temperature dependence of the sensor was investigated. The POF probe is a low cost solution for RI sensing applications, which has the features of simple structure, compact, and intensity modulation at visible wavelength.
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Refractive Index Sensing Based on a Side-Polished Macrobending Plastic Optical Fiber
IEEE Sensors Journal, 2015Co-Authors: Ning Jing, Jie Zheng, Xiaowei Zhao, Chuanxin TengAbstract:In this paper, a plastic optical fiber (POF) probe with a side-polished macrobending structure is proposed for the refractive index (RI) sensing. The principle of operation is based on the macrobending loss and evanescent field, which are introduced by the side-polished macrobending structure on the fiber, and modulated by the environmental RI. A Thermal Setting method is used to solve the problem of the mechanical stability of the probe with smaller curvature radius after side-polishing process. By changing the curvature radius, the polished depth, and the polished position (angle), the sensing performance of the probe is optimized. In addition, we obtain the maximum sensitivity reaches 154 dB/RIU in the RI range of 1.33-1.44 when the curvature radius, the polished depth, and the polished position are 5 mm, 500 μm, and 60°, respectively. The POF probe is a low cost solution for RI sensing applications, which has the features of simple structure, compact, and intensity modulation at visible wavelengths.