1
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Magnifica F, Colagrossi F, Aloisi A, Politi S, Peretti A, Berardi A, Galeoto G, Tofani M, Pierelli F. Italian version of the cornell musculoskeletal discomfort questionnaire (CMDQ-I): Translation, cultural adaptation and validation. Work 2021; 69:119-125. [PMID: 33998576 DOI: 10.3233/wor-213462] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
BACKGROUND Almost 25%of workers in the European Union suffer from back pain, and 23%complain of muscle pain. Sixty-two percent of workers carry out repetitive operations with their hands or arms, 46%work in painful or tired positions and 35%carry or handle loads. OBJECTIVE This study aimed to translate, culturally adapt and validate the Italian version of the Cornell Musculoskeletal Discomfort Questionnaire (CMDQ-I). METHODS Translation and cultural adaptation procedures followed international guidelines. Participants were recruited from among the personnel components of the Italian Air Force, who were between 18 and 65 years old. Cronbach's alpha and the intraclass correlation coefficient (ICC) were calculated to assess internal consistency and stability, respectively. The CDMQ-I was administered together with the Visual Analogic Scale (VAS), and the validity was evaluated using Pearson's correlation coefficient. RESULTS All CDMQ-I items were either identical or similar in meaning to the original version's items. The scale was administered twice with a retest after seven to 10 days to 66 participants. Cronbach's alpha was higher than 0.761, and the ICC ranged between 0.737 and 0.952. Pearson's correlation coefficient showed positive and significant correlations (p > 0.01). CONCLUSIONS The study produced an Italian version of the CMDQ with good reliability and validity. This scale is a useful tool to investigate the frequency and intensity of musculoskeletal disorders in various categories of workers.
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Affiliation(s)
- F Magnifica
- Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy.,Italian Air Force Aerospace Medicine Department, Diagnostic Therapeutic and Rehabilitative Aeromedical Center, Rome, Italy
| | | | - A Aloisi
- Italian Air Force Aerospace Medicine Department, Diagnostic Therapeutic and Rehabilitative Aeromedical Center, Rome, Italy
| | - S Politi
- Italian Air Force Aerospace Medicine Department, Diagnostic Therapeutic and Rehabilitative Aeromedical Center, Rome, Italy
| | - A Peretti
- Nomentana Hospital of Rome, Rome, Italy
| | - A Berardi
- Sapienza University of Rome, Rome, Italy
| | - G Galeoto
- Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome Italy
| | - M Tofani
- Neurorehabilitation Unit, Department of Neurosciences and Neurorehabilitation, Bambino Gesù Children's Hospital, Italy
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2
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Abagnale C, Ranieri F, Centurioni C, Musumeci G, Capone F, Di Pino G, Parisi V, Di Lazzaro V, Pierelli F, Coppola G. Altered short-term visual paired associative plasticity in migraine patients between attacks. Clin Neurophysiol 2019. [DOI: 10.1016/j.clinph.2018.09.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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3
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Coppola G, Cortese F, Di Lenola D, Di Lorenzo C, Parisi V, Pierelli F. Cephalic and extracephalic neurophysiological effects of botulinum toxin type A in chronic migraine. Clin Neurophysiol 2019. [DOI: 10.1016/j.clinph.2018.09.043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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4
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Cortese F, Coppola G, Bove I, Parisi V, Pierelli F. 59. The temporal pole is implicated in migraine pathophysiology: Evidence from a transcranial direct current stimulation study. Clin Neurophysiol 2017. [DOI: 10.1016/j.clinph.2017.09.066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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5
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Conte C, Serrao M, Cuius L, Ranavolo A, Conforto S, Pierelli F, Padua L. Effect of Restraining the Base of Support on the Other Biomechanical Features in Patients with Cerebellar Ataxia. Cerebellum 2017; 17:264-275. [PMID: 29143300 DOI: 10.1007/s12311-017-0897-y] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
This study aimed to analyze the biomechanical consequences of reducing the base of support in patients with ataxia. Specifically, we evaluated the spatio-temporal parameters, upper- and lower-body kinematics, muscle co-activation, and energy recovery and expenditure. The gaits of 13 patients were recorded using a motion analysis system in unperturbed and perturbed walking conditions. In the latter condition, patients had to walk using the same step width and speed of healthy controls. The perturbed walking condition featured reduced gait speed, step length, hip and knee range of motion, and energy recovery and increased double support duration, gait variability, trunk oscillation, and ankle joint muscle co-activation. Narrowing the base of support increased gait instability (e.g., gait variability and trunk oscillations) and induced patients to further use alternative compensatory mechanisms to maintain dynamic balance at the expense of a reduced ability to recover mechanical energy. A widened step width gait is a global strategy employed by patients to increase dynamic stability, reduce the need for further compensatory mechanisms, and thus recover mechanical energy. Our findings suggest that rehabilitative treatment should more specifically focus on step width training.
