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12. Efficacy and Accuracy of Ultrasound Guided Injections in the Treatment of Cervical Facet Joint Syndrome: A Systematic Review.

Author

Viva, Mattia Giuseppe, Sveva, Valerio, Ruggiero, Marco, Fai, Annatonia, Savina, Alessio, Perrone, Riccardo, Donati, Danilo, Tedeschi, Roberto, Monticone, Marco, Farì, Giacomo, and Bernetti, Andrea

Subjects
ZYGAPOPHYSEAL joint, PAIN management, ANALGESIA, SCIENTIFIC literature, JOINT pain, NECK pain
Abstract

Background/Objectives: Cervical facet joint syndrome (CFJS) is a frequent cause of neck pain and motor disability. Among the available therapies for CFJS, ultrasound (US)-guided injections are becoming more and more widespread, but the evidence about their accuracy and effectiveness is still debated in the scientific literature. The aim of this systematic review is to assess efficacy, accuracy and feasibility of US-guided cervical facet injections for the related chronic neck pain treatment. Methods: This review was conducted following the preferred reporting items for systematic reviews and meta-analysis 2020 (PRISMA) statement guidelines. The scientific articles were identified through the PubMed, Google Scholar and Cochrane Library databases. Qualitative assessment of the selected studies was carried out using the modified Oxford quality scoring system. Nine studies with a total of 958 patients were included in this review. The risk of bias was assessed using the Cochrane Collaboration tool. The protocol was registered at PROSPERO 2024 (n°CRD42024512214). Results: The results of this review suggest that the US-guided cervical facet injection for CFJS treatment is an effective technique in terms of accuracy (using the lateral technique it ranges from 92% to 98%), and efficiency (it grants pain relief with a decrease in the procedure time and fewer needle passes in comparison with the X-ray-guided technique, which also involves radiation exposure). Conclusions: US-guided injections are a safe and effective method to treat this musculoskeletal disease, granting a high functional recovery and long-lasting pain relief, net of the used drugs. However, these procedures are strictly operator-dependent and require important training to acquire good expertise. [ABSTRACT FROM AUTHOR]

Published
2024
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16. Reliability, Concurrent Validity, and Clinical Performances of the Shorter Version of the Roland Morris Disability Questionnaire in a Sample of Italian People with Non-Specific Low Back Pain.

Author

Paolucci, Teresa, Pezzi, Letizia, Coraci, Daniele, Tognolo, Lucrezia, Pantalone, Andrea, Attanasi, Carmine, Graziani, Giancarlo, Dalla Costa, Davide, Arippa, Federico, Cichelli, Alice, and Monticone, Marco

Subjects
PEARSON correlation (Statistics), LUMBAR pain, CRONBACH'S alpha, TEST validity, INTRACLASS correlation
Abstract

Background. Evaluating the psychometric and clinical performances of the RM-18, the shorter version of the Roland Morris Disability Questionnaire (RMQ), in Italian people with non-specific low back pain (NSLBP) as a time-saving and clinically useful method of assessing disability. Methods. This cross-sectional study included 74 people (52 females and 22 males, 53.03 ± 15.25 years old) with NSLBP. The RM-18, the RMQ, the Oswestry Disability Index (ODI), and a pain intensity numerical rating scale (NRS) were administered. Psychometric testing included reliability by internal consistency (Cronbach's alpha) and test–retest measurement (Intraclass Correlation Coefficient, ICC2.1), and concurrent validity by comparing the RM-18 with the RMQ and the ODI (Pearson's r correlation). Two separate regression analyses were performed to investigate the different impact of RM-18 and RMQ on NRS. Results. Cronbach's α of RM-18 was 0.92 and ICC (2,1) = 0.96. Strong correlations were found with the RMQ and the ODI (r = 0.98; r = 0.78, respectively). The regression models showed that the RM-18 and the RMQ similarly impacted the NRS (p < 0.001). Conclusion. The RM-18 showed satisfactory psychometric testing and similarly impacted the NRS when compared to the RMQ. It can be recommended for clinical and research purposes in Italian people with NSLBP. [ABSTRACT FROM AUTHOR]

Published
2024
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17. Cerebellar Non-Invasive Brain Stimulation: A Frontier in Chronic Pain Therapy.

Author

Sveva, Valerio, Cruciani, Alessandro, Mancuso, Marco, Santoro, Francesca, Latorre, Anna, Monticone, Marco, and Rocchi, Lorenzo

Subjects
TRANSCRANIAL direct current stimulation, TRANSCRANIAL alternating current stimulation, TRANSCRANIAL magnetic stimulation, BRAIN stimulation, EVOKED potentials (Electrophysiology), FIBROMYALGIA
Abstract

