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Sasso P, Savastano A, Vidal-Aroca F, Minnella AM, Francione G, Sammarco L, Cima V, Ghiraldelli R, Mattei R, Rizzo S. Enhancing the Functional Performance of Patients with Late-Stage Age-Related Macular Degeneration Implanted with a Miniature Telescope using Rehabilitation Training. Ophthalmol Ther 2024; 13:697-707. [PMID: 38165600 PMCID: PMC10853143 DOI: 10.1007/s40123-023-00871-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2023] [Accepted: 12/05/2023] [Indexed: 01/04/2024] Open
Abstract
INTRODUCTION In this work, our aim is to report the functional outcomes of cataract surgery with smaller-incision new-generation miniature telescope (SING IMT) implantation followed by rehabilitation training in patients with central visual loss due to late-stage age-related macular degeneration (AMD). METHODS This retrospective study included patients who were monocularly implanted with SING IMT and then followed a rehabilitation program based on 6 biweekly sessions focused on visual abilities, reading, writing, visual motor integration and mobility. A total of 11 participants were included in this study. Reading acuity (RA), reading speed (RS), and fixation stability (FS) were assessed biweekly at 6-, 8-, 10-, 12-, 14-, and 16-week follow-up visits after SING IMT implantation and at a final assessment at 24 weeks. Best-corrected distance visual acuity (BCDVA) was also measured at baseline and at the same postoperative timepoints. RESULTS Mean baseline BCDVA was 12.5 ± 8.6 letter score. Both RA and RS were found to be significantly improved from the first rehabilitation session (6 weeks after surgery) to the last session (24 weeks after surgery). At the end of the rehabilitation program, mean RA was 0.45 ± 0.19 LogMAR and mean RS was 30.9 ± 17.6 words per minute. Moreover, all patients achieved a FS of 15 s or more after the last rehabilitation session. Most patients (55%) achieved an improvement of 15 letters in BCDVA at the end of the study. CONCLUSIONS This study suggests that rehabilitation training can improve visual functions of patients with late-stage AMD implanted with SING IMT in real-world tasks such as reading skills.
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Affiliation(s)
- Paola Sasso
- Ophthalmology Unit, "Fondazione Policlinico Universitario A. Gemelli IRCCS", Catholic University "Sacro Cuore", Largo A. Gemelli 8, 00198, Rome, Italy.
| | - Alfonso Savastano
- Ophthalmology Unit, "Fondazione Policlinico Universitario A. Gemelli IRCCS", Catholic University "Sacro Cuore", Largo A. Gemelli 8, 00198, Rome, Italy
| | - Faustino Vidal-Aroca
- Scientific Affairs Department, Medevise Consulting, 2 rue Marie Hamm, Strasbourg, France
| | - Angelo Maria Minnella
- Ophthalmology Unit, "Fondazione Policlinico Universitario A. Gemelli IRCCS", Catholic University "Sacro Cuore", Largo A. Gemelli 8, 00198, Rome, Italy
- Università Cattolica del Sacro Cuore, Rome, Italy
| | - Giuseppe Francione
- Ophthalmology Unit, "Fondazione Policlinico Universitario A. Gemelli IRCCS", Catholic University "Sacro Cuore", Largo A. Gemelli 8, 00198, Rome, Italy
- Università Cattolica del Sacro Cuore, Rome, Italy
| | - Leonardo Sammarco
- Ophthalmology Unit, "Fondazione Policlinico Universitario A. Gemelli IRCCS", Catholic University "Sacro Cuore", Largo A. Gemelli 8, 00198, Rome, Italy
- Università Cattolica del Sacro Cuore, Rome, Italy
| | - Valentina Cima
- Ophthalmology Unit, "Fondazione Policlinico Universitario A. Gemelli IRCCS", Catholic University "Sacro Cuore", Largo A. Gemelli 8, 00198, Rome, Italy
| | - Ritangela Ghiraldelli
- Ophthalmology Unit, "Fondazione Policlinico Universitario A. Gemelli IRCCS", Catholic University "Sacro Cuore", Largo A. Gemelli 8, 00198, Rome, Italy
| | - Roberta Mattei
- Ophthalmology Unit, "Fondazione Policlinico Universitario A. Gemelli IRCCS", Catholic University "Sacro Cuore", Largo A. Gemelli 8, 00198, Rome, Italy
| | - Stanislao Rizzo
- Ophthalmology Unit, "Fondazione Policlinico Universitario A. Gemelli IRCCS", Catholic University "Sacro Cuore", Largo A. Gemelli 8, 00198, Rome, Italy
- Università Cattolica del Sacro Cuore, Rome, Italy
- Consiglio Nazionale Delle Ricerche, Istituto di Neuroscienze, Pisa, Italy