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Affiliation(s)
- C Conte
- Fondazione Don Carlo Gnocchi, Piazzale Morandi 6, 20121, Milan, Italy
| | - Mariano Serrao
- Department of Medical and Surgical Sciences and Biotechnologies, Sapienza, Polo Pontino, University of Rome, via Franco Faggiana 1668, 04100, Latina, Italy. .,Movement Analysis LAB, Rehabilitation Centre Policlinico Italia, Piazza del Campidano 6, 00162, Rome, Italy.
| | - L Cuius
- Biolab3, Department of Engineering, Roma TRE University, ViaVito Volterra 62, 00149, Rome, Italy
| | - A Ranavolo
- Department of Occupational and Environmental Medicine, Epidemiology and Hygiene, INAIL, via Fontana Candida 1, 00078, Monte Porzio Catone, Rome, Italy
| | - S Conforto
- Biolab3, Department of Engineering, Roma TRE University, ViaVito Volterra 62, 00149, Rome, Italy
| | - F Pierelli
- Department of Medical and Surgical Sciences and Biotechnologies, Sapienza, Polo Pontino, University of Rome, via Franco Faggiana 1668, 04100, Latina, Italy.,IRCSS, Neuromed, Pozzilli, IS, Italy
| | - L Padua
- Fondazione Don Carlo Gnocchi, Piazzale Morandi 6, 20121, Milan, Italy.,Department of Geriatrics, Neuroscience & Orthopaedics, Catholic University, L.go F. Vito, 1, 00168, Rome, Italy
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6
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Celletti C, Sinibaldi E, Pierelli F, Monari G, Camerota F. Focal Muscle Vibration and Progressive Modular Rebalancing with neurokinetic facilitations in post- stroke recovery of upper limb. Clin Ter 2017; 168:e33-e36. [PMID: 28240760 DOI: 10.7417/ct.2017.1979] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
BACKGROUND Stroke is one of the leading causes for disability worldwide. Exercise therapy is a key element of stroke rehabilitation but no evidence are present in literature. Moreover recently focal muscle vibrationis described as a useful therapeutic approach in the post stroke recovery. In this study the efficacy of the vibration therapy in association to progressive modular re balancing rehabilitative approach has been evaluated and compared to the conventional therapy alone and associated to the muscle vibration. METHODS A pilot randomized controlled trial, using a pragmatic triple-blind, parallel-group study design in chronic stroke patients upper limb function. RESULTS Functional outcomes resulted increased in the group treated with vibration therapy and in particular in the group associated to progressive modular rebalancing approach. CONCLUSION The combining neurophysiologically-based rehabilitative technique and vibration therapy may improve functional recovery in chronic stroke patients.
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Affiliation(s)
- C Celletti
- Physical Medicine and Rehabilitation Unit, Department of Orthopedics, University of Rome "Sapienza"
| | - E Sinibaldi
- Unit, Department of Neurology and Psichiatry, University of Rome "Sapienza"
| | - F Pierelli
- Department of Medico-Surgical Sciences and Biotechnologies, University of Rome Sapienza, Latina, Italy
| | - G Monari
- Unit, Department of Neurology and Psichiatry, University of Rome "Sapienza"
| | - F Camerota
- Unit, Department of Neurology and Psichiatry, University of Rome "Sapienza"
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Bracaglia M, Coppola G, Di Lorenzo C, Di Lenola D, Serrao M, Parisi V, Pierelli F. 1. Cortical functional correlates of responsiveness to short-lasting preventive intervention with ketogenic diet in migraine: A multimodal evoked potentials study. Clin Neurophysiol 2016. [DOI: 10.1016/j.clinph.2016.10.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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8
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Coppola G, Di Lenola D, Serrao M, Di Lorenzo C, Pierelli F. 73. Transcutaneous supraorbital nerve stimulation increases thalamocortical activity in migraine between attacks. Clin Neurophysiol 2016. [DOI: 10.1016/j.clinph.2016.10.085] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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9
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Gorini M, Tanzilli A, Cardillo A, Greco D, Rinalduzzi S, Pierelli F, Fattapposta F, Trompetto C, Currà A. 21. Habituation of somatosensory evoked potentials in patients with dementia. Clin Neurophysiol 2016. [DOI: 10.1016/j.clinph.2016.10.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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10
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Coppola G, Di Lorenzo C, Grieco G, Santoro M, Santorelli F, Pascale E, Pierelli F. 6. Glutamate Receptor Ionotropic AMPA 3 (GRIA3) gene polymorphism influences cortical response to somatosensory stimulation in medication-overuse headache patients. Clin Neurophysiol 2016. [DOI: 10.1016/j.clinph.2016.10.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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11
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Bracaglia M, Coppola G, Napoli F, Di Lenola D, Serrao M, Di Lorenzo C, Pierelli F. 4. The degree of motor cortex excitability in migraine depends on the days elapsed since the last attack. Clin Neurophysiol 2016. [DOI: 10.1016/j.clinph.2016.10.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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12
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Perrotta A, Chiacchiaretta P, Anastasio MG, Pavone L, Grillea G, Bartolo M, Siravo E, Colonnese C, De Icco R, Serrao M, Sandrini G, Pierelli F, Ferretti A. Temporal summation of the nociceptive withdrawal reflex involves deactivation of posterior cingulate cortex. Eur J Pain 2016; 21:289-301. [PMID: 27452295 DOI: 10.1002/ejp.923] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/19/2016] [Indexed: 02/02/2023]
Abstract
BACKGROUND Temporal summation of pain sensation is pivotal both in physiological and pathological nociception. In humans, it develops in parallel with temporal summation of the nociceptive withdrawal reflex (NWR) of the lower limb, an objective representation of the temporal processing of nociceptive signals into the spinal cord. METHODS To study the contribution of cortical and subcortical structures in temporal summation of pain reflex responses, we compared the fMRI signal changes related to the temporal summation threshold (TST) of the NWR with that related to the single NWR response. We studied 17 healthy subjects using a stimulation paradigm previously determined to evoke both the TST of the NWR (SUMM) and the NWR single response (SING). RESULTS We found a significant activation in left (contralateral) primary somatosensory cortex (SI), bilateral secondary somatosensory cortex (SII), bilateral insula, anterior cingulate cortex (ACC) and bilateral thalamus during both SUMM and SING conditions. The SUMM versus SING contrast revealed a significant deactivation in the posterior cingulate cortex (PCC) and bilateral middle occipital gyrus in SUMM when compared to SING condition. CONCLUSIONS Our data support the hypothesis that temporal summation of nociceptive reflex responses is driven through a switch between activation and deactivation of a specific set of brain areas linked to the default mode network. This behaviour could be explained in view of the relevance of the pain processing induced by temporal summation, recognized as a more significant potential damaging condition with respect to a single, isolated, painful stimulation of comparable pain intensity. SIGNIFICANCE The study demonstrated that TST of the NWR involves a selective deactivation of PCC.