Chronic pain poses a widespread and distressing challenge; it can be resistant to conventional therapies, often having significant side effects. Non-invasive brain stimulation (NIBS) techniques offer promising avenues for the safe and swift modulation of brain excitability. NIBS approaches for chronic pain management targeting the primary motor area have yielded variable outcomes. Recently, the cerebellum has emerged as a pivotal hub in human pain processing; however, the clinical application of cerebellar NIBS in chronic pain treatment remains limited. This review delineates the cerebellum's role in pain modulation, recent advancements in NIBS for cerebellar activity modulation, and novel biomarkers for assessing cerebellar function in humans. Despite notable progress in NIBS techniques and cerebellar activity assessment, studies targeting cerebellar NIBS for chronic pain treatment are limited in number. Nevertheless, positive outcomes in pain alleviation have been reported with cerebellar anodal transcranial direct current stimulation. Our review underscores the potential for further integration between cerebellar NIBS and non-invasive assessments of cerebellar function to advance chronic pain treatment strategies. [ABSTRACT FROM AUTHOR]

Published
2024
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18. La riabilitazione cognitiva integrata alla riabilitazione motoria nelle persone oncologiche.

Author

Rocca, Barbara, Sanna, Ignazio, and Monticone, Marco

Abstract

Copyright of Critical Hermeneutics: Biannual Journal of Philosophy is the property of Universita degli Studi di Cagliari and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Published
2024
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20. Scale Shortening and Decrease in Measurement Precision: Analysis of the Pain Self-Efficacy Questionnaire and Its Short Forms in an Italian-Speaking Population With Neck Pain Disorders

Author

Monticone, Marco, Giordano, Andrea, and Franchignoni, Franco

Subjects
Self-efficacy (Psychology) -- Health aspects, Health surveys -- Evaluation, Neck pain -- Diagnosis
Abstract

Objective. Short (2- and 4-item) forms of the Pain Self-Efficacy Questionnaire (PSEQ) have been proposed, but their measurement precision at the individual level is unclear. The purpose of this study was to analyze the Rasch psychometric characteristics of PSEQ and its 3 short forms (one 4-item and two 2-item versions) in an Italian-speaking population with neck pain (NP) disorders and compare their measurement precision at the individual level through calculation of the test information function (TIF). Methods. Secondary analysis of data from a prospective single-group observational study was conducted. In 161 consecutive participants (mean age = 45 years [SD = 14]; 104 women) with NP disorders, a Rasch analysis was performed on each version of the PSEQ (full scale plus 3 short forms), and the TIF was calculated to examine the degree of measurement precision in estimating person ability over the whole measured construct (pain self-efficacy). Results. In all versions of the PSEQ, the rating scale fulfilled the category functioning criteria, and all items showed an adequate fit to the Rasch model. The PSEQ showed a bell-shaped distribution of information, with an acceptable measurement precision (standard error Conclusions. The results confirm and expand reports on the sound psychometric characteristics of PSEQ, showing for the first time, to our knowledge, its conditional precision in estimating pain self-efficacy measures in Italian individuals with NP disorders. The study cautions against use of the 3 PSEQ short forms for individual-level clinical decision-making. Impact. Short scales are popular in rehabilitation settings largely because they can save assessment time and related costs. The psychometric characteristics of the 10-item PSEQ were confirmed and deepened, including its precision in estimating individual pain self-efficacy at different levels of this latent variable. On the other hand, low measurement precision of the 3 PSEQ short forms cautions against their use for individual judgments. Keywords: Self-Efficacy, Neck Pain, Measurement, Psychometrics, Rehabilitation, Introduction Neck pain (NP) is a frequent problem experienced by people of all ages, and the 1-year prevalence of chronic NP ranges from 1.7% to 11.5% in the general population. [...]

Published
2021
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23. Active elderly and health—can moderate exercise improve health and wellbeing in older adults? Protocol for a randomized controlled trial

Author

Carta, Mauro Giovanni, Cossu, Giulia, Pintus, Elisa, Zoccheddu, Rosanna, Callia, Omar, Conti, Giuliana, Pintus, Mirra, Gonzalez, Cesar Ivan Aviles, Massidda, Maria Valeria, Mura, Gioia, Sardu, Claudia, Contu, Paolo, Minerba, Luigi, Demontis, Roberto, Pau, Massimiliano, Finco, Gabriele, Cocco, Eleonora, Penna, Maria Petronilla, Orrù, Germano, Kalcev, Goce, Cabras, Federico, Lorrai, Stefano, Loviselli, Andrea, Velluzzi, Fernanda, Monticone, Marco, Cacace, Enrico, Musu, Mario, Rongioletti, Franco, Cauli, Alberto, Ruggiero, Valeria, Scano, Alessandra, Crisafulli, Antonio, Cosentino, Sofia, Atzori, Laura, Massa, Elena, Mela, Quirico, Fortin, Dario, Migliaccio, Gianmario, Nardi, Antonio Egidio, Angermeyer, Matthias, and Preti, Antonio

Published
2021
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28. Reliability of Rapid TMS Stimulus-Response Curves During Tibialis Anterior Contractions on Healthy Elderly

