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BACKGROUND: Cerebral palsy (CP) is the most common physical disability in childhood. It is a heterogeneous condition in terms of etiology, motor type and severity of impairments. Clinical impairments, such as increased muscle tone (spasticity), muscle weakness and joint stiffness contribute to the abnormal development of functional activities, including gait. OBJECTIVE: The objective of this study was to investigate the popliteal angle to hamstring length after ultrasound guided Incobotulinum toxin A injections for spasticity in CP patients. METHODS: In this proof-of-concept study, we included outpatients with CP and crouch gait correlated to hamstrings spasticity referred to the Pediatric Rehabilitation outpatient clinic of Umberto I University Hospital, Sapienza University of Rome, in the period between February and October 2018. METHODS: Modified Ashworth Scale (MAS) of hamstring muscles, Popliteal Angle and Modified Popliteal Angle, Passive Knee Extension and 10 Meter Walk Test (10MWT) were assessed at baseline (T0) and three weeks after ultrasound guided injection (T1) of Incobotulinum Toxin A (dose weight and site dependent). RESULTS: Thirteen patients (5 male and 8 female), mean aged 9.91 ± 3.59, were included. The clinical evaluation at T0 showed hamstring muscles spasticity, with MAS of 2.4 ± 0.6, popliteal angle - 51.7 ∘ ± 11.0 ∘ , modified popliteal angle of - 39.5 ∘ ± 11.0 ∘ , passive knee extension of - 14.0 ∘ ± 8.7 ∘ and 10MWT of 14.3 ± 4.6 seconds. At T1, hamstring muscles MAS mean value was 1.7 ± 0.6 (p < 0.01), popliteal angle 41.3 ∘ ± 7.0 ∘ (p < 0.001), modified popliteal angle - 32.9 ∘ ± 10.4 ∘ (p < 0.001), passive knee extension - 4.0 ∘ ± 4.2 ∘ (p < 0.05) and 10MWT 12.6 ± 4.8 seconds (p < 0.05). None of the treated patients reported any adverse event related to Incobotulinum Toxin A injection. CONCLUSION: Incobotulinum toxin A treatment has been proven to be safe and effective for hamstring muscles spasticity management in CP patients. Further studies with larger samples and longer follow-up are warranted to assess the efficacy of this treatment on the popliteal angle. [ABSTRACT FROM AUTHOR]

Italian teams have been involved many times in Space Weather observational campaigns from space and from the ground, contributing in the advancing of our knowledge on the properties and evolution of the related phenomena. Numerous Space Weather forecasting and now-casting modeling efforts have resulted in a remarkable add-on to the overall progress in the field, at both national and international level. The Italian Space Agency has participated several times in space missions with science objectives related to Space Weather; indeed, an important field for the Italian scientific and industrial communities interested in Heliophysics and Space Weather, is the development of new instrumentation for future space missions. In this paper, we present a brief state-of-the-art in Space Weather science in Italy and we discuss some ideas on a long-term plan for the support of future scientific research in the related disciplines. In the context of the current roadmap, the Italian Space Agency aims to assess the possibility to develop a national scientific Space Weather data centre to encourage synergies between different science teams with interest in the field and to motivate innovation and new mission concept development. Alongside with the proposed recommendations, we also discuss how the Italian expertise could complement international efforts in a wider international Space Weather context. [ABSTRACT FROM AUTHOR]