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Affiliation(s)
- A Perrotta
- IRCCS Neuromed, Pozzilli (Isernia), Italy
| | - P Chiacchiaretta
- Department of Neuroscience, Imaging and Clinical Sciences, University "G. d'Annunzio" of Chieti, Italy.,Institute for Advanced Biomedical Technologies (ITAB), University "G. d'Annunzio" of Chieti, Italy
| | | | - L Pavone
- IRCCS Neuromed, Pozzilli (Isernia), Italy
| | - G Grillea
- IRCCS Neuromed, Pozzilli (Isernia), Italy.,Department of Neurology and Psychiatry, "Sapienza" University of Rome, Italy
| | - M Bartolo
- IRCCS Neuromed, Pozzilli (Isernia), Italy
| | - E Siravo
- IRCCS Neuromed, Pozzilli (Isernia), Italy
| | - C Colonnese
- IRCCS Neuromed, Pozzilli (Isernia), Italy.,Department of Neurology and Psychiatry, "Sapienza" University of Rome, Italy
| | - R De Icco
- C. Mondino National Neurological Institute, Department of Brain and Behavioral Sciences, University of Pavia, Italy
| | - M Serrao
- Unit of Neurorehabilitation, Department of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, ICOT, Latina, Italy
| | - G Sandrini
- C. Mondino National Neurological Institute, Department of Brain and Behavioral Sciences, University of Pavia, Italy
| | - F Pierelli
- IRCCS Neuromed, Pozzilli (Isernia), Italy.,Unit of Neurorehabilitation, Department of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome, ICOT, Latina, Italy
| | - A Ferretti
- Department of Neuroscience, Imaging and Clinical Sciences, University "G. d'Annunzio" of Chieti, Italy.,Institute for Advanced Biomedical Technologies (ITAB), University "G. d'Annunzio" of Chieti, Italy
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13
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D'Alessio C, Ambrosini A, Colonnese C, Pompeo F, Vandenheede M, Pierelli F, Schoenen J. Indomethacin-Responsive Hemicrania Associated with an Extracranial Vascular Malformation: Report of Two Cases. Cephalalgia 2016; 24:997-1000. [PMID: 15482365 DOI: 10.1111/j.1468-2982.2004.00778.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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14
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Coppola G, Ambrosini A, Clemente LD, Magis D, Fumal A, Gérard P, Pierelli F, Schoenen J. Interictal Abnormalities of Gamma Band Activity in Visual Evoked Responses in Migraine: An Indication of Thalamocortical Dysrhythmia? Cephalalgia 2016; 27:1360-7. [DOI: 10.1111/j.1468-2982.2007.01466.x] [Citation(s) in RCA: 105] [Impact Index Per Article: 13.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
Between attacks, migraineurs lack habituation in standard visual evoked potentials (VEPs). Visual stimuli also evoke high-frequency oscillations in the gamma band range (GBOs, 20–35 Hz) assumed to be generated both at subcortical (early GBOs) and cortical levels (late GBOs). The consecutive peaks of GBOs were analysed regarding amplitude and habituation in six successive blocks of 100 averaged pattern reversal (PR)-VEPs in healthy volunteers and interictally in migraine with (MA) or without aura patients. Amplitude of the two early GBO components in the first PR-VEP block was significantly increased in MA patients. There was a significant habituation deficit of the late GBO peaks in migraineurs. The increased amplitude of early GBOs could be related to the increased interictal visual discomfort reported by patients. We hypothesize that the hypo-functioning serotonergic pathways may cause, in line with the thalamocortical dysrhythmia theory, a functional disconnection of the thalamus leading to decreased intracortical lateral inhibition, which can induce dishabituation.