Author

Peri, Elisabetta, Colombo, Vera Maria, Ambrosini, Emilia, van de Ruit, Mark, Grey, Michael J., Monticone, Marco, Pedrocchi, Alessandra, Ferrigno, Giancarlo, Ferrante, Simona, Magjarevic, Ratko, Editor-in-chief, Ładyżyński, Piotr, Series editor, Ibrahim, Fatimah, Series editor, Lacković, Igor, Series editor, Rock, Emilio Sacristan, Series editor, Kyriacou, Efthyvoulos, editor, Christofides, Stelios, editor, and Pattichis, Constantinos S., editor

Published
2016
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39. Social and Behavioral Rhythms is Related to the Perception of Quality of Life in Old Adults

Author

Carta, Mauro Giovanni, primary, Pintus, Elisa, additional, Zaccheddu, Rosanna, additional, Callia, Omar, additional, Conti, Giuliana, additional, Aviles Gonzalez, Cesar Ivan, additional, Minerba, Luigi, additional, Demontis, Roberto, additional, Pau, Massimiliano, additional, Cocco, Eleonora, additional, Penna, Maria Petronilla, additional, Kalcev, Goce, additional, Lorrai, Stefano, additional, Velluzzi, Fernanda, additional, Lovoselli, Andrea, additional, Monticone, Marco, additional, Massidda, Maria Valeria, additional, Pinna, Maria Rita, additional, Atzori, Laura, additional, Cauli, Alberto, additional, Scano, Alessandra, additional, Orrù, Germano, additional, Crisafulli, Antonio, additional, Cosentino, Sofia, additional, Machado, Sergio, additional, Fortin, Dario, additional, Migliaccio, Gian Mario, additional, Finco, Gabriele, additional, Musu, Mario, additional, and Cossu, Giulia, additional

Published
2022
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40. Robot-assisted rehabilitation of people with breast cancer developing upper limb lymphedema. Protocol of a randomized controlled trial with a six-month follow‑up

Author

Arippa, Federico and Monticone, Marco

Subjects
Medicine and Health Sciences, Upper Limb Rehabilitation
Abstract

This study’s aims to evaluate the effectiveness of a robot-assisted rehabilitation program in the treatment of individuals who develop an upper-limb lymphoedema after breast cancer. A randomized, parallel-group superiority-controlled trial will be conducted.

Published
2023
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50. Responsiveness and Minimal Important Change of the Quebec Back Pain Disability Scale in Italian patients with chronic low back pain undergoing multidisciplinary rehabilitation

Author

MONTICONE, Marco, ARIPPA, Federico, FOTI, Calogero, and FRANCHIGNONI, Franco

Subjects
Disability Evaluation, Settore MED/34, ROC Curve, Back Pain, Surveys and Questionnaires, Rehabilitation, Quebec, Humans, Physical Therapy, Sports Therapy and Rehabilitation, Chronic Pain, Low Back Pain, Article, Pain Measurement
Abstract

BACKGROUND: There is still a lack of information concerning Minimal Important Change (MIC) of the Quebec Back Pain Disability Scale (QBPDS), that limits its use for clinical and research purposes. AIM: Evaluating responsiveness and MIC of the QBPDS in Italians with chronic low back pain (LBP). DESIGN: This is a methodological research based on an observational study. SETTING: Outpatient rehabilitation hospital. POPULATION: Two hundred and one patients with chronic LBP. METHODS: At the beginning and end of a multidisciplinary rehabilitation program, patients completed the QBPDS. At the end of treatment, they completed a 7-level global perceived effect (GPE) scale, which was split to obtain a dichotomous outcome (improved vs. stable). Responsiveness was calculated by distribution-based (effect size [ES]; standardized response mean [SRM]; minimum detectable change [MDC(95)]) and anchor-based methods (receiver operating characteristics [ROC] curves). ROC curves were also used to compute the MIC (based on QBPDS change score, both absolute and expressed as percentage). Correlations between the change score of the QBPDS and GPE were calculated. RESULTS: The ES was 0.29, the SRM was 0.43, and the MDC(95) was 12 points. ROC analysis of the absolute change scores showed a MIC value of 6 points, with an area under the curve (AUC), sensitivity, and specificity of 0.83 (95% CI: 0.77-0.90), 77.7% and 80.8%, respectively. ROC analysis based on the percent change score from baseline revealed a MIC of 18% with an AUC, sensitivity and specificity of 0.85 (95% CI: 0.79-0.91), 80.6% and 80.8%, respectively. Correlation between change score of the QBPDS and GPE was ρ=-0.67. CONCLUSIONS: The QBPDS score change (expressed in both absolute value and percentage from baseline) was sensitive in detecting clinical changes in Italian subjects with chronic LBP undergoing multidisciplinary rehabilitation. In clinical practice, where absolute change is lower than MDC we recommend to rely on the MIC taking into account the percentage change from baseline condition. CLINICAL REHABILITATION IMPACT: The present study investigated the responsiveness and MIC of the QBPDS in a group of patients with chronic LBP. Our findings showed that the QBPDS score may classify with good to excellent discriminatory accuracy subjects who consider themselves as improved. Where examining change, we recommend considering both MICs we provided (expressing score change both in absolute value and as a percentage from baseline), and disregard values lower than MDC(95), not being discernible from measurement error.

Published
2022

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