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Potcovaru CG, Salmen T, Bîgu D, Săndulescu MI, Filip PV, Diaconu LS, Pop C, Ciobanu I, Cinteză D, Berteanu M. Assessing the Effectiveness of Rehabilitation Interventions through the World Health Organization Disability Assessment Schedule 2.0 on Disability-A Systematic Review. J Clin Med 2024; 13:1252. [PMID: 38592067 PMCID: PMC10931950 DOI: 10.3390/jcm13051252] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2024] [Revised: 02/15/2024] [Accepted: 02/19/2024] [Indexed: 04/10/2024] Open
Abstract
(1) Background: The World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) is a tool designed to measure disability in accordance with the International Classification of Functioning, Disability and Health. Measuring disability is becoming increasingly important due to its high prevalence, which continues to rise. Rehabilitation interventions can reduce disability and enhance functioning. (2) Objective: The present study aims to assess the impact of rehabilitation interventions on reducing disability, as measured by the WHODAS 2.0 questionnaire. It also seeks to identify which specific rehabilitation interventions are more effective and to explore other disability assessment questionnaires. (3) Methods: Following the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) methodology, we conducted a systematic review, with the protocol registered with the identifier CRD42023495309, focused on "WHODAS" and "rehabilitation" using PubMed and Web of Science electronic databases. (4) Results: We identified 18 articles from various regions encompassing patients with various health conditions, related to stroke, the cardiovascular system (cardiovascular disease, chronic heart failure), the pulmonary system (chronic obstructive pulmonary disease), the neurologic system (Parkinson's disease, cerebral palsy, neurodegenerative disease), the musculoskeletal system (orthopaedic surgery), cancer, and chronic pain, and among frail elderly. These patients have received a wide range of rehabilitation interventions: from conventional therapy to virtual reality, robot-assisted arm training, exergaming, and telerehabilitation. (5) Discussion and Conclusions: A wide range of rehabilitation techniques can effectively improve disability with various comorbidities, offering numerous benefits. The WHODAS 2.0 questionnaire proves to be an efficient and reliable tool for measuring disability, and scores have a tendency to decrease after rehabilitation.
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Affiliation(s)
- Claudia-Gabriela Potcovaru
- Doctoral School, University of Medicine and Pharmacy “Carol Davila”, 050474 Bucharest, Romania; (C.-G.P.); (T.S.); (M.I.S.)
| | - Teodor Salmen
- Doctoral School, University of Medicine and Pharmacy “Carol Davila”, 050474 Bucharest, Romania; (C.-G.P.); (T.S.); (M.I.S.)
| | - Dragoș Bîgu
- Department of Philosophy and Social and Human Sciences, Bucharest University of Economic Studies, Piata Romana. No. 6, District 1, 010374 Bucharest, Romania;
| | - Miruna Ioana Săndulescu
- Doctoral School, University of Medicine and Pharmacy “Carol Davila”, 050474 Bucharest, Romania; (C.-G.P.); (T.S.); (M.I.S.)
| | - Petruța Violeta Filip
- Department of Gastroenterology and Internal Medicine, University of Medicine and Pharmacy “Carol Davila”, 050474 Bucharest, Romania; (P.V.F.); (L.S.D.); (C.P.)
| | - Laura Sorina Diaconu
- Department of Gastroenterology and Internal Medicine, University of Medicine and Pharmacy “Carol Davila”, 050474 Bucharest, Romania; (P.V.F.); (L.S.D.); (C.P.)
| | - Corina Pop
- Department of Gastroenterology and Internal Medicine, University of Medicine and Pharmacy “Carol Davila”, 050474 Bucharest, Romania; (P.V.F.); (L.S.D.); (C.P.)
| | - Ileana Ciobanu
- Physical and Rehabilitation Medicine Department, Elias University Emergency Hospital, 011461 Bucharest, Romania
| | - Delia Cinteză
- Physical Medicine and Rehabilitation Department 9, University of Medicine and Pharmacy “Carol Davila”, 050474 Bucharest, Romania;
| | - Mihai Berteanu
- Physical Medicine and Rehabilitation Department 9, University of Medicine and Pharmacy “Carol Davila”, 050474 Bucharest, Romania;
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