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Affiliation(s)
- G Coppola
- G.B. Bietti Eye Foundation-IRCCS, Department of Neurophysiology of Vision and Neurophthalmology
| | | | - L Di Clemente
- Headache Clinic, Department of Neurological Sciences, University ‘La Sapienza’, Rome, Italy
| | - D Magis
- Headache Research Unit, University Department of Neurology
| | - A Fumal
- Headache Research Unit, University Department of Neurology
| | - P Gérard
- Headache Research Unit, University Department of Neurology
| | - F Pierelli
- IRCCS-Neuromed, Pozzilli (IS)
- University ‘La Sapienza’, Polo Pontino—I.C.O.T., Rome, Italy
| | - J Schoenen
- Headache Research Unit, University Department of Neurology
- Res Ctr for Cell & Mol Neurobiology, Liège University, Liège, Belgium
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Coppola G, Di Clemente L, Fumal A, Magis D, De Pasqua V, Pierelli F, Schoenen J. Inhibition of the Nociceptive R2 Blink Reflex after Supraorbital or Index Finger Stimulation is Normal in Migraine Without Aura Between Attacks. Cephalalgia 2016; 27:803-8. [PMID: 17598762 DOI: 10.1111/j.1468-2982.2007.01323.x] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
In order to explore possible interictal brainstem dysfunctions in migraine, we have studied the R2 component of the nociceptive specific blink reflex (nBR) after conditioning by supraorbital or index finger stimuli in 14 untreated migraine without aura patients (MO) between attacks and in 15 healthy volunteers. We determined the R2 recovery curve at increasing inter-stimulus intervals between 50 and 600 ms. The nBR was conditioned by a paired supraorbital stimulus and, in another session, by an ipsilateral electrical shock delivered to the index finger. The R2 nBR recovery curves were normal in MO patients for both the supraorbital and peripheral conditioning. These results do not favour persistent interictal sensitization in the spinal trigeminal sensory system. They also suggest that the control exerted by descending brainstem pathways on medullary R2 interneurones is normal in migraine between attacks.
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Affiliation(s)
- G Coppola
- G.B. Bietti Eye Foundation-IRCCS, Department of Neurophysiology of Vision and Neurophthalmology, Rome, Italy
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Coppola G, Corso L, Di Renzo A, Fadda A, Martelli F, Di Lorenzo C, Parisi V, Schoenen J, Falsini B, Pierelli F. 14. An abnormal transduction of the chromatic stimuli from the outer to the inner retinal layers may contribute to the mechanism of photophobia in migraine. Clin Neurophysiol 2016. [DOI: 10.1016/j.clinph.2015.09.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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Di Lorenzo C, Coppola G, Di Lorenzo G, Bracaglia M, Rossi P, Pierelli F. The use of illicit drugs as self-medication in the treatment of cluster headache: Results from an Italian online survey. Cephalalgia 2015; 36:194-8. [PMID: 25903763 DOI: 10.1177/0333102415583145] [Citation(s) in RCA: 22] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2014] [Accepted: 03/14/2015] [Indexed: 11/15/2022]
Abstract
BACKGROUND Cluster headache (CH) patients often receive unsatisfactory treatment and may explore illicit substances as alternatives. We aimed to explore this use of illicit drugs for CH treatment. METHODS We invited CH patients from an Internet-based self-help group to complete a questionnaire regarding their therapeutic use of illicit substances. RESULTS Of the 54 respondents, 29 were classified as chronic and 39 were drug-resistant cases. Fifty patients had previously tried subcutaneous sumatriptan, 40 had tried O2, and 48 had tried at least one prophylactic treatment. All 54 patients specified that they were dissatisfied with conventional treatments. Thirty-four patients had used cannabinoids, 13 cocaine, 8 heroin, 18 psilocybin, 12 lysergic acid amide (LSA), and 4 lysergic acid diethylamide (LSD). DISCUSSION Some patients with intractable CH decided to try illicit drugs concomitantly with cessation of medical care. Most of these patients found suggestions for illicit drug use on the Internet. Many patients seemed to underestimate the judicial consequences of, and had an overestimated confidence in the safety of, such illicit treatments. Physicians are often not informed by patients of their choice to use illicit drugs. This leads to questions regarding the true nature of the physician-patient relationship among dissatisfied CH patients.
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Affiliation(s)
| | | | - G Di Lorenzo
- Department of Systems Medicine, University of Rome "Tor Vergata," Italy
| | - M Bracaglia
- "Sapienza" University of Rome Polo Pontino, Department of Medical and Surgical Sciences and Biotechnologies Latina, Italy
| | - P Rossi
- Headache Clinic, INI Grottaferrata (RM), Italy
| | - F Pierelli
- "Sapienza" University of Rome Polo Pontino, Department of Medical and Surgical Sciences and Biotechnologies Latina, Italy IRCCS-Neuromed, Pozzilli (IS), Italy
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Coppola G, Di Lenola D, Bracaglia M, Di Ciaccia G, Di Lorenzo C, Serrao M, Parisi V, Pierelli F. 29. Impaired VEP after photostress in migraine patients between attacks. Clin Neurophysiol 2015. [DOI: 10.1016/j.clinph.2014.10.048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Di Lorenzo C, Coppola G, Bracaglia M, Di Lenola D, Pierelli F. EHMTI-0375. Central mechanisms of migraine improvement with ketogenic diet: an evoked potentials study. J Headache Pain 2014. [PMCID: PMC4182180 DOI: 10.1186/1129-2377-15-s1-k3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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20
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Coppola G, Di Renzo A, Tinelli E, Iacovelli E, Lepre C, Di Lorenzo C, Di Lorenzo G, Di Lenola D, Parisi V, Pauri F, Fiermonte G, Bianco F, Pierelli F. EHMTI-0177. Evidence for plastic brain morphometric changes during the migraine cycle. J Headache Pain 2014. [PMCID: PMC4182270 DOI: 10.1186/1129-2377-15-s1-e10] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/02/2022] Open
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Coppola G, Bracaglia M, Di Lenola D, Di Ciaccia G, Di Lorenzo C, Parisi V, Pierelli F. EHMTI-0182. Positive family history of migraine predisposes to a reduced migraineurs visual cortical reactivity. J Headache Pain 2014. [PMCID: PMC4182257 DOI: 10.1186/1129-2377-15-s1-e8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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22
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Di Fabio R, Moro F, Pestillo L, Meschini MC, Pezzini F, Doccini S, Casali C, Pierelli F, Simonati A, Santorelli FM. Pseudo-dominant inheritance of a novel CTSF mutation associated with type B Kufs disease. Neurology 2014; 83:1769-70. [DOI: 10.1212/wnl.0000000000000953] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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Ambrosini A, Schoenen J, Magis D, Pierelli F, Coppola G. EHMTI-0222. Habituation of visual evoked potentials in migraine: comparison between blinded and non-blinded analyses. J Headache Pain 2014. [PMCID: PMC4182267 DOI: 10.1186/1129-2377-15-s1-e1] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Di Lorenzo C, Coppola G, Sirianni G, Di Lorenzo G, Bracaglia M, Di Lenola D, Siracusano A, Rossi P, Pierelli F. Migraine improvement during short lasting ketogenesis: a proof-of-concept study. Eur J Neurol 2014; 22:170-7. [DOI: 10.1111/ene.12550] [Citation(s) in RCA: 79] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2014] [Accepted: 07/04/2014] [Indexed: 01/03/2023]
Affiliation(s)
| | - G. Coppola
- Department of Neurophysiology of Vision and Neurophthalmology; G.B. Bietti Foundation − IRCCS; Rome Italy
| | - G. Sirianni
- Wellness and Dietary Medicine; Krom Genetics Institute; Rome Italy
| | - G. Di Lorenzo
- Department of Systems Medicine; University of Rome ‘Tor Vergata’; Rome Italy
| | - M. Bracaglia
- Department of Medico-Surgical Sciences and Biotechnologies; Sapienza University of Rome; Latina Italy
| | - D. Di Lenola
- Department of Medico-Surgical Sciences and Biotechnologies; Sapienza University of Rome; Latina Italy
| | - A. Siracusano
- Department of Systems Medicine; University of Rome ‘Tor Vergata’; Rome Italy
| | - P. Rossi
- Headache Clinic; INI; Grottaferrata RM Italy
- University Consortium for Adaptive Disorders and Head Pain (UCADH); Pavia Italy
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Bracaglia M, Coppola G, Di Lenola D, Di Lorenzo C, Parisi V, Pierelli F. P902: Visual evoked potentials in subgroups of migraine with aura patients. Clin Neurophysiol 2014. [DOI: 10.1016/s1388-2457(14)50938-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
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26
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Porcaro C, Coppola G, Pierelli F, Tomasevic L, Salustri C, Tecchio F. P26: Multiple frequency functional connectivity in the hand somatosensory network: an EEG study. Clin Neurophysiol 2014. [DOI: 10.1016/s1388-2457(14)50190-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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27
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Coppola G, Di Lorenzo C, Bracaglia M, Di Lenola D, Parisi V, Pierelli F. P906: Central mechanisms of migraine improvement with ketogenic diet. Clin Neurophysiol 2014. [DOI: 10.1016/s1388-2457(14)50942-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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28
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Racis L, Di Fabio R, Tessa A, Guillot F, Storti E, Piccolo F, Nesti C, Tedde A, Pierelli F, Agnetti V, Santorelli FM, Casali C. Large deletion mutation of SPAST in a multi-generation family from Sardinia. Eur J Neurol 2014; 21:935-8. [PMID: 24824741 DOI: 10.1111/ene.12290] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/07/2013] [Accepted: 09/23/2013] [Indexed: 11/30/2022]
Abstract
BACKGROUND AND PURPOSE The hereditary spastic paraplegias (HSP) are characterized by progressive spasticity of the lower limbs, mostly inherited as an autosomal dominant trait. Analyses of large HSP pedigrees could help to better characterize the phenotype due to a single causative mutation. Patients in a seven-generation kindred carrying a large deletion in SPAST/SPG4 are described. METHODS Individuals originating from Sardinia were clinically and genetically studied. RESULTS Sixty-seven subjects carried a heterozygous deletion encompassing exons 2-17 of SPAST. Fifty patients (53.2 ± 15.4 years) presented a pure form of spastic paraparesis characterized by mild impairment and slow progression. Most patients showed spasticity, increased tendon reflexes in the lower limbs and Babinski sign, whilst weakness was rarely detected and urinary disturbances occasionally reported. Amongst the 17 asymptomatic carriers of the mutation, minimal neurological signs were detected in 11 cases. CONCLUSIONS A focus on spasticity, increased tendon reflexes and Babinski sign, more than on weakness, could help clinicians to promote early diagnosis in asymptomatic carriers of SPAST deletions.
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Affiliation(s)
- L Racis
- Department of Clinical and Experimental Medicine, University of Sassari, Sassari, Italy
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Di Fabio R, Tessa A, Marcotulli C, Leonardi L, Pierelli F, Santorelli F, Casali C. ‘When atlastin meets spastin’. Clin Genet 2014; 86:504-5. [DOI: 10.1111/cge.12331] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/17/2013] [Revised: 11/18/2013] [Accepted: 12/06/2013] [Indexed: 11/27/2022]
Affiliation(s)
- R. Di Fabio
- Department of Medical-Surgical Sciences and Biotechnologies; “Sapienza” University of Rome; Latina Italy
| | - A. Tessa
- Molecular Medicine; IRCCS Stella Maris; Pisa Italy
| | - C. Marcotulli
- Department of Medical-Surgical Sciences and Biotechnologies; “Sapienza” University of Rome; Latina Italy
| | - L. Leonardi
- Department of Medical-Surgical Sciences and Biotechnologies; “Sapienza” University of Rome; Latina Italy
| | | | | | - C. Casali
- Department of Medical-Surgical Sciences and Biotechnologies; “Sapienza” University of Rome; Latina Italy
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Coppola G, Tinelli E, Lepre C, Iacovelli E, Di Lorenzo C, Di Lorenzo G, Serrao M, Pauri F, Fiermonte G, Bianco F, Pierelli F. Dynamic changes in thalamic microstructure of migraine without aura patients: a diffusion tensor magnetic resonance imaging study. Eur J Neurol 2013; 21:287-e13. [DOI: 10.1111/ene.12296] [Citation(s) in RCA: 69] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2013] [Accepted: 09/23/2013] [Indexed: 12/12/2022]
Affiliation(s)
- G. Coppola
- Department of Neurophysiology of Vision and Neurophthalmology; G.B. Bietti Foundation IRCCS; Rome Italy
| | - E. Tinelli
- Neuroradiology Section; Department of Neurology and Psychiatry; ‘Sapienza’ University of Rome; Rome Italy
| | - C. Lepre
- Neurology Section; Department of Medico-Surgical Sciences and Biotechnologies; ‘Sapienza’ University of Rome; Rome Italy
| | - E. Iacovelli
- Neurology Section; Department of Medico-Surgical Sciences and Biotechnologies; ‘Sapienza’ University of Rome; Rome Italy
| | | | - G. Di Lorenzo
- Laboratory of Psychophysiology; Psychiatric Clinic; Department of Systems Medicine; University of Rome ‘Tor Vergata’; Rome Italy
| | - M. Serrao
- Department of Medico-Surgical Sciences and Biotechnologies; ‘Sapienza’ University of Rome Polo Pontino; Latina Italy
| | - F. Pauri
- Neurology Section; Department of Medico-Surgical Sciences and Biotechnologies; ‘Sapienza’ University of Rome; Rome Italy
| | - G. Fiermonte
- Neurology Section; Department of Medico-Surgical Sciences and Biotechnologies; ‘Sapienza’ University of Rome; Rome Italy
| | - F. Bianco
- Neurology Section; Department of Medico-Surgical Sciences and Biotechnologies; ‘Sapienza’ University of Rome; Rome Italy
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Iacovelli E, Coppola G, Bracaglia M, Salvia VL, Fragiotta G, Lorenzo CD, Pierelli F. 13. Somatosensory high-frequency oscillations in chronic migraine. Clin Neurophysiol 2013. [DOI: 10.1016/j.clinph.2013.06.040] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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32
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Bracaglia M, Coppola G, Iacovelli E, Lorenzo CD, Pierelli F. 14. Lateral inhibition in somatosensory cortex of migraine without aura patients between attacks. Clin Neurophysiol 2013. [DOI: 10.1016/j.clinph.2013.06.041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Di Fabio R, Serrao M, Pierelli F, Fragiotta G, Sandrini G. Pure akinesia: a kinematic analysis in a case responsive to rotigotine. Funct Neurol 2013; 28:133-5. [PMID: 24125564 DOI: 10.11138/fneur/2013.28.2.133] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
A patient with pure akinesia is described. This rare gait disorder, poorly responsive to therapy, is characterized by gait impairment which may be associated with handwriting and speech difficulties, in the absence of further signs of extrapyramidal involvement. Here, we report the improvement in a patient suffering from pure akinesia after low doses of rotigotine, a non-ergolinic dopamine agonist, detailing the kinematic analysis before and after the treatment. After therapy, an improvement in all of the gait parameters, particularly gait speed, was observed with a trend toward normalization. Our case report suggests that rotigotine may be a therapeutic option in cases of pure akinesia.
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Di Lorenzo C, Coppola G, Sirianni G, Pierelli F. Short term improvement of migraine headaches during ketogenic diet: a prospective observational study in a dietician clinical setting. J Headache Pain 2013. [DOI: 10.1186/1129-2377-14-s1-p219] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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35
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Coppola G, Tinelli E, Lepre C, Iacovelli E, Di Lorenzo C, Di Lorenzo G, Pauri F, Fiermonte G, Bianco F, Pierelli F. Altered thalamic microstructure in migraine without aura patients: a diffusion tensor magnetic resonance imaging study. J Headache Pain 2013. [PMCID: PMC3620003 DOI: 10.1186/1129-2377-14-s1-p121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
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36
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Coppola G, Iacovelli E, Bracaglia M, Di Lorenzo C, Pierelli F. Multimodal evoked potentials in chronic migraine. J Headache Pain 2013. [PMCID: PMC3620078 DOI: 10.1186/1129-2377-14-s1-p122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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37
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Coppola G, Iacovelli E, Bracaglia M, Di Lorenzo C, Pierelli F. Multimodal evoked potentials in chronic migraine. J Headache Pain 2013. [DOI: 10.1186/1129-2377-1-s1-p122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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38
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Di Lorenzo C, Coppola G, Sirianni G, Pierelli F. Short term improvement of migraine headaches during ketogenic diet: a prospective observational study in a dietician clinical setting. J Headache Pain 2013. [PMCID: PMC3620251 DOI: 10.1186/1129-2377-1-s14-p219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Affiliation(s)
| | - G Coppola
- G.B. Bietti Foundation-IRCCS, Dept of Neurophysiology of Vision and Neurophthalmology, Rome, Italy
| | - G Sirianni
- Wellness and Dietary Medicine, Krom Genetics Institute, Rome, Italy
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39
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Di Lorenzo C, Coppola G, Sirianni G, Pierelli F. Short term improvement of migraine headaches during ketogenic diet: a prospective observational study in a dietician clinical setting. J Headache Pain 2013. [DOI: 10.1186/1129-2377-1-s1-p219] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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40
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Ranavolo A, Conte C, Iavicoli S, Silvetti A, Serrao M, Sandrini G, Pierelli F, Draicchio F. [Walking efficiency of blind people on trapezoidal and sinusoidal section tactile leading indicators]. G Ital Med Lav Ergon 2011; 33:214-216. [PMID: 23393839] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
Gait of visually impaired subjects (VIS) is worse than that of sighted ones. VIS can use tactile ground surface indicators to optimize their walking efficiency. Aim of the study was to compare VIS walking efficiency on either trapezoidal and sinusoidal shape leading indicators. VIS walking on the sinusoidal leading indicators showed a worsening of the time-distance parameters (a longer stance phase, a shorter swing phase and shorter step and stride lengths), reduced lower limb joint excursions and increased center of mass oscillations. In conclusion sinusoidal tactile indicators induce a stiffening of joints and a loss of balance with an increased risk of fall.
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Affiliation(s)
- A Ranavolo
- INAIL ex ISPESL, Dipartimenti di Medicina del Lavoro, Via Fontana Candida 1, 00040 Monte Porzio Catone (RM), 0694181267, Italy.
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41
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Cortese F, Serrao M, Andersen OK, Conte C, Perrotta A, Sandrini G, Pierelli F. P23.21 Trigemino-cervical reflex receptive fields organization in humans. Clin Neurophysiol 2011. [DOI: 10.1016/s1388-2457(11)60607-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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42
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Coppola G, Di Lorenzo C, Currà A, Gorini M, Bracaglia M, Schoenen J, Pierelli F. P23.9 Somatosensory high-frequency oscillations in medication overuse headache. Clin Neurophysiol 2011. [DOI: 10.1016/s1388-2457(11)60595-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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43
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Coppola G, Currà A, Gorini M, Bracaglia M, Schoenen J, Pierelli F. P23.11 Repetitive TMS of the primary motor cortex modulates somatosensory high-frequency oscillations in migraine. Clin Neurophysiol 2011. [DOI: 10.1016/s1388-2457(11)60597-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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44
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Perrotta A, Serrao M, Coppola G, Ambrosini A, Bolla M, Sandrini G, Pierelli F. P23.16 Dysfunctional supraspinal control of pain in cluster headache. Clin Neurophysiol 2011. [DOI: 10.1016/s1388-2457(11)60602-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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45
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Currà A, Coppola G, Gorini M, Alibardi A, Porretta E, Bracaglia M, Di Lorenzo C, Schoenen J, Pierelli F. P23.13 Cortical inhibition in chronic headache changes according to the medication overused. Clin Neurophysiol 2011. [DOI: 10.1016/s1388-2457(11)60599-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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46
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Perrotta A, Gasperi V, Leal NA, Bazzini E, Sances G, Blandini F, Tassorelli C, Pierelli F, Sandrini G, Nappi G. P23.18 An acute reduction of the endocannabinoid-hydrolase fatty acid amide hydrolase (FAAH) is coupled with an improvement of the facilitation of the nociceptive pathways in medication-overuse headache. Clin Neurophysiol 2011. [DOI: 10.1016/s1388-2457(11)60604-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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47
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Ranavolo A, Conte C, Iavicoli S, Serrao M, Silvetti A, Sandrini G, Pierelli F, Draicchio F. Walking strategies of visually impaired people on trapezoidal- and sinusoidal-section tactile groundsurface indicators. Ergonomics 2011; 54:246-256. [PMID: 21390954 DOI: 10.1080/00140139.2010.548533] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
The visual system in walking serves to perceive feedback or feed-forward signals. Therefore, visually impaired persons (VIP) have biased motor control mechanisms. The use of leading indicators (LIs) and long canes helps to improve their walking efficiency. The aims of this study were to compare the walking efficiency of VIP on trapezoidal- and sinusoidal-section LIs using an optoelectronic motion analysis system. VIP displayed a significantly longer stance phase, a shorter swing phase and shorter step and stride lengths when they walked on the sinusoidal LI than when they walked on the trapezoidal LI. Compared with the trapezoidal LI, VIP walking on the sinusoidal LI displayed significantly lower joint ranges of motion. The centre of mass lateral displacement was wider for VIP walking on the sinusoidal LI than on the trapezoidal LI. Some significant differences were also found in sighted persons walking on both LIs. In conclusion, the trapezoidal shape enabled visually impaired subjects to walk more efficiently, whereas the sinusoidal shape caused dynamic balance problems. STATEMENT OF RELEVANCE: These findings suggest that VIP can walk more efficiently, with a lower risk of falls, on trapezoidal-section than on sinusoidal-section LIs. These results should be considered when choosing the most appropriate ground tactile surface indicators for widespread use.
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Affiliation(s)
- A Ranavolo
- Department of Occupational Medicine, INAIL, Rome, Italy.
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48
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Vingolo EM, Di Fabio R, Salvatore S, Grieco G, Bertini E, Leuzzi V, Nesti C, Filla A, Tessa A, Pierelli F, Santorelli FM, Casali C. Myelinated retinal fibers in autosomal recessive spastic ataxia of Charlevoix-Saguenay. Eur J Neurol 2011; 18:1187-90. [DOI: 10.1111/j.1468-1331.2010.03335.x] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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49
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Perrotta A, Serrao M, Sandrini G, Burstein R, Sances G, Rossi P, Bartolo M, Pierelli F, Nappi G. Sensitisation of spinal cord pain processing in medication overuse headache involves supraspinal pain control. Cephalalgia 2009; 30:272-84. [PMID: 19614707 DOI: 10.1111/j.1468-2982.2009.01914.x] [Citation(s) in RCA: 105] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Medication overuse could interfere with the activity of critical brain regions involved in the supraspinal control of pain signals at the trigeminal and spinal level, leading to a sensitisation phenomenon responsible for chronic pain. We hypothesised that medication-overuse headache (MOH) patients might display abnormal processing of pain stimuli at the spinal level and defective functioning of the diffuse noxious inhibitory controls. We tested 31 MOH patients before (bWT) and after (aWT) standard inpatient withdrawal treatment, 28 episodic migraine (EM) patients and 23 healthy control subjects. We measured the threshold, the area and the temporal summation threshold (TST) of the nociceptive withdrawal reflex before, during and after activation of the diffuse noxious inhibitory controls by means of the cold pressor test. A significantly lower TST was found in both the MOH (bWT and aWT) and the EM patients compared with the controls, and in the MOH patients bWT compared with both the MOH patients aWT and the EM patients. In the MOH bWT patients the cold pressor test induced a TST increase significantly lower than that found in the MOH aWT, EM and control groups. Abnormal spinal cord pain processing and a decrease of the antinociceptive activity of the supraspinal structures in MOH patients can be hypothesised. These abnormalities could, in part, be related to the medication overuse, given that the withdrawal treatment was related to an improvement in the neurophysiological findings.
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Affiliation(s)
- A Perrotta
- University Centre for Adaptive Disorders and Headache, IRCCS ‘C. Mondino Institute of Neurology’ Foundation, University of Pavia, Pavia
- IRCCS ‘Neuromed’, University of Rome ‘La Sapienza’, Headache Clinic, Pozzilli, Isernia
| | - M Serrao
- University Centre for Adaptive Disorders and Headache, University of Rome ‘La Sapienza’, Polo Pontino-ICOT, Latina
- Rehabilitation Centre, Policlinico Italia
| | - G Sandrini
- University Centre for Adaptive Disorders and Headache, IRCCS ‘C. Mondino Institute of Neurology’ Foundation, University of Pavia, Pavia
| | - R Burstein
- Department of Anesthesia and Critical Care, Beth Israel Deaconess Medical Center, Department of Neurobiology, Harvard Medical School, Boston, MA, USA
| | - G Sances
- University Centre for Adaptive Disorders and Headache, IRCCS ‘C. Mondino Institute of Neurology’ Foundation, University of Pavia, Pavia
| | - P Rossi
- Headache Clinic, INI Grottaferrata, Italy
| | - M Bartolo
- University Centre for Adaptive Disorders and Headache, IRCCS ‘C. Mondino Institute of Neurology’ Foundation, University of Pavia, Pavia
- IRCCS ‘Neuromed’, University of Rome ‘La Sapienza’, Headache Clinic, Pozzilli, Isernia
| | - F Pierelli
- University Centre for Adaptive Disorders and Headache, University of Rome ‘La Sapienza’, Polo Pontino-ICOT, Latina
| | - G Nappi
- University Centre for Adaptive Disorders and Headache, IRCCS ‘C. Mondino Institute of Neurology’ Foundation, University of Pavia, Pavia
- Chair of Neurology, University of Rome ‘La Sapienza’, Rome, Italy
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Di Lorenzo C, Pierelli F, Coppola G, Grieco GS, Rengo C, Ciccolella M, Magis D, Bolla M, Casali C, Santorelli FM, Schoenen J. Mitochondrial DNA haplogroups influence the therapeutic response to riboflavin in migraineurs. Neurology 2009; 72:1588-94. [DOI: 10.1212/wnl.0b013e3181a41269] [Citation(s) in RCA: 67] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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